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Lipocalin-2 expression identifies an intestinal regulatory neutrophil population during acute graft-versus-host disease
Science Translational Medicine ( IF 17.1 ) Pub Date : 2024-02-21 , DOI: 10.1126/scitranslmed.adi1501
Marie Czech 1, 2 , Sophia Schneider 1 , Nina Peltokangas 2, 3, 4 , Nadia El Khawanky 1, 2, 5, 6 , Sakhila Ghimire 7 , Geoffroy Andrieux 8 , Jan Hülsdünker 1, 2 , Máté Krausz 2, 9, 10, 11 , Michele Proietti 9, 12, 13 , Lukas M. Braun 1, 2 , Tamina Rückert 1, 2 , Marlene Langenbach 1, 2 , Dominik Schmidt 1, 2 , Ina Martin 1, 2 , Valentin Wenger 1 , Enrique de Vega 1, 2 , Eileen Haring 1, 2 , Mohsen Pourjam 14 , Dietmar Pfeifer 1 , Annette Schmitt-Graeff 15 , Bodo Grimbacher 9, 16, 17, 18 , Konrad Aumann 19 , Brigitte Kircher 20 , Herbert Tilg 21 , Manuela Raffatellu 22, 23, 24 , Erik Thiele Orberg 7, 25, 26 , Georg Häcker 27 , Justus Duyster 1, 28, 29 , Natalie Köhler 1, 18 , Ernst Holler 7 , David Nachbaur 20 , Melanie Boerries 8, 28 , Romana R. Gerner 5, 30 , Dominic Grün 4 , Robert Zeiser 1, 28, 29
Affiliation  

Acute graft-versus-host disease (aGVHD) is a life-threatening complication of allogeneic hematopoietic cell transplantation (allo-HCT), for which therapeutic options are limited. Strategies to promote intestinal tissue tolerance during aGVHD may improve patient outcomes. Using single-cell RNA sequencing, we identified a lipocalin-2 (LCN2)–expressing neutrophil population in mice with intestinal aGVHD. Transfer of LCN2-overexpressing neutrophils or treatment with recombinant LCN2 reduced aGVHD severity, whereas the lack of epithelial or hematopoietic LCN2 enhanced aGVHD severity and caused microbiome alterations. Mechanistically, LCN2 induced insulin-like growth factor 1 receptor (IGF-1R) signaling in macrophages through the LCN2 receptor SLC22A17, which increased interleukin-10 (IL-10) production and reduced major histocompatibility complex class II (MHCII) expression. Transfer of LCN2-pretreated macrophages reduced aGVHD severity but did not reduce graft-versus-leukemia effects. Furthermore, LCN2 expression correlated with IL-10 expression in intestinal biopsies in multiple cohorts of patients with aGVHD, and LCN2 induced IGF-1R signaling in human macrophages. Collectively, we identified a LCN2-expressing intestinal neutrophil population that reduced aGVHD severity by decreasing MHCII expression and increasing IL-10 production in macrophages. This work provides the foundation for administration of LCN2 as a therapeutic approach for aGVHD.

中文翻译:

Lipocalin-2 表达可识别急性移植物抗宿主病期间肠道调节性中性粒细胞群

急性移植物抗宿主病(aGVHD)是同种异体造血细胞移植(allo-HCT)的一种危及生命的并发症,其治疗选择有限。在 aGVHD 期间促进肠道组织耐受的策略可能会改善患者的预后。通过单细胞 RNA 测序,我们在患有肠道 aGVHD 的小鼠中鉴定出了表达脂质运载蛋白 2 (LCN2) 的中性粒细胞群。转移LCN2过表达的中性粒细胞或用重组LCN2治疗可降低aGVHD的严重程度,而上皮或造血LCN2的缺乏会增强aGVHD的严重程度并导致微生物组的改变。从机制上讲,LCN2 通过 LCN2 受体 SLC22A17 诱导巨噬细胞中的胰岛素样生长因子 1 受体 (IGF-1R) 信号传导,从而增加白细胞介素 10 (IL-10) 的产生并减少主要组织相容性复合物 II 类 (MHCII) 的表达。LCN2预处理的巨噬细胞的转移降低了aGVHD的严重程度,但没有降低移植物抗白血病效应。此外,在多个 aGVHD 患者的肠道活检中,LCN2 表达与 IL-10 表达相关,并且 LCN2 诱导人巨噬细胞中的 IGF-1R 信号传导。总的来说,我们鉴定了表达 LCN2 的肠道中性粒细胞群,该群通过降低巨噬细胞中 MHCII 表达和增加 IL-10 产生来降低 aGVHD 严重程度。这项工作为 LCN2 给药作为 aGVHD 的治疗方法奠定了基础。
更新日期:2024-02-21
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