Lipin-1 contributes to IL-4 mediated macrophage polarization

Macrophage responses contribute to a diverse array of pathologies ranging from infectious disease to sterile inflammation. Polarization of macrophages determines their cellular function within biological processes. Lipin-1 is a phosphatidic acid phosphatase in which its enzymatic activity contributes to macrophage pro-inflammatory responses. Lipin-1 also possesses transcriptional co-regulator activity and whether this activity is required for macrophage polarization is unknown. Using mice that lack only lipin-1 enzymatic activity or both enzymatic and transcriptional coregulator activities from myeloid cells, we investigated the contribution of lipin-1 transcriptional co-regulator function towards macrophage wound healing polarization. Macrophages lacking both lipin-1 activities did elicit IL-4 mediated gene expression to levels seen in either wild-type or lipin-1 enzymatically deficient macrophages. Furthermore, we provide evidence that the lack of myeloid-associated lipin-1 transcriptional co-regulator activity leads to impaired full thickness excisional wound healing. Our study demonstrates that lipin-1 transcriptional co-regulatory activity contributes to macrophage polarization and the macrophage contribution to wound healing in vivo.


INTRODUCTION
Macrophages are innate immune cells that mediate tissue homeostasis by polarizing into unique phenotypes that range from pro-inflammatory to wound healing. Macrophage cellular responses restore normal tissue function. Defects in macrophage polarization can influence numerous disease pathologies including infectious disease, atherosclerosis, tumor growth, and impaired wound closure. Activation of macrophages via pattern recognition receptors (i.e., Toll like receptors) or through pro-inflammatory cytokine receptors (i.e., IFN-γ or TNF-α receptor) lead to proinflammatory activities (1). Conversely, IL-4, IL-10, IL-13, or TGF-β stimulation of macrophages promotes wound healing activities. The binding of these cytokines to their respective receptors leads to the activation and inhibition of numerous transcriptions factors that promote polarization of macrophages to a wound healing state. Most critical to wound healing polarization is the peroxisome proliferator-activated receptors (PPAR) family of transcription factors (2). PPAR activation via ligand binding and association with co-activators leads to both trans-repressive and transactivating activity (3). In macrophages, PPARs can transrepress NF-κB and STAT1 at the promoters of pro-inflammatory cytokines such as TNF-α (4). PPARs also promote the expression of genes associated with both lipid catabolism (2) and macrophage wound-healing activity (5).
Lipin-1 belongs to the evolutionarily conserved threemember lipin family (lipin-1, -2, and -3) in mammals. Lipins enzymatically convert phosphatidate into diacylglycerol via dephosphorylation. Among lipin family proteins, lipin-1 exhibits the highest phosphatidate-specific phosphohydrolase activity (6). We and others have shown that expression of a hypomorphic lipin-1 protein that lacks enzymatic activity attenuates proinflammatory macrophage responses by regulating glycerolipid synthesis (7)(8)(9). Lipin-1 enzymatic activity within macrophages contributes to disease pathogenesis of atherosclerosis, colitis, colon cancer, and LPS-induced inflammation [reviewed in (10)]. The overarching mechanism is likely due to lipin-1mediated diacylglycerol production leading to protein kinase C and AP-1 transcription factor activation driving proinflammatory macrophage activities (7)(8)(9). In addition to acting as a lipid phosphatase, lipin-1 also independently acts as a transcriptional co-regulator by interacting with various DNA-bound transcription factors. It is unknown if lipin-1 transcriptional co-regulator activity is involved in regulating wound healing activity in macrophages. However, lipin-1 augments PPAR activity to promote adipogenesis in adipocytes and promotes beta-oxidation while suppressing very low-density lipoprotein production in hepatocytes (11)(12)(13)(14)(15). Lipin-1 also represses the activity of SREBP1, SREBP2, and NFAT4c by inhibiting the binding of these transcription factors to their respective promoters in hepatocytes (16,17). SREBP1, SREBP2, and NFAT4c have been identified to contribute to promotion of macrophage pro-inflammatory responses and inhibition of wound healing macrophage polarization (18)(19)(20). These studies suggest to us that in macrophages the potential of lipin-1 transcriptional co-regulatory activity promoting PPARs and inhibiting SREBPs and NFAT4c might be important for the polarization of macrophages to a wound healing state. Our data provides evidence that lipin-1 transcriptional co-regulator activity contributes to IL-4 mediated macrophage wound healing function.

