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Jiang, W., Le, J., & Wang, P.-Y. (2021). Extracellular Acidity Reprograms Macrophage Metabolism and Innate Responsiveness. The Journal of Immunology, 206(12), 3021–3031. 
Added by: Dr. Enrique Feoli (14/09/2025, 01:43)   Last edited by: Dr. Enrique Feoli (14/09/2025, 01:44)
Resource type: Journal Article
DOI: 10.4049/jimmunol.2100014
ID no. (ISBN etc.): 0022-1767
BibTeX citation key: Jiang2021
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Categories: BioAcyl Corp
Subcategories: Extracellular acidity
Keywords: Acid–base transport
Creators: Jiang, Le, Wang
Collection: The Journal of Immunology
Views: 2/23
Abstract
Although organ hypofunction and immunosuppression are life-threatening features of severe sepsis, the hypofunctioning organs and immune cells usually regain normal functionality if patients survive. Because tissue interstitial fluid can become acidic during the septic response, we tested the hypothesis that low extracellular pH (pHe) can induce reversible metabolic and functional changes in peritoneal macrophages from C57BL/6J mice. When compared with macrophages cultured at normal pHe, macrophages living in an acidic medium used less glucose and exogenous fatty acid to produce ATP. Lactate, glutamine, and de novo–synthesized fatty acids supported ATP production by mitochondria that gained greater mass, maximal oxygen consumption rate, and spare respiratory capacity. The cells transitioned to an M2-like state, with altered immune responses to LPS and slightly decreased phagocytic ability, yet they regained basal energy production, normal mitochondrial function, and proinflammatory responsiveness when neutral pHe was restored. Low pHe induces changes that support macrophage survival while rendering the cells less proinflammatory (more “tolerant”) and less able to phagocytose bacteria. Macrophage responses to low interstitial pH may contribute to the reversible organ hypofunction and immunoparalysis noted in many patients with sepsis.
  
Notes
\_eprint: https://academic.oup.com/jimmunol/article-pdf/206/12/3021/61364289/ji2100014.pdf
  
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