In this section
@article{Wang:2026:10.1002/clt2.70201,
author = {Wang, H and Fung, NH and Aloe, C and Kermani, NZ and Adcock, IM and Selemidis, S and Vlahos, R and McQualter, J and Bozinovski, S},
doi = {10.1002/clt2.70201},
journal = {Clin Transl Allergy},
title = {CCR2/CCR5 Signaling Defines a Pathogenic Interstitial Macrophage Subset That Drives Severe Asthma.},
url = {http://dx.doi.org/10.1002/clt2.70201},
volume = {16},
year = {2026}
}
TY - JOUR
AB - BACKGROUND: Severe asthma is a chronic inflammatory disease characterised by airway dysfunction, persistent immune activation and corticosteroid resistance. While macrophages are key regulators of lung immunity, how individual subsets, particularly interstitial macrophages (IMs), contribute to disease remains poorly understood. METHODS: Lung macrophages were profiled using single-cell RNA-sequencing (scRNA-seq) and flow cytometry in a C57BL/6 mouse model of severe asthma induced by Complete Freund's Adjuvant (CFA) and house dust mite (HDM). Human transcriptomic data from the U-BIOPRED asthma cohort were analyzed for translational validation. The dual CCR2/CCR5 antagonist Cenicriviroc (CVC) was used to evaluate the therapeutic potential of targeting pathogenic macrophages. RESULTS: CFA-HDM treatment led to marked depletion of resident alveolar macrophages (rAMs) and their replacement by recruited AMs (recAMs) associated with tissue remodeling. A distinct Lyve1loMHCIIhi IM subset emerged as the dominant inflammatory cell population, displaying high Ccr2 and Ccr5 expression, potent pro-inflammatory and antigen-presenting signatures, and extensive ligand-receptor communication with T cells, neutrophils and rAMs. Trajectory analysis demonstrated that both recAMs and Lyve1loMHCIIhi IMs arise from classical monocytes. Consistently, sputum transcriptomic data from the U-BIOPRED asthma cohort showed reduced AM-associated gene signatures and enrichment of IM/monocyte and CCR-chemokine programs in patients with severe disease. Pharmacological blockade of CCR2/CCR5 with CVC markedly reduced IM infiltration, limited T-cell and neutrophil recruitment, restored macrophage balance, and improved lung function. CONCLUSIONS: Lyve1loMHCIIhi IMs orchestrate airway inflammation in severe asthma. Dual CCR2/CCR5 antagonism inhibits their recruitment, restores macrophage balance, and halts disease progression, highlighting this pathway as a promising therapeutic target.
AU - Wang,H
AU - Fung,NH
AU - Aloe,C
AU - Kermani,NZ
AU - Adcock,IM
AU - Selemidis,S
AU - Vlahos,R
AU - McQualter,J
AU - Bozinovski,S
DO - 10.1002/clt2.70201
PY - 2026///
SN - 2045-7022
TI - CCR2/CCR5 Signaling Defines a Pathogenic Interstitial Macrophage Subset That Drives Severe Asthma.
T2 - Clin Transl Allergy
UR - http://dx.doi.org/10.1002/clt2.70201
UR - https://www.ncbi.nlm.nih.gov/pubmed/42731116
VL - 16
ER -