Interleukin-6 Signaling Drives Fibrosis in Unresolved Inflammation

被引:355
作者
Fielding, Ceri A. [1 ]
Jones, Gareth W. [1 ]
McLoughlin, Rachel M. [1 ]
McLeod, Louise [2 ]
Hammond, Victoria J. [1 ]
Uceda, Javier [1 ]
Williams, Anwen S. [1 ]
Lambie, Mark [3 ,4 ]
Foster, Thomas L. [1 ]
Liao, Chia-Te [1 ]
Rice, Christopher M. [1 ]
Greenhill, Claire J. [1 ]
Colmont, Chantal S. [1 ]
Hams, Emily [1 ]
Coles, Barbara [1 ]
Kift-Morgan, Ann [1 ]
Newton, Zarabeth [1 ]
Craig, Katherine J. [5 ]
Williams, John D. [5 ]
Williams, Geraint T. [6 ]
Davies, Simon J. [3 ,4 ]
Humphreys, Ian R. [1 ]
O'Donnell, Valerie B. [1 ]
Taylor, Philip R. [1 ]
Jenkins, Brendan J. [2 ]
Topley, Nicholas [1 ]
Jones, Simon A. [1 ]
机构
[1] Cardiff Univ, Sch Med, Cardiff Inst Infect & Immun, Cardiff CF14 4XN, S Glam, Wales
[2] Monash Univ, Monash Inst Med Res, Ctr Innate Immun & Infect Dis, Clayton, Vic 3168, Australia
[3] Keele Univ, Univ Hosp North Staffordshire, Dept Nephrol, Stoke On Trent ST4 7QB, Staffs, England
[4] Keele Univ, Inst Sci & Technol Med, Stoke On Trent ST4 7QB, Staffs, England
[5] Cardiff Univ, Sch Med, Inst Mol & Expt Med, Inst Nephrol, Cardiff CF14 4XN, S Glam, Wales
[6] Cardiff Univ, Sch Med, Inst Canc & Genet, Sect Pathol, Cardiff CF14 4XN, S Glam, Wales
基金
英国惠康基金; 英国医学研究理事会;
关键词
REGULATORY T-CELLS; HYPER-IGE SYNDROME; IFN-GAMMA; NEUTROPHIL TRAFFICKING; RESPIRATORY-INFECTION; MOLECULAR-MECHANISMS; PERITONEAL-DIALYSIS; STAT3; ACTIVATION; INTERFERON-GAMMA; DENDRITIC CELLS;
D O I
10.1016/j.immuni.2013.10.022
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
Fibrosis in response to tissue damage or persistent inflammation is a pathological hallmark of many chronic degenerative diseases. By using a model of acute peritoneal inflammation, we have examined how repeated inflammatory activation promotes fibrotic tissue injury. In this context, fibrosis was strictly dependent on interleukin-6 (IL-6). Repeat inflammation induced IL-6-mediated T helper 1 (Th1) cell effector commitment and the emergence of STAT1 (signal transducer and activator of transcription-1) activity within the peritoneal membrane. Fibrosis was not observed in mice lacking interferon-gamma (IFN-gamma), STAT1, or RAG-1. Here, IFN-gamma and STAT1 signaling disrupted the turnover of extracellular matrix by metalloproteases. Whereas IL-6-deficient mice resisted fibrosis, transfer of polarized Th1 cells or inhibition of MMP activity reversed this outcome. Thus, IL-6 causes compromised tissue repair by shifting acute inflammation into a more chronic pro-fibrotic state through induction of Th1 cell responses as a consequence of recurrent inflammation.
引用
收藏
页码:40 / 50
页数:11
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