Interleukin-22 regulates the complement system to promote resistance against pathobionts after pathogen-induced intestinal damage

Immunity. 2014 Oct 16;41(4):620-32. doi: 10.1016/j.immuni.2014.09.010.

Abstract

Pathobionts play a critical role in disease development, but the immune mechanisms against pathobionts remain poorly understood. Here, we report a critical role for interleukin-22 (IL-22) in systemic protection against bacterial pathobionts that translocate into the circulation after infection with the pathogen Clostridium difficile. Infection with C. difficile induced IL-22, and infected Il22(-/-) mice harbored high numbers of pathobionts in extraintestinal organs despite comparable pathogen load and intestinal damage in mutant and wild-type mice. Pathobionts exhibited increased resistant against complement-mediated phagocytosis, and their intravenous administration resulted in high animal mortality. Selective removal of translocated commensals rescued Il22(-/-) mice, and IL-22 administration enhanced the elimination of pathobionts. Mechanistically, IL-22 augmented bacterial phagocytosis by increasing the expression and bacterial binding of complement C3. Our study demonstrates an unexpected role for IL-22 in controlling the elimination of pathobionts that enter the systemic circulation through the regulation of the complement system.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Clostridioides difficile / immunology*
  • Complement C3 / biosynthesis
  • Complement C3 / immunology*
  • Elapid Venoms / pharmacology
  • Enterobacteriaceae / growth & development
  • Enterocolitis, Pseudomembranous / immunology*
  • Enterocolitis, Pseudomembranous / mortality
  • Interleukin-22
  • Interleukins / genetics
  • Interleukins / immunology*
  • Intestines / injuries
  • Intestines / microbiology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microbiota / immunology
  • Phagocytosis / immunology

Substances

  • Complement C3
  • Elapid Venoms
  • Interleukins
  • cobra venom factor