Facilitation of IL-22 production from innate lymphoid cells by prostaglandin E<sub>2</sub> prevents experimental lung neutrophilic inflammation.

Felton, Jennifer M; Duffin, Rodger; Robb, Calum T; Crittenden, Siobhan; Anderton, Stephen M; Howie, Sarah E M; Whyte, Moira K B; Rossi, Adriano G et al. · Thorax · 2018

basic_science · Level V

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Abstract

Acute lung injury is a neutrophil-dominant, life-threatening disease without effective therapies and better understanding of the pathophysiological mechanisms involved is an urgent need. Here we show that interleukin (IL)-22 is produced from innate lymphoid cells (ILC) and is responsible for suppression of experimental lung neutrophilic inflammation. Blocking prostaglandin E<sub>2</sub> (PGE<sub>2</sub>) synthesis reduces lung ILCs and IL-22 production, resulting in exacerbation of lung neutrophilic inflammation. In contrast, activation of the PGE<sub>2</sub> receptor EP4 prevents acute lung inflammation. We thus demonstrate a mechanism for production of innate IL-22 in the lung during acute injury, highlighting potential therapeutic strategies for control of lung neutrophilic inflammation by targeting the PGE<sub>2</sub>/ILC/IL-22 axis.

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