Article ; Online: Azithromycin Augments Bacterial Uptake and Anti-Inflammatory Macrophage Polarization in Cystic Fibrosis.
2024 Volume 13, Issue 2
Abstract: Background: Azithromycin (AZM) is widely being used for treating patients with cystic fibrosis (pwCF) following clinical trials demonstrating improved lung function and fewer incidents of pulmonary exacerba-tions. While the precise mechanisms remain ... ...
Abstract | Background: Azithromycin (AZM) is widely being used for treating patients with cystic fibrosis (pwCF) following clinical trials demonstrating improved lung function and fewer incidents of pulmonary exacerba-tions. While the precise mechanisms remain elusive, immunomodulatory actions are thought to be involved. We previously reported impaired phagocytosis and defective anti-inflammatory M2 macrophage polarization in CF. This study systematically analyzed the effect of AZM on the functions of unpolarized and M1/M2 polarized macrophages in CF. Methods: Monocytes, isolated from the venous blood of patients with CF (pwCF) and healthy controls (HCs), were differentiated into monocyte-derived macrophages (MDMs) and subsequently infected with Results: Following AZM treatment, both HC and CF MDMs exhibited a significant increase in Conclusions: This study highlights the cellular functions and molecular targets of AZM which may involve an improved uptake of both Gram-positive and Gram-negative bacteria, restored anti-inflammatory macrophage polarization in CF. This may in turn shape the reduced lung inflammation observed in clinical trials. In addition, we confirmed the role of ERK1/2 activation for bacterial uptake. |
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MeSH term(s) | Humans ; Azithromycin/pharmacology ; Gram-Negative Bacteria ; Anti-Bacterial Agents/pharmacology ; Cystic Fibrosis/drug therapy ; Escherichia coli ; Staphylococcus aureus ; Gram-Positive Bacteria ; Macrophages ; Anti-Inflammatory Agents/pharmacology |
Chemical Substances | Azithromycin (83905-01-5) ; Anti-Bacterial Agents ; Anti-Inflammatory Agents |
Language | English |
Publishing date | 2024-01-16 |
Publishing country | Switzerland |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2661518-6 |
ISSN | 2073-4409 ; 2073-4409 |
ISSN (online) | 2073-4409 |
ISSN | 2073-4409 |
DOI | 10.3390/cells13020166 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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