Department of Pathology and Molecular Medicine, Centre for Gene Therapeutics, and M.G. DeGroote Institute for Infectious Disease Research, McMaster University, Hamilton, Ontario, Canada.
Am J Pathol. 2011 Apr;178(4):1622-34. doi: 10.1016/j.ajpath.2010.12.022.
The granuloma, a hallmark of host defense against pulmonary mycobacterial infection, has long been believed to be an active type 1 immune environment. However, the mechanisms regarding why granuloma fails to eliminate mycobacteria even in immune-competent hosts, have remained largely unclear. By using a model of pulmonary Mycobacterium bovis Bacillus Calmette-Guerin (BCG) infection, we have addressed this issue by comparing the immune responses within the airway luminal and granuloma compartments. We found that despite having a similar immune cellular profile to that in the airway lumen, the granuloma displayed severely suppressed type 1 immune cytokine but enhanced chemokine responses. Both antigen-presenting cells (APCs) and T cells in granuloma produced fewer type 1 immune molecules including tumor necrosis factor-α (TNF-α), interferon-γ (IFN-γ), and nitric oxide. As a result, the granuloma APCs developed a reduced capacity to phagocytose mycobacteria and to induce T-cell proliferation. To examine the molecular mechanisms, we compared the levels of immune suppressive cytokine IL-10 in the airway lumen and granuloma and found that both granuloma APCs and T cells produced much more IL-10. Thus, IL-10 deficiency restored type 1 immune activation within the granuloma while having a minimal effect within the airway lumen. Hence, our study provides the first experimental evidence that, contrary to the conventional belief, the BCG-induced lung granuloma represents a symbiotic host-microbe microenvironment characterized by suppressed type 1 immune activation.
肉芽肿是宿主防御肺部分枝杆菌感染的标志,长期以来一直被认为是一种活跃的 1 型免疫环境。然而,关于为什么即使在免疫功能正常的宿主中,肉芽肿仍未能消除分枝杆菌的机制在很大程度上仍不清楚。通过使用肺部牛分枝杆菌卡介苗(BCG)感染模型,我们通过比较气道腔和肉芽肿隔室中的免疫反应来解决这个问题。我们发现,尽管肉芽肿具有与气道腔相似的免疫细胞特征,但却严重抑制了 1 型免疫细胞因子,而增强了趋化因子反应。肉芽肿中的抗原呈递细胞(APC)和 T 细胞产生的 1 型免疫分子(包括肿瘤坏死因子-α(TNF-α)、干扰素-γ(IFN-γ)和一氧化氮)较少。结果,肉芽肿 APC 吞噬分枝杆菌和诱导 T 细胞增殖的能力降低。为了研究分子机制,我们比较了气道腔和肉芽肿中免疫抑制细胞因子 IL-10 的水平,发现肉芽肿 APC 和 T 细胞均产生了更多的 IL-10。因此,IL-10 缺乏症恢复了肉芽肿内的 1 型免疫激活,而对气道腔的影响最小。因此,我们的研究提供了第一个实验证据,表明与传统观念相反,BCG 诱导的肺部肉芽肿代表了一种共生的宿主-微生物微环境,其特征是 1 型免疫激活受到抑制。