The adrenal medulla is packed with chromaffin cells, modified postganglionic sympathetic neurons that secrete the catecholamines, epinephrine and norepinephrine, during the fight-or-flight response. Sometimes overlooked, is a population of immune cells that also resides within the gland but whose distribution and function is not clear. Here I examine the location of CD45+ hematopoietic cells in the mouse adrenal medulla and show the majority are F4/80+/Lyz2+ macrophages. These cells are present from early post-natal development and widely distributed. Anatomically they are associated with chromaffin cells, found aligned alongside synapsin-ir neuronal varicosities and juxtaposed to CD31-ir blood vessels. Using Lyz2cre-GCaMP6f mice to quantify calcium signaling in macrophages revealed these cells respond directly and indirectly to a wide variety of neuromodulators, including pre- and post-ganglionic transmitters and systemic hormones. Purinergic agonists, histamine, acetylcholine and bradykinin rapidly and reversibly increased intracellular calcium. These results are consistent with a substantial resident population of innate immune cells in the adrenal medulla. Their close association with chromaffin cells and the preganglionic input suggests they may regulate sympatho-adrenal activity and thus the strength of the fight-or-flight response.Significance statement It is widely recognized that the nervous and immune systems can functionally communicate but many aspects of the underlying cellular mechanisms remain to be clarified. The adrenal medulla contains neuroendocrine chromaffin cells and a diverse population of immune cells whose distribution and function is not well understood. Using immunohistochemistry, I show the medulla contains a large population of macrophages that are closely associated with the pre-ganglionic input and with chromaffin cells. Monitoring calcium levels in macrophages within the mouse adrenal medulla shows these cells can rapidly respond to the application of a wide variety of neuromodulators. Their location and responsiveness suggests these cells could be involved in neuro-immune crosstalk during autonomic activation and the fight-or-flight response.
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