Polarized lung inflammation and Tie2/angiopoietin-mediated endothelial dysfunction during severe Orientia tsutsugamushi infection.


Journal

PLoS neglected tropical diseases
ISSN: 1935-2735
Titre abrégé: PLoS Negl Trop Dis
Pays: United States
ID NLM: 101291488

Informations de publication

Date de publication:
03 2020
Historique:
received: 26 07 2019
accepted: 29 01 2020
revised: 12 03 2020
pubmed: 3 3 2020
medline: 13 5 2020
entrez: 3 3 2020
Statut: epublish

Résumé

Orientia tsutsugamushi infection can cause acute lung injury and high mortality in humans; however, the underlying mechanisms are unclear. Here, we tested a hypothesis that dysregulated pulmonary inflammation and Tie2-mediated endothelial malfunction contribute to lung damage. Using a murine model of lethal O. tsutsugamushi infection, we demonstrated pathological characteristics of vascular activation and tissue damage: 1) a significant increase of ICAM-1 and angiopoietin-2 (Ang2) proteins in inflamed tissues and lung-derived endothelial cells (EC), 2) a progressive loss of endothelial quiescent and junction proteins (Ang1, VE-cadherin/CD144, occuludin), and 3) a profound impairment of Tie2 receptor at the transcriptional and functional levels. In vitro infection of primary human EC cultures and serum Ang2 proteins in scrub typhus patients support our animal studies, implying endothelial dysfunction in severe scrub typhus. Flow cytometric analyses of lung-recovered cells further revealed that pulmonary macrophages (MΦ) were polarized toward an M1-like phenotype (CD80+CD64+CD11b+Ly6G-) during the onset of disease and prior to host death, which correlated with the significant loss of CD31+CD45- ECs and M2-like (CD206+CD64+CD11b+Ly6G-) cells. In vitro studies indicated extensive bacterial replication in M2-type, but not M1-type, MΦs, implying the protective and pathogenic roles of M1-skewed responses. This is the first detailed investigation of lung cellular immune responses during acute O. tsutsugamushi infection. It uncovers specific biomarkers for vascular dysfunction and M1-skewed inflammatory responses, highlighting future therapeutic research for the control of this neglected tropical disease.

Identifiants

pubmed: 32119672
doi: 10.1371/journal.pntd.0007675
pii: PNTD-D-19-01266
pmc: PMC7067486
doi:

Substances chimiques

Angiopoietin-2 0
Receptor, TIE-2 EC 2.7.10.1
Tek protein, mouse EC 2.7.10.1

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0007675

Subventions

Organisme : NIAID NIH HHS
ID : R01 AI132674
Pays : United States
Organisme : NIAID NIH HHS
ID : T35 AI078878
Pays : United States
Organisme : NIAID NIH HHS
ID : T32 AI060549
Pays : United States
Organisme : NIAID NIH HHS
ID : R21 AI126343
Pays : United States
Organisme : NIAID NIH HHS
ID : R21 AI117368
Pays : United States

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Brandon Trent (B)

Department of Pathology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Yuejin Liang (Y)

Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Yan Xing (Y)

Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Marisol Esqueda (M)

Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Yang Wei (Y)

Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Nam-Hyuk Cho (NH)

Department of Microbiology and Immunology, Seoul National University College of Medicine, Seoul Republic of Korea.
Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.

Hong-Il Kim (HI)

Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.

Yeon-Sook Kim (YS)

Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Republic of Korea.

Thomas R Shelite (TR)

Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Jiyang Cai (J)

Department of Ophthalmology & Visual Sciences, University of Texas Medical Branch, Galveston, Galveston, Texas, United States of America.

Jiaren Sun (J)

Department of Pathology, University of Texas Medical Branch, Galveston, Texas, United States of America.
Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Donald H Bouyer (DH)

Department of Pathology, University of Texas Medical Branch, Galveston, Texas, United States of America.

Jinjun Liu (J)

Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Center, Xi'an, China.

Lynn Soong (L)

Department of Pathology, University of Texas Medical Branch, Galveston, Texas, United States of America.
Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, United States of America.

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