机构:[1]Department of Gastroenterology, The Shanghai Tenth People’s Hospital, Tongji University, Shanghai, China[2]Department of Gastroenterology, The First Affiliated Hospital of Kunming Medical University, Kunming, China内科科室外科科室消化内科普通外科普通外一科(胃肠与疝外科)昆明医科大学附属第一医院[3]Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China外科科室胃肠外科中山大学附属第一医院[4]Department of Gastroenterology, Xijing Hospital, Fourth Military Medical University, Xi’an, China[5]Department of Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas, USA
Background Neutrophils are accumulated in inflamed mucosa of IBD and play an important role in the pathogenesis. CD177 is expressed in neutrophils specifically and upregulated during inflammation. However, the role of CD177(+) neutrophils in pathogenesis of IBD remains elusive. Materials and methods Expression of CD177 was analysed in peripheral blood and intestinal mucosa from patients with IBD using quantitative RT-PCR, flow cytometry and immunohistochemistry. CD177(+) and CD177(-) neutrophils were isolated to determine gene differences by RNA sequencing. Colitis was established in CD177(-/-) and wild-type mice in response to dextran sulfate sodium (DSS) insults to determine the role of CD177(+) neutrophils in IBD. Results CD177(+) neutrophils were markedly increased in peripheral blood and inflamed mucosa from patients with active IBD compared with healthy controls. RNA sequencing revealed that differential gene expression between CD177(+) and CD177(-) neutrophils from patients with IBD was associated with response to bacterial defence, hydrogen peroxide and reactive oxygen species (ROS). CD177(+) neutrophils produced lower levels of proinflammatory cytokines (ie, interferon-gamma, interleukin (IL)-6, IL-17A), but higher levels of IL-22 and transforming growth factor-beta, and exhibited increased bactericidal activities (ie, ROS, antimicrobial peptides, neutrophil extracellular trap) compared with CD177(-) subset. CD177(-/-) mice developed more severe colitis on DSS insults compared with wild-type mice. Moreover, CD177 deficiency led to compromised intestinal barrier and impaired antibacterial immunity through decreased production of IL-22 by CD177-neutrophils. Conclusions CD177(+) neutrophils represent functionally activated population and play a protective role in IBD through increased bactericidal activity and IL-22 production. Targeting CD177(+) neutrophils may be beneficial for treatment of IBD.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81630017, 81470822]
第一作者机构:[1]Department of Gastroenterology, The Shanghai Tenth People’s Hospital, Tongji University, Shanghai, China
共同第一作者:
通讯作者:
通讯机构:[*1]Department of Gastroenterology, The Shanghai Tenth People’s Hospital, Tongji University, Shanghai 200072, China[*2]Department of Microbiology and Immunology, The University of Texas Medical Branch, Galveston, TX 77555, USA