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Publication : Enteric pathogens induce tissue tolerance and prevent neuronal loss from subsequent infections.

First Author  Ahrends T Year  2021
Journal  Cell Volume  184
Issue  23 Pages  5715-5727.e12
PubMed ID  34717799 Mgi Jnum  J:317124
Mgi Id  MGI:6833927 Doi  10.1016/j.cell.2021.10.004
Citation  Ahrends T, et al. (2021) Enteric pathogens induce tissue tolerance and prevent neuronal loss from subsequent infections. Cell 184(23):5715-5727.e12
abstractText  The enteric nervous system (ENS) controls several intestinal functions including motility and nutrient handling, which can be disrupted by infection-induced neuropathies or neuronal cell death. We investigated possible tolerance mechanisms preventing neuronal loss and disruption in gut motility after pathogen exposure. We found that following enteric infections, muscularis macrophages (MMs) acquire a tissue-protective phenotype that prevents neuronal loss, dysmotility, and maintains energy balance during subsequent challenge with unrelated pathogens. Bacteria-induced neuroprotection relied on activation of gut-projecting sympathetic neurons and signaling via beta2-adrenergic receptors (beta2AR) on MMs. In contrast, helminth-mediated neuroprotection was dependent on T cells and systemic production of interleukin (IL)-4 and IL-13 by eosinophils, which induced arginase-expressing MMs that prevented neuronal loss from an unrelated infection located in a different intestinal region. Collectively, these data suggest that distinct enteric pathogens trigger a state of disease or tissue tolerance that preserves ENS number and functionality.
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