Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232;
Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, Nashville, TN 37232.
Proc Natl Acad Sci U S A. 2019 Oct 22;116(43):21673-21684. doi: 10.1073/pnas.1911464116. Epub 2019 Oct 7.
Acute myocardial infarction (MI) provokes an inflammatory response in the heart that removes damaged tissues to facilitate tissue repair/regeneration. However, overactive and prolonged inflammation compromises healing, which may be counteracted by antiinflammatory mechanisms. A key regulatory factor in an inflammatory response is the antiinflammatory cytokine IL-10, which can be produced by a number of immune cells, including subsets of B lymphocytes. Here, we investigated IL-10-producing B cells in pericardial adipose tissues (PATs) and their role in the healing process following acute MI in mice. We found that IL-10-producing B cells were enriched in PATs compared to other adipose depots throughout the body, with the majority of them bearing a surface phenotype consistent with CD5 B-1a cells (CD5 B cells). These cells were detected early in life, maintained a steady presence during adulthood, and resided in fat-associated lymphoid clusters. The cytokine IL-33 and the chemokine CXCL13 were preferentially expressed in PATs and contributed to the enrichment of IL-10-producing CD5 B cells. Following acute MI, the pool of CD5 B cells was expanded in PATs. These cells accumulated in the infarcted heart during the resolution of MI-induced inflammation. B cell-specific deletion of IL-10 worsened cardiac function, exacerbated myocardial injury, and delayed resolution of inflammation following acute MI. These results revealed enrichment of IL-10-producing B cells in PATs and a significant contribution of these cells to the antiinflammatory processes that terminate MI-induced inflammation. Together, these findings have identified IL-10-producing B cells as therapeutic targets to improve the outcome of MI.
急性心肌梗死(MI)会在心脏中引发炎症反应,清除受损组织以促进组织修复/再生。然而,过度和持续的炎症会损害愈合,这可以通过抗炎机制来抵消。炎症反应中的一个关键调节因子是抗炎细胞因子 IL-10,它可以由许多免疫细胞产生,包括 B 淋巴细胞的亚群。在这里,我们研究了急性 MI 后小鼠心包脂肪组织(PATs)中产生 IL-10 的 B 细胞及其在愈合过程中的作用。我们发现,与全身其他脂肪组织相比,PATs 中富含产生 IL-10 的 B 细胞,其中大多数具有与 CD5 B-1a 细胞(CD5 B 细胞)一致的表面表型。这些细胞在生命早期就被检测到,在成年期保持稳定存在,并存在于脂肪相关的淋巴簇中。细胞因子 IL-33 和趋化因子 CXCL13 优先在 PATs 中表达,并有助于富含 IL-10 的 CD5 B 细胞的富集。在急性 MI 后,PATs 中的 CD5 B 细胞池扩大。这些细胞在 MI 诱导的炎症消退过程中在心梗部位积累。B 细胞特异性缺失 IL-10 会导致心脏功能恶化、心肌损伤加重,并延迟急性 MI 后炎症的消退。这些结果揭示了 PATs 中富含产生 IL-10 的 B 细胞,这些细胞对终止 MI 诱导的炎症的抗炎过程有重要贡献。综上所述,这些发现确定了产生 IL-10 的 B 细胞是改善 MI 预后的治疗靶点。