Vascular Medicine Research, Hannover Medical School, Hannover, Germany; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany
Tamar Kapanadze
Vascular Medicine Research, Hannover Medical School, Hannover, Germany; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany
Stefan Sablotny
Vascular Medicine Research, Hannover Medical School, Hannover, Germany; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany
Corina Ratiu
Institut für Kardiovaskuläre Physiologie, Fachbereich Medizin der Goethe-Universität Frankfurt am Main, Frankfurt am Main, Germany
Khaled Dastagir
Vascular Medicine Research, Hannover Medical School, Hannover, Germany; Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany
Matthias Lochner
Institute of Medical Microbiology and Hospital Epidemiology, Hannover Medical School, Hannover, Germany; Mucosal Infection Immunology, TWINCORE, Centre for Experimental and Clinical Infection Research, Hannover, Germany
Susanne Karbach
Center for Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany; Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany; German Center for Cardiovascular Research (DZHK), Partner Site Rhine Main, Mainz, Germany
Philip Wenzel
Center for Cardiology, Cardiology I, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany; Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany; German Center for Cardiovascular Research (DZHK), Partner Site Rhine Main, Mainz, Germany
Andre Sitnow
Vascular Medicine Research, Hannover Medical School, Hannover, Germany; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany
Susanne Fleig
Vascular Medicine Research, Hannover Medical School, Hannover, Germany; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany
Tim Sparwasser
Department of Medical Microbiology and Hygiene, Medical Center of the Johannes Gutenberg-University of Mainz, Mainz, Germany
Ulrich Kalinke
Institute for Experimental Infection Research, TWINCORE, Centre for Experimental and Clinical Infection Research, a joint venture between the Helmholtz Centre for Infection Research Braunschweig and the Hannover Medical School, Hannover, Germany; Cluster of Excellence-Resolving Infection Susceptibility (RESIST), Hanover Medical School, Hannover, Germany
Bernhard Holzmann
Department of Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany
Hermann Haller
Vascular Medicine Research, Hannover Medical School, Hannover, Germany
Vascular Medicine Research, Hannover Medical School, Hannover, Germany; Department of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany
Conventional Ly6Chi monocytes have developmental plasticity for a spectrum of differentiated phagocytes. Here we show, using conditional deletion strategies in a mouse model of Toll-like receptor (TLR) 7-induced inflammation, that the spectrum of developmental cell fates of Ly6Chi monocytes, and the resultant inflammation, is coordinately regulated by TLR and Notch signaling. Cell-intrinsic Notch2 and TLR7-Myd88 pathways independently and synergistically promote Ly6Clo patrolling monocyte development from Ly6Chi monocytes under inflammatory conditions, while impairment in either signaling axis impairs Ly6Clo monocyte development. At the same time, TLR7 stimulation in the absence of functional Notch2 signaling promotes resident tissue macrophage gene expression signatures in monocytes in the blood and ectopic differentiation of Ly6Chi monocytes into macrophages and dendritic cells, which infiltrate the spleen and major blood vessels and are accompanied by aberrant systemic inflammation. Thus, Notch2 is a master regulator of Ly6Chi monocyte cell fate and inflammation in response to TLR signaling.