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GR-AMPK - Crosstalk of Glucocorticoid Receptor and AMP-induced Kinase in macrophages during inflammation and tissue repair

Subject Area Immunology
Endocrinology, Diabetology, Metabolism
Term from 2015 to 2021
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 283865434
 
Final Report Year 2021

Final Report Abstract

Resolution of inflammation is an essential process to limit inflammation upon inflammatory insult to return to tissue homeostasis and to induce repair processes. Glucocorticoids (GCs) are the most frequently prescribed anti-inflammatory agents mediate their actions through macrophages in many inflammatory diseases. Macrophages are essential regulators of the resolution of inflammation, but the mechanisms by which GCs act on macrophages are viewed as a merely repression of inflammatory mediator cytokines by the GC receptor (GR). The induction of anti-inflammatory and regenerative phenotypes of macrophages by GCs is surprisingly, poorly characterized. We have previously shown that the metabolic regulator AMPK is required for the resolution of inflammation by macrophages. In this exciting collaborative project, funded by DFG and ANR, we show that GCs exert their antiinflammatory effects on macrophages through the activation of AMPK. AMPK activation is required for the shift from pro- to anti-inflammatory profile of macrophages driven by GC treatment in vitro and in vivo in a model of tissue injury (skeletal muscle regeneration) and of systemic inflammation (acute lung injury). As a result, animals deficient for AMPKa1 in myeloid cells are unresponsive to GC treatment in either model. Surprisingly, repression of cytokines or induction of anti-inflammatory genes were not altered at the absence of AMPK and thus not sufficient to overcome the failure to resolve inflammation by glucocorticoids. We further discovered an anti-inflammatory acting axis by GCs AMPK and the transcription factor Foxo3 to mediate anti-inflammatory function in macrophages. We are convinced that this work makes a significant advance in the understanding of immunosuppression by GCs and of macrophage biology, and provides an important link between cellular metabolism and inflammation. Our project enhanced our understanding of the active process of resolution of inflammation evoked by hormones such as cortisol.

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