FcγRIII Is Protective against Pseudomonas aeruginosa Pneumonia

LM Rhein, M Perkins, NP Gerard… - American journal of …, 2008 - atsjournals.org
LM Rhein, M Perkins, NP Gerard, C Gerard
American journal of respiratory cell and molecular biology, 2008atsjournals.org
Defenses against bacterial infections involve activation of multiple systems of innate
immunity, including complement, Toll-like receptors, and defensins. Reactions to chronic
infections bring adaptive immune mechanisms into play as well, with the introduction of
modulatory interactions between the two. In humans with chronic lung infections, the severity
of inflammation and disease correlate with elevated levels of pathogen-specific immune
complexes and complement activation. In mice with genetic deficiency in C5, or targeted …
Defenses against bacterial infections involve activation of multiple systems of innate immunity, including complement, Toll-like receptors, and defensins. Reactions to chronic infections bring adaptive immune mechanisms into play as well, with the introduction of modulatory interactions between the two. In humans with chronic lung infections, the severity of inflammation and disease correlate with elevated levels of pathogen-specific immune complexes and complement activation. In mice with genetic deficiency in C5, or targeted deletion of the C5a receptor, Pseudomonas lung infections reveal a role for the C5a anaphylatoxin in disease severity. Deficient animals exhibit significantly reduced survival and clearance of infecting bacteria, simultaneous with greatly increased pulmonary influx of inflammatory cells. Among the actions of C5a on inflammatory cells mediated through the C5a receptor is a shift in the relative expression of Fcγ receptors to increase FcγRIII relative to FcγRII. This shift may significantly impact defenses against chronic infection, reflecting the cellular activation profiles of these IgG receptors. We addressed the role of FcγRIII in defense against Pseudomonas lung infection, and found that, like C5aR-deficient mice, animals with targeted deletion of FcγRIII are more susceptible to mortality upon infection and exhibit reduced clearance of the pathogen. Pseudomonas infection was associated with an increase in the FcγRIII/FcγRII ratio in wild-type mice, and the data support its role as an additional mechanism of host defense against bacterial infection.
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