Skip to main content
Journal of Inflammation Research logoLink to Journal of Inflammation Research
. 2021 Aug 26;14:4189–4203. doi: 10.2147/JIR.S328916

Lipocalin-2 Alleviates LPS-Induced Inflammation Through Alteration of Macrophage Properties

Huahua Du 1, Li Liang 1, Jiahui Li 1, Qingqing Xiong 1, Xin Yu 2, Hong Yu 3,
PMCID: PMC8405166  PMID: 34471375

Abstract

Purpose

Lipocalin-2 (Lcn2) is an acute-phase protein and elevated in several inflammatory diseases. This study aimed to determine whether Lcn2 alleviates inflammation and explore the underlying cellular mechanisms.

Methods

C57BL/6 Lcn2-deficient (Lcn2−/-) male mice were intraperitoneally injected with lipopolysaccharide (LPS) to build systemic inflammation model. The inflammatory processes were investigated. The morphology of villi was measured by scanning electron microscopy (SEM). The levels of inflammatory factors were detected by ELISA and qPCR analysis. The production of Lcn2 was determined with immunofluorescence staining by confocal microscope. The molecular mechanism of Lcn2 in bone marrow-derived macrophages (BMDMs) was analyzed by mass spectrometry (MS)-based quantitative proteomic analysis.

Results

Compared to wild-type (WT) mice injected with LPS, Lcn2−/- mice injected with LPS showed increased inflammatory damage in jejunum and ileum, and significantly elevated the levels of multiple pro-inflammatory cytokines. After determining that Lcn2 was mainly located in the cytoplasm of macrophages, we isolated BMDMs from Lcn2−/- mice to evaluate their function. During LPS challenge, transcripts of pro-inflammatory cytokines were all significantly increased in BMDMs from Lcn2−/- mice, while those of anti-inflammatory cytokines were significantly decreased when compared with the cytokines in BMDMs from WT mice. A label-free relative quantitation proteomics analysis showed that LPS-treated BMDMs from Lcn2−/- mice had elevated levels of pro-inflammatory pathways, but reduced phagocytosis and autophagy when compared with LPS-treated BMDMs from WT mice.

Conclusion

These findings demonstrated that Lcn2 was a potent protective factor in response to systemic inflammation and might be an indispensable factor for macrophage functions.

Keywords: Lcn2, systemic inflammation, macrophages, BMDMs

Introduction

Inflammation is an essential innate immune response, which is necessary for self-protection against harmful irritants and pathogens. It is a localized physical condition, in which certain parts of the body become swollen, hot and often painful, especially in response to injuries and infections. Notably, surplus inflammation is deleterious and leads to multiple chronic diseases such as cancer,1 obesity,2 and coronary artery disease,3 which are all closely associated with altered immune homeostasis. Generally, the immune system has a well-established contribution to pro-inflammatory initiation and tissue wound healing. However, in many cases such as sepsis, over-activation of immune responses with sufficiently high levels of inflammatory cytokine secretion may cause severe tissue damage.4

Enhanced tissue infiltration of immune cells is one of the main histological features of inflammation. Macrophages are immune cells involved in both sterile and infectious inflammatory syndromes.5 Macrophages have been not only considered to be one of crucial mediators that trigger the inflammatory response by secreting various pro-inflammatory cytokines, but also involved in tissue repair and regeneration by secreting anti-inflammatory cytokines and phagocytosis.6 However, the factors which trigger and balance the different function of macrophages during inflammation remain largely unknown. Thus, the question is which contents of the immune system can directly contribute to the process for the resolution of excessive immune responses.

Lipocalin-2 (Lcn2), also known as neutrophil gelatinase-associated lipocalin, siderocalin, or 24p3, is a 25 kDa secretory glycoprotein, which is originally isolated from neutrophil granules.7 As a member of broader lipocalin family, Lcn2 forms a barrel-shaped tertiary structure with hydrophobic cavities that bind to a variety of lipophilic ligands, including prostaglandin, progesterone, retinoic acid, and fatty acids.8 Lcn2 has been shown to play important roles in various biological processes, including iron delivery,9 apoptosis,10 kidney development,11 and innate immunity.12 Although mainly secreted by neutrophils, Lcn2 is also expressed in other cell types, such as hepatocytes, intestinal epithelia, and macrophages.13,14 Lcn2 has been reported to be an acute-phase protein with elevated levels in urine, serum, feces, and epithelium of patients with active inflammatory disease.15,16 However, the cellular mechanism whereby Lcn2 alleviates inflammation remains to be elucidated.

Therefore, in this study, we investigated the role of Lcn2 in inflammation processes using gene-targeted Lcn2-deficient (Lcn2−/-) mice. We showed that, in response to inflammatory stimuli lipopolysaccharides (LPS), Lcn2−/- mice exhibited more severe inflammation injury, in keeping with the dramatically increased levels of pro-inflammatory cytokines. Moreover, we found that Lcn2 was predominantly expressed in the cytoplasm of macrophages after LPS challenge. Functionally, proteomic results showed that bone marrow-derived macrophages (BMDMs) derived from Lcn2−/- mice were defective in phagocytosis and autophagic degradation of surplus inflammatory determinants, thereby promoting pro-inflammatory responses.

Materials and Methods

Animal Experiments

C57BL/6 WT male mice (6~8 week) were obtained from Animal Center of Chinese Academy of Sciences (Shanghai, China) and C57BL/6 Lcn2-deficient (Lcn2−/-) male mice (6~8 week) were got from Jackson Laboratory (USA), respectively. All mice were received food and water ad libitum, and housed under standard laboratory conditions on 12 h light-dark cycles in a specific pathogen-free environment. For systemic inflammation studies, Lcn2−/- and wild type (WT) mice were intraperitoneally injected with 2 μg/g body weight LPS (Sigma Aldrich, USA). A total of 48 mice were randomly assigned to be injected with LPS or saline (n = 24 each group), and euthanized by cervical dislocation at 0, 8, 16, 24, 32, and 48 h after LPS injection (n = 4 per time point). Peripheral blood was obtained from the retro-orbital sinus for serum collection. Liver, kidney, spleen, duodenum, jejunum, ileum, and colon were collected for measurements of inflammatory injury and Lcn2 expression. All mouse experiments were approved by the Animal Care Committee of Zhejiang University (ZJU2018-12141), and were performed in accordance with the animal ethics guidelines of Agricultural Animals for Research and Teaching at Zhejiang University.