Animals
All animal studies were approved by the LSU Health Sciences Center-Shreveport institutional animal care and use committee. All animals were cared for according to the National Institute of Health guidelines for the care and use of laboratory animals. After wounding, all mice were housed in individual filter-topped sterile cages, provided with sterile water and food ad libitum.
All animals used in this study were 8 to 10-week-old mice. Mice lacking lipin-1 enzymatic activity from myeloid cells (lipin-1 mEnzy KO) were generated as previously reported (9). Briefly, mice with exons 3 and 4 of the Lpin1 gene flanked by LoxP sites (genetic background: C57BL/6J and SV129; generously provided by Brian Finck and Roman Chrast) were crossed with C57BL/6J LysM-Cre transgenic mice purchased from Jackson Laboratory (Bar Harbor, ME, United States). Exon 3 encodes the translational start site of lipin-1; however, deletion of this exon led to enforcement of an alternative start site causing expression of a truncated lipin-1 protein lacking 115 amino acids (21). The truncated protein lacks phosphatidic acid phosphohydrolase activity but retains cotranscriptional regulatory function. Mice fully lacking lipin-1 from myeloid cells (lipin-1 m KO) were generated by crossing mice with exon 7 of the Lpin1 gene flanked by LoxP sites [genetic background: C57BL/6J and SV129; generously provided by Brian Finck (22)] with C57BL/6J LysM-Cre transgenic mice purchased from Jackson Laboratory (Bar Harbor, ME). Deletion of exon 7 leads to frameshift, premature stop codon insertion, and a complete loss of lipin-1 protein (22). Age matched lipin-1 flox/flox littermate mice were used as controls.

Excisional Wound Healing Model
Mice were anesthetized by 3% isoflurane (NDC, 14043-704-06) and clippers were used to remove hair from the dorsum. Exposed skin was disinfected with chlorohexidine swabs. Dorsal skin was folded, raised cranially, and mice were laterally positioned. Symmetric full thickness wounds were created using a sterile 5mm biopsy punch (Integra) (23). Gross images were taken and percentage of wound closure was assessed using a digital caliper at 0, 2, 5, 7, 9, 12, and 14-days post-wounding and expressed as [(area of original wound -area of current wound)/area of original wound]x100. After initial wounding, analgesic cream was applied to wounds (Aspercreme, Cattem, 0078940). Mice were routinely monitored for weight loss or any other type of distress until the end of the study.

Quantitative Real Time PCR
Bone marrow-derived macrophages were treated with IL-4 (R&D Biosystems, 404-ML-050) for 4 h and mRNA was extracted from the cultured cells using RNeasy Mini Kit (Qiagen -74106) as per manufacturer's instructions. cDNA template was generated using qScript cDNA SuperMix (Quantabio, 95048). qRT-PCR was performed in a Biorad iCycler with SsoAdvanced Universal SYBER Green SuperMix (Biorad, 172-5271). Primers (Table 1) were obtained from the Harvard primer bank database. Primer specificity was confirmed using primer BLAST and by verifying the presence of a single peak in melt curve analysis. Results were

Phagocytosis Assay
Bone marrow-derived macrophages (5 × 10 5 cells) were cultured on sterile coverslips in culture wells and treated with 20 ng/ml IL-4 for 24 h. Culture medium was then replaced with DMEM, containing pHrodo TM green Zymosan A BioParticles R (Thermo Fisher Scientific, P35365) such that each well receives 0.1 mg zymosan particles. BMDMs were allowed to phagocytose for 1 h under dark incubation and then the assay was stopped by cold PBS wash. Cells seeded on coverslips were then fixed using 4% formaldehyde. Cells on cover slips were washed three times and then stained with DAPI slowfade (Invitrogen, S36938). Immunofluorescent images were taken using Olympus BX51 and evaluated using Image J (1.50a) analysis software. Phagocytic efficiency for each image was calculated by dividing the total number of fluorescent beads by the total number of nuclei in the fluorescent image, thus giving average number of beads per cell. Experiment was performed 3 times with 4 random images per group (n = 12).

