Monocytes are progenitors to macrophages and a subclass of dendritic cells (monocyte-derived dendritic cells, MoDCs), but they also act as circulating sensors that respond to environmental changes and disease. Technological advances have defined the production of classical monocytes in the bone marrow through the identification of lineage-determining transcription factors (LDTFs) and have proposed alternative routes of differentiation. Monocytes released into the circulation can be recruited to tissues by specific chemoattractants where they respond to sequential niche-specific signals that determine their differentiation into terminal effector cells. New aspects of monocyte biology in the circulation are being revealed, exemplified by the influence of cancer on the systemic alteration of monocyte subset abundance and transcriptional profiles. These changes can act to enhance the metastatic spread of primary cancers and may offer therapeutic opportunities.
Monocytes: Key Players in the Innate Immune SystemThere are two major populations of monocytes in mouse and humans that have been termed classical and non-classical (see Glossary)as defined by specific markers (Table 1, Key Table ) as well as by an intermediate transitional population between classical and non-classical monocytes. During homeostasis, monocytes survey the vasculature or are recruited to continuously replenish tissue-resident macrophages (TRMs), for example in the gut. In response to inflammation, infection, or tissue damage, immune cell recruitment results in the development of effector macrophages that repel pathogens and mediate tissue repair (Figure 1 and Table 1) as well as a subclass of dendritic cells (MoDCs) [1]. Traditionally, monocytes have been primarily viewed as 'conduits' to processes involving macrophages or dendritic cells (DCs), and as being beneficial to the mammalian host. However, the frequency, activity, and fate of monocyte populations has also been linked to many diseases, including autoimmunity, chronic inflammation, cardiovascular disease, and cancer [2,3]. In these diseases, and others involving monocyte trafficking, environmental cues acting in the bone, blood, and tissues dynamically modify the transcriptional landscape of monocytes, resulting in phenotypes that can potentiate disease severity (Figure 1 and Table 1). Using the processes of monocyte development, we discuss the mechanisms of monocyte ontogeny, transcriptional regulation, and their relevance to tissue homeostasis. We also use cancer as an example of a disease state that can influence monocyte biology. We posit that a better understanding of this regulation is important because it might contribute to advancing monocyte-targeted therapies in cancer and in turn be potentially applicable to other progressive diseases.
Mammalian Monocyte OntogenyMonocyte Development in Bone Postnatal monocytes are formed primarily in the bone marrow (BM) from the differentiation of hematopoietic stem cells (HSCs) into the common myeloid progenitor (CMP) cells, and subsequently...