IL-22 mediates mucosal host defense against Gram-negative bacterial pneumonia

IL-22 mediates mucosal host defense against Gram-negative bacterial pneumonia

2008 March ; 14(3): 275–281. doi:10.1038/nm1710. | Shean J Aujla, Yvonne R Chan, Mingquan Zheng, Mingjian Fei, David J Askew, Derek A Pociask, Todd A Reinhardt, Florencia McAllister, Jennifer Edeal, Kristi Gaus, Shahid Husain, James L Kreindler, Patricia J Dubin, Joseph M Pilewski, Mike M Myerburg, Carol A Mason, Yoichiro Iwakura, and Jay K Kolls
This study investigates the role of interleukin-22 (IL-22) in mucosal host defense against Gram-negative bacterial pneumonia. IL-22, produced by T helper type 17 (T<H17) cells, was found to be crucial for maintaining local control of the pulmonary pathogen *Klebsiella pneumoniae*. Unlike IL-17A, IL-22 increased lung epithelial cell proliferation and transepithelial resistance to injury. In an experimental model of Gram-negative pneumonia, IL-22 was produced in a time-dependent manner and regulated by IL-23. Neutralizing IL-22 led to increased bacterial dissemination from the lung, exacerbated by the absence of IL-17A. IL-22 also increased the expression of host defense genes in mouse lung epithelium, with lipocalin-2 being essential for IL-22-induced epithelial antimicrobial activity. These findings support the concept that the T<H17 cell lineage and its effector molecules have evolved to mediate host defense against extracellular pathogens at mucosal sites.This study investigates the role of interleukin-22 (IL-22) in mucosal host defense against Gram-negative bacterial pneumonia. IL-22, produced by T helper type 17 (T<H17) cells, was found to be crucial for maintaining local control of the pulmonary pathogen *Klebsiella pneumoniae*. Unlike IL-17A, IL-22 increased lung epithelial cell proliferation and transepithelial resistance to injury. In an experimental model of Gram-negative pneumonia, IL-22 was produced in a time-dependent manner and regulated by IL-23. Neutralizing IL-22 led to increased bacterial dissemination from the lung, exacerbated by the absence of IL-17A. IL-22 also increased the expression of host defense genes in mouse lung epithelium, with lipocalin-2 being essential for IL-22-induced epithelial antimicrobial activity. These findings support the concept that the T<H17 cell lineage and its effector molecules have evolved to mediate host defense against extracellular pathogens at mucosal sites.
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