Macrophages are versatile cells found in every tissue in the body. They mus
t perform a number of diverse cellular functions that allow them to kill in
vading microorganisms and neoplastic cells as well as produce growth factor
s involved in wound healing. Macrophages that develop these diverse functio
ns arise from a common precursor. By a process of selective adaptation, the
common precursor monocyte/macrophage differentiates into a distinctive mac
rophage with a different and specific phenotype, characterized by the expre
ssion of a specific set of gene products. The local environment plays a cri
tical role in shaping or directing the pattern or pathway of macrophage dif
ferentiation. The authors have focused on 2 specific macrophage differentia
tion pathways in a murine bone marrow-derived macrophage model. One pathway
is believed to play a role in wound repair and is characterized by the ind
uction of insulin-like growth factor-1 (IGF-I). The second pathway is invol
ved in macrophage cytocidal activation and is characterized by the inductio
n of the inducible form of nitric oxide synthase (iNOS). The pleotropic cyt
okine tumour necrosis factor-alpha (TNF-alpha) appears to mediate macrophag
e differentiation along both of these pathways. Interferon-gamma (IFN-gamma
) however, appears to act as a molecular switch. in the presence of IFN-gam
ma, stimulation of macrophages with TNF-alpha results in macrophage differe
ntiation along a pathway in which iNOS is expressed, whereas, in the absenc
e of IFN-II, stimulation of macrophages with TNF-alpha results in different
iation along a pathway in which IGF-I is expressed. The authors focus on so
me of the molecular events involved in TNF-alpha and IFN-gamma signal trans
duction and the regulation of iNOS and IGF-I genes in macrophages.