PMID- 25706389 OWN - NLM STAT- MEDLINE DCOM- 20151229 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 2 DP - 2015 TI - Granulocyte-macrophage colony stimulatory factor enhances the pro-inflammatory response of interferon-gamma-treated macrophages to Pseudomonas aeruginosa infection. PG - e0117447 LID - 10.1371/journal.pone.0117447 [doi] LID - e0117447 AB - Pseudomonas aeruginosa is an opportunistic pathogen that can cause severe infections at compromised epithelial surfaces, such those found in burns, wounds, and in lungs damaged by mechanical ventilation or recurrent infections, particularly in cystic fibrosis (CF) patients. CF patients have been proposed to have a Th2 and Th17-biased immune response suggesting that the lack of Th1 and/or over exuberant Th17 responses could contribute to the establishment of chronic P. aeruginosa infection and deterioration of lung function. Accordingly, we have observed that interferon (IFN)-gamma production by peripheral blood mononuclear cells from CF patients positively correlated with lung function, particularly in patients chronically infected with P. aeruginosa. In contrast, IL-17A levels tended to correlate negatively with lung function with this trend becoming significant in patients chronically infected with P. aeruginosa. These results are in agreement with IFN-gamma and IL-17A playing protective and detrimental roles, respectively, in CF. In order to explore the protective effect of IFN-gamma in CF, the effect of IFN-gamma alone or in combination with granulocyte-macrophage colony-stimulating factor (GM-CSF), on the ability of human macrophages to control P. aeruginosa growth, resist the cytotoxicity induced by this bacterium or promote inflammation was investigated. Treatment of macrophages with IFN-gamma, in the presence and absence of GM-CSF, failed to alter bacterial growth or macrophage survival upon P. aeruginosa infection, but changed the inflammatory potential of macrophages. IFN-gamma caused up-regulation of monocyte chemoattractant protein-1 (MCP-1) and TNF-alpha and down-regulation of IL-10 expression by infected macrophages. GM-CSF in combination with IFN-gamma promoted IL-6 production and further reduction of IL-10 synthesis. Comparison of TNF-alpha vs. IL-10 and IL-6 vs. IL-10 ratios revealed the following hierarchy in regard to the pro-inflammatory potential of human macrophages infected with P. aeruginosa: untreated < treated with GM-CSF < treated with IFN-gamma < treated with GM-CSF and IFN-gamma. FAU - Singh, Sonali AU - Singh S AD - School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Barr, Helen AU - Barr H AD - School of Medicine, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Liu, Yi-Chia AU - Liu YC AD - School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Robins, Adrian AU - Robins A AD - School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Heeb, Stephan AU - Heeb S AD - School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Williams, Paul AU - Williams P AD - School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Fogarty, Andrew AU - Fogarty A AD - School of Community Health Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Camara, Miguel AU - Camara M AD - School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. FAU - Martinez-Pomares, Luisa AU - Martinez-Pomares L AD - School of Life Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom. LA - eng GR - G0801558/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150223 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Cytokines) RN - 82115-62-6 (Interferon-gamma) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) SB - IM MH - Adolescent MH - Adult MH - Cystic Fibrosis/metabolism/microbiology MH - Cytokines/metabolism MH - Female MH - Granulocyte-Macrophage Colony-Stimulating Factor/*metabolism MH - Humans MH - Inflammation/metabolism MH - Interferon-gamma/*metabolism MH - Macrophages/*metabolism/microbiology MH - Male MH - Pseudomonas Infections/*metabolism MH - Pseudomonas aeruginosa/growth & development/*physiology MH - Young Adult PMC - PMC4338139 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/02/24 06:00 MHDA- 2015/12/30 06:00 PMCR- 2015/02/23 CRDT- 2015/02/24 06:00 PHST- 2014/03/12 00:00 [received] PHST- 2014/12/23 00:00 [accepted] PHST- 2015/02/24 06:00 [entrez] PHST- 2015/02/24 06:00 [pubmed] PHST- 2015/12/30 06:00 [medline] PHST- 2015/02/23 00:00 [pmc-release] AID - PONE-D-14-11230 [pii] AID - 10.1371/journal.pone.0117447 [doi] PST - epublish SO - PLoS One. 2015 Feb 23;10(2):e0117447. doi: 10.1371/journal.pone.0117447. eCollection 2015.