Self-renewing resident cardiac macrophages limit adverse remodeling following myocardial infarction

SA Dick, JA Macklin, S Nejat, A Momen… - Nature …, 2019 - nature.com
SA Dick, JA Macklin, S Nejat, A Momen, X Clemente-Casares, MG Althagafi, J Chen
Nature immunology, 2019nature.com
Macrophages promote both injury and repair after myocardial infarction, but discriminating
functions within mixed populations remains challenging. Here we used fate mapping,
parabiosis and single-cell transcriptomics to demonstrate that at steady state, TIMD4+
LYVE1+ MHC-IIloCCR2− resident cardiac macrophages self-renew with negligible blood
monocyte input. Monocytes partially replaced resident TIMD4–LYVE1–MHC-IIhiCCR2−
macrophages and fully replaced TIMD4− LYVE1− MHC-IIhiCCR2+ macrophages, revealing …
Abstract
Macrophages promote both injury and repair after myocardial infarction, but discriminating functions within mixed populations remains challenging. Here we used fate mapping, parabiosis and single-cell transcriptomics to demonstrate that at steady state, TIMD4+LYVE1+MHC-IIloCCR2 resident cardiac macrophages self-renew with negligible blood monocyte input. Monocytes partially replaced resident TIMD4LYVE1MHC-IIhiCCR2 macrophages and fully replaced TIMD4LYVE1MHC-IIhiCCR2+ macrophages, revealing a hierarchy of monocyte contribution to functionally distinct macrophage subsets. Ischemic injury reduced TIMD4+ and TIMD4 resident macrophage abundance, whereas CCR2+ monocyte-derived macrophages adopted multiple cell fates within infarcted tissue, including those nearly indistinguishable from resident macrophages. Recruited macrophages did not express TIMD4, highlighting the ability of TIMD4 to track a subset of resident macrophages in the absence of fate mapping. Despite this similarity, inducible depletion of resident macrophages using a Cx3cr1-based system led to impaired cardiac function and promoted adverse remodeling primarily within the peri-infarct zone, revealing a nonredundant, cardioprotective role of resident cardiac macrophages.
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