Isolation of Bone Marrow-Derived Macrophages (BMDMs)

BMDMs were obtained from the femoral cavity of WT or Lcn2−/- mice (n = 6 per group) after removal of attached muscle tissues. The cells were filtered and cultured in 6-well plates with complete DMEM medium (Gibco, USA) containing 30% conditioned L929 media (Cell Bank of Chinese Academy of Sciences, China), 20% FBS (Gibco, USA), penicillin (100 I.U./mL) and streptomycin (100 μg/mL) (Sangon Biotech, China). On day 7, BMDM cultures with nearly 100% confluence could be used for further studies. Before treated with LPS, BMDMs plated in 6-well plate were cultured in 10% FBS DMEM medium without antibiotics. After cells were incubated to approximately 90% confluent, BMDMs were treated with 2 µg of Lcn2 for 22.5 h before adding 1 µg of LPS for 1.5 h at 37°C. Then all cells were washed by PBS and used for RNA or protein extraction.

Cell Line Cultivation

RAW264.7 macrophages were purchased from Cell Bank of the Chinese Academy of Sciences (Shanghai, China) and maintained in DMEM supplemented with 10% FBS, penicillin (100 I.U./mL) and streptomycin (100 μg/mL) at 37°C in humidified air containing 5% CO2. Cells were seeded in 6-well plates and grown overnight until 90% confluence, Then cells were washed with PBS and incubated in DMEM medium without antibiotics and FBS for 1~2 h. RAW264.7 macrophages were treated with 2 µg of Lcn2 for 22.5 h before adding 1 µg of LPS for 1.5 h at 37°C and used for further determination.

Histomorphology Analysis

Tissues of liver, jejunum and ileum were fixed with 4% paraformaldehyde and embedded in paraffin (Google Biotech, China). The sections were 5 μm thick and stained with hematoxylin and eosin (H&E) (NanJing KeyGen Biotech, China). Images were captured by a DM3000 microscope (Leica, Wetzlar, Germany).

Immunofluorescence Staining

Liver, jejunum and ileum were fixed in 4% paraformaldehyde overnight followed by paraffin embedding. Then 3-µm tissue sections were deparaffinized in xylene (Google Biotech, China) and rehydrated in a series of graded ethanol solutions. After washing with PBS, sections were immersed in 0.01 M citric acid buffer at 98–100°C. Then cooled sections were blocked with 20% normal sheep serum, and stained using rabbit polyclonal antibody Lcn2 (diluted at 1:250, Abcam, USA) and Alexa Fluor 488 goat anti-rabbit polyclonal secondary antibody IgG (diluted at 1:400, Abcam, USA). For immunofluorescence co-localization analysis of Lcn2 and macrophage, sections were stained using rabbit polyclonal antibody Lcn2 (diluted at 1:250), rat monoclonal antibody F4/80 (diluted at 1:250, Abcam, USA), Alexa Fluor 488 goat anti-rabbit polyclonal secondary antibody IgG (diluted at 1:400) and Alexa Fluor 647 goat anti-rat polyclonal secondary antibody IgG (diluted at 1:400, Abcam, USA). For immunofluorescence analysis for inducible nitric oxide synthase (iNOS) determination, RAW264.7 macrophages were fixed in 4% paraformaldehyde, washed with PBS and then permeabilized with ice-cold 0.5% Triton X-100 (NanJing KeyGen Biotech, China). The cells were blocked with PBS containing 10% bovine serum albumin (NanJing KeyGen Biotech, China), and then incubated with rabbit monoclonal antibody iNOS (diluted at 1:250, Abcam, USA) and Alexa Fluor 488 goat anti-rabbit IgG (diluted at 1:400). Finally the sections were stained with 50 mg/mL of 4′,6-diamidino-2- phenylindole (DAPI) (Boster Biological Technology, USA) and imaged by confocal laser scanning microscope (LSM-510 Meta, Zeiss, Germany).

ELISA Determination

The levels of cytokines including interleukin (IL)-1β, IL-6 and IL-10 in serum of mice were determined by Mouse ELISA kits (eBioscience, USA) according to the manufacturer’s instructions.

Western Blot Analysis

Liver or intestinal tissues were lysed using M-PER mammalian protein extraction reagent supplemented with HALT proteinase and phosphatase inhibitor cocktails (Thermo-fisher Scientific, USA), Protein concentrations were determined by Bradford protein assay with BSA standards (Bio-Rad). Total protein was extracted and equal quantities of proteins (10 µg) were electrophoresed on 10% SDS-PAGE, and then transferred onto PVDF membranes (Sangon Biotech, China). The membrane was incubated with primary antibodies and then with horseradish peroxidase (HRP)-conjugated secondary antibody. ECL Detection System (CliNX, Shanghai, China) was used to detect antibody reactivity. Primary antibodies included rabbit monoclonal antibody β-actin (Abcam, USA) and rabbit polyclonal antibody Lcn2 (Abcam, USA), which were all diluted at 1:1000. Appropriate second antibodies (Cell Signaling Technology, USA) were all diluted at 1:2000.

Gene Expression Analysis

Total RNAs were extracted from cells and animal tissues by Trizol Reagent according to the manufacturer’s instructions (Sigma Aldrich, USA). The concentration of RNA was determined by NanoDrop ND-1000 (Thermo-fisher Scientific, USA). One microgram of total RNA was converted to cDNA using an M-MuLV kit (Thermo Fisher Scientific, USA) in combination with random hexamer primers. Real-time PCR was performed using the FastStart Universal SYBR Green Master fluorescence quantitative kit (Thermo Fisher Scientific, USA) on an Applied Biosystems SteponeTM plus Real-Time PCR System. All the data were normalized to the housekeeper gene GAPDH from the same individual sample. The 2−ΔΔCt method was used to determine the relative mRNA expression levels. Specific primers sequences are listed in Table 1.

Table 1.

