2002
DOI: 10.1182/blood-2002-04-1102
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GM-CSF, via PU.1, regulates alveolar macrophage FcγR-mediated phagocytosis and the IL-18/IFN-γ–mediated molecular connection between innate and adaptive immunity in the lung

Abstract: Severely impaired pulmonary microbial clearance was observed in granulocyte-macrophage colony-stimulating factor (GM-CSF)–deficient mice. To determine mechanisms by which GM-CSF mediates lung host defense, FcγR-mediated phagocytosis (opsonophagocytosis) by alveolar macrophages (AMs) was assessed in GM-CSF–sufficient (GM+/+) and –deficient (GM−/−) mice and in GM−/− mice expressing GM-CSF only in the lungs from a surfactant protein C (SPC) promoter (SPC-GM+/+/GM−/−). Opsonophagocytosis by GM−/− AMs was severely … Show more

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Cited by 119 publications
(108 citation statements)
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References 54 publications
(70 reference statements)
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“…1B, upper panels). In contrast, the low-affinity IgG FcR Fc␥RIIb, which is suspected to be a target gene of PU.1 (43), was expressed on wild-type pro-B cell lines but was reduced or undetectable on PU.1 Ϫ/Ϫ Spi-B Ϫ/Ϫ cell lines (Fig. 1B, lower panels).…”
Section: Resultsmentioning
confidence: 99%
“…1B, upper panels). In contrast, the low-affinity IgG FcR Fc␥RIIb, which is suspected to be a target gene of PU.1 (43), was expressed on wild-type pro-B cell lines but was reduced or undetectable on PU.1 Ϫ/Ϫ Spi-B Ϫ/Ϫ cell lines (Fig. 1B, lower panels).…”
Section: Resultsmentioning
confidence: 99%
“…In order to determine whether hypomorphic expression of PU.1 affects transcription of target genes, we analyzed expression of a gene recently identified as PU.1-dependent, FcγRIIb, which encodes the low-affinity IgG Fc receptor [13,22]. We performed real-time RT-PCR analysis to measure steady-state levels of FcγRIIb transcripts in cells cultured from wild-type, Sfpi1 −/− , and Sfpi1 BN/BN mice.…”
Section: Reduction In Pu1 Activity Results In Reduction Of Target Gementioning
confidence: 99%
“…PU.1 levels and activity are reduced in alveolar macrophages in patients with idiopathic PAP and are restored by GM-CSF therapy (17). We propose that pulmonary GM-CSF is required to stimulate the terminal differentiation of alveolar macrophages in humans based on observations that GM-CSF, by PU.1, stimulates the terminal differentiation of alveolar macrophages in mice (20), and a similar pattern of macrophage abnormalities is seen in patients with idiopathic PAP (14,15,17), patients with hereditary PAP (6, 39), GM-CSF-deficient mice (16,(18)(19)(20), GM-CSF receptor-deficient mice (11,40), and GMAb-injected nonhuman primates (Figures 3-6). We further propose that GMAb cause PAP by blocking pulmonary GM-CSF signaling in vivo, thereby reducing PU.1 levels in alveolar macrophages impairing surfactant catabolism in alveolar macrophages.…”
Section: Implications For the Biologic Role Of Gm-csf And Pathogenesimentioning
confidence: 99%
“…GM-CSF by the ''master'' myeloid transcription factor PU.1 led to the conclusion that GM-CSF regulates the terminal differentiation of alveolar macrophages in the lungs of mice (3,(14)(15)(16)(17)(18)(19)(20). GM-CSF deficiency has not been reported in patients with PAP (21).…”
Section: What This Study Adds To the Fieldmentioning
confidence: 99%