Cited by 42Tuberculosis Research and EpidemiologySarcoidosis and Beryllium Toxicity ResearchImmune responses and vaccinations

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Immunophenotyping of macrophages in human pulmonary tuberculosis and sarcoidosis

Open access
Stanton, Lee‐Anne, Fenhalls, Gael, Lucas, Andrew, Gough, Peter, Greaves, David R., Mahoney, James A., Helden, Paul van, Gordon, Siamon·2003·International Journal of Experimental Pathology

Abstract

Summary. Classic studies of tuberculosis (TB) revealed morphologic evidence of considerable heterogeneity of macrophages (MØs), but the functional significance of this heterogeneity remains unknown. We have used newly available specific antibodies for selected membrane and secretory molecules to examine the phenotype of MØs in situ in a range of South African patients with TB, compared with sarcoidosis. Patients were human immunodeficiency virus‐negative adults and children, and the examined biopsy specimens included lung and lymph nodes. Mature pulmonary MØs (alveolar, interstitial, epithelioid and multinucleated giant cells) selectively expressed scavenger receptor type A and a novel carboxypeptidase‐like antigen called carboxypeptidase‐related vitellogenin‐like MØ molecule (CPVL). CPVL did not display enhanced expression in sarcoidosis, vs. TB patients, as observed with angiotensin‐converting enzyme (ACE), a related molecule. Immunocytochemical studies with surfactant proteins (SP)‐A and ‐D showed that type II alveolar cells expressed these collectins, as did MØs, possibly after binding of secreted proteins. Studies with an antibody specific for the C‐terminus of fractalkine, a tethered CX3C chemokine, confirmed synthesis of this molecule by bronchiolar epithelial cells and occasional endothelial cells. These studies provide new marker antigens and extend previous studies on MØ differentiation, activation and local interactions in chronic human granulomatous inflammation in the lung.

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  • In giant cell myocarditis and cardiac sarcoidosis, macrophages are a significant contributor to the formation of multinucleated giant cells or granulomas.

    “In well-known forms of autoimmune myocarditis such as giant cell myocarditis and cardiac sarcoidosis, macrophages have been identified as a significant contributor to the formation of multinucleated giant cells or granulomas”

    From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [109]

    The Discussion (page unavailable) says macrophages are prominent in granulomatous lesions and are associated with epithelioid and giant-cell formation; the Results describe giant cells in pulmonary sarcoidosis granulomas. The paper examines lung and lymph-node tissue, not cardiac sarcoidosis or giant cell myocarditis, so it does not establish the claim for those cardiac conditions. (LLM, conf=0.88)

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Metadata

Authors
Stanton, L., Fenhalls, G., Lucas, A., Gough, P., Greaves, D. R., Mahoney, J. A., Helden, P. V., & Gordon, S.
Affiliations
  • Stellenbosch University (ZA)
  • University of Oxford (GB)
Corresponding author
Gordon, Siamon
Venue
International Journal of Experimental Pathology
Publisher
Wiley
Published
2003-12
Volume
84
Issue
6
Pages
289-304
ISSN
  • 0959-9673 (ISSN-L)
  • 1365-2613
OpenAlex
W1929490466
Cited by
42
References
1
Citations by year
2025: 1 · 2024: 3 · 2023: 3 · 2021: 4 · 2020: 3 · 2018: 3 · 2016: 1 · 2014: 3 · 2012: 3
FWCI
1.75
Type
journal article
Language
en
Open access
Locations
  • International Journal of Experimental Pathology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Wellcome Trust
  • South African Medical Research Council
Topics
  • Health Sciences › Medicine › Infectious Diseases › Tuberculosis Research and Epidemiology
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoidosis and Beryllium Toxicity Research
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
Keywords
macrophage heterogeneity, pulmonary tuberculosis, sarcoidosis, angiotensin-converting enzyme, surfactant protein A, surfactant protein D, fractalkine, alveolar macrophages, epithelioid cells, multinucleated giant cells, granulomatous inflammation, lung biopsy, lymph nodes, bronchiolar epithelial cells
MeSH terms
CD68 Molecule, Adult, Carboxypeptidases, Child, Child, Preschool, Female, Humans, Peptidyl-Dipeptidase A, Macrophages, Male, Membrane Proteins, Middle Aged, Receptors, Immunologic, Tuberculosis, Pulmonary, Antigens, Differentiation, Myelomonocytic, Biomarkers, Antigens, CD, Immunophenotyping, Macrophages, Alveolar, Sarcoidosis, Pulmonary, Receptors, Lipoprotein, Chemokines, CX3C, Pulmonary Surfactant-Associated Protein A, Pulmonary Surfactant-Associated Protein D, Receptors, Scavenger, Scavenger Receptors, Class A, Scavenger Receptors, Class B, Chemokine CX3CL1

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