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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Immunol
2010 ; 184
(11
): 6299-308
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A role for IL-1 receptor-associated kinase-M in prostaglandin E2-induced
immunosuppression post-bone marrow transplantation
#MMPMID20439918
Hubbard LL
; Ballinger MN
; Thomas PE
; Wilke CA
; Standiford TJ
; Kobayashi KS
; Flavell RA
; Moore BB
J Immunol
2010[Jun]; 184
(11
): 6299-308
PMID20439918
show ga
Following immune reconstitution, hematopoietic stem cell transplant patients
often display reduced immune function and are especially susceptible to lung
infections. In a mouse model of syngeneic bone marrow transplantation (BMT), we
previously reported that PGE(2) is overproduced in lungs of BMT mice,
significantly impairing host defense against Pseudomonas aeruginosa. This
impairment in host defense post-BMT is also marked by diminished alveolar
macrophage (AM) phagocytosis, bacterial killing, and production of TNF-alpha and
cysteinyl leukotrienes. However, a mechanism by which overproduction of PGE(2)
suppresses pulmonary host defense post-BMT is unknown. As IL-1R-associated kinase
(IRAK)-M is a known inhibitor of MyD88-dependent IL-1R/TLR signaling and
macrophage function, we sought to determine whether IRAK-M is involved in
PGE(2)-induced immunosuppression post-BMT. We found that IRAK-M expression is
elevated 3.5-fold in BMT AMs relative to control AMs, and this is related to AM
overproduction of PGE(2). Furthermore, genetic ablation of IRAK-M in the bone
marrow of BMT mice restores host defense against P. aeruginosa. Despite AM
overproduction of PGE(2) and elevated E prostanoid 2 receptor expression, AM
phagocytosis, killing, and production of cysteinyl leukotrienes and TNF-alpha are
restored in the absence of IRAK-M post-BMT. Also, treatment with PGE(2) does not
inhibit AM phagocytosis in the absence of IRAK-M. These data suggest that the
absence of IRAK-M in the hematopoietic compartment post-BMT enhances pulmonary
host defense and mitigates AM sensitivity to the inhibitory effects of PGE(2).
Therefore, strategies to limit IRAK-M elevation post-BMT may be efficacious in
reducing patient susceptibility to infection.