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Treg depletion attenuates irradiation-induced pulmonary fibrosis by reducing fibrocyte accumulation, inducing Th17 response, and shifting IFN-γ, IL-12/IL-4, IL-5 balance.

Abstract
Irradiation-induced pulmonary fibrosis results from thoracic radiotherapy and severely limits radiotherapy approaches. CD4(+) CD25(+) FoxP3(+) regulatory T cells (Tregs) are involved in experimentally induced murine lung fibrosis. However, the precise contribution of Tregs to irradiation-induced pulmonary fibrosis still remains unclear. We have previously established the mouse model of irradiation-induced pulmonary fibrosis and observed an increased frequency of Tregs during the process. This study aimed to investigate the effects of Treg depletion on irradiation-induced pulmonary fibrosis and on fibrocyte, Th17 cell response and production of multiple cytokines in mice. Treg-depleted mice were generated by intraperitoneal injection with anti-CD25 mAb 2h after 20 Gy (60)CO γ-ray thoracic irradiation and every 7 days thereafter. Pulmonary fibrosis was semi-quantitatively assessed using Masson's trichrome staining. The proportions of Tregs, fibrocyte and Th17 cells were detected by flow cytometry. Th1/Th2 cytokines were assessed by Luminex assays. We found that Treg depletion decelerated the process of irradiation-induced pulmonary fibrosis and hindered fibrocyte recruitment to the lung. In response to Treg depletion, the number of CD4(+) T lymphocytes and Th17 cells increased. Moreover, Th1/Th2 cytokine balance was disturbed into Th1 dominance upon Treg depletion. Our study demonstrates that Tregs are involved in irradiation-induced pulmonary fibrosis by promoting fibrocyte accumulation, attenuating Th17 response and regulating Th1/Th2 cytokine balance in the lung tissues, which suggests that Tregs may be therapeutically manipulated to decelerate the progression of irradiation-induced pulmonary fibrosis.
AuthorsShanshan Xiong, Renfeng Guo, Zhihua Yang, Long Xu, Li Du, Ruoxi Li, Fengjun Xiao, Qianjun Wang, Maoxiang Zhu, Xiujie Pan
JournalImmunobiology (Immunobiology) Vol. 220 Issue 11 Pg. 1284-91 (Nov 2015) ISSN: 1878-3279 [Electronic] Netherlands
PMID26224246 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015. Published by Elsevier GmbH.
Chemical References
  • Antibodies, Monoclonal
  • Cytokines
  • Interleukin-2 Receptor alpha Subunit
  • Interleukin-5
  • Interleukin-12
  • Interleukin-4
  • Interferon-gamma
Topics
  • Animals
  • Antibodies, Monoclonal (pharmacology)
  • CD4 Lymphocyte Count
  • Cytokines (metabolism)
  • Female
  • Immunophenotyping
  • Interferon-gamma
  • Interleukin-12
  • Interleukin-2 Receptor alpha Subunit (antagonists & inhibitors)
  • Interleukin-4
  • Interleukin-5
  • Lymphocyte Depletion
  • Mice
  • Phenotype
  • Pulmonary Fibrosis (etiology, pathology)
  • T-Lymphocyte Subsets (immunology, metabolism)
  • T-Lymphocytes, Regulatory (immunology, metabolism)
  • Th17 Cells (immunology, metabolism)
  • X-Rays (adverse effects)

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