PMID- 29760082 OWN - NLM STAT- MEDLINE DCOM- 20180904 LR - 20191218 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 115 IP - 22 DP - 2018 May 29 TI - A cytokine network involving IL-36gamma, IL-23, and IL-22 promotes antimicrobial defense and recovery from intestinal barrier damage. PG - E5076-E5085 LID - 10.1073/pnas.1718902115 [doi] AB - The gut epithelium acts to separate host immune cells from unrestricted interactions with the microbiota and other environmental stimuli. In response to epithelial damage or dysfunction, immune cells are activated to produce interleukin (IL)-22, which is involved in repair and protection of barrier surfaces. However, the specific pathways leading to IL-22 and associated antimicrobial peptide (AMP) production in response to intestinal tissue damage remain incompletely understood. Here, we define a critical IL-36/IL-23/IL-22 cytokine network that is instrumental for AMP production and host defense. Using a murine model of intestinal damage and repair, we show that IL-36gamma is a potent inducer of IL-23 both in vitro and in vivo. IL-36gamma-induced IL-23 required Notch2-dependent (CD11b(+)CD103(+)) dendritic cells (DCs), but not Batf3-dependent (CD11b(-)CD103(+)) DCs or CSF1R-dependent macrophages. The intracellular signaling cascade linking IL-36 receptor (IL-36R) to IL-23 production by DCs involved MyD88 and the NF-kappaB subunits c-Rel and p50. Consistent with in vitro observations, IL-36R- and IL-36gamma-deficient mice exhibited dramatically reduced IL-23, IL-22, and AMP levels, and consequently failed to recover from acute intestinal damage. Interestingly, impaired recovery of mice deficient in IL-36R or IL-36gamma could be rescued by treatment with exogenous IL-23. This recovery was accompanied by a restoration of IL-22 and AMP expression in the colon. Collectively, these data define a cytokine network involving IL-36gamma, IL-23, and IL-22 that is activated in response to intestinal barrier damage and involved in providing critical host defense. FAU - Ngo, Vu L AU - Ngo VL AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. FAU - Abo, Hirohito AU - Abo H AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. FAU - Maxim, Estera AU - Maxim E AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. FAU - Harusato, Akihito AU - Harusato A AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. FAU - Geem, Duke AU - Geem D AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. FAU - Medina-Contreras, Oscar AU - Medina-Contreras O AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. FAU - Merlin, Didier AU - Merlin D AD - Center for Diagnostics and Therapeutics, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. AD - Atlanta Veterans Affairs Medical Center, Decatur, GA 30033. FAU - Gewirtz, Andrew T AU - Gewirtz AT AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303. FAU - Nusrat, Asma AU - Nusrat A AD - Department of Pathology, University of Michigan, Ann Arbor, MI 48109. FAU - Denning, Timothy L AU - Denning TL AD - Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, GA 30303; tdenning@gsu.edu. LA - eng GR - R01 DK055679/DK/NIDDK NIH HHS/United States GR - R01 DK097256/DK/NIDDK NIH HHS/United States GR - R01 DK107739/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20180514 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Interleukins) SB - IM MH - Animals MH - Immunity, Innate/*immunology MH - Inflammatory Bowel Diseases/*immunology/metabolism MH - Interleukins/genetics/*immunology/metabolism MH - Intestinal Mucosa/immunology/metabolism MH - Mice MH - Mice, Transgenic MH - Wound Healing/*immunology PMC - PMC5984499 OTO - NOTNLM OT - inflammatory bowel disease OT - innate immunity OT - interleukin OT - repair COIS- The authors declare no conflict of interest. EDAT- 2018/05/16 06:00 MHDA- 2018/09/05 06:00 PMCR- 2018/11/29 CRDT- 2018/05/16 06:00 PHST- 2018/05/16 06:00 [pubmed] PHST- 2018/09/05 06:00 [medline] PHST- 2018/05/16 06:00 [entrez] PHST- 2018/11/29 00:00 [pmc-release] AID - 1718902115 [pii] AID - 201718902 [pii] AID - 10.1073/pnas.1718902115 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2018 May 29;115(22):E5076-E5085. doi: 10.1073/pnas.1718902115. Epub 2018 May 14.