Author:
Ioannou Marianna,Hoving Dennis,Aramburu Iker Valle,De Vasconcelos Nathalia M.,Temkin Mia I.,Wang Qian,Vernardis Spyros,Demichev Vadim,Tsourouktsoglou Theodora-Dorita,Boeing Stefan,Goldstone Robert,David Sascha,Stahl Klaus,Bode Christian,Ralser Markus,Papayannopoulos Venizelos
Abstract
SummaryThe mechanisms regulating immune dysfunction during sepsis are poorly understood. Here, we show that neutrophil-derived myeloperoxidase delays the onset of immune dysfunction during systemic candidiasis by controlling microbes captured by splenic marginal zone (MZ) macrophages. In contrast, SIGNR1-mediated microbe capture accelerates MZ colonization and immune dysfunction by triggering T cell death, T cell-dependent chromatin release and the synergistic induction of G-CSF by histones and fungi. Histones and G-CSF promote the prevalence of immature Ly6Glow neutrophils with defective oxidative burst, by selectively shortening the lifespan of mature Ly6Ghigh neutrophils. Consistently, T cell deficiency, or blocking SIGNR1, G-CSF or histones delayed neutrophil dysfunction. Furthermore, histones and G-CSF in the plasma of sepsis patients, shortened neutrophil lifespan and correlated with neutrophil mortality markers associated with a poor prognosis. Hence, the compromise of internal antimicrobial barrier sites drives neutrophil dysfunction by selectively modulating neutrophil lifespan via pathogenic T cell death, extracellular histones, and G-CSF.
Publisher
Cold Spring Harbor Laboratory