Gut-derived memory γδ T17 cells exacerbate sepsis-induced acute lung injury in mice

Nat Commun. 2024 Aug 7;15(1):6737. doi: 10.1038/s41467-024-51209-9.

Abstract

Sepsis is a critical global health concern linked to high mortality rates, often due to acute lung injury (ALI)/acute respiratory distress syndrome (ARDS). While the gut-lung axis involvement in ALI is recognized, direct migration of gut immune cells to the lung remains unclear. Our study reveals sepsis-induced migration of γδ T17 cells from the small intestine to the lung, triggering an IL-17A-dominated inflammatory response in mice. Wnt signaling activation in alveolar macrophages drives CCL1 upregulation, facilitating γδ T17 cell migration. CD44+ Ly6C- IL-7Rhigh CD8low cells are the primary migratory subtype exacerbating ALI. Esketamine attenuates ALI by inhibiting pulmonary Wnt/β-catenin signaling-mediated migration. This work underscores the pivotal role of direct gut-to-lung memory γδ T17 cell migration in septic ALI and clarifies the importance of localized IL-17A elevation in the lung.

MeSH terms

  • Acute Lung Injury* / immunology
  • Acute Lung Injury* / pathology
  • Animals
  • Antigens, Ly / metabolism
  • Cell Movement*
  • Disease Models, Animal
  • Immunologic Memory
  • Interleukin-17* / immunology
  • Interleukin-17* / metabolism
  • Intestine, Small / immunology
  • Intestine, Small / pathology
  • Intraepithelial Lymphocytes / immunology
  • Lung* / immunology
  • Lung* / pathology
  • Macrophages, Alveolar / immunology
  • Male
  • Mice
  • Mice, Inbred C57BL*
  • Receptors, Antigen, T-Cell, gamma-delta / metabolism
  • Sepsis* / complications
  • Sepsis* / immunology
  • Wnt Signaling Pathway / immunology

Substances

  • Interleukin-17
  • Receptors, Antigen, T-Cell, gamma-delta
  • Il17a protein, mouse
  • Antigens, Ly