Histology
Wound area was carefully excised at 2, 5, and 14 days after wounding and fixed in 10% neutral buffered formalin followed by paraffin embedding. 5 µm thick sections were cut from formalin-fixed paraffin-embedded tissue blocks. Sections were rehydrated, followed by hematoxylin-eosin (H&E) staining and dehydration. Stained sections were then imaged using Olympus BX51. 4× images were compared between each group to assess wound healing. Morphological score of inflammation: Evaluation of cellular infiltrate (polymorphonuclear and mononuclear cells) was done on H&E stained sections using the 10 x objectives. The cells were counted at the wound bed and scored as 0, 1, 2, and 3 (absence of inflammation, Discrete-presence of few inflammatory cells, Moderate-many inflammatory cells and Severe-exaggerated inflammatory cellularity, respectively) for whole skin. The cellularity of the overlying crust or scab was excluded from the score. The scab was made of fibrin and polymorphonuclear cells. The scab was interpreted as either thin (scored as 1) or thick (Scored as 2) based on their morphological appearance on H&E sections. Scoring was performed in a blinded fashion.
The assay was performed according to the manufacturer's instructions, and all samples were run in duplicate. Data was analyzed using the LEGENDplex Data Analysis Software.

Statistical Analysis
GraphPad Prism 5.0 (La Jolla, CA, United States) was used for statistical analyses. All data was tested for normalcy using the Shapiro Wilks Normalcy test. If data was normally distributed student T Test analysis was used for comparison between two data sets. If data was not normally distributed a Mann-Whitney test was performed. All other statistical significance was determined using a one-way ANOVA analysis of variance with a Dunnett's post-test. All in vivo experiments were performed a minimum of two times and all in vitro experiments were performed a minimum of three times. Figure legends provide specific details for each data set.

Lipin-1 Contributes to IL-4 Elicited Gene Expression
Pro-inflammatory response in macrophages is influenced by lipin-1, but if lipin-1 contributes to wound healing responses by macrophages is unknown. We have previously generated lipin-1 mEnzy KO mice that express a truncated lipin-1 protein lacking lipin-1 enzymatic activity but retain transcriptional co-regulatory function in myeloid cells (9). Here, we generated lipin-1 m KO mice that lack the entire lipin-1 protein in myeloid cells. Comparing results between lipin-1 mEnzy KO mice and lipin-1 m KO mice allows us to determine the contribution of lipin-1 enzymatic activity and infer the contribution of lipin-1 transcriptional coregulator activity on macrophage function. We have previously demonstrated the ability to generate BMDMs from lipin-1 mEnzy KO mice and confirmed their phenotype (9). We confirmed that the loss of full lipin-1 did not inhibit BMDM generation based on CD11b staining by flow-cytometry ( Figure 1A). Western Blot analysis of proteins collected from cultured BMDMs demonstrated roughly an 85% reduction of lipin-1 protein in lipin-1 m KO BMDMs, residual lipin-1 protein is due to ineffective Cre excision of lipin-1 ( Figure 1B) (26).
Having generated macrophages lacking lipin-1, we investigated the contribution of lipin-1 to IL-4 mediated gene expression. BMDMs from lipin-1 mEnzy KO, lipin-1 m KO, and appropriate littermate controls were stimulated with 20ng/ml of IL-4 for 4 h. mRNA was isolated and analyzed for the expression of several canonical wound-healing associated genes: Arg1, Socs2, Ccl17, Mannr, Il10, and Pparg (27). We included littermate controls for both strains; however, no differences were noted between lipin-1 m KO and lipin-1 mEnzy KO littermate controls, therefore littermate controls were grouped together as wild type. Expression of several wound healing associated genes in wildtype, lipin-1 mEnzy KO and lipin-1 m KO BMDMs ( Figure 1C) were comparable. However, IL-4 elicited gene expression was significantly lower in lipin-1 m KO BMDMs compared to either wild type or lipin-1 mEnzy KO BMDMs. These results demonstrate that lipin-1 enzymatic activity is dispensable for IL-4 mediated gene expression and suggests that lipin-1 transcriptional co-regulatory activity influences IL-4-mediated gene expression in macrophages.

