PMID- 27783671 OWN - NLM STAT- MEDLINE DCOM- 20170519 LR - 20210109 IS - 1553-7374 (Electronic) IS - 1553-7366 (Print) IS - 1553-7366 (Linking) VI - 12 IP - 10 DP - 2016 Oct TI - NK-CD11c+ Cell Crosstalk in Diabetes Enhances IL-6-Mediated Inflammation during Mycobacterium tuberculosis Infection. PG - e1005972 LID - 10.1371/journal.ppat.1005972 [doi] LID - e1005972 AB - In this study, we developed a mouse model of type 2 diabetes mellitus (T2DM) using streptozotocin and nicotinamide and identified factors that increase susceptibility of T2DM mice to infection by Mycobacterium tuberculosis (Mtb). All Mtb-infected T2DM mice and 40% of uninfected T2DM mice died within 10 months, whereas all control mice survived. In Mtb-infected mice, T2DM increased the bacterial burden and pro- and anti-inflammatory cytokine and chemokine production in the lungs relative to those in uninfected T2DM mice and infected control mice. Levels of IL-6 also increased. Anti-IL-6 monoclonal antibody treatment of Mtb-infected acute- and chronic-T2DM mice increased survival (to 100%) and reduced pro- and anti-inflammatory cytokine expression. CD11c+ cells were the major source of IL-6 in Mtb-infected T2DM mice. Pulmonary natural killer (NK) cells in Mtb-infected T2DM mice further increased IL-6 production by autologous CD11c+ cells through their activating receptors. Anti-NK1.1 antibody treatment of Mtb-infected acute-T2DM mice increased survival and reduced pro- and anti-inflammatory cytokine expression. Furthermore, IL-6 increased inflammatory cytokine production by T lymphocytes in pulmonary tuberculosis patients with T2DM. Overall, the results suggest that NK-CD11c+ cell interactions increase IL-6 production, which in turn drives the pathological immune response and mortality associated with Mtb infection in diabetic mice. FAU - Cheekatla, Satyanarayana Swamy AU - Cheekatla SS AD - Department of Pulmonary Immunology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Tripathi, Deepak AU - Tripathi D AD - Department of Pulmonary Immunology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Venkatasubramanian, Sambasivan AU - Venkatasubramanian S AD - Department of Pulmonary Immunology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Nathella, Pavan Kumar AU - Nathella PK AD - National Institutes of Health, International Center for Excellence in Research, Chennai, India. FAU - Paidipally, Padmaja AU - Paidipally P AD - Department of Pulmonary Immunology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Ishibashi, Munenori AU - Ishibashi M AD - Department of Cellular and Molecular Biology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Welch, Elwyn AU - Welch E AD - Department of Pulmonary Immunology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Tvinnereim, Amy R AU - Tvinnereim AR AD - Department of Pulmonary Immunology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Ikebe, Mitsuo AU - Ikebe M AD - Department of Cellular and Molecular Biology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. FAU - Valluri, Vijaya Lakshmi AU - Valluri VL AD - Blue Peter Research Center, LEPRA Society, Cherlapally, Hyderabad, India. FAU - Babu, Subash AU - Babu S AD - National Institutes of Health, International Center for Excellence in Research, Chennai, India. FAU - Kornfeld, Hardy AU - Kornfeld H AD - Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States of America. FAU - Vankayalapati, Ramakrishna AU - Vankayalapati R AD - Department of Pulmonary Immunology, Center for Biomedical Research, University of Texas Health Science Center at Tyler, Tyler, Texas, United States of America. LA - eng GR - R01 HL081149/HL/NHLBI NIH HHS/United States GR - R01 HL127384/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20161026 PL - United States TA - PLoS Pathog JT - PLoS pathogens JID - 101238921 RN - 0 (Interleukin-6) SB - IM MH - Animals MH - Diabetes Mellitus, Experimental/*complications/*immunology MH - Diabetes Mellitus, Type 2/complications/immunology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Immunohistochemistry MH - Inflammation/immunology MH - Interleukin-6/immunology MH - Killer Cells, Natural/*immunology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Microscopy, Confocal MH - Mycobacterium tuberculosis MH - Real-Time Polymerase Chain Reaction MH - Receptor Cross-Talk/immunology MH - Tuberculosis/*complications/*immunology PMC - PMC5082658 COIS- The authors have declared that no competing interests exist. EDAT- 2016/10/27 06:00 MHDA- 2017/05/20 06:00 PMCR- 2016/10/26 CRDT- 2016/10/27 06:00 PHST- 2016/02/01 00:00 [received] PHST- 2016/10/03 00:00 [accepted] PHST- 2016/10/27 06:00 [pubmed] PHST- 2017/05/20 06:00 [medline] PHST- 2016/10/27 06:00 [entrez] PHST- 2016/10/26 00:00 [pmc-release] AID - PPATHOGENS-D-16-00232 [pii] AID - 10.1371/journal.ppat.1005972 [doi] PST - epublish SO - PLoS Pathog. 2016 Oct 26;12(10):e1005972. doi: 10.1371/journal.ppat.1005972. eCollection 2016 Oct.