IL-9 orchestrates MDSC expansion and inflammatory programming to amplify immunopathology during experimental cerebral

Pronabesh Ghosh1, Soubhik Ghosh2, Poulomi Khamaru1

  • 1Immunology Lab, Department of Zoology, University of Calcutta, 35, Ballygunge Circular Road, Kolkata, 700019, India.

Insights

Interleukin-9 (IL-9) drives myeloid-derived suppressor cells (MDSCs) and exacerbates experimental cerebral malaria (ECM). Blocking IL-9 or depleting MDSCs improves survival, revealing a crucial IL-9-MDSC feedback loop in disease pathogenesis.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Pathogenesis

Background:

  • Cerebral malaria (CM) pathogenesis is studied in rodent models using Plasmodium berghei ANKA (PbA).
  • The role of T helper 9 (Th-9) cells and their regulation of immune cells like myeloid-derived suppressor cells (MDSCs) in CM remains unclear.
  • Understanding these interactions is crucial for determining disease burden.

Purpose of the Study:

  • To investigate how IL-9 influences the immune-metabolic state of MDSCs.
  • To elucidate the positive feedback mechanism between MDSCs and Th-9 cells in experimental cerebral malaria (ECM).
  • To identify key factors controlling Th-9 differentiation during PbA infection.

Main Methods:

  • Experimental rodent models of cerebral malaria (ECM) infected with Plasmodium berghei ANKA (PbA).
  • In vivo neutralization of IL-9 and depletion of MDSCs.
  • Analysis of immune cell populations (Th-9, MDSCs, macrophages, dendritic cells), their phenotypes, and cytokine secretion (IL-1β).

Main Results:

  • IL-9 promoted MDSC expansion, proliferation (particularly PMN-MDSCs), and pro-inflammatory phenotype.
  • IL-9 induced inflammatory phenotypes in macrophages and dendritic cells, worsening immunopathology and host morbidity.
  • Neutralizing IL-9 reduced ECM pathology and increased survival; depleting MDSCs decreased Th-9 populations and function, indicating a feedback loop.
  • MDSC-derived IL-1β was identified as a key factor controlling Th-9 differentiation.

Conclusions:

  • IL-9 plays a significant role in modulating the host immune response during ECM.
  • A positive feedback loop exists between IL-9, MDSCs, and Th-9 cells, contributing to disease pathogenesis.
  • Blocking IL-9 presents a potential therapeutic strategy for managing experimental cerebral malaria.