Lipin-1 Does Not Influence Surface Expression of IL-4 Receptor or STAT6 Phosphorylation
Lipid membrane composition can influence the localization of receptors and/or signaling through those receptors (28). Lipin-1 is a regulator of glycerol lipid synthesis and the loss of lipin-1 may cause loss of either IL-4 receptor surface expression or signaling through the IL-4 receptor, thus resulting in impaired responses to IL-4. Flow cytometric evaluation of the surface expression of IL-4 receptor showed no difference between wild type and lipin-1 m KO BMDM (Figure 2A). Ligand binding of the IL-4 receptor-α (IL4Rα) triggers tyrosine phosphorylation at the cytoplasmic tail to facilitate recruitment and subsequent tyrosine phosphorylation of STAT6 by JAK1/JAK3 pathway (29). Wildtype and lipin-1 m KO BMDMs were stimulated with IL-4 for 30 min (Figure 2B), 1 and 4 h (Supplementary Figure 1) and protein was collected. Total STAT6 and phosphorylated STAT6 was measured by Western blot analysis. Similar levels of STAT6 phosphorylation was observed between wild type and lipin-1 m KO BMDMs ( Figure 2B). These results show that defective IL-4 elicited gene expression in lipin-1 m KO BMDMs was likely not due to a failure in IL-4 binding to the IL-4 receptor and subsequent STAT6 phosphorylation.

Lipin-1 Is Required for Phagocytosis
The reduction in wound healing-associated genes in response to IL-4 suggests that lipin-1 contributes to macrophage wound healing function. Macrophages with a wound healing phenotype can have increased phagocytic capabilities (30). We investigated the ability of BMDMs to phagocytize zymosan beads. We mock treated or IL-4 treated BMDMs from lipin-1 m KO or litter mate controls for 24 h. We then fed the macrophages pHrodo TM green Zymosan A BioParticles for 1 h. These particles do not fluoresce at 7.6 pH but do fluoresce at acidic pH, making it easier to identify internalized particles. We then imaged using fluorescent microscopy and quantified average number of particles per cell. IL-4 stimulated lipin-1 m KO BMDMs had fewer particles per cell than wild type BMDMs (Figure 3). These results further implicate the importance of lipin-1 in macrophage function.

Myeloid-Associated Lipin-1 Contributes to Wound Healing in vivo
Our in vitro studies suggest that lipin-1 contributes to IL-4 mediated macrophage polarization. We next wanted to determine if these in vitro differences contribute to in vivo processes as well.
Polarization of macrophages to a wound healing phenotype is required for proper wound closure in a full excision wounding model (31,32). We decided to investigate if the loss of myeloidassociated lipin-1 would alter wound closure. We performed full excision wounding on lipin-1 m KO, lipin-1 mEnzy KO and their respective littermate controls. We monitored wound closure at early (day 2 and day 5), middle (day 7 and day 9), and late (day 12 and day 14) stages of wound healing. Lipin-1 m KO mice had an initial delay in wound healing (days 2, 5, and 7) as compared to litter mate controls (Figures 4A,B). 9 days after wounding, wounds were of comparable size between lipin-1 m KO mice and litter mate controls. In contrast, lipin-1 mEnzy KO did not differ from littermate controls in wound healing at any stage of healing (Figures 4C,D). These results demonstrate that lipin-1 enzymatic activity in myeloid cells is dispensable for full excision wound closure and suggests that lipin-1 transcriptional co-regulatory activity in myeloid cells influences full excision wound closure.

