RT Journal Article SR Electronic T1 Cellular reprogramming of human monocytes is regulated by time-dependent IL4 signalling and NCOR2 JF bioRxiv FD Cold Spring Harbor Laboratory SP 204180 DO 10.1101/204180 A1 Jil Sander A1 Susanne V. Schmidt A1 Branko Cirovic A1 Naomi McGovern A1 Olympia Papantonopoulou A1 Anna-Lena Hardt A1 Anna C. Aschenbrenner A1 Christoph Kreer A1 Kreer Quast A1 Alexander M. Xu A1 Lisa M. Schmidleithner A1 Heidi Theis A1 Thi Huong Lan Do A1 Hermi Rizal Bin Sumatoh A1 Mario A. R. Lauterbach A1 Jonas Schulte-Schrepping A1 Patrick Gunther A1 Jia Xue A1 Kevin Baßler A1 Thomas Ulas A1 Kathrin Klee A1 Stefanie Herresthal A1 Wolfgang Krebs A1 Bianca Martin A1 Eicke Latz A1 Kristian Händler A1 Michael Kraut A1 Waldemar Kolanus A1 Marc Beyer A1 Christine S. Falk A1 Bettina Wiegmann A1 Sven Burgdorf A1 Nicholas A. Melosh A1 Evan W. Newell A1 Florent Ginhoux A1 Andreas Schlitzer A1 Joachim L. Schultze YR 2017 UL http://biorxiv.org/content/early/2017/10/16/204180.abstract AB The clinical and therapeutic value of human in vitro generated monocyte-derived dendritic cell (moDC) and macrophages is well established. However, in line with recent findings regarding myeloid cell ontogeny and due to our limited understanding of their physiological counterparts, transcriptional regulation and heterogeneity, the full potential of these important cellular systems is still underestimated.In this study, we use cutting edge high-dimensional analysis methods to better understand the transcriptional organization, phenotypic heterogeneity and functional differences between human ex vivo isolated and in vitro generated mononuclear phagocytes with the aim to better realize their full potential in the clinic.We demonstrate that human monocytes activated by MCSF or GMCSF most closely resemble inflammatory macrophages identified in vivo, while IL4 signalling in the presence of GMCSF generates moDCs resembling inflammatory DCs in vivo, but not steady state cDC1 or cDC2. Moreover, these reprogramming regimes lead to activated monocytes that present with profoundly different transcriptomic, metabolic, phenotypic and functional profiles. Furthermore, we demonstrate that CD14+ monocytes are integrating multiple exogenous activation signals such as GMCSF and IL4 in a combinatorial and temporal fashion, resulting in a high-dimensional cellular continuum of reprogrammed monocytes dependent on the mode and timing of cytokine exposure. Utilizing nanostraw-based knockdown technology, we demonstrate that the IL4-dependent generation of moDCs relies on the induction, nuclear localization and function of the transcriptional regulator NCOR2.Finally, we unravel unappreciated heterogeneity within the clinically moDCs population and propose a novel high-dimensional phenotyping strategy to better tailor clinical quality control strategies for patient need and culture conditions to enhance therapeutic outcome.