The CDKN2A locus, which contains the tumor suppressor gene p16 INK4a , is associated with an increased risk of agerelated inflammatory diseases, such as cardiovascular disease and type 2 diabetes, in which macrophages play a crucial role. Monocytes can polarize toward classically (CAM) or alternatively (AAM) activated macrophages. However, the molecular mechanisms underlying the acquisition of these phenotypes are not well defined. Here, we show that p16 INK4a
IntroductionThe tumor suppressor p16 INK4a is encoded by the CDKN2A locus on the human chromosome 9p21 and on the murine chromosome 4. p16 INK4a belongs to the INK4 family of cyclin-dependent kinase (CDK) inhibitors, also including p15 INK4b , p18 INK4c , and p19 INK4d . [1][2][3][4][5] p16 INK4a inhibits cell-cycle progression by preventing cyclin D-CDK 4/6 complex formation. As a consequence, pRb hyperphosphorylation and its association with E2F, which induces transcription of S-phase genes, are inhibited. p16 INK4a inactivation by deletion, point mutation, or promoter methylation, occurs frequently in most tumors. 6 Besides its role in cancer as an inhibitor of cell-cycle progression, p16 INK4a plays a crucial role in senescence and aging. 7,8 Indeed, expression of p16 INK4a increases with age in various tissues from several species. 9-11 A genome-wide association study has shown association of the CDKN2A locus with an increased risk of the age-related frailty syndrome. 12 In addition, increased p16 INK4a expression causes the age-dependent decline in proliferation of self-renewing cellular compartments such as HSCs, 13 which give rise to immune cells.Although the role of p16 INK4a in mature immune cells has not yet been investigated, several studies has shown that the CDKN2A locus is associated with an increased risk for coronary heart disease, 14 atherosclerosis, 15 and type 2 diabetes (T2D). 16 In these pathologies, immune cells, such as macrophages, play a crucial role. Besides their pleiotropic immune functions, macrophages also play a role in the development and homeostasis of several tissues, such as adipose tissue 17 and liver. 18 Depending on the cytokine environment, macrophages differentiate into distinct subclasses with specific characteristics. Classically activated macrophages (CAM) differentiate in presence of Th1 cytokines, such as IFN␥, or in presence of bacterial products such as lipopolysaccharide (LPS). CAM trigger proinflammatory responses required to kill intracellular pathogens. 19 Alternatively activated macrophages (AAM), induced by Th2 cytokines such as IL-4 and IL-13, are associated with Th2-type immune responses as seen in helminth parasite infections. 19 During inflammation, AAM play a key role in protecting the organism against tissue damage. 20 However, little is known about the mechanisms underlying the acquisition of the AAM phenotype.In the present study, we investigated whether p16 INK4a deficiency influences macrophage activation in vitro, using BMderived macrophages (BMDMs), and in vivo by infection with the pa...