Table 1:
Condition | Effects on AElIs | Effects on Surfactant Homeostasis | Phenotypic Changes in Alveolar Macrophages | Functional Changes of Alveolar Macrophages |
---|---|---|---|---|
Chronic Alcohol Use Disorder | ↑Lipid Synthesis35 ↓junctional proteins46,55 ↓GM-CSF receptors |
↑Total and free cholesterol, ↑cholesteryl ester in lavage, PL, PC, and PG47 |
↑ M2 phenotype5,35,37 ↑ “foamy” cytopathology35 |
↓Phagocytosis34,37,39,45 ↓Chemotaxis and Cytokine production34,37,39,45 ↓ GM-CSF receptor, |
Pulmonary Alveolar Proteinosis (PAP) | Normal lipid synthesis | ↑Free and esterified cholesterol51 | ↑ “foamy” cytopathology21,51 | ↓Phagocytosis56 ↓Chemotaxis, and bacterial killing33 ↓Cytokine production ↓Surfactant clearance ↓ GM-CSF signaling |
GM-CSF KO mice | Normal lipid synthesis | ↑Surfactant proteins in alveolar space15,53
↑Sat PC57,58 |
↑ Mixed M1/M2 phenotype ↑ “foamy” cytopathology21 |
↓Phagocytosis17,41,59 ↓Bacterial Killing41,59 ↓Cytokine production17,18 ↓Surfactant clearance14,18,39 ↓ GM-CSF signaling |