Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts, USA
Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Infect Immun. 2021 Mar 17;89(4). doi: 10.1128/IAI.00655-20.
Pneumonia is a major public health concern, causing significant morbidity and mortality annually despite the broad use of antimicrobial agents. Underlying many of the severe sequelae of acute lung infections is dysfunction of the immune response, which remains incompletely understood yet is an attractive target of adjunct therapy in pneumonia. Here, we investigate the role of oncostatin M (OSM), a pleiotropic cytokine of the interleukin-6 (IL-6) family, and how its signaling modulates multiple innate immune pathways during pneumonia. Previously, we showed that OSM is necessary for neutrophil recruitment to the lungs during pneumonia by stimulating STAT3-driven CXCL5 expression. In this study, transcriptional profiling of whole-lung pneumonia with OSM neutralization revealed 241 differentially expressed genes following only 6 h of infection. Many downregulated genes are associated with STAT1, STAT3, and interferon signaling, suggesting these pathways are induced by OSM early in pneumonia. Interestingly, STAT1 and STAT3 activation was subsequently upregulated with OSM neutralization by 24 h, suggesting that OSM interruption dysregulates these central signaling pathways. When we investigated the source of OSM in pneumonia, neutrophils and, to a lesser extent, macrophages appear to be primary sources, suggesting a positive feedback loop of OSM production by neutrophils. From these studies, we conclude that OSM produced by recruited neutrophils tunes early innate immune signaling pathways, improving pneumonia outcomes.
肺炎是一个主要的公共卫生问题,尽管广泛使用了抗菌药物,但每年仍会导致大量发病率和死亡率。急性肺部感染的许多严重后遗症的根本原因是免疫反应功能障碍,尽管这一机制尚未完全被理解,但它是肺炎辅助治疗的一个有吸引力的靶点。在这里,我们研究了白细胞介素-6(IL-6)家族中的多效细胞因子——肿瘤坏死因子-α(OSM)的作用,以及其信号如何在肺炎期间调节多种固有免疫途径。之前,我们发现 OSM 通过刺激 STAT3 驱动的 CXCL5 表达,在肺炎期间对中性粒细胞向肺部的募集是必需的。在这项研究中,通过中和 OSM 对全肺肺炎的转录谱分析,在感染后仅 6 小时就发现了 241 个差异表达的基因。许多下调的基因与 STAT1、STAT3 和干扰素信号有关,这表明这些途径在肺炎早期被 OSM 诱导。有趣的是,随着 24 小时的中和,STAT1 和 STAT3 的激活随后被上调,这表明 OSM 中断会使这些中央信号通路失调。当我们研究肺炎中 OSM 的来源时,中性粒细胞和程度较小的巨噬细胞似乎是主要来源,这表明中性粒细胞产生 OSM 存在正反馈回路。通过这些研究,我们得出结论,募集的中性粒细胞产生的 OSM 调节早期固有免疫信号通路,改善肺炎结局。