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Central Role of IL-23 and IL-17 Producing Eosinophils as Immunomodulatory Effector Cells in Acute Pulmonary Aspergillosis and Allergic Asthma

Guerra, Evelyn V. Santos
Lee, Chrono K.
Specht, Charles A
Yadav, Bhawna
Huang, Haibin
Akalin, Ali
Huh, Jun R.
Mueller, Christian
Levitz, Stuart M
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Abstract

Aspergillus fumigatus causes invasive pulmonary disease in immunocompromised hosts and allergic asthma in atopic individuals. We studied the contribution of lung eosinophils to these fungal diseases. By in vivo intracellular cytokine staining and confocal microscopy, we observed that eosinophils act as local sources of IL-23 and IL-17. Remarkably, mice lacking eosinophils had a >95% reduction in the percentage of lung IL-23p19+ cells as well as markedly reduced IL-23 heterodimer in lung lavage fluid. Eosinophils killed A. fumigatus conidia in vivo. Eosinopenic mice had higher mortality rates, decreased recruitment of inflammatory monocytes, and decreased expansion of lung macrophages after challenge with conidia. All of these functions underscore a potential protective role for eosinophils in acute aspergillosis. Given the postulated role for IL-17 in asthma pathogenesis, we assessed whether eosinophils could act as sources of IL-23 and IL-17 in models where mice were sensitized to either A. fumigatus antigens or ovalbumin (OVA). We found IL-23p19+ IL-17AF+ eosinophils in both allergic models. Moreover, close to 95% of IL-23p19+ cells and >90% of IL-17AF+ cells were identified as eosinophils. These data establish a new paradigm in acute and allergic aspergillosis whereby eosinophils act not only as effector cells but also as immunomodulatory cells driving the IL-23/IL-17 axis and contributing to inflammatory cell recruitment.

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PLoS Pathog. 2017 Jan 17;13(1):e1006175. eCollection 2017 Jan. Link to article on publisher's site

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DOI
10.1371/journal.ppat.1006175
PubMed ID
28095479
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Notes

First author Evelyn V. Santos Guerra is a doctoral student in the Immunology and Microbiology and MD/PhD programs in the Graduate School of Biomedical Sciences (GSBS) at UMass Medical School.

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Copyright © 2017 Guerra et al.