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呼吸道合胞病毒疾病由年龄可变的白细胞介素-33介导。

Respiratory Syncytial Virus Disease Is Mediated by Age-Variable IL-33.

作者信息

Saravia Jordy, You Dahui, Shrestha Bishwas, Jaligama Sridhar, Siefker David, Lee Greg I, Harding Jeffrey N, Jones Tamekia L, Rovnaghi Cynthia, Bagga Bindiya, DeVincenzo John P, Cormier Stephania A

机构信息

Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, United States of America; Children's Foundation Research Institute at Le Bonheur Children's Hospital, Memphis, Tennessee, United States of America.

Department of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, United States of America.

出版信息

PLoS Pathog. 2015 Oct 16;11(10):e1005217. doi: 10.1371/journal.ppat.1005217. eCollection 2015 Oct.

Abstract

Respiratory syncytial virus (RSV) is the most common cause of infant hospitalizations and severe RSV infections are a significant risk factor for childhood asthma. The pathogenic mechanisms responsible for RSV induced immunopathophysiology remain elusive. Using an age-appropriate mouse model of RSV, we show that IL-33 plays a critical role in the immunopathogenesis of severe RSV, which is associated with higher group 2 innate lymphoid cells (ILC2s) specifically in neonates. Infection with RSV induced rapid IL-33 expression and an increase in ILC2 numbers in the lungs of neonatal mice; this was not observed in adult mice. Blocking IL-33 with antibodies or using an IL-33 receptor knockout mouse during infection was sufficient to inhibit RSV immunopathogenesis (i.e., airway hyperresponsiveness, Th2 inflammation, eosinophilia, and mucus hyperproduction); whereas administration of IL-33 to adult mice during RSV infection was sufficient to induce RSV disease. Additionally, elevated IL-33 and IL-13 were observed in nasal aspirates from infants hospitalized with RSV; these cytokines declined during convalescence. In summary, IL-33 is necessary, either directly or indirectly, to induce ILC2s and the Th2 biased immunopathophysiology observed following neonatal RSV infection. This study provides a mechanism involving IL-33 and ILC2s in RSV mediated human asthma.

摘要

呼吸道合胞病毒(RSV)是导致婴儿住院的最常见原因,严重的RSV感染是儿童哮喘的一个重要危险因素。RSV诱导免疫病理生理学的致病机制仍不清楚。利用适合年龄的RSV小鼠模型,我们发现IL-33在严重RSV的免疫发病机制中起关键作用,这与特别是新生儿中更高的2型固有淋巴细胞(ILC2s)有关。RSV感染诱导新生小鼠肺中IL-33快速表达和ILC2数量增加;在成年小鼠中未观察到这种情况。在感染期间用抗体阻断IL-33或使用IL-33受体敲除小鼠足以抑制RSV免疫发病机制(即气道高反应性、Th2炎症、嗜酸性粒细胞增多和黏液过度产生);而在RSV感染期间给成年小鼠施用IL-33足以诱发RSV疾病。此外,在因RSV住院的婴儿的鼻腔吸出物中观察到IL-33和IL-13升高;这些细胞因子在恢复期下降。总之,IL-33直接或间接诱导ILC2s以及新生儿RSV感染后观察到的Th2偏向的免疫病理生理学是必要的。这项研究提供了一种涉及IL-33和ILC2s在RSV介导的人类哮喘中的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/4608776/7f7ccc036f0f/ppat.1005217.g001.jpg

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