[PDF][PDF] Amphiregulin-producing pathogenic memory T helper 2 cells instruct eosinophils to secrete osteopontin and facilitate airway fibrosis

Y Morimoto, K Hirahara, M Kiuchi, T Wada, T Ichikawa… - Immunity, 2018 - cell.com
Y Morimoto, K Hirahara, M Kiuchi, T Wada, T Ichikawa, T Kanno, M Okano, K Kokubo…
Immunity, 2018cell.com
Memory T cells provide long-lasting protective immunity, and distinct subpopulations of
memory T cells drive chronic inflammatory diseases such as asthma. Asthma is a chronic
allergic inflammatory disease with airway remodeling including fibrotic changes. The
immunological mechanisms that induce airway fibrotic changes remain unknown. We found
that interleukin-33 (IL-33) enhanced amphiregulin production by the IL-33 receptor, ST2 hi
memory T helper 2 (Th2) cells. Amphiregulin-epidermal growth factor receptor (EGFR) …
Summary
Memory T cells provide long-lasting protective immunity, and distinct subpopulations of memory T cells drive chronic inflammatory diseases such as asthma. Asthma is a chronic allergic inflammatory disease with airway remodeling including fibrotic changes. The immunological mechanisms that induce airway fibrotic changes remain unknown. We found that interleukin-33 (IL-33) enhanced amphiregulin production by the IL-33 receptor, ST2hi memory T helper 2 (Th2) cells. Amphiregulin-epidermal growth factor receptor (EGFR)-mediated signaling directly reprogramed eosinophils to an inflammatory state with enhanced production of osteopontin, a key profibrotic immunomodulatory protein. IL-5-producing memory Th2 cells and amphiregulin-producing memory Th2 cells appeared to cooperate to establish lung fibrosis. The analysis of polyps from patients with eosinophilic chronic rhinosinusitis revealed fibrosis with accumulation of amphiregulin-producing CRTH2hiCD161hiCD45RO+CD4+ Th2 cells and osteopontin-producing eosinophils. Thus, the IL-33-amphiregulin-osteopontin axis directs fibrotic responses in eosinophilic airway inflammation and is a potential target for the treatment of fibrosis induced by chronic allergic disorders.
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