A little thread with data incorporating #scRNAseq, #macrophages, #lung, and of course #COVID19
In addition to alveolar macrophages (a population well known to defend against viral infection flu etc..), populations of interstitial macrophages.... 1) nerve & airway associated macs (NAM) CD169+/CX3CR1+ 2) interstitial macs (CX3CR1-).
Look, the NAMS hug up against nerves!
They (green scRNAseq cluster) look distinct from that big blob of alveolar macs, and have an M2 skewed immunoregulatory flavour.
they go on to show they are embryonically (yolk sac) derived..
These 2 interstitial populations look reasonably similar to populations characterised by 🐭 flow previously.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516280/
These NAMs look a bit like the "nerve associated" macrophages described in this paper https://science.sciencemag.org/content/363/6432/eaau0964/tab-figures-data in @ScienceMagazine

But... they are supposedly monocyte derived.. so bit of controversy there...
Importantly in a 🐭model of flu they look to be regulatory and produce IL10. Deletion of alveolar macrophages results in higher viral titres....
Now what about in humans. Well, #scRNAseq of lung - such as this @NatureMedicine paper https://www.nature.com/articles/s41591-019-0468-5
identify alveolar macrophages (FABP4/APOC/APOE+) and classical monocytes (FCN/VCAN/S100A8+) easily.
But I don't see interstitial macs...
This @medrxivpreprint paper https://www.medrxiv.org/content/10.1101/2020.02.23.20026690v1.full.pdf presents #scRNAseq data from bronchoalveolar lavage fluid (where we wouldn't expect to see interstitial macs) in #COVID19 patients
They see a FABP4/MRC1/MARCO+ population of alveolar macs which disappear in severe #COVID19
Maybe the overwhelming viral infection results in AM cell death....
Instead the landscape is dominated by inflammatory (classical) monocytes...
Another subset expresses lots of interferon stimulated genes and chemokines - orchestrating massive leukocyte recruitment to the lung
So I really want to know:
1) What are the phenotypes & transcriptional signatures of interstitial macs in human lung? Have we really not found them by #scRNAseq yet?
2) Are they restraining immune responses in viral pneumonitis - flu & #COVID19 ?
3) Can we enhance the potentially protective interstitial macrophage responses?
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