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Alveolar macrophage-expressed Plet1 is a driver of lung epithelial repair after viral pneumonia

  • Learta Pervizaj-Oruqaj,
  • Balachandar Selvakumar,
  • Maximiliano Ruben Ferrero,
  • Monika Heiner,
  • Christina Malainou,
  • Rolf David Glaser,
  • Jochen Wilhelm,
  • Marek Bartkuhn,
  • Astrid Weiss,
  • Ioannis Alexopoulos,
  • Biruta Witte,
  • Stefan Gattenlöhner,
  • István Vadász,
  • Rory Edward Morty,
  • Werner Seeger,
  • Ralph Theo Schermuly,
  • Ana Ivonne Vazquez-Armendariz,
  • Susanne Herold

摘要

Influenza A virus (IAV) infection mobilizes bone marrow-derived macrophages (BMDM) that gradually undergo transition to tissue-resident alveolar macrophages (TR-AM) in the inflamed lung. Combining high-dimensional single-cell transcriptomics with complex lung organoid modeling, in vivo adoptive cell transfer, and BMDM-specific gene targeting, we found that transitioning (“regenerative”) BMDM and TR-AM highly express Placenta-expressed transcript 1 (Plet1). We reveal that Plet1 is released from alveolar macrophages, and acts as important mediator of macrophage-epithelial cross-talk during lung repair by inducing proliferation of alveolar epithelial cells and re-sealing of the epithelial barrier. Intratracheal administration of recombinant Plet1 early in the disease course attenuated viral lung injury and rescued mice from otherwise fatal disease, highlighting its therapeutic potential.