Colony Stimulating Factor-1 Receptor is a central component of the foreign body response to biomaterial implants in rodents and non-human primates

Abstract

Host recognition and immune-mediated foreign body response to biomaterials can compromise the performance of implanted medical devices. To identify key cell and cytokine targets, here we perform in-depth systems analysis of innate and adaptive immune system responses to implanted biomaterials in rodents and non-human primates. While macrophages are indispensable to the fibrotic cascade, surprisingly neutrophils and complement are not. Macrophages, via CXCL13, lead to downstream B cell recruitment, which further potentiated fibrosis, as confirmed by B cell knockout and CXCL13 neutralization. Interestingly, colony stimulating factor-1 receptor (CSF1R) is significantly increased following implantation of multiple biomaterial classes: ceramic, polymer and hydrogel. Its inhibition, like macrophage depletion, leads to complete loss of fibrosis, but spares other macrophage functions such as wound healing, reactive oxygen species production and phagocytosis. Our results indicate that targeting CSF1R may allow for a more selective method of fibrosis inhibition, and improve biomaterial biocompatibility without the need for broad immunosuppression.

DOI: 10.1038/nmat4866

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Cite this paper

@inproceedings{Doloff2017ColonySF, title={Colony Stimulating Factor-1 Receptor is a central component of the foreign body response to biomaterial implants in rodents and non-human primates}, author={Joshua C. Doloff and Omid Veiseh and Arturo J. Vegas and H. H. Tam and Shady Farah and Minglin Ma and Jie Li and Andrew R. Bader and Alan Chiu and Atieh Sadraei and Stephanie Aresta-Dasilva and Marissa Griffin and Siddharth Jhunjhunwala and Matthew J Webber and Sean M Siebert and Katherine M Tang and Michael Chen and Erin T Langan and Nimit Dholokia and Raj Thakrar and Meirigeng Qi and Jos{\'e} Oberholzer and Dale L. Greiner and Robert Langer and Daniel G Anderson}, booktitle={Nature materials}, year={2017} }