The respiratory system is a complex network of many cell types, including
subsets of macrophages and dendritic cells that work together to maintain
steady-state respiration. Due to limitations in acquiring cells from healthy
human lung, these subsets remain poorly characterized transcriptionally and
phenotypically. We set out to systematically identify these subsets in human
airways by developing a schema of isolating large numbers of cells by whole lung
bronchoalveolar lavage. Six subsets of phagocytic antigen presenting
(HLA-DR+) cells were consistently observed. Aside from
alveolar macrophages, subsets of Langerin+,
BDCA1− CD14+,
BDCA1+ CD14+,
BDCA1+ CD14−, and
BDCA1− CD14− cells were identified.
These subsets varied in their ability to internalize Escherichia
coli, Staphylococcus aureus, and Bacillus
anthracis particles. All subsets were more efficient at
internalizing S. aureus and B. anthracis
compared to E. coli. Alveolar macrophages and
CD14+ cells were overall more efficient at particle
internalization compared to the four other populations. Subsets were further
separated into two groups based on their inherent capacities to upregulate
surface CD83, CD86, and CCR7 expression levels. Whole genome transcriptional
profiling revealed a clade of “true dendritic cells” consisting
of Langerin+, BDCA1+
CD14+, and BDCA1+
CD14− cells. The dendritic cell clade was distinct from a
macrophage/monocyte clade, as supported by higher mRNA expression levels of
several dendritic cell-associated genes, including CD1,
FLT3, CX3CR1, and CCR6.
Each clade, and each member of both clades, were discerned by specific
upregulated genes, which can serve as markers for future studies in healthy and
diseased states.