ILC2 Lung-Homing in Cystic Fibrosis Patients: Functional Involvement of CCR6 and Impact on Respiratory Failure
Autor: | Lisa Knipfer, Sabine Zirlik, Anika Grüneboom, Sebastian Zundler, Stefan Wirtz, Anja Schulz-Kuhnt, Alexander Kiefer, Kai Hildner, Michael Döbrönti, Imke Atreya, Markus F. Neurath, Raja Atreya, Vicky Greif, Rocío López-Posadas, Erwin Strasser, Florian S. Fuchs, Clemens Neufert, Andreas Ramming |
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Rok vydání: | 2020 |
Předmět: |
Male
0301 basic medicine Pathology Cystic Fibrosis Lymphocyte Activation Cystic fibrosis Arthritis Rheumatoid Mice 0302 clinical medicine Cell Movement Immunology and Allergy Lymphocytes Lung Original Research Innate lymphoid cell Middle Aged respiratory system medicine.anatomical_structure Female medicine.symptom Respiratory Insufficiency lcsh:Immunologic diseases. Allergy Adult Receptors CCR6 medicine.medical_specialty group-2 innate lymphoid cells Adolescent type-VI collagen Immunology Inflammation Young Adult 03 medical and health sciences Immune system medicine Animals Humans Aged Chemokine CCL20 business.industry Eosinophil Inflammatory Bowel Diseases medicine.disease Immunity Innate Mice Inbred C57BL Disease Models Animal 030104 developmental biology tissue remodeling Humanized mouse lcsh:RC581-607 CCR6 business 030215 immunology Homing (hematopoietic) |
Zdroj: | Frontiers in Immunology Frontiers in Immunology, Vol 11 (2020) |
ISSN: | 1664-3224 |
DOI: | 10.3389/fimmu.2020.00691 |
Popis: | Cystic fibrosis patients suffer from a progressive, often fatal lung disease, which is based on a complex interplay between chronic infections, locally accumulating immune cells and pulmonary tissue remodeling. Although group-2 innate lymphoid cells (ILC2s) act as crucial initiators of lung inflammation, our understanding of their involvement in the pathogenesis of cystic fibrosis remains incomplete. Here we report a marked decrease of circulating CCR6+ ILC2s in the blood of cystic fibrosis patients, which significantly correlated with high disease severity and advanced pulmonary failure, strongly implicating increased ILC2 homing from the peripheral blood to the chronically inflamed lung tissue in cystic fibrosis patients. On a functional level, the CCR6 ligand CCL20 was identified as potent promoter of lung-directed ILC2 migration upon inflammatory conditions in vitro and in vivo using a new humanized mouse model with light-sheet fluorescence microscopic visualization of lung-accumulated human ILC2s. In the lung, blood-derived human ILC2s were able to augment local eosinophil and neutrophil accumulation and induced a marked upregulation of pulmonary type-VI collagen expression. Studies in primary human lung fibroblasts additionally revealed ILC2-derived IL-4 and IL-13 as important mediators of this type-VI collagen-inducing effect. Taken together, the here acquired results suggest that pathologically increased CCL20 levels in cystic fibrosis airways induce CCR6-mediated lung homing of circulating human ILC2s. Subsequent ILC2 activation then triggers local production of type-VI collagen and might thereby drive extracellular matrix remodeling potentially influencing pulmonary tissue destruction in cystic fibrosis patients. Thus, modulating the lung homing capacity of circulating ILC2s and their local effector functions opens new therapeutic avenues for cystic fibrosis treatment. |
Databáze: | OpenAIRE |
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