Lipin-1 Deletion Does Not Alter Myeloid Immune Composition
Loss of lipin-1 could potentially influence development of myeloid cells or myeloid mediated systemic responses. We examined myeloid population in the spleen and blood to see if there were any alterations that may explain the delay in wound healing. We isolated the spleen and blood at days 2, 5, and 14 post-wounding. Cells were isolated and stained with a panel of antibodies to quantify macrophages, monocytes, PMNs, and Ly6C + monocytes. We included Ly6C staining as Ly6C hi and Ly6C lo can both contribute to wound healing (33). We observed no significant difference between lipin-1 m KO and litter mate control mice in any myeloid cell population analyzed in the blood or spleen (Figures 5A,B). In addition to monitoring cellular responses, we also examined mice serum cytokine concentration, 2 days post-wounding. We chose day 2 as this day correlated with the biggest difference in wound size. No differences were noted in serum cytokine responses between lipin-1 m KO and littermate control mice ( Figure 5C). These data suggest that myeloid associated lipin-1 activity that contributes to wound healing is likely mediated in the local environment rather than systemically.

Loss of Lipin-1 Leads to Alteration in Wound Immune Composition
Impaired healing was prominent in the early stage of wound healing. Hence, further histopathological evaluation (Figure 6A) was performed by H&E staining in isolated wounds from lipin-1 m KO and littermate control mice at 2-and 5-days   post wounding. On day 2, slightly interrupted superficial layer with void spaces were seen at the wound site; scattered mononuclear cells and neutrophils were also observed within the superficial layer in control mice. In Lipin-1 m KO mice, the superficial layer was poorly bridged with large void spaces with more inflammatory cells (Figure 6A). A very thick crest/scab was evident at the wound area which was highly infiltrated with mononuclear cells and neutrophils indicative of hyper inflammatory phase in Lipin-1 m KO mice. On day 5 epidermal tongue (depicted by yellow arrow heads) extended toward the center of the wound, indicative of wound bridging and healing in control mice. But, in lipin-1 m KO mice, the crest region was still thick with large number of immune infiltrates and they lacked a definitive epidermal closure and organization, suggestive of impaired healing. Wound closure (interphase between host tissue and wound depicted by red arrow heads) was also improved in the control mice. Scoring of the stained sections (0-3 inflammatory infiltrate and 0-2 crust thickness) by a blinded pathologist showed no significant difference in inflammatory recruitment in lipin-1 m KO mice (Figures 6B,C). We wanted to further investigate whether loss of lipin-1 influence inflammation within the wound during early stage of healing and alter macrophage profiles. To analyze immune cells within the wound we isolated 1 cm 2 skin including wound and surrounding tissue. Immune cells were isolated from digested skin and then phenotypically characterized by flow cytometry. As we were looking at early time frame within the immune response to wound healing, we concentrated on innate immune cells by quantifying the number of leukocytes (CD45 + cells), number of PMNs (CD45 + , CD11b + , F4/80 − , and Ly6G + ), and number of macrophages (CD45 + , CD11b + , and F4/80 + ). Although there was no significant difference in the total number of leukocytes or PMNs within the wounds, we did see a significant increase in the number of macrophages within the wounds of lipin-1 m KO mice (Figures 7A-C). These observations support our pathological scoring which showed no difference in immune infiltrate. We next examined the surface expression of CD206 (Mannose receptor) on macrophages in the wounds to determine if loss of lipin-1 altered macrophage polarization. We chose CD206 as it is well accepted as a marker for M2 polarization in vivo and we had in vitro data demonstrating a significant reduction in MannR gene expression in lipin-1 m KO BMDMs (34). Macrophages from wounds of lipin-1 m KO mice had a significant reduction in surface expression of CD206 compared to WT mice ( Figure 7D). These data suggest the importance of lipin-1 in macrophages during wound healing.