Primer Sequences for the Real-Time PCR Amplification

Gene Primer (5ʹ→3ʹ) Accession Number
GAPDH F: TGCGACTTCAACAGCAACTC NM_008084.3
R: GCCTCTCTTGCTCAGTGTCC
IL-1β F: AGTTGACGGACCCCAAAAG NM_008361.4
R: TTTGAAGCTGGATGCTCTCAT
TNF-α F: GCTCTTCTGTCTACTGAACTTCGG NM_013693.3
R: ATGATCTGAGTGTGAGGGTCTGG
IL-6 F: CCCCAATTTCCAATGCTCTCC NM_031168.2
R: CGCACTAGGTTTGCCGAGT
iNOS F: CTCACCTACTTCCTGGACATTAC NM_010927.4
R: CAATCTCTGCCTATCCGTCTC
TGF-β1 F: GTCACTGGAGTTGTACGGCA NM_011577.2
R: AGCCCTGTATTCCGTCTCCT
Arg-1 F: CCTGGAACTGAAAGGAAAG NM_007482.3
R: TTGGCAGATATGCAGGGAGT
IL-10 F: TGGGTTGCCAAGCCTTATCG NM_010548.2
R: TTCAGCTTCTCACCCAGGGA
MIP-2 F: CACTCTCAAGGGCGGTCAAA NM_009140.2
R: GGTTCTTCCGTTGAGGGACA
MCP-1 F: GATGCAGTTAACGCCCCACT NM_011333.3
R: ACCCATTCCTTCTTGGGGTC
Lcn2 F: ACATTTGTTCCAAGCTCCAGGGC NM_008491.1
R: CATGGCGAACTGGTTGTAGTCCG

Transmission Electron Microscopy (TEM) Analysis

Tissues were fixed in 2.5% glutaraldehyde overnight, washed with PBS and fixed with 1% OsO4 (NanJing KeyGen Biotech, China) for 1 h. The samples were then dehydrated in a series of graded ethanols and then transferred into acetone. Then samples were placed in a mixture of acetone and Spurr resin (Head Biotechnology, China), and transferred to Spurr resin mixture overnight. The tissue sections were placed in capsules containing the embedding medium (NanJing KeyGen Biotech, China) and heated for 9 h at 70°C. The sections were then stained with uranyl acetate and alkaline lead citrate (NanJing KeyGen Biotech, China) for 15 min and observed by TEM (Model H-7650, HITACHI, Japan).

Flow Cytometry Analysis for Phagocytosis of Macrophages

BMDMs were seeded in a 6-well plate until 90% confluent, and treated with 0.5 mg/mL of FITC-dextran (Sigma Aldrich, USA) for 2 h at 37°C. Then cells were digested by trypsin, collected by centrifuge at 1000 g for 5 min, and finally resuspended with 500 μL PBS, which could be used for flow cytometry (MACSQuant VYB, Germany) analysis. The phagocytosis of macrophages was expressed as mean fluorescence intensity.

Proteomics

BMDMs from WT and Lcn2−/- treated with LPS (1 µg/mL) for 1.5 h were lysed in SDT lysis buffer (4% (w/v) SDS, 100 mM Tris/HCL, 0.1M DTT, pH7.6). Samples were centrifuged to remove debris, and then the supernatant was collected. For each sample, protein was digested by trypsin (mass ratio 1:50 trypsin-to-protein). Peptide fragments were desalted by C18 Cartridge, freeze-dried, redissolved by 40 μL of 0.1% formic acid solution, and then quantified (OD280). The samples were then analyzed using nano-flow liquid chromatography electrospray tandem mass spectrometry (nanoLC-ESI-MS/MS) with a Thermo Scientific Q-Exactive Mass Spectrometer (Germany) coupled to a Thermo Ultimate 3000 RSLCnano HPLC system. Peptide fragments were selected for MS/MS by normalized collision energy (NCE) and detected in the orbitrap at a resolution of 17,500. Raw database was performed using MaxQuant search engine (v. 1.5.3.17). Gene Ontology (GO) annotation and Kyoto Encyclopedia of Genes and Genomics (KEGG) pathway research were conducted to analyze quantitative protein. Proteins with P-value < 0.05 and an absolute Log2 fold change (FC) ≥ 1.6 or ≤ 0.625 were considered significantly. The whole experiment strategy was developed for quantitative proteomic profiles of BMDMs with 3 biological replicates.

Statistical Analysis

Statistical analyses of experimental data were performed using GraphPad Prism software (version 8, GraphPad Software Inc., San Diego, CA, USA). The results are expressed as mean ± standard error of the mean (SEM). The difference between groups was determined by Student’s t test or, if there were more than two groups, by one-way analysis of variance followed by Duncan’s test. The test was independently repeated at least three times. P values of < 0.05 was recognized as statistically significant. *P < 0.05, **P < 0.01.

Results

LPS Challenge Induces Lcn2 Expression

To identify that Lcn2 is one of the acute-phase proteins during inflammation, we intraperitoneally injected LPS into WT mice and analyzed the expression of Lcn2 in tissues. Fluorescence staining demonstrated that the tremendous levels of Lcn2 protein were induced in liver, jejunum and ileum at 24 hpi (Figure 1A). Western blot analysis showed that Lcn2 expression was at least 1.3-fold increased at 8 hpi in three detected tissues. Lcn2 levels in the liver were increased 28-fold at 24 hpi (Figure 1B). Notably, Lcn2 protein levels were significantly (P < 0.01) elevated and peaked by 24 hpi or 32 hpi, and then declined (Figure 1BD).

Figure 1.

Figure 1

LPS challenge induces Lcn2 expression. WT mice were intraperitoneally injected with saline (Control) or 2 μg/g LPS. (A) Representative confocal images of Lcn2 expression in the liver, jejunum and ileum of mice at 24 h post LPS injection (n = 4). DAPI, blue; Lcn2, green. (B–D) Protein levels of Lcn2 in indicated tissues from WT mice after LPS challenge at different time points were examined by Western blot (n = 4). Values were average means of triplicate experiments. Results were expressed as means ± SEM. Statistical analysis used Mann–Whitney U-tests. *P < 0.05, **P < 0.01.

