Although initially considered merely "scavenger cells" that participate in
immunologic responses only after B and T lymphocytes have performed their b
iological tasks, more recent evidence suggests that macrophages play a key
role in host defense as well as in the maintenance of normal tissue structu
re and function. For macrophages to perform their biological functions, the
y must be activated. This involves up-regulation of an array of signaling p
athways resulting in altered gene expression and increased biochemical and
functional activity. Macrophages have been identified in almost all tissues
of the body. However, the basal activity of these cells, as well as their
ability to respond to inflammatory mediators, varies considerably with thei
r location. In addition, even within a particular tissue, there is evidence
of macrophage heterogeneity. The largest populations of macrophages in the
body are located in the liver and lung. Because of the unique attributes o
f these tissues, hepatic and pulmonary macrophages play essential roles not
only in nonspecific host defense but also in the homeostatic responses of
these tissues. In this review, the functional and biochemical activities of
macrophages localized in the liver and lungs are compared. Evidence sugges
ts that these represent distinct cell populations with unique functions and
responsiveness to inflammatory agents.