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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 6

Prolonged chronic exposure to IL-33 resulted in disappearance of perivascular ILC2s and eosinophils, increased levels of serum soluble ST2, and right ventricular hypertrophy.

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Prolonged chronic exposure to IL-33 resulted in disappearance of perivas...
(A) Immunofluorescent histology of lungs from Il5+/+, Il5+/V, or Il5V/V mice treated with 11 weekly injections of PBS (control) or IL-33 (n = 4 per group). Venus+ cells (red) are shown with Siglec-F+ eosinophils (white) and smooth muscle actin+ (SMA) smooth muscle cells (green). The nuclei are visualized in blue. Scale bars: 50 μm. (B) Serum soluble ST2 from mice treated with PBS or IL-33 at 11 weekly intervals was measured by ELISA (n = 5 per group). P values were calculated using the two-tailed Student’s t test. (C and D) Comparison of right ventricular hypertrophy between Il5+/+ or Il5V/V mice treated with 11 weekly injections of PBS or IL-33 (n = 6). The right ventricular free wall (RV) and the left ventricle plus septum (LV + S) were weighted, and the degree of hypertrophy is shown as RV/(LV + S) ratios (C) and the absolute RV weight (D). Graph data are shown as means ± SD. P values were calculated using one-way ANOVA with Bonferroni test. Asterisks indicate statistical significance (*P < 0.05; **P < 0.01).

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