DISCUSSION
Using our lipin-1 m KO and lipin-1 mEnzy KO mice, we demonstrated that lipin-1 enzymatic activity is dispensable for wound healing macrophage polarization and provided evidence suggesting that lipin-1 transcriptional co regulator function is required. Only macrophages lacking the entire lipin-1 protein failed to fully express canonical wound healing associated genes in response to . Furthermore, impaired healing of full excision wound was also observed in lipin-1 m KO mice but not lipin-1 mEnzy KO mice. There was no alteration in systemic myeloid immune composition of lipin-1 m KO mice after wounding, we did observe increased macrophage content and these macrophages had a reduction in the wound healing associated marker CD206. Combined, these data suggest to us that lipin-1 transcriptional co-regulator activity contributes to macrophage wound healing function that promotes wound closure. Lipin-1 is a multi-functional protein having both enzymatic and transcriptional coregulator function. The removal of exons 3 and 4 of lipin-1 in our lipin-1 mEnzy KO mice results in truncated lipin-1 that lacks enzymatic activity but retains the ability of lipin-1 to bind to transcription factors such as PPARα and PPARγ (21). Removal of exon 7 from lipin-1 in our lipin-1 m KO mice causes a missense protein leading to loss of lipin-1 (and both activities) (22). BMDMs from the lipin-1 mEnzy KO mice had equivalent expression of IL-4 elicited genes as WT BMDMs suggesting that lipin-1 enzymatic activity is dispensable for IL-4 mediated gene expression. Lipin-1 m KO BMDMs had reduced expression of IL-4 mediated wound healing genes. IL-4 binding to the IL-4R leads to phosphorylation and activation of STAT6 leading to macrophage wound healing polarization. STAT6 binds to DNA promoters that leads to recruitment of PPARγ:RXR transcription factors to promote gene expression in macrophages (2,29). In adipocytes and hepatocytes, lipin-1 binds to and augments the activity of both PPARα and PPARγ. In addition to augmentation of PPARα and PPARγ activity, lipin-1 inhibits SREBP and NFAT by displacing them from their native promoters (16,17). We propose lipin-1 transcriptional coregulator activity promotes macrophages to a wound healing state during IL-4 stimulation. In support of this, macrophages lacking PPARγ fail to polarize to a wound healing phenotype, similar to the phenotype we observed in macrophage lacking full lipin-1 (35). SREBP activity promotes the activation of the NLRP3 inflammasome leading to pro-inflammatory responses (20). While not typically active in macrophages, continued stimulation of macrophages lead to NFAT activity and promotion of proinflammatory responses such as IL-6 and TNF-α (19). IL-6 and TNF-α are known to inhibit wound healing polarization. Thus, lipin-1 may also be repressing the activity of NFAT and SREBP allowing wound healing polarization. Our results and these published observations suggest to us that lipin-1 transcriptional coregulator activity promotes wound healing polarization.
Macrophage polarization is critical for effective in vivo wound healing where the number and phenotype of the resident and recruited macrophages determine the extent and efficiency of healing (36). Up to 1 day after wounding, pro-inflammatory macrophages initiate an acute inflammatory response; after that time frame, wound healing macrophages promote angiogenesis and tissue formation (37). The loss of enzymatic activity of lipin-1 reduces pro-inflammatory macrophage polarization (7,9). We observed no defect in wound closure in lipin-1 mEnzy KO mice compared to litter mate controls demonstrating that lipin-1 enzymatic activity is dispensable for myeloidmediated wound closure. In contrast, mice lacking both lipin-1 activities had a defect in wound closure. We propose that the lipin-1 transcriptional co-regulatory activity in myeloid cells is responsible for aiding in wound closure during a full excisional wound. Mice lacking PPARγ from myeloid cells (LysMCre model) exhibit a significant delay in wound healing due to compromised granulation, collagen deposition, angiogenesis and a failure in clearance of apoptotic cells (5). PPARγ activation also promotes macrophage associated CD206 expression during a mouse model of liver wounding (38), providing evidence that PPAR activity promotes CD206 expression on macrophages during wounding. We see a significant reduction in CD206 gene expression in lipin-1 m KO BMDMs and surface expression on macrophages isolated from the wounds of lipin-1 m KO mice. Myeloid associated SREBP activity also contributes to wound closure, as mice with loss of SREBP activity in myeloid cells (LysMCre model) had enhanced wound closure (18). Lipin-1 can inhibit the activity of SREBP (17). Taking together we propose that the lipin-1 transcriptional co-regulatory activity in myeloid cells promotes beneficial wound closure responses.
