Bone marrow transplant-induced alterations in Notch signaling promote pathologic Th17 responses to γ-herpesvirus infection.

Bone marrow transplant-induced alterations in Notch signaling promote pathologic Th17 responses to γ-herpesvirus infection.
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DOI:
10.1038/mi.2017.85
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发表时间:
2018-05
期刊:
影响因子:
8
通讯作者:
Moore BB
Moore BB
中科院分区:
医学1区
文献类型:
--
作者:
Gurczynski SJ;Zhou X;Flaherty M;Wilke CA;Moore BB

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特发性肺炎综合征(IPS)是造血干细胞移植(HSCT)后常见的、往往致命的并发症,其特征是严重的肺炎和间质纤维化。感染鼠γ疱疹病毒(γHV-68)的完全重建的同基因骨髓移植(BMT)小鼠发生IL-17驱动的肺炎和纤维化,与IPS的临床表现相似。我们发现CD 103+和CD 11b+树突状细胞(DCs)选择性缺乏Notch配体DLL 4,BMT和CD 4 + T细胞分离自感染BMT小鼠的肺和脾显示Notch信号转导缺陷。移植了CD 4-Cre驱动的显性阴性Notch转录调节因子Mastermind样(CCD小鼠)骨髓的小鼠在肺中显示出升高的IL-17和TGFβ,Th 17细胞进一步扩增,并且比WT-BMT小鼠发生更多的纤维化。用重组Notch配体DLL 4培养BMT肺白细胞恢复了Notch信号传导并降低了IL-17的产生。CD 11 c + DC的连续转移可以恢复WT-BMT小鼠的Th 1和限制Th 17,但不能恢复CCD-BMT小鼠的Th 1和限制Th 17,这表明在同基因BMT小鼠中重建后,特异性DC /CD 4 + T细胞Notch相互作用调节IL-17的产生。鉴于最近的临床观察表明,移植后肺部并发症的患者隐匿性疱疹病毒感染,这些数据提供了机制的见解,并建议这些破坏性的条件下的潜在疗法。
Idiopathic pneumonia syndrome (IPS) is a common, often fatal, complication following hematopoietic stem cell transplantation (HSCT) characterized by severe pneumonitis and interstitial fibrosis. Fully reconstituted syngeneic bone marrow transplant (BMT) mice infected with murine gammaherpesvirus (γHV-68) develop IL-17-driven pneumonitis and fibrosis which mimics clinical manifestations of IPS. We found CD103+ and CD11b+ dendritic cells (DCs) are selectively deficient for the Notch ligand, DLL4, following BMT and CD4+ T-cells isolated from lungs and spleens of infected BMT mice display Notch signaling defects. Mice transplanted with CD4-Cre-driven dominant-negative Notch transcriptional regulator Mastermind Like (CCD mice) bone marrow displayed elevated IL-17 and TGFβ in the lungs, a further expansion of Th17 cells, and developed more fibrosis than WT-BMT mice. Culture of BMT lung leukocytes with recombinant Notch ligand, DLL4, restored Notch signaling and decreased production of IL-17. Adoptive transfer of CD11c+ DCs could restore Th1 and limit Th17 in WT-BMT but not CCD-BMT mice indicating a specific DC / CD4+ T-cell Notch interaction modulates IL-17 production following reconstitution in syngeneic BMT mice. Given recent clinical observations showing that patients with pulmonary complications post-transplant harbor occult herpesvirus infections, these data provide mechanistic insight and suggest potential therapies for these devastating conditions.
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