A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB Patients

The contribution of interleukin- (IL-) 4 receptor-alpha- (Rα-) dependent events in the pathogenesis of tuberculosis (TB) is controversial. We have recently shown IL-13 overexpression in mice to cause recrudescent Mtb replication and centrally necrotizing granulomas strongly resembling pathology of h...

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Main Authors: Christoph Hölscher, Lisa Heitmann, Ellis Owusu-Dabo, Rolf D. Horstmann, Christian G. Meyer, Stefan Ehlers, Thorsten Thye
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2016/4245028
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author Christoph Hölscher
Lisa Heitmann
Ellis Owusu-Dabo
Rolf D. Horstmann
Christian G. Meyer
Stefan Ehlers
Thorsten Thye
author_facet Christoph Hölscher
Lisa Heitmann
Ellis Owusu-Dabo
Rolf D. Horstmann
Christian G. Meyer
Stefan Ehlers
Thorsten Thye
author_sort Christoph Hölscher
collection DOAJ
description The contribution of interleukin- (IL-) 4 receptor-alpha- (Rα-) dependent events in the pathogenesis of tuberculosis (TB) is controversial. We have recently shown IL-13 overexpression in mice to cause recrudescent Mtb replication and centrally necrotizing granulomas strongly resembling pathology of human TB. A deletion of IL-4Rα completely abrogates TB tissue pathology in these mice. To validate our results in human TB patients, we here determined the association of distinct variants of the IL4, IL13, IL4RA, IL13RA1, and IL13RA2 genes with cavity formation in a large Ghanaian cohort of HIV-negative individuals with newly diagnosed pulmonary TB. In fact, the structural variant of the IL4RA I50V, previously shown to result in enhanced signal transduction, was significantly associated with greater cavity size, and a variant of IL13RA2 was associated with disease in females. To evaluate whether the human-like TB pathology in IL-13-overexpressing mice is specifically mediated through the IL-4Rα subunit, we analyzed IL-13 transgenic mice with a genetic ablation of the IL-4Rα. In these mice, the IL-13-mediated increased susceptibility, human-like pathology of collagen deposition around centrally necrotizing granulomas, and alternative macrophage activation were abolished. Together, our genetic association study in human TB patients further supports the assumption that IL-13/IL-4Rα-dependent mechanisms are involved in mediating tissue pathology of human TB.
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spelling doaj-art-8ccdadb541dc444da2779ef152125e582025-02-03T06:12:09ZengWileyMediators of Inflammation0962-93511466-18612016-01-01201610.1155/2016/42450284245028A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB PatientsChristoph Hölscher0Lisa Heitmann1Ellis Owusu-Dabo2Rolf D. Horstmann3Christian G. Meyer4Stefan Ehlers5Thorsten Thye6Infection Immunology, Research Center Borstel, Parkallee 22, 23845 Borstel, GermanyInfection Immunology, Research Center Borstel, Parkallee 22, 23845 Borstel, GermanyDepartment of Community Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaGerman Center for Infection Research, GermanyGerman Center for Infection Research, GermanyGerman Center for Infection Research, GermanyGerman Center for Infection Research, GermanyThe contribution of interleukin- (IL-) 4 receptor-alpha- (Rα-) dependent events in the pathogenesis of tuberculosis (TB) is controversial. We have recently shown IL-13 overexpression in mice to cause recrudescent Mtb replication and centrally necrotizing granulomas strongly resembling pathology of human TB. A deletion of IL-4Rα completely abrogates TB tissue pathology in these mice. To validate our results in human TB patients, we here determined the association of distinct variants of the IL4, IL13, IL4RA, IL13RA1, and IL13RA2 genes with cavity formation in a large Ghanaian cohort of HIV-negative individuals with newly diagnosed pulmonary TB. In fact, the structural variant of the IL4RA I50V, previously shown to result in enhanced signal transduction, was significantly associated with greater cavity size, and a variant of IL13RA2 was associated with disease in females. To evaluate whether the human-like TB pathology in IL-13-overexpressing mice is specifically mediated through the IL-4Rα subunit, we analyzed IL-13 transgenic mice with a genetic ablation of the IL-4Rα. In these mice, the IL-13-mediated increased susceptibility, human-like pathology of collagen deposition around centrally necrotizing granulomas, and alternative macrophage activation were abolished. Together, our genetic association study in human TB patients further supports the assumption that IL-13/IL-4Rα-dependent mechanisms are involved in mediating tissue pathology of human TB.http://dx.doi.org/10.1155/2016/4245028
spellingShingle Christoph Hölscher
Lisa Heitmann
Ellis Owusu-Dabo
Rolf D. Horstmann
Christian G. Meyer
Stefan Ehlers
Thorsten Thye
A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB Patients
Mediators of Inflammation
title A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB Patients
title_full A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB Patients
title_fullStr A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB Patients
title_full_unstemmed A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB Patients
title_short A Mutation in IL4RA Is Associated with the Degree of Pathology in Human TB Patients
title_sort mutation in il4ra is associated with the degree of pathology in human tb patients
url http://dx.doi.org/10.1155/2016/4245028
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