Lcn2 Deficiency Results in Increased Inflammation

To determine the role of elevated Lcn2 during LPS-induced inflammation, we assessed the effect of Lcn2 on systemic inflammation using Lcn2−/- mice. LPS challenge initially caused diarrhea, resulting in rapid body weight loss and low food intake. Food intake increased after 24 hpi both in Lcn2−/- mice and WT mice, but the body weight is only increasing in WT mice (data now shown). When compared to WT mice, TEM analysis showed that the microvilli of Lcn2−/- mice was fragmentary, and the number and height of microvilli were decreased apparently (Figure 2A). After LPS challenge, inflammatory cytokines were all increased at once, peaked by 8 hpi and then declined (Figure 2B and C). When compared with WT mice after LPS challenge, serum levels of pro-inflammatory cytokines such as IL-1β and IL-6 were significantly (P < 0.05) higher at 8 hpi to 32 hpi in Lcn2−/- mice (Figure 2B and C), while that of anti-inflammatory cytokine IL-10 was significantly (P < 0.05) lower at 8 hpi (Figure 2D). The mRNA expression levels of IL-1β in indicated tissues (liver, jejunum and ileum) also exhibited the similar expression pattern at different time points after LPS challenge (Figure 2E).

Figure 2.

Figure 2

Lcn2 deficiency results in increased inflammation. WT and Lcn2−/- mice were intraperitoneally injected 2 μg/g LPS. (A) Representative TEM images of microvilli morphology in jejunum and ileum of mice at 24 hpi (n = 4). (B–D) Protein levels of IL-1β, IL-6 and IL-10 were examined by ELISA from serum of mice at 0, 8, 16, 24, 32 and 48 hpi. (E) Relative mRNA expression of IL-1β normalized to GAPDH was examined by qRT-PCR from liver, jejunum and ileum at 0, 8 and 24 hpi (n = 4). The mRNA expression of IL-1β in WT mice at 0 hpi was used as the control in each tissue. Values were average means of triplicate experiments. Results were expressed as means ± SEM. Statistical analysis used Wilcoxon signed-rank test. *P < 0.05, **P < 0.01.

Lcn2 is Predominantly Located in Macrophages During Inflammation

In order to determine the major cell sources that promote the production of Lcn2 during LPS-induced inflammation, we next performed double immunofluorescence staining analysis on liver sections of WT mice at 24 h after LPS challenge. As expected, the confocal images showed that LPS induced high expression of Lcn2 in hepatocytes (Figure 3A). Interestingly, Lcn2 was highly expressed in Kupffer cells, which are specialized macrophages located in the liver. Subcellular localization analysis further confirmed that Lcn2 was mainly expressed in the cytoplasm of RAW264.7 macrophages (Figure 3B). These findings suggested that macrophages might be the main source for elevated Lcn2 production during LPS-induced inflammation.

Figure 3.

Figure 3

Lcn2 is predominantly expressed in macrophages during LPS-induced inflammation. (A) Representative confocal images of Lcn2 and macrophages in the liver at 24 h post LPS injection (n = 4). DAPI, blue; Lcn2, red; macrophage marker F4/80, green; Merge, yellow. (B) Representative confocal images of Lcn2 in RAW264.7 macrophages (n = 6). DAPI, blue; Lcn2, red.

Lcn2 Deficiency Enhances the Pro-Inflammatory Response of Macrophages

Macrophages are the main producers of inflammatory cytokines. The above results illustrated that Lcn2 was predominantly expressed in macrophages, and its deficiency could aggravate the inflammation. The observed elevation of pro-inflammatory cytokines in Lcn2−/- mice may also be due to the fact that macrophages require Lcn2 to effectively modulate the balance between pro-inflammatory and anti-inflammatory responses during systemic inflammation. In order to test this hypothesis directly, we isolated BMDMs from mice and examined the expression levels of various inflammatory cytokines after LPS treatment in vitro. BMDMs exhibited an irregular shape after a week of cell culture, which marked its differentiation into mature macrophages. However, there are no significantly morphological differences between BMDMs from WT and Lcn2−/- mice and there was no Lcn2 expression in BMDMs of Lcn2−/- mice, and LPS induced Lcn2 expression in BMDMs from WT mice (data not shown). After treated with LPS, BMDMs from Lcn2−/- mice showed significantly (P < 0.01) higher mRNA levels of pro-inflammatory cytokines including IL-1β (Figure 4A), TNF-α (Figure 4B) and iNOS (Figure 4D) when compared with WT mice. Lcn2 deficiency also increased the mRNA expression of IL-6, but the difference was not significant even in LPS stimulation (P = 0.084) (Figure 4C). Conversely, the transcripts of anti-inflammatory cytokines, such as transforming growing factor β1 (TGF-β1), IL-10 and arginase-1 (Arg-1) were strongly (P < 0.01) repressed in BMDMs from Lcn2−/- mice (Figure 4EG). Moreover, the mRNA levels of chemokines macrophage inflammatory protein-2 (MIP-2) and monocyte chemoattractant protein-1 (MCP-1) related macrophages migration in BMDMs from Lcn2−/- mice were both significantly (P < 0.05) reduced (Figure 4H and I). Thus, the results indicated that Lcn2 played an important role in the expression regulation of inflammatory cytokines by macrophages during LPS-induced inflammation.

Figure 4.

Figure 4

Lcn2 deficiency enhances the pro-inflammatory response of macrophages. (A–I) Quantitative determination of cytokines mRNA expression levels in the LPS-treated BMDMs from WT and Lcn2−/- mice. Relative mRNA expression of cytokines normalized to GAPDH rRNA as the reference genes. The mRNA expression of cytokines in WT mice was used as the control. Values were average means of triplicate experiments with two mice used for the isolation of BMDMs per genotype per experiment (n = 2). Results were expressed as means ± SEM. Statistical analysis used Wilcoxon signed-rank test. *P < 0.05, **P < 0.01.

