Hypothesis pH sensing at the intersection of tissue homeostasis and inflammation, 2023, Stephanie Hajjar; Xu Zhou

SNT Gatchaman

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pH sensing at the intersection of tissue homeostasis and inflammation
Stephanie Hajjar; Xu Zhou

pH is tightly maintained at cellular, tissue, and systemic levels, and altered pH – particularly in the acidic range – is associated with infection, injury, solid tumors, and physiological and pathological inflammation. However, how pH is sensed and regulated and how it influences immune responses remain poorly understood at the tissue level.

Applying conceptual frameworks of homeostatic and inflammatory circuitries, we categorize cellular and tissue components engaged in pH regulation, drawing parallels from established cases in physiology. By expressing various intracellular (pHi) and extracellular pH (pHe)-sensing receptors, the immune system may integrate information on tissue and cellular states into the regulation of homeostatic and inflammatory programs. We introduce the novel concept of resistance and adaptation responses to rationalize pH-dependent immunomodulation intertwined with homeostatic equilibrium and inflammatory control. We discuss emerging challenges and opportunities in understanding the immunological roles of pH sensing, which might reveal new strategies to combat inflammation and restore tissue homeostasis.

Highlights

• pH is a homeostatic variable tightly regulated at the cellular, tissue, and systemic levels. In particular, the regulation of tissue pH and the responses to pH perturvation remain poorly understood.

• Mammalian immune cells may be ideal sensors for tissue pH mediating both homeostatic and inflammatory responses.

• pH can be sensed by extracellular and intracellular receptors. Recent findings illustrate the crucial roles of extracellular receptors on immune cells, but the immunological functions of many pH sensing receptors remain to be uncovered.

• Responses to pH can be classified into two categories: effector functions that counter the pH deviation as negative feedback, and noneffector functions that facilitate adaptation to altered pH environments. Dysregulated pH detection, effector, and noneffector functions all create vulnerability for pathological outcomes.

• Understanding the immune mechanisms of pH-dependent response might spur the development and discovery of new therapeutic approaches in cancer and inflammatory disorders.

Link | Paywall (Trends in Immunology)
 
homeostatic pH control is best illustrated at the systemic level via respiratory and renal circuits, while the specific components involved in pH regulation at the tissue level remain largely speculative. Immune cells and neurons emerge as potential pH sensors because they express several pHe-sensing receptors, based on available expression data from mice and humans. Leveraging the framework of homeostatic regulation, candidate homeostatic pH signals and effectors may be inferred from physiological factors controlling tissue pH, such as proximity to capillaries, microvasculature density, blood flow, and local metabolic activity. Thus, the effector cell types may include endothelial cells, smooth muscle cells, and metabolic driver cells within a specific tissue compartment.
 
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