Cells of the innate immune system build immunological memory via epigenetic reprogramming after stimulations with microbial ligands. This functional readjustment allows for enhanced nonspecific inflammatory responses upon secondary challenges, a process termed "trained immunity." The epigenomic blueprint of trained monocytes has been recently reported, which revealed several important immunologic and metabolic mechanisms that underlie these changes. Interestingly, similar long-term reprogramming of cytokine production has also been described to be induced by endogenous damageassociated molecular patterns (DAMPs). Here, we present an overview of the novel data showing that endogenous alarm signals associated with tissue damage and sterile inflammation can induce trained immunity through epigenetic regulation of transcriptional programs. We describe new and old evidence of persistent effects of DAMPs in driving inflammation and enforce the concept that the influence of tissue-derived signals is critical in adjusting the magnitude and type of immune response built by the host. The better characterization of trained immunity for the persistence of inflammation induced by DAMPs would provide new possibilities for intervention in aging and autoinflammatory disorders.
Keywords: Damage-associated molecular patterns Epigenetics Innate immune memory Trained immunity
IntroductionThe common understanding of host innate immune responses is facing crucial changes. For decades, the consensus has been that the host immune response is based on the dichotomy of the innate and the adaptive responses, which are clearly distinct in terms of specificity and memory. Nevertheless, it is now established that innate immune cells, similarly to adaptive immune cells, do exhibit a degree of specificity through pattern recognition receptors (PRRs), which recognize pathogen-associated molecular patterns (PAMPs) on invading microbes [1]. In addition, by Correspondence: Dr. Leo A. B. Joosten e-mail: leo.joosten@radboudumc.nl putting together pieces of evidence from different species, a new hypothesis has been proposed, stating that the adaptive immune system may not be unique in providing immunological memory [2]. Recent evidence supports the concept that indeed, cells of the innate immune system can also build a memory of past stimulations and alter their response upon new challenges. This enhanced state of immune activation of innate immune cells is now known as "trained immunity" and its mechanisms and consequences for disease and therapy provide a fertile and exciting ground for new research [3].This characteristic of the innate immune system is obviously very relevant in the context of host response during infectious diseases. Moreover, mechanistic links between trained immunity and the nonspecific effects of vaccines have already been postulated [4] and represent a promising link for the translation of these C 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim www.eji-journal.eu
818Tania O. Crișan et al. Eur. J. Immunol. 2016. 46: 817-828 ...