Type I interferon-driven susceptibility to Mycobacterium tuberculosis is mediated by IL-1Ra

DX Ji, LH Yamashiro, KJ Chen, N Mukaida… - Nature …, 2019 - nature.com
DX Ji, LH Yamashiro, KJ Chen, N Mukaida, I Kramnik, KH Darwin, RE Vance
Nature microbiology, 2019nature.com
Abstract The bacterium Mycobacterium tuberculosis (Mtb) causes tuberculosis and is
responsible for more human mortality than any other single pathogen. Progression to active
disease occurs in only a fraction of infected individuals and is predicted by an elevated type I
interferon (IFN) response,,,,–. Whether or how IFNs mediate susceptibility to Mtb has been
difficult to study due to a lack of suitable mouse models,,,,–. Here, we examined B6. Sst1 S
congenic mice that carry the 'susceptible'allele of the Sst1 locus that results in exacerbated …
Abstract
The bacterium Mycobacterium tuberculosis (Mtb) causes tuberculosis and is responsible for more human mortality than any other single pathogen. Progression to active disease occurs in only a fraction of infected individuals and is predicted by an elevated type I interferon (IFN) response, , , , –. Whether or how IFNs mediate susceptibility to Mtb has been difficult to study due to a lack of suitable mouse models, , , , –. Here, we examined B6.Sst1S congenic mice that carry the ‘susceptible’ allele of the Sst1 locus that results in exacerbated Mtb disease, –. We found that enhanced production of type I IFNs was responsible for the susceptibility of B6.Sst1S mice to Mtb. Type I IFNs affect the expression of hundreds of genes, several of which have previously been implicated in susceptibility to bacterial infections,,, , –. Nevertheless, we found that heterozygous deficiency in just a single IFN target gene, Il1rn, which encodes interleukin-1 receptor antagonist (IL-1Ra), is sufficient to reverse IFN-driven susceptibility to Mtb in B6.Sst1S mice. In addition, antibody-mediated neutralization of IL-1Ra provided therapeutic benefit to Mtb-infected B6.Sst1S mice. Our results illustrate the value of the B6.Sst1S mouse to model IFN-driven susceptibility to Mtb, and demonstrate that IL-1Ra is an important mediator of type I IFN-driven susceptibility to Mtb infections in vivo.
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