Molecular mechanisms underlying anti-inflammatory phenotype of neonatal splenic macrophages

Neonatal humans and rodents are susceptible to infection with encapsulated bacteria as a result of an inability to make antibodies to capsular polysaccharides. This is partly a result of decreased production of proinflammatory cytokines by splenic macrophages (M Phi) from neonates. In this study, we show that when stimulated with a variety of agonists to TLR2, -4, and -9, neonatal M Phi make less proinflammatory cytokines and more IL-10 than adult M Phi. IL-10 appears to have a role in the decreased proinflammatory cytokine production, as neonatal M Phi treated with anti-IL-10 receptor antibody or from IL-10(-/-) mice produced levels of proinflammatory cytokines at a level comparable with that produced by adult M Phi. A microarray analysis of RNA from resting and LPS-stimulated M Phi from neonatal and adult mice showed that expression of a large number of genes encoding cytokines, chemokines, and their receptors was decreased dramatically in the neonatal M Phi, although some cytokines, including IL-10 and IL-16, were enhanced. Several genes in the TLR signaling pathway leading to NF-kappa B activation were down-regulated, which may account for the decreased chemokine and cytokine synthesis. It is surprising that p38 alpha MAPK, known to be required for TLR-induced cytokine secretion, was enhanced in the neonatal M Phi. Our studies with the p38 MAPK inhibitor SB203580 suggested that excess p38 MAPK activity can be inhibitory for TLR2-, -4-, and -9-induced production of proinflammatory cytokines but not IL-10. The anti-inflammatory phenotype of the neonatal M Phi may be unique to the developing organism, although it compromises the neonate's ability to respond to encapsulated bacteria.