Human iPSC-derived macrophages for efficient Staphylococcus aureus clearance in a murine pulmonary infection model

A Rafiei Hashtchin, B Fehlhaber, M Hetzel… - Blood …, 2021 - ashpublications.org
A Rafiei Hashtchin, B Fehlhaber, M Hetzel, F Manstein, JL Stalp, S Glage, M Abeln…
Blood Advances, 2021ashpublications.org
Primary or secondary immunodeficiencies are characterized by disruption of cellular and
humoral immunity. Respiratory infections are a major cause of morbidity and mortality
among immunodeficient or immunocompromised patients, with Staphylococcus aureus
being a common offending organism. We propose here an adoptive macrophage transfer
approach aiming to enhance impaired pulmonary immunity against S aureus. Our studies,
using human-induced pluripotent stem cell-derived macrophages (iMφs), demonstrate …
Abstract
Primary or secondary immunodeficiencies are characterized by disruption of cellular and humoral immunity. Respiratory infections are a major cause of morbidity and mortality among immunodeficient or immunocompromised patients, with Staphylococcus aureus being a common offending organism. We propose here an adoptive macrophage transfer approach aiming to enhance impaired pulmonary immunity against S aureus. Our studies, using human-induced pluripotent stem cell-derived macrophages (iMφs), demonstrate efficient antimicrobial potential against methicillin-sensitive and methicillin-resistant clinical isolates of S aureus. Using an S aureus airway infection model in immunodeficient mice, we demonstrate that the adoptive transfer of iMφs is able to reduce the bacterial load more than 10-fold within 20 hours. This effect was associated with reduced granulocyte infiltration and less damage in lung tissue of transplanted animals. Whole transcriptome analysis of iMφs compared with monocyte-derived macrophages indicates a more profound upregulation of inflammatory genes early after infection and faster normalization 24 hours postinfection. Our data demonstrate high therapeutic efficacy of iMφ-based immunotherapy against S aureus infections and offer an alternative treatment strategy for immunodeficient or immunocompromised patients.
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