Abstract

This perspective outlines an approach to improve mechanistic understanding of macrophages in inflammation and tissue homeostasis, with a focus on human inflammatory bowel disease (IBD). The approach integrates wet-lab and in-silico experimentation, driven by mechanistic mathematical models of relevant biological processes. Although wet-lab experimentation with genetically modified mouse models and primary human cells and tissues have provided important insights, the role of macrophages in human IBD remains poorly understood. Key open questions include: (1) To what degree hyperinflammatory processes (e.g., gain of cytokine production) and immunodeficiency (e.g., loss of bacterial killing) intersect to drive IBD pathophysiology? and (2) What are the roles of macrophage heterogeneity in IBD onset and progression? Mathematical modeling offers a synergistic approach that can be used to address such questions. Mechanistic models are useful for informing wet-lab experimental designs and provide a knowledge constrained framework for quantitative analysis and interpretation of resulting experimental data. The majority of published mathematical models of macrophage function are based either on animal models, or immortalized human cell lines. These experimental models do not recapitulate important features of human gastrointestinal pathophysiology, and, therefore are limited in the extent to which they can fully inform understanding of human IBD. Thus, we envision a future where mechanistic mathematical models are based on features relevant to human disease and parametrized by richer human datasets, including biopsy tissues taken from IBD patients, human organ-on-a-chip systems and other high-throughput clinical data derived from experimental medicine studies and/or clinical trials on IBD patients.

Highlights

  • Macrophages are heterogeneous cells with key functions in inflammatory immune responses, tissue homeostasis, and immune regulation

  • Macrophages are involved in the pathogenesis and progression of human inflammatory diseases including rheumatoid arthritis (RA), atherosclerosis, and inflammatory bowel disease (IBD)

  • Open questions include: [1] how do macrophage hyperinflammatory processes and immunodeficiency intersect to produce human IBD; [2] what are the functional consequences of genetic variant burden across the multiple human polymorphisms associated with inflammatory diseases and that intersect with macrophage signaling pathways; [3] what factors and cellular processes drive granuloma formation in Crohn’s disease and other granulomatous disorders; [4] what is the relationship between peripheral blood monocytes and tissue resident macrophages; [5] what is the role of macrophage heterogeneity in IBD disease dynamics; [6] what is the role of long lived tissue-resident macrophages, monocyte derived macrophages, dendritic cells, neutrophils, and nonprofessional APCs during active IBD inflammation and remission? Mathematical models can help answer these questions at the level of experimental design, data analysis, and interpretation

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Summary

Introduction

Macrophages are heterogeneous cells with key functions in inflammatory immune responses, tissue homeostasis, and immune regulation. Observed discrepancies between a mathematical model and experimental data can generate biological insight by challenging assumptions on which the model is based, such as the assumption of a perfectly mixed population by Zhou et al (discussed in Section Modeling macrophage behavior in the context of tissue microenvironments).

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