Articles.
Lectin-like oxidized low-density lipoprotein receptor 1 attenuates pneumonia-induced lung injury.
Monday, August 31, 2026
Identifying host factors that contribute to pneumonia incidence and severity are of utmost
importance to guiding the development of more effective therapies. Lectin-like oxidized low-
density lipoprotein receptor 1 (LOX-1, encoded by OLR1) is a scavenger receptor known to promote
vascular injury and inflammation, but whether and how LOX-1 functions in the lung are unknown.
Here, we provide evidence of substantial accumulation of LOX-1 in the lungs of patients with acute
respiratory distress syndrome and in mice with pneumonia. Unlike previously described injurious
contributions of LOX-1, we found that LOX-1 is uniquely protective in the pulmonary airspaces,
limiting proteinaceous edema and inflammation. We also identified alveolar macrophages
and recruited neutrophils as 2 prominent sites of LOX-1 expression in the lungs, whereby
macrophages are capable of further induction during pneumonia and neutrophils exhibit a rapid,
but heterogenous, elevation of LOX-1 in the infected lung. Blockade of LOX-1 led to dysregulated
immune signaling in alveolar macrophages, marked by alterations in activation markers and a
concomitant elevation of inflammatory gene networks. However, bone marrow chimeras also
suggested a prominent role for neutrophils in LOX-1–mediated lung protection, further supported by
LOX-1+ neutrophils exhibiting transcriptional changes consistent with reparative processes. Taken
together, this work establishes LOX-1 as a tissue-protective factor in the lungs during pneumonia,
possibly mediated by its influence on immune signaling in alveolar macrophages and LOX-1+
airspace neutrophils.