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RESEARCH


        NEUROIMMUNOLOGY                                                         observed in the interfollicular region (24), para-
                                                                                cortical region, and the medulla of the draining
        b -adrenergic receptor–mediated                                         mLN, which are anatomical sites where sympa-
                                                                                thetic adrenergic neurons are abundant (12, 13)
           2
                                                                                (Fig.1, I to K, and fig.S1, E and F).
        negative regulation of group 2 innate                                   development at steady state, b 2 AR-sufficient
                                                                                 To analyze the effect of b 2 AR signaling on ILC2
        lymphoid cell responses                                                 (Adrb2 +/+ ) and b 2 AR-deficient (Adrb2 −/− ) mice
                                                                                                        −/−
                                                                                              +/+
                                                                                were analyzed. Adrb2
                                                                                                 and Adrb2
                                                                                                          mice had
                                                                                comparable numbers of ILC2 progenitors (ILC2Ps)
                                                        1
                     1
        Saya Moriyama, Jonathan R. Brestoff, 1,2  Anne-Laure Flamar, Jesper B. Moeller, 1,3  (25) in the bone marrow (BM, fig. S2A). Addi-
                                                                                                    −/−
                                                                                          +/+
                                                                                tionally, Adrb2
                                                                                             and Adrb2
                          1
                                                        1
                                         1
        Christoph S. N. Klose, Lucille C. Rankin, Naomi A. Yudanin, Laurel A. Monticelli, 1           mice had sim-
                                                        1
                                              4
                          1
        Gregory Garbès Putzel, Hans-Reimer Rodewald, David Artis *              ilar frequencies of all ILC subsets in mLNs and
                                                                                in SILP (fig. S2, B to D), indicating that b 2 AR
                                                                                deficiency does not result in impaired ILC2 de-
        The type 2 inflammatory response is induced by various environmental and infectious  velopment or homeostasis at steady state.
        stimuli. Although recent studies identified group 2 innate lymphoid cells (ILC2s) as potent
                                                                                 Next, we examined whether b 2 AR signaling
        sources of type 2 cytokines, the molecular pathways controlling ILC2 responses are
                                                                                regulates ILC2 responses and type 2 inflamma-
        incompletely defined. Here we demonstrate that murine ILC2s express the b 2 -adrenergic
                                                                                tion after exposure to the gastrointestinal hel-
        receptor (b 2 AR) and colocalize with adrenergic neurons in the intestine. b 2 AR deficiency
                                                                                minth Nippostrongylus brasiliensis.Thisinfection
        resulted in exaggerated ILC2 responses and type 2 inflammation in intestinal and lung
                                                                                induces potent ILC2 responses that play an im-
        tissues. Conversely, b 2 AR agonist treatment was associated with impaired ILC2 responses and
                                                                                portant role in the expulsion of the parasite
        reduced inflammation in vivo. Mechanistically, we demonstrate that the b 2 AR pathway is a
                                                                                through production of IL-5 and IL-13 (10, 26, 27).
        cell-intrinsic negative regulator of ILC2 responses through inhibition of cell proliferation  After infection, Adrb2 −/−  mice exhibited increased
        and effector function. Collectively, these data provide the first evidence of a neuronal-  frequencies and numbers of ILC2s and increased  Downloaded from
        derived regulatory circuit that limits ILC2-dependent type 2 inflammation.
                                                                                numbers of IL-13–producing ILC2s, but compara-
                                                                                ble frequencies of ILC1s and ILC3s, in mLNs and
            he type 2inflammatoryresponseisahighly  ever, our knowledge of the complex interactions  in SILP compared to Adrb2 +/+  mice (Fig.2,Aand
            conserved module of the innate and adap-  between the nervous system and ILCs in the con-  B, and fig. S2E). The expression of inflammatory
            tive immune system that is elicited after  text of type 2 inflammation is still limited. RNA  cytokines encoded by genes Il25, Il33,and Tslp,
            exposure to infectious and environmental  sequencing (RNA-seq) of sorted murine ILC sub-  which stimulate ILC2s, was comparable between
        T triggers, such as helminth infections, al-  sets revealed that small intestinal (SI) ILC2s ex-  Adrb2 +/+  and Adrb2 −/−  mice in the SI after infec-
