IL-13 receptor α 2 down-modulates granulomatous inflammation and prolongs host survival in schistosomiasis

MM Mentink-Kane, AW Cheever… - Proceedings of the …, 2004 - National Acad Sciences
MM Mentink-Kane, AW Cheever, RW Thompson, DM Hari, NB Kabatereine, BJ Vennervald
Proceedings of the National Academy of Sciences, 2004National Acad Sciences
An important feature of many chronic parasitic infections is the ability of the invading
pathogen and host to establish a compromise, which ensures successful parasitism without
killing the infected host. For many helminth infections, down-modulating the immune
response is critical because persistent inflammation can become more damaging to the host
than the invading pathogen itself. Such is the case with schistosomiasis mansoni, where
chronic granulomatous inflammation in the liver causes portal hypertension, porto …
An important feature of many chronic parasitic infections is the ability of the invading pathogen and host to establish a compromise, which ensures successful parasitism without killing the infected host. For many helminth infections, down-modulating the immune response is critical because persistent inflammation can become more damaging to the host than the invading pathogen itself. Such is the case with schistosomiasis mansoni, where chronic granulomatous inflammation in the liver causes portal hypertension, porto-pulmonary shunting, bleeding from collateral bypass vessels, and eventual death if not suppressed effectively. CD4+ T helper type 2 cells (Th2) (secreting IL-4, IL-5, and IL-13) characterize the host response after Schistosoma mansoni infection, and recent studies have identified IL-13 as the principal mediator of hepatic fibrosis. Here, we show that the IL-13 receptor α 2 (IL-13Rα2) is a critical mediator of immune down-modulation, identifying the receptor as a life-sustaining off signal for chronic and pernicious inflammation in schistosomiasis.
National Acad Sciences