Chronic ethanol feeding shifts Kupffer cells to an M1 phenotype, and treatment of Kupffer cells with flAcrp promotes M2 macrophage polarization. Primary cultures of Kupffer cells isolated from pair-fed and EtOH-fed rats were cultured overnight in the absence or presence of 45 nm gAcrp or flAcrp for 18 h. Expression of Arg-1, MMR, IL-4Rα, and inducible NOS mRNA relative to 18 S mRNA was measured in Kupffer cells not treated with adiponectin (A) or after 18 h of culture with adiponectin (B). A, values are expressed relative to Kupffer cells from pair-fed rats not treated with gAcrp. n = 4. + indicates EtOH-fed compared with pair-fed (p < 0.05). B, values are expressed relative to Kupffer cells not treated with adiponectin. Values with different superscripts (a–d) are significantly different from each other (p < 0.05).