Stat6 Induces Expression Of Gas6 In Macrophages To Clear Apoptotic Neutrophils And Resolve Inflammation

Efferocytosis of apoptotic neutrophils (PMNs) by alveolar macrophages (AM Phi s) is vital for resolution of inflammation and tissue injury. Here, we investigated the role of AM Phi polarization and expression of the efferocytic ligand Gas6 in restoring homeostasis. In the murine model of lipopolysaccharide (LPS)-induced acute lung injury (ALI), we observed augmented temporal generation of cytokines IL-4 and TSG6 in bronchoalveolar fluid (BALF). Interestingly, we also observed increased expression of antiinflammatory markers consistent with a phenotype shift in AM Phi s. In particular, AM Phi s expressed the efferocytic ligand Gas6. In vitro priming of bone marrow-derived macrophages (BMM Phi s) with IL-4 or TSG6 also induced M Phi transition and expression of Gas6. TSG6- or IL-4-primed BMM Phi s induced efferocytosis of apoptotic PMNs compared with control BMM Phi s. Adoptive transfer of TSG6- or IL-4-primed BMM Phi s i.t. into LPS-challenged mice more rapidly and effectively cleared PMNs in lungs compared with control BMM Phi s. We demonstrated that expression of Gas6 during AM Phi transition was due to activation of the transcription factor signal transducer and activator of transcription-6 (STAT6) downstream of IL-4 or TSG6 signaling. Adoptive transfer of Gas6-depleted BMM Phi s failed to clear PMNs in lungs following LPS challenge and mice showed severely defective resolution of lung injury. Thus, activation of STAT6-mediated Gas6 expression during macrophage phenotype transition resulting in efferocytosis of PMNs plays a crucial role in the resolution of inflammatory lung injury.