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. 2021 May 24;218(7):e20210754. doi: 10.1084/jem.20210754

graphic file with name JEM_20210754_Fig2.jpg

Platelets facilitate the onset of bacterial lung inflammation through interaction with neutrophils in peripheral blood, but switch to interacting with T reg cells during the start of the resolution phase, enabling platelet–T reg cell recruitment into the lungs. This is accompanied by the emergence of elevated levels of the anti-inflammatory cytokines IL-10 and TGF-β. Furthermore, platelets transcriptionally reprogram alveolar macrophages toward an anti-inflammatory phenotype, which allows significantly increased efferocytosis, which results in increased clearance of apoptotic neutrophils. Altogether, this leads to resolution of pulmonary inflammation. PLT, platelet; PMN, neutrophil; AM, alveolar macrophage; TRAM, transcriptionally reprogrammed alveolar macrophage.