Abstract

Background The outcome of the severe systemic disorders (e.g. sepsis, acute lung injury) largely depends on the efficacy of resolution of inflammation. We have reported that water-soluble carbon monoxide releasing molecule-3 (CORM-3) suppresses inflammatory activation in neutrophils and vascular endothelial cells and offers protection against sepsis-induced lung dysfunction in vivo. Alveolar macrophages are key contributors to both the promotion and resolution/remodeling of inflammation and are classified into pro-inflammatory (M1) and anti-inflammatory (M2) groups. The change in M1/M2 balance has been reported in various pulmonary diseases and is considered as a target for therapeutic intervention. The aim of this study was to assess the effects of CORM-3 in modulation of macrophage M1/M2 phenotype under “inflammatory” or “remodeling” conditions. Methods Rat alveolar macrophages (NR8383) in culture were stimulated with LPS (500ng/ml)/IFN-γ (100ng/ml) or IL-4 (1ng/ml)/IL-13(1ng/ml) to induce M1- and M2-phenotypes, respectively. Specific markers of M1-phenotype (iNOS expression) and M2-phenotype (mannose receptor; Man-R, expression) were assessed (western blotting) after 1, 3, 6, or 24 hours in the absence or presence of CORM-3 (0.1mM) treatment. Inactive CORM-3 was used as a control. Results M1-phenotype (iNOS expression) was markedly upregulated (10 to 24 –fold) in LPS/IFN-γ-stimulated macrophage after 6 and 24 hours, respectively. In parallel, IL-4/IL13 stimulation induced M2-phenotype as evidenced by increase in Man-R levels at 6 and 24 hrs. Administration of CORM-3 during macrophage stimulation effectively suppressed development of both, M1- and M2-phenotypes. Paradoxically, treatment of naive (unstimulated) macrophage with CORM-3 increased expression of Man-R after 1 hour (1.8 fold) and iNOS expression after 6 hours (2.5 fold). Conclusion These findings indicate that CORM-3 can modulate progression of M1- and M2-phenotypes in macrophages under inflammatory conditions in vitro.

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