FcgammaRIIb balances efficient pathogen clearance and the cytokine-mediated consequences of sepsis

J Exp Med. 2004 Mar 1;199(5):717-23. doi: 10.1084/jem.20032197. Epub 2004 Feb 23.

Abstract

The immune response to infection must be controlled to ensure it is optimal for defense while avoiding the consequences of excessive inflammation, which include fatal septic shock. Mice deficient in FcgammaRIIb, an inhibitory immunoglobulin G Fc receptor, have enhanced immune responses. Therefore, we examined whether FcgammaRIIb controls the response to Streptococcus pneumoniae. Macrophages from FcgammaRIIb-deficient mice showed increased antibody-dependent phagocytosis of pneumococci in vitro, and consistent with this infected FcgammaRIIb-deficient mice demonstrated increased bacterial clearance and survival. In contrast, previously immunized FcgammaRIIb-deficient mice challenged with large inocula showed reduced survival. This correlated with increased production of the sepsis-associated cytokines tumor necrosis factor alpha and interleukin 6. We propose that FcgammaRIIb controls the balance between efficient pathogen clearance and the cytokine-mediated consequences of sepsis, with potential therapeutic implications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cytokines / biosynthesis*
  • Immunization
  • In Vitro Techniques
  • Interleukin-6 / biosynthesis
  • Macrophages, Peritoneal / immunology
  • Mice
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Peritonitis / immunology
  • Pneumococcal Infections / immunology*
  • Receptors, IgG / deficiency
  • Receptors, IgG / genetics
  • Receptors, IgG / physiology*
  • Sepsis / immunology*
  • Streptococcus pneumoniae / immunology
  • Streptococcus pneumoniae / pathogenicity
  • Tumor Necrosis Factor-alpha / biosynthesis

Substances

  • Cytokines
  • Fcgr2b protein, mouse
  • Interleukin-6
  • Receptors, IgG
  • Tumor Necrosis Factor-alpha