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Control of Inflammatory Response by Tissue Microenvironment

20 juni 2025

Wu et al. (BioRxiv) 

DOI: 10.1101/2024.05.10.592432

Keywords

  • Macrophages

  • Inflammation

  • pH sensing


Main Findings

Inflammation  is a multistep process aimed a protecting the host, while eliminating  invading pathogens. The acidification of the environment is one possible  result of inflammation that is believed to contribute to antimicrobial  activity. However, extensive acidification is suggested to negatively  impact the tissue, requiring the pH to signal back to the inflammatory  cells to adapt is gene expression. The authors reasoned to investigate  whether alterations in environmental pH control gene expression in  macrophages in response to LPS.

The  authors first investigate the expression of LPS driven genes in presence  of neutral or acidic pH, demonstrating that a low extracellular pH  suppresses selective groups of genes while elevating others in defined  kinetics. To determine whether known pH sensors expressed in macrophages  modulate these kinetics the authors analysed Gpr65-/-, Gpr68-/-, Hif1a-/- and Hif2a-/- macrophages with no significant alterations in gene expression.  Similarly, no pH dependent alterations in TLR signalling were observed,  excluding the possibility of altered signal transduction in the  regulation of gene expression. When investigating the impact of  epigenetic modulation on gene expression in response to an acidic pH,  the authors observed significant changes in chromatin accessibility  pointing them towards proteins that may interact with histones as  regulators of pH-driven gene expression.

Inspired  by recent findings in budding yeast, the authors developed screening  criteria for pH-dependent chromatin modulators and identified BRD4 as  potential target. BRD4 formed transcriptional condensates in the nuclei  of macrophages at pH 7.4. However, these condensates disappeared at pH  6.5, suggesting that BRD4’s binding to histones may be pH dependent.  Using isolate nuclei from macrophages, the authors demonstrated that pH  sensitive BRD4 condensates disappeared even in the absence of cell  surface molecules and cytoplasm. Importantly, the formation of BRD4  condensates was dynamic and revertible once an acidic pH changed to pH  7.4. Pharmacologic inhibition of BRD4 confirmed the transcriptional  condensates required BRD4 even at pH 7.4. Moreover, LPS stimulation of  macrophages had the similar effect on BRD4 condensates as acidification  of the pH. Importantly, these effects were also seen in human  macrophages, several cell lines and primary tissue cells. Lastly, the  authors demonstrated that BRD4 is actively modified by protons, which  impacts the chromatin accessibility of TLR4 activated transcription  factors to pH sensitive genes.

Collectively,  this preprint identifies BRD4 as direct sensor of pH with significant  implications in the regulation of inflammatory genes. This suggests that  inflammation induced changes in the pH, which imposes secondary effects  on the gene expression through the modulation of chromatin  accessibility to tune inflammation by integrating the environmental pH.


Limitations

  • While conducted in several cell types, the role of the described pathway  in vivo in not demonstrated in report. Visualizing transcriptional  condensates in vivo following LPS injection would be a phenomenal  addition to this already exhaustive work.

  • The authors explore the impact of LPS and TLR4 signalling in the context  of distinct pH values. These findings are very important considering  the relevance of this pathway but limit the breadth of its application  to other inflammatory pathways. Would cytokine stimulation of  fibroblasts or epithelial cells for example through IL-1R or IL-18R  operate through a similar mechanism considering their convergence on  NFkB? Would interferon signalling be altered in the context of distinct  pHs too?

  • The authors explore acidification at pH 6.5, inspired by reports centred  around inflammation. However, would a higher pH value (e.g. pH 8 or 9)  strengthen the transcriptional condensates?

  • The authors provide evidence that most know pH sensors on macrophages  are not implicated in the regulation of pH-dependent genes. However, one  wonders how macrophages adapt their internal pH to a lowered externa  pH. Considering that epithelial cells and fibroblasts show a response  similar to macrophages the mechanism may involve a ubiquitously present  pH sensor/modulator rather than a macrophage specific element.

  • The authors suggest that pH-dependent genes contribute to tissue damage  caused by inflammation. It would be of great advantage to demonstrate  that BRD4 inhibitors improve tissue damage in vivo.


Significance/Novelty

The  authors use a large array of experimental techniques and systematic  approaches to provide compelling evidence for a novel mode of gene  regulation that accompanies the inflammatory response. The authors  findings are broadly applicable to a larger set of cells making their  findings relevant to large number of researchers and areas of  investigation. Their findings further provide a novel mode of gene  regulation that accompanies the inflammatory response integrating the  environmental acidification as feedback regulator of gene expression,  independent of secondary signalling through receptor/transcription  factor networks. This suggests a novel, broadly applicable, dynamic  process that directs the inflammatory response.


Credit

Reviewed by Arthur Mortha as part of a cross-institutional journal club between the Icahn School  of Medicine at Mount Sinai, the University of Oxford, the Karolinska  Institute and the University of Toronto.


The author declares no conflict of interests in relation to their involvement in the review.

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