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Nascimento, Daniele C; Melo, Paulo H; Piñeros, Annie R; Ferreira, Raphael G; Colón, David F; Donate, Paula B; Castanheira, Fernanda V; Gozzi, Aline; Czaikoski, Paula G; Niedbala, Wanda; Borges, Marcos C; Zamboni, Dario S; Liew, Foo Y; Cunha, Fernando Q; Alves-Filho, Jose C
Nature communications, 04/2017, Letnik: 8, Številka: 1Journal Article
Patients who survive sepsis can develop long-term immune dysfunction, with expansion of the regulatory T (Treg) cell population. However, how Treg cells proliferate in these patients is not clear. Here we show that IL-33 has a major function in the induction of this immunosuppression. Mice deficient in ST2 (IL-33R) develop attenuated immunosuppression in cases that survive sepsis, whereas treatment of naive wild-type mice with IL-33 induces immunosuppression. IL-33, released during tissue injury in sepsis, activates type 2 innate lymphoid cells, which promote polarization of M2 macrophages, thereby enhancing expansion of the Treg cell population via IL-10. Moreover, sepsis-surviving patients have more Treg cells, IL-33 and IL-10 in their peripheral blood. Our study suggests that targeting IL-33 may be an effective treatment for sepsis-induced immunosuppression.
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in: SICRIS
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