Interleukin-5 (IL-5) augments the progression of liver fibrosis by regulating IL-13 activity

Infect Immun. 2006 Mar;74(3):1471-9. doi: 10.1128/IAI.74.3.1471-1479.2006.

Abstract

Eosinophils are frequently found in increased numbers in a variety of chronic fibrotic diseases; however, their role in the development of hepatic fibrosis has not been dissected in vivo. Here, we used interleukin-5 (IL-5) knockout (KO) mice to determine whether eosinophils contribute to the progressive liver fibrosis that develops in response to chronic Schistosoma mansoni infection. Although infection intensities were similar in C57BL/6 and IL-5 KO mice, the average size of granulomas was significantly smaller in both acutely and chronically infected IL-5 KO mice. Their granulomas were also completely devoid of eosinophils. In addition, the knockout mice displayed over a 40% reduction in hepatic fibrosis by week 16 postinfection. The reduced fibrosis was associated with increased production of the antifibrotic cytokine gamma interferon. Moreover, although IL-13 production did not decrease consistently in the absence of IL-5, IL-13-triggered responses were substantially reduced in the granulomatous tissues. This was confirmed by analyzing the expression of several genes associated with alternative macrophage activation, including arginase 1, Fizz-1, and YM-1. Importantly, all of these IL-13-regulated genes have been linked with the mechanisms of wound healing and fibrosis. In addition to IL-5 polarizing the antigen-specific CD4+ Th2 cell response, we found that granuloma eosinophils were themselves a significant source of IL-13. Thus, by producing profibrotic mediators and polarizing the Th2 response, these findings illustrate both direct and indirect roles for eosinophils and IL-5 in the pathogenesis of schistosomiasis-induced liver fibrosis. Thus, inhibiting the activity of IL-5 or eosinophils may prove effective for a variety of chronic fibrotic diseases.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Animals
  • Disease Progression
  • Eosinophils / pathology*
  • Granuloma / genetics
  • Granuloma / immunology*
  • Granuloma / parasitology
  • Granuloma / pathology
  • Interleukin-13 / antagonists & inhibitors
  • Interleukin-13 / metabolism*
  • Interleukin-5 / deficiency
  • Interleukin-5 / physiology*
  • Liver Cirrhosis / pathology*
  • Liver Diseases, Parasitic / physiopathology
  • Liver Diseases, Parasitic / prevention & control
  • Mice
  • Mice, Inbred C57BL
  • Th1 Cells / immunology*
  • Th1 Cells / metabolism

Substances

  • Interleukin-13
  • Interleukin-5