The mononuclear phagocyte system (MPS) is composed
of monocytes, macrophages and dendritic cells (DCs) and
has crucial roles in maintaining organismal homeostasis.
In addition, the diverse activities of the MPS are relevant
in inflammation, autoimmunity, infection, cancer and
organ transplantation. Commitment to the mononuclear
phagocyte lineage is determined at the stage of the mac-
rophage and DC progenitor (MDP), at which point, eryth-
roid, megakaryocyte, lymphoid and granulocyte fates have
been precluded (FIG. 1). MDPs give rise to monocytes and
common DC progenitors (CDPs)
1,2
. Whereas monocytes
can directly participate in effector immune responses or
differentiate into macrophages or DCs, the differentiation
potential of CDPs is restricted to the DC lineage (FIG. 1).
CDPs give rise to plasmacytoid DCs and pre-DCs, which
subsequently give rise to DCs
3–5
. Plasmacytoid DCs have
been recently reviewed and will not be further covered
in this manuscript
6
. How cell fate is decided, including
the factors that drive MDP differentiation and the genes
responsible, is still not well known.
What is becoming increasingly clear is that monocytes,
macrophages and DCs are not homogenous populations.
Just as CD4
+
T cells further differentiate into distinct
subsets (such as T helper 1 (T
H
1), T
H
2, T
H
17 and regu-
latory T (T
Reg
) cells), monocytes, macrophages and DCs
can also differentiate into discrete functional subsets. The
monocyte population is composed of two main subsets
in mice and humans, designated classical monocytes and
non-classical monocytes, and these cells are found primarily
in the circulation, bone marrow and spleen
7
. Macrophages
are found in all tissues throughout the body from embry-
onic to adult life. Macrophages are well known for their
functions in protecting the host from pathogens and their
roles in clearing dead cells, but they also have unique func-
tions that are influenced by their locations in the body.
For example, bone marrow macrophages promote stromal
retention of haematopoietic stem and progenitor cells
8
,
and lymph node subcapsular sinus macrophages prevent
central nervous system (CNS) invasion after peripheral
infection with a neurotropic virus
9
.
DCs were originally distinguished from macrophages
by their increased ability to activate T cells in an antigen-
dependent manner, and these cells are also found in
lymphoid and non-lymphoid tissues. Whereas macro-
phage heterogeneity is classified based on tissue location,
the two main DC subsets are characterized by differential
requirements for transcription factors and distinct origins.
The transcription factors inhibitor of DNA binding 2
(ID2), interferon-regulatory factor 8 (IRF8) and basic
leucine zipper transcriptional factor ATF-like 3 (BATF3)
are the basis for this distinction. Although lymphoid tissue
CD8
+
DCs and non-lymphoid tissue CD103
+
DCs (collec-
tively termed BATF3-dependent DCs) require ID2, IRF8
and BATF3 for their development, lymphoid tissue CD8
–
DCs and non-lymphoid tissue CD11b
+
DCs (collectively
termed BATF3-independent DCs) develop independently
of these factors
10–14
. The BATF3-dependent DC subset is
completely derived from a circulating pre-DC, but at least
some BATF3-independent DCs arise from circulating
monocytes
11,12
(FIG. 1).
There are a number of outstanding questions about
the development, homeostasis and function of MPS cells.
Although several subsets of monocytes, macrophages
and DCs have been identified, the individual contribu-
tions of these subsets to health and disease are not well
known, and it is probable that additional, functionally
distinct subsets exist. Moreover, few of the relevant genes
involved in the development and function of MPS cells
have been characterized. Over the last few decades, a
number of tools have been developed to address these
*Departments of Oncological
Sciences and Medicine,
Mount Sinai School of
Medicine, New York,
New York 10029, USA.
‡
Immunology Institute,
Mount Sinai School of
Medicine, New York,
New York 10029, USA.
§
Department of Genetics
and Genomic Sciences,
Mount Sinai School of
Medicine, New York,
New York 10029, USA.
¶
Tisch Cancer Institute,
Mount Sinai School of
Medicine, New York,
New York 10029, USA.
Correspondence to M.M.
e-mail:
miriam.merad@mssm.edu
doi:10.1038/nri3087
Monocytes
Monocytes are mononuclear
phagocytes that circulate in
the blood. Monocytes are
thought to differentiate into
macrophages and some
dendritic cells in peripheral
tissues. They consist of two
subsets: classical monocytes
and non-classical monocytes.
Studying the mononuclear phagocyte
system in the molecular age
Andrew Chow*, Brian D. Brown
‡§
and Miriam Merad*
‡¶
Abstract | The mononuclear phagocyte system (MPS) comprises monocytes, macrophages
and dendritic cells. Tissue phagocytes share several cell surface markers, phagocytic
capability and myeloid classification; however, the factors that regulate the differentiation,
homeostasis and function of macrophages and dendritic cells remain largely unknown.
The purpose of this manuscript is to review the tools that are currently available and those
that are under development to study the origin and function of mononuclear phagocytes.
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