IL-10 Has Differential Effects on the Innate and Adaptive Immune Systems of Septic Patients.


Journal

Journal of immunology (Baltimore, Md. : 1950)
ISSN: 1550-6606
Titre abrégé: J Immunol
Pays: United States
ID NLM: 2985117R

Informations de publication

Date de publication:
15 10 2019
Historique:
received: 07 06 2019
accepted: 14 08 2019
pubmed: 11 9 2019
medline: 23 5 2020
entrez: 11 9 2019
Statut: ppublish

Résumé

Sepsis, a disease of divergent pro- and anti-inflammatory-mediated pathways, has a high prevalence of morbidity and mortality, yet an understanding of potential unifying mediators between these pathways that may improve clinical outcomes is largely unclear. IL-10 has classically been designated an immunosuppressive cytokine, although recent data suggest that under certain conditions IL-10 can be immune stimulatory. We sought to further investigate the effect of IL-10 on innate and adaptive immunity in an in vitro human observational cohort study in patients with sepsis via modulation of IL-10 on IFN-γ production by T cells and TNF-α production and HLA-DR expression by monocytes. These results were compared with critically ill nonseptic patients and healthy volunteers. ELISpot analysis was performed using PBMC fraction from patient whole-blood samples. Finally, to provide additional potential clinical relevance, we examined the effect of IL-10 on T cell IFN-γ production in an in vivo cecal ligation and puncture model of sepsis using C57 black/J6 female mice. We found that inhibition of IL-10 significantly increased both production of T cell IFN-γ and monocyte TNF-α, whereas addition of IL-10 increased T cell IFN-γ production but decreased monocyte production of TNF-α and HLA-DR expression. There was no significant effect of IL-10 on control cohorts. IL-10-treated septic mice demonstrated increased IFN-γ production in splenocytes. Thus, IL-10 demonstrates both pro- and anti-inflammatory effects in the septic microenvironment, which is likely cell and context dependent. Further elucidation of relevant signaling pathways may direct future therapeutic targets.

Identifiants

pubmed: 31501258
pii: jimmunol.1900637
doi: 10.4049/jimmunol.1900637
pmc: PMC7206829
mid: NIHMS1575195
doi:

Substances chimiques

IL10 protein, human 0
Interleukin-10 130068-27-8
Interferon-gamma 82115-62-6

Types de publication

Journal Article Observational Study Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

2088-2099

Subventions

Organisme : NIGMS NIH HHS
ID : K08 GM129763
Pays : United States
Organisme : NIGMS NIH HHS
ID : R35 GM126928
Pays : United States

Informations de copyright

Copyright © 2019 by The American Association of Immunologists, Inc.

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Auteurs

Monty Mazer (M)

Division of Critical Care Medicine, Department of Pediatrics, School of Medicine, Washington University, St. Louis, MO 63110; and.

Jaqueline Unsinger (J)

Department of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.

Anne Drewry (A)

Department of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.

Andrew Walton (A)

Department of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.

Dale Osborne (D)

Department of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.

Theresa Blood (T)

Department of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.

Richard Hotchkiss (R)

Department of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.

Kenneth E Remy (KE)

Division of Critical Care Medicine, Department of Pediatrics, School of Medicine, Washington University, St. Louis, MO 63110; and kremy@wustl.edu.
Department of Anesthesiology, School of Medicine, Washington University, St. Louis, MO 63110.

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