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      Effector T cells control lung inflammation during acute influenza virus infection by producing IL-10

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      1 , 2 ,   2 , 1 , 3
      Nature medicine

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          Abstract

          Activated antigen-specific T cells produce a variety of effector molecules for clearing infection, but also contribute significantly to inflammation and tissue injury. Here we report an anti-inflammatory property of anti-viral CD8 + and CD4 + effector T cells (Te) in the infected periphery during acute virus infection. We find that, during acute influenza infection, IL-10 is produced in the infected lungs at high levels -- exclusively by infiltrating virus-specific Te, with CD8 + Te contributing a larger fraction of the IL-10 produced. These Te in the periphery simultaneously produce IL-10 and proinflammatory cytokines, and express lineage markers characteristic of conventional Th/c1 cells. Importantly, blocking the action of the Te-derived IL-10 results in enhanced pulmonary inflammation and lethal injury. Our results demonstrate that anti-viral Te exert regulatory functions -- that is, fine-tune the extent of lung inflammation and injury associated with influenza infection by the production of an anti-inflammatory cytokine. The potential implications of these findings for infection with highly pathogenic influenza viruses are discussed.

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          Most cited references24

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          Molecular basis for high virulence of Hong Kong H5N1 influenza A viruses.

          M Hatta (2001)
          In 1997, an H5N1 influenza A virus was transmitted from birds to humans in Hong Kong, killing 6 of the 18 people infected. When mice were infected with the human isolates, two virulence groups became apparent. Using reverse genetics, we showed that a mutation at position 627 in the PB2 protein influenced the outcome of infection in mice. Moreover, high cleavability of the hemagglutinin glycoprotein was an essential requirement for lethal infection.
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            Regulatory T cells expressing interleukin 10 develop from Foxp3+ and Foxp3- precursor cells in the absence of interleukin 10.

            CD4(+) regulatory T cells (T(reg) cells) that produce interleukin 10 (IL-10) are important contributors to immune homeostasis. We generated mice with a 'dual-reporter' system of the genes encoding IL-10 and the transcription factor Foxp3 to track T(reg) subsets based on coordinate or differential expression of these genes. Secondary lymphoid tissues, lung and liver had enrichment of Foxp3(+)IL-10(-) T(reg) cells, whereas the large and small intestine had enrichment of Foxp3(+)IL-10(+) and Foxp3(-)IL-10(+) T(reg) cells, respectively. Although negative for Il10 expression, both Foxp3(+) and Foxp3(-) CD4(+) thymic precursor cells gave rise to peripheral IL-10(+) T(reg) cells, with only Foxp3(-) precursor cells giving rise to all T(reg) subsets. Each T(reg) subset developed in IL-10-deficient mice, but this was blocked by treatment with antibody to transforming growth factor-beta. Thus, Foxp3(+) and Foxp3(-) precursor cells give rise to peripheral IL-10-expressing T(reg) cells by a mechanism dependent on transforming growth factor-beta and independent of IL-10.
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              Conventional T-bet+Foxp3− Th1 cells are the major source of host-protective regulatory IL-10 during intracellular protozoan infection

              Although interferon γ (IFN-γ) secretion is essential for control of most intracellular pathogens, host survival often also depends on the expression of interleukin 10 (IL-10), a cytokine known to counteract IFN-γ effector functions. We analyzed the source of regulatory IL-10 in mice infected with the protozoan parasite Toxoplasma gondii. Unexpectedly, IFN-γ–secreting T-bet+Foxp3− T helper type 1 (Th1) cells were found to be the major producers of IL-10 in these animals. Further analysis revealed that the same IL-10+IFN-γγ population displayed potent effector function against the parasite while, paradoxically, also inducing profound suppression of IL-12 production by antigen-presenting cells. Although at any given time point only a fraction of the cells appeared to simultaneously produce IL-10 and IFN-γ, IL-10 production could be stimulated in IL-10−IFN-γ+ cells by further activation in vitro. In addition, experiments with T. gondii–specific IL-10+IFN-γ+ CD4 clones revealed that although IFN-γ expression is imprinted and triggered with similar kinetics regardless of the state of Th1 cell activation, IL-10 secretion is induced more rapidly from recently activated than from resting cells. These findings indicate that IL-10 production by CD4+ T lymphocytes need not involve a distinct regulatory Th cell subset but can be generated in Th1 cells as part of the effector response to intracellular pathogens.
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                Author and article information

                Journal
                9502015
                8791
                Nat Med
                Nature medicine
                1078-8956
                1546-170X
                23 March 2009
                22 February 2009
                March 2009
                1 September 2009
                : 15
                : 3
                : 277-284
                Affiliations
                [1 ] Beirne B. Carter Center for Immunology Research, University of Virginia, 409 Lane Road, Charlottesville, VA 22908
                [2 ] Division of Molecular Immunology, Cincinnati Children’s Hospital Research Foundation, and the University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, Ohio 45229, USA
                [3 ] Departments of Microbiology and Pathology, University of Virginia, 409 Lane Road, Charlottesville, VA 22908
                Author notes
                Address correspondence to: Thomas J. Braciale, MD, PhD, Carter Immunology Center, UVA, P.O. Box 801386, Charlottesville, VA 22908, Tel (434) 924-1219, Fax (434) 924-1221, Email: tjb2r@ 123456virginia.edu
                Article
                nihpa103166
                10.1038/nm.1929
                2693210
                19234462
                e92ab17d-6928-4c04-90b1-99f52ef816ef
                History
                Funding
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-27 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-24 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-23 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-22 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-21 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-20 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-19 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-18 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 HL033391-16 ||HL
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI037293-14 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI037293-13 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI037293-12 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI037293-11 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI037293-10 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI037293-09 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI015608-29 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI015608-28 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI015608-27 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI015608-26 ||AI
                Funded by: National Heart, Lung, and Blood Institute : NHLBI
                Funded by: National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
                Award ID: R01 AI015608-25 ||AI
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