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Prolonged activation of IL-5–producing ILC2 causes pulmonary arterial hypertrophy
Masashi Ikutani, Koichi Tsuneyama, Makoto Kawaguchi, Junya Fukuoka, Fujimi Kudo, Susumu Nakae, Makoto Arita, Yoshinori Nagai, Satoshi Takaki, Kiyoshi Takatsu
Masashi Ikutani, Koichi Tsuneyama, Makoto Kawaguchi, Junya Fukuoka, Fujimi Kudo, Susumu Nakae, Makoto Arita, Yoshinori Nagai, Satoshi Takaki, Kiyoshi Takatsu
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Research Article Immunology

Prolonged activation of IL-5–producing ILC2 causes pulmonary arterial hypertrophy

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Abstract

IL-33 is one of the critical cytokines that activates group 2 innate lymphoid cells (ILC2s) and mediates allergic reactions. Accumulating evidence suggests that IL-33 is also involved in the pathogenesis of several chronic inflammatory diseases. Previously, we generated an IL-5 reporter mouse and revealed that lung IL-5–producing ILC2s played essential roles in regulating eosinophil biology. In this study, we evaluated the consequences of IL-33 administration over a long period, and we observed significant expansion of ILC2s and eosinophils surrounding pulmonary arteries. Unexpectedly, pulmonary arteries showed severe occlusive hypertrophy that was ameliorated in IL-5– or eosinophil-deficient mice, but not in Rag2-deficient mice. This indicates that IL-5–producing ILC2s and eosinophils play pivotal roles in pulmonary arterial hypertrophy. Administration of a clinically used vasodilator was effective in reducing IL-33–induced hypertrophy and repressed the expansion of ILC2s and eosinophils. Taken together, these observations demonstrate a previously unrecognized mechanism in the development of pulmonary arterial hypertrophy and the causative roles of ILC2 in the process.

Authors

Masashi Ikutani, Koichi Tsuneyama, Makoto Kawaguchi, Junya Fukuoka, Fujimi Kudo, Susumu Nakae, Makoto Arita, Yoshinori Nagai, Satoshi Takaki, Kiyoshi Takatsu

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Figure 3

Advanced medial hypertrophy and progressive intimal proliferation of pulmonary arteries, which are dependent on eosinophils in IL-33–treated mice.

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Advanced medial hypertrophy and progressive intimal proliferation of pul...
(A) Elastica van Gieson (EVG) staining of representative sections from Il5+/+ or Il5V/V mice, treated with PBS (control) or IL-33 on days 0, 7, and 14 (n = 4 per group). (B) Histological scoring of arterial hypertrophy. Seventy arteries were randomly selected from IL-33–treated Il5+/+ or Il5V/V mice (n = 4 per group) and scored according to arterial conditions (Supplemental Figure 4). (C) EVG staining of representative sections from WT, Rag2-deficient, and ΔdblGATA mice treated with PBS or IL-33 on days 0, 7, and 14 (n = 5 for WT and ΔdblGATA mice, and n = 6 for Rag2-deficient mice). (D) Samples of 84, 64, or 72 randomly selected arteries from WT, Rag2-deficient, or ΔdblGATA mice, respectively, were scored. Scale bars: 50 μm (A and C).

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