Lung myofibroblast–conditioned media, BALFs from mice with lung fibrosis, or lactate promote macrophage profibrotic phenotype. (A) Bone marrow–derived macrophages (BMDMs) were treated with conditioned media from normal fibroblasts or TGF-β1–induced myofibroblasts. Twenty-four hours after treatment, cells were harvested, and concentrations of the indicated genes were determined by real-time PCR (n = 4; mean ± SD). **P < 0.01 and ***P < 0.001 by two-tailed Student’s t test. (B) BMDMs were treated with BALFs from mice that were treated i.t. with saline or BLM for 3 weeks. Twenty-four hours after treatment, concentrations of the indicated genes were determined by real-time PCR. n = 3; mean ± SD. **P < 0.01 by two-tailed Student’s t test. (C) BMDMs were treated with or without 20 mM lactate for 24 hours. Cells were harvested, and concentrations of the indicated genes were determined by real-time PCR (n = 4; mean ± SD). ***P < 0.001 by two-tailed Student’s t test. (D) Primary alveolar macrophages) were isolated from BALFs of C57BL/6 mice and treated with 20 mM lactate for 24 hours. Concentrations of the indicated genes were determined by real-time PCR (n = 3; mean ± SD). *P < 0.05 and ***P < 0.001 by two-tailed Student’s t test. AM = alveolar macrophage; con = control; Fbs C.M. = fibroblast-conditioned media; MyoFbs C.M. = myofibroblast-conditioned media.