Role of Interleukin 23 Signaling in Clostridium difficile Colitis

被引:70
作者
Buonomo, Erica L. [1 ]
Madan, Rajat [2 ]
Pramoonjago, Patcharin [3 ]
Li, Li [2 ]
Okusa, Mark D. [2 ]
Petri, William A., Jr. [1 ,2 ,3 ]
机构
[1] Univ Virginia, Dept Microbiol Immunol & Canc, Charlottesville, VA USA
[2] Univ Virginia, Dept Med, Charlottesville, VA USA
[3] Univ Virginia, Dept Pathol, Charlottesville, VA 22903 USA
基金
美国国家卫生研究院;
关键词
Clostridium difficile; colitis; interleukin 23 (IL-23); Th17; cytokines; enteric; Interleukin-10; lamina propria; nosocomial; mucosal immunity; CROHNS-DISEASE; T-CELLS; INFLAMMATION; IL-23; PATHOLOGY; SYSTEM; DRIVES; IL-17; MODEL;
D O I
10.1093/infdis/jit277
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Clostridium difficile is currently the leading cause of hospital-acquired infections in the United States. Here, we observed increased interleukin 23 (IL-23) protein levels in human colon biopsy specimens positive for C. difficile toxins, compared with levels in negative controls (P=.008) We also investigated the role of IL-23 during C. difficile infection, using 2 distinct murine models. Mice lacking IL-23 signaling had a significant increase in survival (100% [12 mice]), compared with control mice (16.7%-50% [12 mice]). These data suggest a new potential drug target for human C. difficile treatment and indicate the first link between IL-23 and disease severity during murine infection.
引用
收藏
页码:917 / 920
页数:4
相关论文
共 14 条
[1]
Interleukin-23 Drives Intestinal Inflammation through Direct Activity on T Cells [J].
Ahern, Philip P. ;
Schiering, Chris ;
Buonocore, Sofia ;
McGeachy, Mandy J. ;
Cua, Dan J. ;
Maloy, Kevin J. ;
Powrie, Fiona .
IMMUNITY, 2010, 33 (02) :279-288
[2]
Ananthakrishnan AN, 2010, NAT REV GASTRO HEPAT, V8, P17
[3]
Innate lymphoid cells drive interleukin-23-dependent innate intestinal pathology [J].
Buonocore, Sofia ;
Ahern, Philip P. ;
Uhlig, Holm H. ;
Ivanov, Ivaylo I. ;
Littman, Dan R. ;
Maloy, Kevin J. ;
Powrie, Fiona .
NATURE, 2010, 464 (7293) :1371-1375
[4]
A Mouse Model of Clostridium difficile-Associated Disease [J].
Chen, Xinhua ;
Katchar, Kianoosh ;
Goldsmith, Jeffrey D. ;
Nanthakumar, Nanda ;
Cheknis, Adam ;
Gerding, Dale N. ;
Kelly, Ciaran P. .
GASTROENTEROLOGY, 2008, 135 (06) :1984-1992
[5]
Innate IL-17-producing cells: the sentinels of the immune system [J].
Cua, Daniel J. ;
Tato, Cristina M. .
NATURE REVIEWS IMMUNOLOGY, 2010, 10 (07) :479-489
[6]
Burden of Clostridium difficile on the Healthcare System [J].
Dubberke, Erik R. ;
Olsen, Margaret A. .
CLINICAL INFECTIOUS DISEASES, 2012, 55 :S88-S92
[7]
Functional Specialization of Interleukin-17 Family Members [J].
Iwakura, Yoichiro ;
Ishigame, Harumichi ;
Saijo, Shinobu ;
Nakae, Susumu .
IMMUNITY, 2011, 34 (02) :149-162
[8]
IL23 differentially regulates the Th1/Th17 balance in ulcerative colitis and Crohn's disease [J].
Kobayashi, T. ;
Okamoto, S. ;
Hisamatsu, T. ;
Kamada, N. ;
Chinen, H. ;
Saito, R. ;
Kitazume, M. T. ;
Nakazawa, A. ;
Sugita, A. ;
Koganei, K. ;
Isobe, K. ;
Hibi, T. .
GUT, 2008, 57 (12) :1682-1689
[9]
IL-23 drives a pathogenic T cell population that induces autoimmune inflammation [J].
Langrish, CL ;
Chen, Y ;
Blumenschein, WM ;
Mattson, J ;
Basham, B ;
Sedgwick, JD ;
McClanahan, T ;
Kastelein, RA ;
Cua, DJ .
JOURNAL OF EXPERIMENTAL MEDICINE, 2005, 201 (02) :233-240
[10]
TGF-β and IL-6 drive the production of IL-17 and IL-10 by T cells and restrain TH-17 cell-mediated pathology [J].
McGeachy, Mandy J. ;
Bak-Jensen, Kristian S. ;
Chen, Yi ;
Tato, Cristina M. ;
Blumenschein, Wendy ;
McClanahan, Terrill ;
Cua, Daniel J. .
NATURE IMMUNOLOGY, 2007, 8 (12) :1390-1397