Lcn2 Attenuates the Inflammatory Response of Macrophages

Since BMDMs from Lcn2−/- mice exhibited enhanced pro-inflammatory response, we then want to test whether the addition of Lcn2 could help alleviate the inflammatory response of BMDMs. Upon stimulation with LPS, the transcript levels of pro-inflammatory cytokines were all significantly (P < 0.01) attenuated (Figure 4AD) after pre-treatment with the recombinant Lcn2, but those of anti-inflammatory cytokines were all significantly (P < 0.05) promoted (Figure 4EG). We then employed mice RAW264.7 macrophages for further verification. Similarly, after LPS treatment, the mRNA expression of pro-inflammatory factors such as TNF-α (p < 0.05), IL-6 (P < 0.01), and IL-1β (P < 0.01) were all strongly repressed with the pre-treatment of recombinant Lcn2 (Figure 5AC), while transcription levels of anti-inflammatory cytokine IL-10 and chemokine MCP-1 were both markedly (P < 0.05) up-regulated (Figure 5D and E). Consistent with the results of transcription, immunofluorescence analysis showed that the expression of iNOS was significantly (P < 0.01) depressed by adding Lcn2 (Figure 5F and G). Therefore, Lcn2 could alleviate the inflammation response of both BMDMs and RAW264.7 macrophages.

Figure 5.

Figure 5

Lcn2 attenuates the inflammatory response of macrophages. RAW264.7 macrophages were treated with 2 µg/mL recombinant Lcn2 for 22.5 h and 1 µg/mL LPS for 1.5 h. (A–E) Real-time PCR analysis of cytokine mRNA expression levels (n = 3). Relative mRNA expression of cytokines normalized to GAPDH rRNA as the reference genes. The mRNA expression of cytokines in LPS-treated mice was used as the control. (F–G) RAW264.7 macrophages were subjected to staining with rabbit monoclonal antibody iNOS and Alexa Fluor 488 goat anti-rabbit IgG, and observed by laser scanning confocal microscope (n = 3). Cells were assayed for expression by detection of iNOS gene (green) by fluorescence microscopy. Cell nuclei were labeled with DAPI (blue). The number of cells were quantified to the same level for detection of fluorescence intensity. Values were average means of triplicate experiments. Results were expressed as means ± SEM. Statistical analysis used Wilcoxon signed-rank test. *P < 0.05, **P < 0.01.

Proteomic Analysis of LPS-Treated BMDMs from Lcn2−/- Mice

In order to comprehensively investigate the molecular mechanism by which Lcn2 regulates the function of macrophages, we performed mass spectrometry (MS)-based quantitative proteomic analysis of BMDMs from WT and Lcn2−/- mice with LPS. In total, 4068 proteins were identified, among which 2993 proteins were quantified with three biological replicates. Differentially expressed proteins were identified by a cutoff of absolute folding change ≥ 1.6 or ≤ 0.625, and p value < 0.05. The results showed that 144 proteins were differentially expressed between BMDMs from WT and Lcn2−/- mice after LPS challenge. Among them, 47 proteins in BMDMs of Lcn2−/- mice were significantly higher and 97 proteins were much lower than in BMDMs of WT mice (Figure 6A). The data also showed that in LPS-treated BMDMs of Lcn2−/- mice, the expression of pro-inflammatory factor-related proteins, such as IL-1β, apoptosis-associated speck-like protein containing a CARD (PYCARD) and the nuclear factor kappa-B (NF-κB), was higher, while that of anti-inflammatory factor-related proteins, such as immunity-related GTPase family M protein 1 (Irgm1) and IκBα was lower (Figure 6B), which was consistent with above results in mice. PYCARD, a key mediator in apoptosis and inflammation, was up-regulated 8.0-fold in BMDMs of Lcn2−/- mice as compared to those of WT mice. However, Irgm1, a positive regulator of both pro-inflammatory cytokine production and macrophage motility, was down-regulated 0.42-fold in BMDMs of Lcn2−/- mice as compared to those of WT mice (Figure 6B). GO analysis revealed that BMDMs of WT mice were highly enriched in the proteins involved in several biological processes related to the regulation of immune response, such as immune system process, cellular process, metabolic process, biological regulation, as well as response to external stimulus (Figure 6C). And binding and catalytic activity were the most highly enriched pathways involving Lcn2 (Figure 6D).

Figure 6.

Figure 6

Proteomics analysis of LPS-treated BMDMs from Lcn2−/- and WT mice. (A) Volcano plots shows that 144 proteins changed significantly (a cutoff of absolutes fold change ≥ 1.6 or ≤ 0.625, and P < 0.05). Green dots represent down-regulated proteins, and red dots represent up-regulated proteins. (B) Series of inflammation-related proteins (n = 3). Blue color represents down-regulated proteins, and red color represents up-regulated proteins. (C) Biological processes of GO annotation. (D) Molecular function of GO annotation. Bar chart represents biological processes and molecular function enriched by altered proteins in response to Lcn2 deficiency.

Lcn2 Deficiency Inhibits the Phagocytosis of BMDMs and Hepatocyte Autophagy

Since Lcn2 deficiency significantly suppressed the expression of proteins associated with binding activity (Figure 6B), we then further investigated whether Lcn2 would affect the migration and endocytosis of macrophages. Bioinformatics enrichment analysis from proteomic analysis showed that revealed proteins that inhibit macrophage motility and phagocytosis, such as stathmin and calponin-2, were up-regulated in LPS-treated BMDMs of Lcn2−/- mice as compared to those of WT mice (Figure 7A). On the contrary, proteins that facilitate phagocytosis including reticulocalbin-1, lactadherin (Mfge8), and tapasin were all down-regulated significantly in LPS-treated BMDMs of Lcn2−/- mice. Furthermore, flow cytometry analysis confirmed that Lcn2 deficiency significantly (P < 0.01) reduced the phagocytosis rate of FITC-Dextran by 75% in BMDMs (Figure 7B). In addition, GO analysis also revealed that some differentially expressed proteins are related to autophagy, such as PYCARD and Irgm1 (Figure 7C). TEM analysis showed that there were more autophagosomes (a nearly round vacuole in the cytoplasm containing lysosomal dissolved impurities) in livers of WT mice, while fewer autophagy area was detected in Lcn2−/- mice (Figure 7D). Above results indicated that Lcn2 was involved in the phagocytosis function of macrophages, and may play a role in cell autophagy.

Figure 7.

