TY - JOUR U1 - Zeitschriftenartikel, wissenschaftlich - begutachtet (reviewed) A1 - Schauer, Anja E. A1 - Klassert, Tilman E. A1 - von Lachner, Carolin A1 - Riebold, Diana A1 - Schneeweiß, Anne A1 - Stock, Magdalena A1 - Müller, Mario M. A1 - Hammerschmidt, Sven A1 - Bufler, Philip A1 - Seifert, Ulrike A1 - Dietert, Kristina A1 - Dinarello, Charles A. A1 - Nold, Marcel F. A1 - Gruber, Achim D. A1 - Nold-Petry, Claudia A. A1 - Slevogt, Hortense T1 - IL-37 Causes Excessive Inflammation and Tissue Damage in Murine Pneumococcal Pneumonia JF - Journal of Innate Immunity N2 - Streptococcus pneumoniae infections can lead to severe complications with excessive immune activation and tissue damage. Interleukin-37 (IL-37) has gained importance as a suppressor of innate and acquired immunity, and its effects have been therapeutic as they prevent tissue damage in autoimmune and inflammatory diseases. By using RAW macrophages, stably transfected with human IL-37, we showed a 70% decrease in the cytokine levels of IL-6, TNF-α, and IL-1β, and a 2.2-fold reduction of the intracellular killing capacity of internalized pneumococci in response to pneumococcal infection. In a murine model of infection with S. pneumoniae, using mice transgenic for human IL-37b (IL-37tg), we observed an initial decrease in cytokine expression of IL-6, TNF-α, and IL-1β in the lungs, followed by a late-phase enhancement of pneumococcal burden and subsequent increase of proinflammatory cytokine levels. Additionally, a marked increase in recruitment of alveolar macrophages and neutrophils was noted, while TRAIL mRNA was reduced 3-fold in lungs of IL-37tg mice, resulting in necrotizing pneumonia with augmented death of infiltrating neutrophils, enhanced bacteremic spread, and increased mortality. In conclusion, we have identified that IL-37 modulates several core components of a successful inflammatory response to pneumococcal pneumonia, which lead to increased inflammation, tissue damage, and mortality. KW - - KW - Interleukin-37 KW - Immunosuppression KW - Inflammation KW - Antibacterial host defense KW - Pneumococcal pneumonia UN - https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-31174 UR - www.karger.com/jin SN - 1662-811X SS - 1662-811X SN - 1662-8128 SS - 1662-8128 U6 - https://doi.org/10.1159/000469661 DO - https://doi.org/10.1159/000469661 PM - 28601872 VL - 9 IS - 4 SP - 403 EP - 418 PB - S. Karger AG CY - Basel, Switzerland ER -