指挥交通:白细胞介素-17和白细胞介素-22协调肺部免疫防御。

Directing traffic: IL-17 and IL-22 coordinate pulmonary immune defense.

作者信息

McAleer Jeremy P, Kolls Jay K

机构信息

Richard King Mellon Foundation Institute for Pediatric Research, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.

出版信息

Immunol Rev. 2014 Jul;260(1):129-44. doi: 10.1111/imr.12183.

Abstract

Respiratory infections and diseases are among the leading causes of death worldwide, and effective treatments probably require manipulating the inflammatory response to pathogenic microbes or allergens. Here, we review mechanisms controlling the production and functions of interleukin-17 (IL-17) and IL-22, cytokines that direct several aspects of lung immunity. Innate lymphocytes (γδ T cells, natural killer cells, innate lymphoid cells) are the major source of IL-17 and IL-22 during acute infections, while CD4(+) T-helper 17 (Th17) cells contribute to vaccine-induced immunity. The characterization of dendritic cell (DC) subsets has revealed their central roles in T-cell activation. CD11b(+) DCs stimulated with bacteria or fungi secrete IL-1β and IL-23, potent inducers of IL-17 and IL-22. On the other hand, recognition of viruses by plasmacytoid DCs inhibits IL-1β and IL-23 release, increasing susceptibility to bacterial superinfections. IL-17 and IL-22 primarily act on the lung epithelium, inducing antimicrobial proteins and neutrophil chemoattractants. Recent studies found that stimulation of macrophages and DCs with IL-17 also contributes to antibacterial immunity, while IL-22 promotes epithelial proliferation and repair following injury. Chronic diseases such as asthma and chronic obstructive pulmonary disease have been associated with IL-17 and IL-22 responses directed against innocuous antigens. Future studies will evaluate the therapeutic efficacy of targeting the IL-17/IL-22 pathway in pulmonary inflammation.

摘要

呼吸道感染和疾病是全球主要死因之一,有效的治疗可能需要调控对致病微生物或过敏原的炎症反应。在此,我们综述了控制白细胞介素-17(IL-17)和IL-22产生及功能的机制,这两种细胞因子主导肺部免疫的多个方面。天然淋巴细胞(γδT细胞、自然杀伤细胞、固有淋巴细胞)是急性感染期间IL-17和IL-22的主要来源,而CD4(+)辅助性T细胞17(Th17细胞)有助于疫苗诱导的免疫。树突状细胞(DC)亚群的特性揭示了它们在T细胞活化中的核心作用。用细菌或真菌刺激的CD11b(+)DC分泌IL-1β和IL-23,这是IL-17和IL-22的强效诱导剂。另一方面,浆细胞样DC对病毒的识别会抑制IL-1β和IL-23的释放,增加对细菌重叠感染的易感性。IL-17和IL-22主要作用于肺上皮细胞,诱导抗菌蛋白和中性粒细胞趋化因子。最近的研究发现,用IL-17刺激巨噬细胞和DC也有助于抗菌免疫,而IL-22可促进损伤后上皮细胞的增殖和修复。哮喘和慢性阻塞性肺疾病等慢性疾病与针对无害抗原的IL-17和IL-22反应有关。未来的研究将评估靶向IL-17/IL-22通路治疗肺部炎症的疗效。

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