Figure 7

Lcn2 deficiency inhibits the phagocytosis of BMDMs and hepatocyte autophagy. (A) Series of phagocytosis-related proteins (n = 3). Blue color represents down-regulated proteins, and red color represents up-regulated proteins. (B) Flow cytometry analysis of BMDMs incubated with FITC-dextran (n = 3). (C) Series of autophagy-related proteins (n = 3). Blue color represents down-regulated proteins, and red color represents up-regulated proteins. (D) Representative TEM images of autophagosomes (red arrows) in liver of mice at 24 hpi (n = 4). Values were average means of triplicate experiments. Results were expressed as means ± SEM. Statistical analysis used Mann–Whitney U-test. **P < 0.01.

Discussion

Lcn2 is widely known to play a variety of biological roles in iron transport, bacteriostasis, apoptosis and cell survival. However, the specific role of Lcn2 in different inflammatory conditions is not always consistent. For example, Lcn2 was reported to play a pro-inflammatory role in autoimmune encephalomyelitis models of neuroinflammation17 and central nervous system.18 In contrast, the anti-inflammatory role of Lcn2 was also reported that the level of IL-6 protein in brain tissues of Lcn2−/- mice treated with LPS was significantly increased.16 Lcn2 reduced the expression of cytokines in LPS-treated RAW264.7 macrophages.19 Until now, the specific function of Lcn2 in inflammation has not been clarified. In the present study, we provided the first evidence that Lcn2 suppresses inflammatory reactions by mediating the functions of macrophages.

Lcn2 is an acute-phase protein known to be highly up-regulated in inflammatory states.13 It is thought to be a marker of many inflammatory diseases, and is involved in various types of inflammation.20 Previous studies have shown that Lcn2 was significantly elevated in the brain and astrocytes 4 to 8 h after an inflammatory stimulus.16 Similarly, in the present study, we found that Lcn2 protein levels in liver, jejunum and ileum were initially significantly induced at 8 hpi, increased to peak by 24 or 32 hpi, and then declined, which was induced in a parabolic pattern as well as our previous study of Escherichia coli infection.21

In the absence of Lcn2, the mice suffered more severe inflammatory injury including slower recovery of body weight, more swollen liver and spleen, and severe broken intestinal barrier following LPS injection. Pro-inflammatory cytokines IL-1β and IL-6 were both significantly increased in the serum of Lcn2−/- mice. IL-1β transcripts were also markedly elevated in detected tissues during LPS-induced inflammation. However, anti-inflammatory cytokine IL-10 protein was decreased significantly at 8 hpi in the serum of Lcn2−/- mice. In accordance with our findings of anti-inflammatory role for Lcn2, significantly elevated levels of multiple pro-inflammatory molecules were shown in the brain of Lcn2−/- mice injected with LPS.16 Lcn2 treatment has also significantly reduced the expression and secretion of TNF-α and IL-6 in LPS-stimulated Müller cells.22 Taken together, these data demonstrated that Lcn2 acted as an important regulator of inflammatory responses in LPS-induced systemic inflammation.

Although bone marrow is normally the primary site of Lcn2 expression, it has been reported that Lcn2 is highly induced in the liver of bacterial infected mice.18 In this study, we demonstrated that Lcn2 could also be induced in the liver by LPS. Interestingly, we also found that Lcn2 was mainly located in the cytoplasm of macrophages by subcellular localization analysis. Macrophages regulate innate immune response to pathogenic microorganisms and contribute to adaptive immune response, inflammation, and wound repair. During inflammation, circulating monocytes leave the bloodstream and migrate to damaged tissues, where they differentiate into macrophages or dendritic cell populations.23 The recruitment of monocytes is essential for the effective control and elimination of bacterial, viral and fungal infections, and contributes to the pathogenesis of inflammation.24 Therefore, we next differentiated BMDMs and explored whether alteration of Lcn2 expression would modulate the inflammatory response of macrophages. Similar to our findings of an anti-inflammatory role for Lcn2 in vivo, BMDMs from Lcn2−/- mice showed increased mRNA expression levels of pro-inflammatory cytokines IL-1β, TNF-α and IL-6, while decreased mRNA expression levels of anti-inflammatory cytokines TGF-β1 and IL-10 after LPS challenge in vitro. In accordance with our findings, Lcn2 was reported to induce IL-10 formation by macrophages and skew macrophage polarization.25 Lcn2 has also been implicated in macrophage polarization by altering iNOS and Arg-1 levels after LPS challenge.26 MCP-1 is a potent chemokine of macrophages, and plays a critical role in inflammatory healing in extravascular tissues such as cutaneous wounds and myocardial infarction via a MIP-2 dependent pathway.27 In the present study, the mRNA expression of chemokines MCP-1 and MIP-2 were both lower in Lcn2−/- macrophages, which suggested that Lcn2 deficiency would decelerate the migration of cells and tissue healing.

Macrophages are central participants in sterile and infectious chronic inflammatory syndromes. To define the mechanism by which Lcn2 regulates LPS-challenged macrophage inflammation, a label-free proteomics analysis was performed. Similar to the results in mice, the levels of pro-inflammatory factor-related proteins were increased significantly, while those of anti-inflammatory factor-related proteins were decreased in LPS-treated BMDMs of Lcn2−/- mice compared with those of WT mice. Phagocytosis capacity of macrophage also plays an important role in cellular immunity, inflammation and tissue homeostasis. Effective suppression of inflammation is critical not only for the termination of the inflammatory response, but also for the restoration of tissue integrity.28 Phagocytosis of dead cells by macrophages not only plays an important role in clearance of apoptotic cells, but also promotes a pro-lytic phenotype of macrophages, thus terminating inflammation.29 Correspondingly, our results exhibited dampened phagocytosis of BMDMs from Lcn2−/- mice and aggravated inflammatory damage in Lcn2−/- mice. The clearance of apoptotic cells by macrophages is coordinated by recognizing the primary “eat-me” signal, which is present outside the membrane of dying cells.30 Mfge8, a bridging molecule that mediates binding of these signals to phagocytic receptors, effectively promotes phagocytosis of macrophage.31 Our study found that there was a decreased protein expression level of Mfge8 during LPS-induced inflammation in BMDMs of Lcn2−/- mice, whose impaired phagocytosis were approved by flow cytometric analyses.

