Inflammation of the gastrointestinal tract contributes to the development of inflammatory bowel disease (IBD). Human IBD is modeled by administering dextran sulfate sodium (DSS) to mice. In humans and mice, inflammatory M1 macrophages contribute to the progression of IBD whereas immunosuppressive M2 macrophages protect against colitis. The TLR2/1 agonist PAM3CSK4 (PAM3) induces human and murine monocytes to differentiate into immunosuppressive M2 macrophages, suggesting that PAM3 might be of benefit in the prevention/treatment of colitis. PAM3 was therefore administered to mice treated with DSS. As hypothesized, the number of M2 macrophages rose and disease severity decreased. The critical role of M2 macrophages in this process was established by transferring purified M2 macrophages from PAM3 treated control donors into DSS recipients and reducing colitis. These findings suggest that PAM3 may represent a novel approach to the treatment of human IBD. Ulcerative colitis and Crohn's disease are chronic inflammatory disorders of the gastrointestinal tract 1. In both types of IBD, activation of the innate rather than adaptive immune system is critical, with macrophages and dendritic cells contributing to the induction of inflammation 2-5. Intestinal macrophages occupy the interface between the host's GI tract and the resident microbiome. These macrophages can contribute to IBD pathogenesis by failing to eliminate inflammation-inducing microbes and/or failing to support the resolution of inflammation that arises via other mechanisms 6. The DSS-induced model of murine colitis is widely used to study human IBD due to its rapidity, simplicity and reproducibility. DSS disrupts the colonic epithelium and facilitates the invasion of intestinal microbes through the mucosa, causing inflammation characterized clinically by weight loss, diarrhea and rectal bleeding 7-9. 'Classical' or pro-inflammatory M1-like macrophages protect the host from infection whereas 'alternatively activated' M2-like macrophages act to suppress inflammation and support tissue remodeling 10-13. Studies suggest that M1 and M2 macrophages have opposing roles in DSS-induced colitis 14. M1 macrophages contribute to disease pathogenesis by secreting pro-inflammatory cytokines and causing tissue damage whereas M2 macrophages protect mice by secreting anti-inflammatory factors that aid in the resolution of inflammation 4,14-17. Depending upon the stimulus, monocytes can differentiate into either M1 or M2 macrophages. Our lab previously demonstrated that the TLR2/1 agonist PAM3CSK4 (PAM3) preferentially stimulated normal human and murine monocytes to mature into M2-like macrophages 10,18,19. The murine M2 macrophages co-expressed CD206 and F480. Purified cells of this phenotype were functionally M2 (based on their production of IL-10, phagocytic activity, and inability to produce inflammatory cytokines) 10. By comparison, F480 + macrophages that lacked CD206 were functionally M1 (producing IL-12 and IFNg, lysing tumor targets but lacking phagocytic activity) 18...