Interferons prime endothelium for toll-like receptor-mediated thrombin generation.

cytokine release syndrome endothelium interferons tissue factor toll-like receptors

Journal

Journal of thrombosis and haemostasis : JTH
ISSN: 1538-7836
Titre abrégé: J Thromb Haemost
Pays: England
ID NLM: 101170508

Informations de publication

Date de publication:
28 Dec 2023
Historique:
received: 30 08 2023
revised: 14 12 2023
accepted: 16 12 2023
medline: 2 1 2024
pubmed: 2 1 2024
entrez: 30 12 2023
Statut: aheadofprint

Résumé

Respiratory infection is associated with microvascular thrombus formation and marked elevation of cytokines. The role of cytokines elaborated by pulmonary epithelium in thrombotic responses is poorly understood. Our goal was to identify cytokines of pulmonary epithelial cell origin that enhance thrombin generation in endothelium at concentrations equal to or less than those found in the circulation during infection. We screened multiple cytokines produced by pulmonary epithelium for the ability to enhance toll-like receptor (TLR)-mediated endothelial thrombin generation. Effects of cytokines on tissue factor and thrombomodulin expression, cytokine selectivity for different TLRs, and prothrombotic activity of endogenous cytokines in conditioned medium from pulmonary human epithelial cells were evaluated. MIP-1β, MCP-1, IL-10, IL-6, IL-1β, TNFα, IFNα, IFNβ, and IFNγ were tested for their ability to enhance TLR3-mediated thrombin generation on endothelial cells. Only IFNs and TNFα promoted TLR3-mediated thrombin generation at levels that circulate during infection. IFNs robustly enhanced tissue factor expression when used in conjunction with TLR agonists and reduced thrombomodulin expression in endothelium independently of TLRs. IFNα, which is typically elevated with viral infection, only synergized with TLR3 agonists mimicking viral PAMPs. In contrast, IFNγ, which is typically in bacterial infection, synergized more effectively with TLR4 agonists released by bacteria. Conditioned media from inflamed pulmonary epithelial cells primed endothelium for TLR-mediated thrombin generation. Anti-IFN type I antibodies blocked this effect, indicating that endogenous IFNs prime endothelium for TLR-mediated thrombin generation. IFNs elaborated by pulmonary epithelium are necessary and sufficient to enhance TLR-mediated thrombin generation.

Sections du résumé

BACKGROUND BACKGROUND
Respiratory infection is associated with microvascular thrombus formation and marked elevation of cytokines. The role of cytokines elaborated by pulmonary epithelium in thrombotic responses is poorly understood.
AIMS OBJECTIVE
Our goal was to identify cytokines of pulmonary epithelial cell origin that enhance thrombin generation in endothelium at concentrations equal to or less than those found in the circulation during infection.
METHODS METHODS
We screened multiple cytokines produced by pulmonary epithelium for the ability to enhance toll-like receptor (TLR)-mediated endothelial thrombin generation. Effects of cytokines on tissue factor and thrombomodulin expression, cytokine selectivity for different TLRs, and prothrombotic activity of endogenous cytokines in conditioned medium from pulmonary human epithelial cells were evaluated.
RESULTS RESULTS
MIP-1β, MCP-1, IL-10, IL-6, IL-1β, TNFα, IFNα, IFNβ, and IFNγ were tested for their ability to enhance TLR3-mediated thrombin generation on endothelial cells. Only IFNs and TNFα promoted TLR3-mediated thrombin generation at levels that circulate during infection. IFNs robustly enhanced tissue factor expression when used in conjunction with TLR agonists and reduced thrombomodulin expression in endothelium independently of TLRs. IFNα, which is typically elevated with viral infection, only synergized with TLR3 agonists mimicking viral PAMPs. In contrast, IFNγ, which is typically in bacterial infection, synergized more effectively with TLR4 agonists released by bacteria. Conditioned media from inflamed pulmonary epithelial cells primed endothelium for TLR-mediated thrombin generation. Anti-IFN type I antibodies blocked this effect, indicating that endogenous IFNs prime endothelium for TLR-mediated thrombin generation.
CONCLUSION CONCLUSIONS
IFNs elaborated by pulmonary epithelium are necessary and sufficient to enhance TLR-mediated thrombin generation.

Identifiants

pubmed: 38159649
pii: S1538-7836(23)00923-6
doi: 10.1016/j.jtha.2023.12.021
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 International Society on Thrombosis and Haemostasis. Published by Elsevier Inc. All rights reserved.

Auteurs

Kelsey Sack (K)

Division of Hemostasis and Thrombosis, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215.

Nathan Eaton (N)

Division of Hemostasis and Thrombosis, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215.

Maneli Doroudian Tehrani (MD)

Division of Hemostasis and Thrombosis, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215.

Robert Flaumenhaft (R)

Division of Hemostasis and Thrombosis, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215. Electronic address: rflaumen@bidmc.harvard.edu.

Classifications MeSH