Macrophages phagocytize a wide range of exogenous particles such as necrotic cells arising from infection and inflammation, accompanied by features in common with autophagy.32 Our proteomics data also showed that autophagy related proteins such as PYCARD and Irgm1 were altered significantly in LPS-challenged BMDMs between WT and Lcn2−/- genotypes. Autophagy, as a fundamental cell survival process, plays a broad homeostatic role in the clearance of cytotoxic wastes, and has attracted much attention due to the importance in the protection from chronic inflammatory diseases.33 PYCARD complexes with NLRP3 protein to form a caspase-1-activating complex-NLRP3 inflammasome, which can cleave and activate IL-1β during inflammation.34 Irgm1, one of the strongest cell autonomous resistance systems for autophagy of intracellular pathogens,35 also played an important role in negatively regulating IL-1β maturation by autophagy and degradation of PYCARD, thereby suppressing the activation of the NLRP3 inflammasome.33 In our study, we found and verified a significant reduction of Irgm1 expression in BMDMs from Lcn2−/- mice, and correspondingly, a dramatic increase in PYCARD and IL-1β, which finally resulted in reduced autophagy and increased inflammation.

In the present study, we provide evidence that LPS strongly induced Lcn2 that mainly localized to macrophages. Lcn2 deficiency could aggravate the inflammation with elevation of pro-inflammatory cytokines, and disturb the balance between pro-inflammatory and anti-inflammatory responses of macrophages. Although proteomics analysis showed that LPS-treated BMDMs from Lcn2−/- mice had increased levels of pro-inflammatory pathways, further studies will be needed to identify the exact function of these pathways. Moreover, we found that Lcn2 deficiency inhibited the phagocytosis of BMDMs. However, little is known if Lcn2 could affect the phagocytosis of macrophages in vivo, and further studies of the interaction between Lcn2 and autophagy-related proteins are also needed to clarify the role of Lcn2 in inflammation.

Conclusion

In conclusion, upon LPS-induced systemic inflammation, Lcn2 was produced and secreted in a parabolic pattern and mainly located in the cytoplasm of macrophages. Lcn2 deficiency can lead to enhanced pro-inflammatory response in both mice and macrophages challenged with LPS. It was due to not only the facilitating the expression of pro-inflammatory cytokines, but also the reduced autophagy of macrophages. Dampened phagocytosis and autophagy capacity of macrophages from Lcn2−/- mice might also impede the resolution of inflammation (Figure 8). Our study suggests that Lcn2 is required to serve as a potent protective factor in response to systemic inflammation and highlights the importance of Lcn2 in keeping normal functions of macrophages.

Figure 8.

Figure 8

The mechanism of the pro-inflammatory effect of Lcn2 knockout in LPS-induced inflammation. The schemata was created with BioRender.com.

Acknowledgments

We thank Shuhui Li for her great contribution to the experiments and we are very sorry about her passing away.

Funding Statement

This work was supported by Natural Science Foundation of Zhejiang province of China (LZ20C170004, LY19HD30011), National Natural Science Foundation of China (31872363) and Major Science and Technology Project of Zhejiang province of China (2021C0306).

Abbreviations

Lcn2, Lipocalin-2; LPS, lipopolysaccharide; WT, wild-type; BMDMs, bone marrow-derived macrophages; IL, interleukin; NF-κB, nuclear factor kappa-B; GO, Gene Ontology; KEGG, Kyoto Encyclopedia of Genes and Genomics; PYCARD, apoptosis-associated speck-like protein containing a CARD.

Data Sharing Statement

All data and materials supporting the conclusions were included in this paper. More details are available on request.

Ethics Approval and Consent to Participate

All procedures involving animals were approved and performed in accordance with the Animal Care and Use Committee of Zhejiang University.

Disclosure

The authors report no conflicts of interest in this work.

