Journal of Leukocyte Biology Myeloid cells, immune suppression, tumor immunology
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Originally published online as doi:10.1189/jlb.0307195 on August 3, 2007

Published online before print August 3, 2007
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(Journal of Leukocyte Biology. 2007;82:1257-1265.)
© 2007 by Society for Leukocyte Biology

Hypoxia causes an increase in phagocytosis by macrophages in a HIF-1{alpha}-dependent manner

Rahul J. Anand, Steven C. Gribar, Jun Li, Jeff W. Kohler, Maria F. Branca, Theresa Dubowski, Chhinder P. Sodhi and David J. Hackam1

Division of Pediatric Surgery, Children’s Hospital of Pittsburgh, and University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

1 Correspondence: Children’s Hospital of Pittsburgh, Department of Surgery, 3705 Fifth Avenue, 4A485 DeSoto, Pittsburgh, PA 15213, USA. E-mail: david.hackam{at}chp.edu

Phagocytosis is the process by which microbial pathogens are engulfed by macrophages and neutrophils and represents the first line of defense against bacterial infection. The importance of phagocytosis for bacterial clearance is of particular relevance to systemic inflammatory diseases, which are associated with the development of hypoxia, yet the precise effects of hypoxia on phagocytosis remain largely unexplored. We now hypothesize that hypoxia inhibits phagocytosis in macrophages and sought to determine the mechanisms involved. Despite our initial prediction, hypoxia significantly increased the phagocytosis rate of particles in vitro by RAW264.7 and primary peritoneal macrophages and increased phagocytosis of labeled bacteria in vivo by hypoxic mice compared with normoxic controls. In understanding the mechanisms involved, hypoxia caused no changes in RhoA-GTPase signaling but increased the phosphorylation of p38-MAPK significantly. Inhibition of p38 reversed the effects of hypoxia on phagocytosis, suggesting a role for p38 in the hypoxic regulation of phagocytosis. Hypoxia also significantly increased the expression of hypoxia-inducible factor-1{alpha} (HIF-1{alpha}) in macrophages, which was reversed after p38 inhibition, suggesting a link between p38 activation and HIF-1{alpha} expression. It is striking that small interfering RNA knockdown of HIF-1{alpha} reversed the effects of hypoxia on phagocytosis, and overexpression of HIF-1{alpha} caused a surprising increase in phagocytosis compared with nontransfected controls, demonstrating a specific role for HIF-1{alpha} in the regulation of phagocytosis. These data indicate that hypoxia enhances phagocytosis in macrophages in a HIF-1{alpha}-dependent manner and shed light on an important role for HIF-1{alpha} in host defense.

Key Words: critical illness • necrotizing enterocolitis • hypoxic stress • bacterial clearance • p38 • bacterial translocation




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A. R. Elia, P. Cappello, M. Puppo, T. Fraone, C. Vanni, A. Eva, T. Musso, F. Novelli, L. Varesio, and M. Giovarelli
Human dendritic cells differentiated in hypoxia down-modulate antigen uptake and change their chemokine expression profile
J. Leukoc. Biol., December 1, 2008; 84(6): 1472 - 1482.
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