[HTML][HTML] Kineret®/IL-1ra Blocks the IL-1/IL-8 Inflammatory Cascade during Recombinant Panton Valentine Leukocidin-Triggered Pneumonia but Not during S. aureus …
D Labrousse, M Perret, D Hayez, S Da Silva, C Badiou… - PloS one, 2014 - journals.plos.org
D Labrousse, M Perret, D Hayez, S Da Silva, C Badiou, F Couzon, M Bes, P Chavanet…
PloS one, 2014•journals.plos.orgObjectives Community-acquired Staphylococcus aureus necrotizing pneumonia is a life-
threatening disease. Panton Valentine Leukocidin (PVL) has been associated with
necrotizing pneumonia. PVL triggers inflammasome activation in human macrophages
leading to IL-1β release. IL-1β activates lung epithelial cells to release IL-8. This study
aimed to assess the relevance of this inflammatory cascade in vivo and to test the potential
of an IL-1 receptor antagonist (IL-1Ra/Kineret) to decrease inflammation-mediated lung …
threatening disease. Panton Valentine Leukocidin (PVL) has been associated with
necrotizing pneumonia. PVL triggers inflammasome activation in human macrophages
leading to IL-1β release. IL-1β activates lung epithelial cells to release IL-8. This study
aimed to assess the relevance of this inflammatory cascade in vivo and to test the potential
of an IL-1 receptor antagonist (IL-1Ra/Kineret) to decrease inflammation-mediated lung …
Objectives
Community-acquired Staphylococcus aureus necrotizing pneumonia is a life-threatening disease. Panton Valentine Leukocidin (PVL) has been associated with necrotizing pneumonia. PVL triggers inflammasome activation in human macrophages leading to IL-1β release. IL-1β activates lung epithelial cells to release IL-8. This study aimed to assess the relevance of this inflammatory cascade in vivo and to test the potential of an IL-1 receptor antagonist (IL-1Ra/Kineret) to decrease inflammation-mediated lung injury.
Methods
We used the sequential instillation of Heat-killed S. aureus and PVL or S. aureus infection to trigger necrotizing pneumonia in rabbits. In these models, we investigated inflammation in the presence or absence of IL-1Ra/Kineret.
Results
We demonstrated that the presence of PVL was associated with IL-1β and IL-8 release in the lung. During PVL-mediated sterile pneumonia, Kineret/IL-1Ra reduced IL-8 production indicating the relevance of the PVL/IL-1/IL-8 cascade in vivo and the potential of Kineret/IL-1Ra to reduce lung inflammation. However, Kineret/IL-1Ra was ineffective in blocking IL-8 production during infection with S. aureus. Furthermore, treatment with Kineret increased the bacterial burden in the lung.
Conclusions
Our data demonstrate PVL-dependent inflammasome activation during S.aureus pneumonia, indicate that IL-1 signaling controls bacterial burden in the lung and suggest that therapy aimed at targeting this pathway might be deleterious during pneumonia.
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