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
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