        lergens, venoms, and other stimuli (1–3). The hall-  hibited higher levels of the b 2 AR gene (Adrb2)  tion (fig. S2F). However, exaggerated eosino-
        marksoftype2responsesinclude activation of  mRNA expression compared to SI ILC3s, but lower  philia and goblet cell hyperplasia (Fig. 2, C and  http://science.sciencemag.org/
        Thelper2(T H 2) cells and release of type 2 cyto-  levels of other adrenergic receptors (Fig. 1A).  D) and reduced worm burdens (Fig. 2E) were
        kines, such as interleukin-4 (IL-4), IL-5, IL-9, and  Consistent with these results, ILC2s sorted from  observed in Adrb2 −/−  mice. Of note, the amount
        IL-13; production of immunoglobulin E (IgE); and  SI lamina propria (SILP), gut-draining mesen-  of norepinephrine in the SI was comparable at
        the activation of multiple effector cells, such as  teric lymph node (mLN), colon LP, and lung ex-  0, 4, and 7 days postinfection (fig. S2G), suggest-
        basophils, mast cells, and eosinophils. This cas-  hibited higher levels of Adrb2 mRNA expression  ing that expression of this ligand is not altered
        cade of immunologic events is associated with  compared to SILP ILC3s (Fig. 1B and fig. S1A).  during infection. Notably, although ILC2s still
        increased mucus production from goblet cells  ILC2s from mesenteric white adipose tissue ex-  expressed Adrb2 after infection, expression was
        and induction of smooth-muscle contractility that  hibited lower levels of Adrb2 mRNA expression  at a lower level than observed in naive mice (fig.  on March 1, 2018
        contributes to the elimination of pathogens or  compared to ILC2s from other tissue. We also  S2H), suggesting that ILC2-intrinsic b 2 AR ex-
                                                                        +
        allergic stimuli (4, 5). Recent studies identified  detected ADRB2 mRNA in ILC2s and CD4 Tcells  pression is dynamically regulated in response to
        group 2 innate lymphoid cells (ILC2s) as a potent  sorted from human lung and peripheral blood  inflammatory cues within the tissue microen-
        source of type 2 cytokines that contribute to the  mononuclear cells (Fig. 1C). These results show  vironment. Taken together, these results indicate
        type 2 inflammatory responses (5–11). Although  that the b 2 AR gene is expressed in murine and  that the b 2 AR pathway may be an important neg-
        considerable advances have been made to define  human ILC2s.            ative regulator of ILC2 responses.
        the cytokines, growth factors, and environmental  Examination of the localization of ILC2s (de-  Given that b 2 AR-deficient mice had exaggerated
                                                                –
                                                                     –
                                                           +
                                                       +
        stimuli that trigger ILC2 responses, the regula-  fined as KLRG1 Bcl11b CD3e NKp46 )and adre-  ILC2 responses, we next sought to test whether
        tory mechanisms that constrain ILC2 responses  nergic neurons [marked by tyrosine hydroxylase  treatment with a b 2 AR agonist, clenbuterol, would
        and type 2 inflammation at mucosal sites remain  (TH) expression] in the SI microenvironment  inhibit ILC2 responses and dampen type 2 in-
        incompletely understood.            revealed that ILC2s were found in close prox-  flammation. Although the proportion of ILC sub-
                                                    +
          Mucosal and lymphoid tissues are highly in-  imity to TH neurons in the villi and submucosa  sets was not changed by b 2 AR agonist treatment
        nervated (12–14), and immune cells—including  butnot in themuscularis(Fig. 1, D and E, and  at steady state (fig. S2I), b 2 AR agonist–treated
        mast cells, macrophages, ILCs, and T cells—can  fig. S1B). To further examine this, we generated  wild-type C57BL/6 (B6) mice exhibited signif-
        be regulated by neuronal-derived bioactive mol-  Il13–fate mapping mice by crossing Il13 cre  and  icantly fewer ILC2s in the mLNs compared to
        ecules in certain circumstances (15–23). How-  Ai14 (tdTomato) mice and found that ILC2s  vehicle-treated mice after N. brasiliensis infec-
                                                         +
                                                                +
                                                                     –
                                            (defined as KLRG1 tdTomato CD3e )colocalize  tion (Fig. 2F). Further, agonist treatment was
        1 Jill Roberts Institute for Research in Inflammatory Bowel  with TH neurons (Fig. 1F and fig. S1, C and D).  associated with significantly fewer IL-5– and
                                                  +
        Disease, Joan and Sanford I. Weill Department of Medicine,  Notably, the highest expression levels of genes  IL-13–producing ILC2s, reduced eosinophilia,
        Department of Microbiology and Immunology, Weill Cornell
        Medicine, Cornell University, New York, NY 10021, USA.  encoding enzymes involved in norepinephrine  and diminished goblet cell responses (Fig. 2, G
        2 Department of Pathology and Immunology, Washington  synthesis, Th and Dbh (dopamine b-hydroxylase),  to I, and fig. S2J). Consistent with these results,
        University School of Medicine, St. Louis, MO 63110, USA.  were found in the parenchyma fraction in the  agonist-treated mice had significantly higher
        3 Department of Molecular Medicine, University of Southern
        Denmark, Odense, Denmark. Division of Cellular Immunology,  SI (Fig. 1, G and H), which collectively suggests  worm burdens (Fig. 2J). We also treated the mice
                       4
        German Cancer Research Center (DKFZ), Heidelberg, Germany.  that ILC2s may respond to neuronal-derived  with another b 2 AR agonist, salmeterol, during
        *Corresponding author. Email: dartis@med.cornell.edu  norepinephrine, a b 2 AR ligand. ILC2s were also  N. brasiliensis infection and found reduced
        Moriyama et al., Science 359, 1056–1061 (2018)  2 March 2018                                        1of6
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