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Induction of IL-10-producing type 2 innate lymphoid cells by allergen immunotherapy is associated with clinical response

  • Korneliusz Golebski
  • , Janice A. Layhadi
  • , Umit Sahiner
  • , Esther H. Steveling-Klein
  • , Madison M. Lenormand
  • , Rachael C.Y. Li
  • , Suzanne M. Bal
  • , Balthasar A. Heesters
  • , Gemma Vilà-Nadal
  • , Oliver Hunewald
  • , Guillem Montamat
  • , Feng Q. He
  • , Markus Ollert
  • , Oleksandra Fedina
  • , Mongkol Lao-Araya
  • , Susanne J.H. Vijverberg
  • , Anke Hilse Maitland-van der Zee
  • , Cornelis M. van Drunen
  • , Wytske J. Fokkens
  • , Stephen R. Durham
  • Hergen Spits*, Mohamed H. Shamji
*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

240 Citations (Scopus)

Abstract

The role of innate immune cells in allergen immunotherapy that confers immune tolerance to the sensitizing allergen is unclear. Here, we report a role of interleukin-10-producing type 2 innate lymphoid cells (IL-10+ ILC2s) in modulating grass-pollen allergy. We demonstrate that KLRG1+ but not KLRG1 ILC2 produced IL-10 upon activation with IL-33 and retinoic acid. These cells attenuated Th responses and maintained epithelial cell integrity. IL-10+ KLRG1+ ILC2s were lower in patients with grass-pollen allergy when compared to healthy subjects. In a prospective, double-blind, placebo-controlled trial, we demonstrated that the competence of ILC2 to produce IL-10 was restored in patients who received grass-pollen sublingual immunotherapy. The underpinning mechanisms were associated with the modification of retinol metabolic pathway, cytokine-cytokine receptor interaction, and JAK-STAT signaling pathways in the ILCs. Altogether, our findings underscore the contribution of IL-10+ ILC2s in the disease-modifying effect by allergen immunotherapy.

Original languageEnglish
Pages (from-to)291-307.e7
JournalImmunity
Volume54
Issue number2
DOIs
Publication statusPublished - 9 Feb 2021

Keywords

  • IL-10
  • KLRG1
  • allergen specific immunotherapy
  • allergy
  • group 2 innate lymphoid cells
  • immunotherapy
  • innate lymphoid cells
  • plasticity
  • retinoic acid

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