Wen Haitao, Dou Yali, Hogaboam Cory M, Kunkel Steven L
Department of Pathology, University of Michigan Medical School, Ann Arbor, MI 48109-2200, USA.
Blood. 2008 Feb 15;111(4):1797-804. doi: 10.1182/blood-2007-08-106443. Epub 2007 Nov 30.
Patients who survive sepsis have significant deficiencies in their immune responses caused by poorly understood mechanisms. We have explored this phenomenon by studying dendritic cells (DCs) recovered from animals surviving severe peritonitis-induced sepsis, using the well-established cecal ligation and puncture (CLP) model. Immediately after the initiation of sepsis there is a depletion in DCs from the lung and spleen, which is followed by repopulation of these cells back to the respective organs. DCs recovered from surviving animals exhibited a significant and chronic suppression of interleukin-12 (IL-12), a key host defense cytokine. The suppression of DC-derived IL-12 persisted for at least 6 weeks after CLP and was not due to immunoregulatory cytokines, such as IL-10. Using chromatin immunoprecipitation (ChIP) techniques, we have shown that the deficiency in DC-derived IL-12 was due to epigenetic alterations. Specifically, IL-12 expression was regulated by stable reciprocal changes in histone H3 lysine-4 trimethylation (H3K4me3) and histone H3 lysine-27 dimethylation (H3K27me2), as well as changes in cognate histone methyltransferase (HMT) complexes on the Il12p35 and Il12p40 promoters. These data implicate histone modification enzymes in suppressing DC-derived IL-12, which may provide one of the mechanisms of long-term immunosuppression subsequent to the septic response.
脓毒症幸存者的免疫反应存在显著缺陷,其机制尚不清楚。我们通过研究从严重腹膜炎诱导的脓毒症存活动物中分离出的树突状细胞(DCs),利用成熟的盲肠结扎和穿刺(CLP)模型,对这一现象进行了探索。脓毒症发作后,肺和脾中的DCs立即减少,随后这些细胞重新回到各自的器官中。从存活动物中分离出的DCs表现出白细胞介素-12(IL-12)的显著且持续的抑制,IL-12是一种关键的宿主防御细胞因子。CLP后,DC来源的IL-12抑制至少持续6周,且不是由于免疫调节细胞因子,如IL-10。使用染色质免疫沉淀(ChIP)技术,我们发现DC来源的IL-12缺乏是由于表观遗传改变。具体而言,IL-12的表达受组蛋白H3赖氨酸-4三甲基化(H3K4me3)和组蛋白H3赖氨酸-27二甲基化(H3K27me2)的稳定相互变化,以及Il12p35和Il12p40启动子上相关组蛋白甲基转移酶(HMT)复合物变化的调控。这些数据表明组蛋白修饰酶参与抑制DC来源的IL-12,这可能是脓毒症反应后长期免疫抑制的机制之一。