References

  • 1.Lin WW, Karin M. A cytokine-mediated link between innate immunity, inflammation, and cancer. J Clin Invest. 2007;117:1175–1183. doi: 10.1172/JCI31537 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Kolb R, Sutterwala FS, Zhang W. Obesity and cancer: inflammation bridges the two. Curr Opin Pharmacol. 2016;29:77–89. doi: 10.1016/j.coph.2016.07.005 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Hotamisligil GS. Inflammation and metabolic disorders. Nature. 2006;444:860–867. doi: 10.1038/nature05485 [DOI] [PubMed] [Google Scholar]
  • 4.Okin D, Medzhitov R. Evolution of inflammatory diseases. Curr Biol. 2012;22:R733–R740. doi: 10.1016/j.cub.2012.07.029 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Gordon S. Phagocytosis: an immunobiologic process. Immunity. 2016;44:463–475. doi: 10.1016/j.immuni.2016.02.026 [DOI] [PubMed] [Google Scholar]
  • 6.Epelman S, Lavine KJ, Randolph GJ. Origin and functions of tissue macrophages. Immunity. 2014;41:21–35. doi: 10.1016/j.immuni.2014.06.013 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Kjeldsen L, Johnsen AH, Sengeløv H, et al. Isolation and primary structure of NGAL, a novel protein associated with human neutrophil gelatinase. J Biol Chem. 1993;268:10425–10432. doi: 10.1016/S0021-9258(18)82217-7 [DOI] [PubMed] [Google Scholar]
  • 8.Flower DR, North AC, Sansom CE. The lipocalin protein family: structural and sequence overview. Biochim Biophys Acta. 2000;1482:9–24. doi: 10.1016/S0167-4838(00)00148-5 [DOI] [PubMed] [Google Scholar]
  • 9.Goetz DH, Holmes MA, Borregaard N, et al. The neutrophil lipocalin NGAL is a bacteriostatic agent that interferes with siderophore-mediated iron acquisition. Mol Cell. 2002;10:1033–1043. doi: 10.1016/S1097-2765(02)00708-6 [DOI] [PubMed] [Google Scholar]
  • 10.Devireddy LR, Gazin C, Zhu X, et al. A cell-surface receptor for lipocalin 24p3 selectively mediates apoptosis and iron uptake. Cell. 2005;123:1293–1305. doi: 10.1016/j.cell.2005.10.027 [DOI] [PubMed] [Google Scholar]
  • 11.Mishra J, Dent C, Tarabishi R, et al. Neutrophil gelatinase-associated lipocalin (NGAL) as a biomarker for acute renal injury after cardiac surgery. Lancet. 2005;365:1231–1238. doi: 10.1016/S0140-6736(05)74811-X [DOI] [PubMed] [Google Scholar]
  • 12.Liu Z, Petersen R, Devireddy L. Impaired neutrophil function in 24p3 null mice contributes to enhanced susceptibility to bacterial infections. J Immunol. 2013;190:4692–4706. doi: 10.4049/jimmunol.1202411 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Flo TH, Smith KD, Sato S, et al. Lipocalin 2 mediates an innate immune response to bacterial infection by sequestrating iron. Nature. 2004;432:917–921. doi: 10.1038/nature03104 [DOI] [PubMed] [Google Scholar]
  • 14.Singh V, Yeoh BS, Chassaing B, et al. Microbiota-inducible innate immune, siderophore binding protein lipocalin 2 is critical for intestinal homeostasis. Cell Mol Gastroenterol Hepatol. 2016;2:482–498. doi: 10.1016/j.jcmgh.2016.03.007 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Dittrich AM, Krokowski M, Meyer HA, et al. Lipocalin 2 protects against airway inflammation and hyperresponsiveness in a murine model of allergic airway disease. Clin Exp Allergy. 2010;40:1689–1700. doi: 10.1111/j.1365-2222.2010.03508.x [DOI] [PubMed] [Google Scholar]
  • 16.Kang SS, Ren Y, Liu CC, et al. Lipocalin-2 protects the brain during inflammatory conditions. Mol Psychiatry. 2018;23:344–350. doi: 10.1038/mp.2016.243 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Nam Y, Kim JH, Seo M, et al. Lipocalin-2 protein deficiency ameliorates experimental autoimmune encephalomyelitis: the pathogenic role of lipocalin-2 in the central nervous system and peripheral lymphoid tissues. J Biol Chem. 2014;289:16773–16789. doi: 10.1074/jbc.M113.542282 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Jang E, Lee S, Kim JH, et al. Secreted protein lipocalin-2 promotes microglial M1 polarization. FASEB J. 2013;27:1176–1190. doi: 10.1096/fj.12-222257 [DOI] [PubMed] [Google Scholar]
  • 19.Zhang J, Wu Y, Zhang Y, et al. The role of lipocalin 2 in the regulation of inflammation in adipocytes and macrophages. Mol Endocrinol. 2008;22:1416–1426. doi: 10.1210/me.2007-0420 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Moschen AR, Adolph TE, Gerner RR, et al. Lipocalin-2: a master mediator of intestinal and metabolic inflammation. Trends Endocrinol Metab. 2017;28:388–397. doi: 10.1016/j.tem.2017.01.003 [DOI] [PubMed] [Google Scholar]
  • 21.Wang Q, Li S, Tang X, et al. Lipocalin 2 protects against Escherichia coli infection by modulating neutrophil and macrophage function. Front Immunol. 2019;10:2594. doi: 10.3389/fimmu.2019.02594 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Tang W, Ma J, Gu R, et al. Lipocalin 2 suppressed ocular inflammation by inhibiting the activation of NF-κB pathway in endotoxin-induced uveitis. Cell Physiol Biochem. 2018;46:375–388. doi: 10.1159/000488472 [DOI] [PubMed] [Google Scholar]
  • 23.Shi C, Pamer EG. Monocyte recruitment during infection and inflammation. Nat Rev Immunol. 2011;11:762–774. doi: 10.1038/nri3070 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Ginhoux F, Jung S. Monocytes and macrophages: developmental pathways and tissue homeostasis. Nat Rev Immunol. 2014;14:392–404. doi: 10.1038/nri3671 [DOI] [PubMed] [Google Scholar]
  • 25.Warszawska JM, Gawish R, Sharif O, et al. Lipocalin 2 deactivates macrophages and worsens pneumococcal pneumonia outcomes. J Clin Invest. 2013;123:3363–3372. doi: 10.1172/JCI67911 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Guo H, Jin D, Chen X. Lipocalin 2 is a regulator of macrophage polarization and NF-κB/STAT3 pathway activation. Mol Endocrinol. 2014;28:1616–1628. doi: 10.1210/me.2014-1092 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Hoh BL, Hosaka K, Downes DP, et al. Monocyte chemotactic protein-1 promotes inflammatory vascular repair of murine carotid aneurysms via a macrophage inflammatory protein-1α and macrophage inflammatory protein-2-dependent pathway. Circulation. 2011;124:2243–2252. doi: 10.1161/CIRCULATIONAHA.111.036061 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Han CZ, Juncadella IJ, Kinchen JM, et al. Macrophages redirect phagocytosis by non-professional phagocytes and influence inflammation. Nature. 2016;539:570–574. doi: 10.1038/nature20141 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Kourtzelis I, Hajishengallis G, Chavakis T. Phagocytosis of apoptotic cells in resolution of inflammation. Front Immunol. 2020;11:553. doi: 10.3389/fimmu.2020.00553 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Ravichandran KS. Find-me and eat-me signals in apoptotic cell clearance: progress and conundrums. J Exp Med. 2010;207:1807–1817. doi: 10.1084/jem.20101157 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 31.Hanayama R, Tanaka M, Miwa K, et al. Identification of a factor that links apoptotic cells to phagocytes. Nature. 2002;417:182–187. doi: 10.1038/417182a [DOI] [PubMed] [Google Scholar]
  • 32.Levine B, Mizushima N, Virgin HW. Autophagy in immunity and inflammation. Nature. 2011;469:323–335. doi: 10.1038/nature09782 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Deretic V, Klionsky DJ. Autophagy and inflammation: a special review issue. Autophagy. 2018;14:179–180. doi: 10.1080/15548627.2017.1412229 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Schroder K, Kanneganti TD, Shao F, et al. Mechanisms and consequences of inflammasome activation. J Mol Biol. 2018;430:131–132. doi: 10.1016/j.jmb.2017.12.005 [DOI] [PubMed] [Google Scholar]
  • 35.Singh SB, Davis AS, Taylor GA, et al. Human IRGM induces autophagy to eliminate intracellular mycobacteria. Science. 2006;313:1438–1441. doi: 10.1126/science.1129577 [DOI] [PubMed] [Google Scholar]

Articles from Journal of Inflammation Research are provided here courtesy of Dove Press

RESOURCES