Monocytes/macrophages serve as sentinels involved in chronic inflammation a
nd the eradication of various pathogens. To define molecularly the differen
tiation of blood monocytes into macrophages, we conducted serial analysis o
f gene expression (SAGE) in human blood monocytes/macrophages induced by gr
anulocyte-macrophage colony-stimulating factor (GM-CSF) or M-CSF, SAGE anal
ysis of 57,560, 57,463, and 55,856 tags from monocytes, GM-CSF-, and M-CSF-
induced macrophages, respectively, allowed identification of 35,037 differe
nt transcripts. Interestingly, the genes with the highest expression during
differentiation from monocytes into macrophages were genes involved in lip
id metabolism, Both CSF-induced macrophages ex-pressed similar sets of gene
s except for several genes such as monocyte-derived chemokine (MDC), leguma
in, prostaglandin D synthetase, and lysosomal sialoglycoprotein, The identi
fication of specific gene expression in human monocytes, GM-CSF-, or M-CSF-
induced macrophages provides novel methods to define macrophage subsets and
the maturation and activation stage of cells of macrophage lineage and, po
ssibly, to diagnose diseases in which macrophages play a major role, This s
tudy represents the first extensive serial analysis of gene expression for
any type of human hematopoietic cells. (C) 1999 by The American Society of
Hematology.