PMID- 30761125 OWN - NLM STAT- MEDLINE DCOM- 20191220 LR - 20221124 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 10 DP - 2019 TI - The C-type Lectin Receptor-Driven, Th17 Cell-Mediated Severe Pathology in Schistosomiasis: Not All Immune Responses to Helminth Parasites Are Th2 Dominated. PG - 26 LID - 10.3389/fimmu.2019.00026 [doi] LID - 26 AB - Schistosomiasis is a major helminthic disease in which damage to the affected organs is orchestrated by a pathogenic host CD4 T helper (Th) cell-mediated immune response against parasite eggs. In the case of the species Schistosoma mansoni, the resulting granulomatous inflammation and fibrosis takes place in the liver and intestines. The magnitude of disease varies greatly from individual to individual but in a minority of patients, there is severe disease and death. S. mansoni infection in a murine model similarly results in marked strain variation of immunopathology. In the most commonly examined mouse strain, C57BL/6 (BL/6), there is relatively mild hepatic pathology arising in a Th2-dominated cytokine environment. In contrast, CBA mice develop decisively more severe lesions largely driven by proinflammatory IL-17-producing Th17 cells. Dendritic cells (DCs) from CBA mice differ sharply with those from BL/6 mice in that they vastly over-express the C-type lectin receptor (CLR) CD209a (SIGNR5), a homolog of human DC-SIGN, which senses glycans such as those produced by schistosome eggs. Silencing of CD209a, and recent studies with CD209a KO CBA mice have shown that this receptor is crucial to induce the pathogenic Th17 cell response; indeed, CD209a KO mice display markedly reduced immunopathology akin to that seen in BL/6 mice. Mechanistically, CD209a synergizes with the related CLRs Dectin-2 and Mincle to stimulate increased DC production of IL-1beta and IL-23, necessary for pathogenic Th17 cell development. These findings denote key molecular underpinnings of disease variability based on selection and function of contrasting Th cell subsets. FAU - Kalantari, Parisa AU - Kalantari P AD - Department of Immunology, Tufts University School of Medicine, Boston, MA, United States. FAU - Bunnell, Stephen C AU - Bunnell SC AD - Department of Immunology, Tufts University School of Medicine, Boston, MA, United States. FAU - Stadecker, Miguel J AU - Stadecker MJ AD - Department of Immunology, Tufts University School of Medicine, Boston, MA, United States. LA - eng GR - R01 AI018919/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20190130 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Biomarkers) RN - 0 (Cell Adhesion Molecules) RN - 0 (Cytokines) RN - 0 (DC-specific ICAM-3 grabbing nonintegrin) RN - 0 (Inflammation Mediators) RN - 0 (Lectins, C-Type) RN - 0 (Receptors, Cell Surface) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-raf) SB - IM MH - Animals MH - Biomarkers MH - Cell Adhesion Molecules/metabolism MH - Cytokines/metabolism MH - Dendritic Cells/immunology/metabolism MH - Disease Models, Animal MH - Disease Susceptibility MH - Host-Parasite Interactions/*immunology MH - Humans MH - Inflammation Mediators/metabolism MH - Lectins, C-Type/*metabolism MH - Mice MH - Protein Binding MH - Proto-Oncogene Proteins c-raf/metabolism MH - Receptors, Cell Surface/metabolism MH - Schistosoma mansoni/immunology MH - Schistosomiasis/diagnosis/*immunology/*metabolism/parasitology MH - Severity of Illness Index MH - Th17 Cells/*immunology/*metabolism MH - Th2 Cells/immunology/metabolism PMC - PMC6363701 OTO - NOTNLM OT - C-type lectin receptor OT - CD209a OT - DC-SIGN OT - Schistosoma mansoni OT - Th17 cells OT - immunopathology EDAT- 2019/02/15 06:00 MHDA- 2019/12/21 06:00 PMCR- 2019/01/01 CRDT- 2019/02/15 06:00 PHST- 2018/09/18 00:00 [received] PHST- 2019/01/08 00:00 [accepted] PHST- 2019/02/15 06:00 [entrez] PHST- 2019/02/15 06:00 [pubmed] PHST- 2019/12/21 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2019.00026 [doi] PST - epublish SO - Front Immunol. 2019 Jan 30;10:26. doi: 10.3389/fimmu.2019.00026. eCollection 2019.