We propose that the loss of wound healing observed in our lipin-1 m KO mice is due to loss of transcriptional co-regulator activity from monocytes and macrophages. However, LysM-Cre was used to knockout lipin-1 in our mice, and LysM expression is not restricted to monocytes and macrophages. Analysis of LysM-Cre-mediated gene deletion demonstrates gene excision in dendritic cells (DC) and neutrophils, as well as monocytes and macrophages (26,39). We suggest that loss of lipin-1 in DC is not responsible for the difference in wound closure in our lipin-1 m KO mice. DCs enhance T cell/B cell responses, rather than innate immune responses, and our difference in wound closure is more prevalent in earlier phase of healing (likely prior to T cell responses). The contribution of lipin-1 to DC function is completely unknown and needs to be looked at in the future. Neutrophils clearly contribute to wound healing and we observe PMNs within the wounds of both WT and Lipin-1 m KO mice (40). Lipin-1 is not readily detected in neutrophils, however, if inflammation drive increases in lipin-1 expression in neutrophils is unknown. Future work will need to address the possibility of neutrophil-associated lipin-1 contribution to wound closure (7). We propose though, that the most likely effect of myeloid loss of lipin-1 is on macrophage function. We observe reduction in wound healing associated gene in lipin-1 m KO BMDMS that are known to contribute to wound closure, and a reduction in CD206 surface expression on macrophages within the wounds of lipin-m KO mice. Thus, though possible loss of lipin-1 in other cells beside macrophages may contribute to reduction in wound closure, at the very least the loss of lipin-1 in macrophages is also a contributing factor.
Our data highlight the role of lipin-1 transcriptional coregulator activity within macrophage function, specifically for wound healing polarization. Furthermore, we provide evidence that the lack of myeloid-associated lipin-1 transcriptional co-regulator activity has in vivo consequences. Macrophage responses are now recognized to play crucial roles in a diverse array of pathologies like atherosclerosis, arthritis, osteoporosis, and sterile inflammation. Beyond sterile inflammation, IL-4 mediated macrophage responses are critical to control and clearance of numerous parasitic infections as well (41). Thus, the contribution of lipn-1 to myeloid cells function is likely to be important beyond sterile inflammation. Future work will be needed to better understand the mechanisms by which lipin-1 transcriptional co-regulator activity drives macrophage function in different pathological conditions of sterile inflammation and parasitic infections.

DATA AVAILABILITY STATEMENT
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation, to any qualified researcher.

ETHICS STATEMENT
All animal studies were approved by the LSU Health Sciences Center-Shreveport Institutional Animal Care and Use Committee.

AUTHOR CONTRIBUTIONS
SC performed the experimental work, data analysis, and wrote the manuscript. RMS, CB, AY, RM, and RSS assisted with experimental design, experimental work, and data analysis. BF provided critical reagents necessary to complete and finalize experiments as well as intellectual input on the manuscript writing. MW conceived the idea, designed the study, obtained the funding, analyzed and interpreted the data, and wrote and revised the manuscript. All authors were involved in the final approval of the manuscript.

FUNDING
This work was supported by the National Heart, Lung, and Blood Institute R01 HL131844 (MW) and R01 HL119225 (BF). Malcolm Feist Predoctoral Fellowship (CB). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.