[HTML][HTML] IL-33 drives eosinophil infiltration and pathogenic type 2 helper T-cell immune responses leading to chronic experimental ileitis

C De Salvo, XM Wang, L Pastorelli, B Mattioli… - The American Journal of …, 2016 - Elsevier
C De Salvo, XM Wang, L Pastorelli, B Mattioli, S Omenetti, KA Buela, S Chowdhry, RR Garg
The American Journal of Pathology, 2016Elsevier
Although a clear association has been established between IL-33 and inflammatory bowel
disease, mechanistic studies to date, primarily using acute murine models of colitis, have
yielded contradicting results, demonstrating both pathogenic and protective roles. We used
a well-characterized, spontaneous model of inflammatory bowel disease [ie, SAMP1/YitFc
(SAMP) mice] to investigate the role of IL-33 during chronic intestinal inflammation. Our
results showed marked eosinophil infiltration into the gut mucosa with increased levels of …
Although a clear association has been established between IL-33 and inflammatory bowel disease, mechanistic studies to date, primarily using acute murine models of colitis, have yielded contradicting results, demonstrating both pathogenic and protective roles. We used a well-characterized, spontaneous model of inflammatory bowel disease [ie, SAMP1/YitFc (SAMP) mice] to investigate the role of IL-33 during chronic intestinal inflammation. Our results showed marked eosinophil infiltration into the gut mucosa with increased levels of eotaxins and type 2 helper T-cell (Th2) cytokines as disease progressed and became more severe, which could be reversed upon either eosinophil depletion or blockade of IL-33 signaling. Exogenous IL-33 administration recapitulated these effects in ilea of uninflamed (parental) control AKR/J mice. Human data supported these findings, showing colocalization and up-regulation of IL-33 and eosinophils in the colonic mucosa of inflammatory bowel disease patients versus noninflamed controls. Finally, colonization of commensal flora by fecal material transplantation into germ-free SAMP and the presence of the gut microbiome induced IL-33, subsequent eosinophil infiltration, and mounting of Th2 immune responses, leading to exacerbation of chronic intestinal inflammation characteristic of SAMP mice. These data demonstrate a pathogenic role for IL-33–mediated eosinophilia and activation of Th2 immunity in chronic intestinal inflammation that is dependent on the gut microbiome. Targeting IL-33 may represent a novel therapeutic approach to treat patients with inflammatory bowel disease.
Elsevier