Pancreas injury by partial duct ligation (PDL) activates a healing response, encompassing β-cell neogenesis and proliferation. Macrophages (M s)were recently shown to promote β-cell proliferation after PDL, but they remain poorly characterized. We assessed myeloid cell diversity and the factors driving myeloid cell dynamics following acute pancreas injury by PDL. In naive and sham-operated pancreas, the myeloid cell compartment consisted mainly of two distinct tissue-resident M types, designated MHC-II lo and MHC-II hi M s, the latter being predominant. MHC-II lo and MHC-II hi pancreas M s differed at the molecular level, with MHC-II lo M s being more M2-activated. After PDL, there was an early surge of Ly6C hi monocyte infiltration in the pancreas, followed by a transient MHC-II lo M peak and ultimately a restoration of the MHC-II hi M -dominated steadystate equilibrium. These intricate M dynamics in PDL pancreas depended on monocyte recruitment by C-C chemokine receptor 2 and macrophage-colony stimulating factor receptor as well as on macrophage-colony stimulating factor receptor-dependent local M proliferation. Functionally, MHC-II lo M s were more angiogenic. We further demonstrated that, at least in C-C chemokine receptor 2-KO mice, tissue M s, rather than Ly6C hi monocyte-derived M s, contributed to β-cell proliferation. Together, our study fully characterizes the M subsets in the pancreas and clarifies the complex dynamics of M s after PDL injury.Keywords: M activation r M heterogeneity r M proliferation r Pancreas inflammation Additional supporting information may be found in the online version of this article at the publisher's web-site Correspondence: Prof. Harry Heimberg and Prof. Jo A. Van Ginderachter e-mail: harry.heimberg@vub.ac.be e-mail: jvangind@vub.ac.be * These authors contributed equally to this study as first co-authors. * * These authors contributed equally to this study as senior co-authors.C 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim www.eji-journal.eu Eur. J. Immunol. 2015. 45: 1482-1493 Innate immunity
1483Introduction M s display a tremendous plasticity in vivo depending on their microenvironment. Their activation status has been described using the conceptual framework of M1 (classical) and M2 (alternative) activation [1], although this model oversimplifies their true plasticity. In addition to their role as immune cells, the trophic role of M s during development, tissue repair, and regeneration is becoming increasingly appreciated [1,2]. Hence, efforts are being made to dissect specialized M subpopulations and to trace their origin in situations of sterile inflammation. Although tissueresident M s were traditionally believed to originate from bloodborne monocytes, recent evidence shows that such M s develop prenatally from dedicated precursors [3,4]. During adulthood, the pool of tissue-resident M s is maintained by low-level proliferation under steady-state [5] and can expand by enhanced in situ proliferation during pathologies [6][7][8][9]. Moreover, during sterile inflammat...