Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation

Abstract Interleukin-27 is a pleiotropic cytokine whose functions during bacterial infections remain controversial, and its role in patients with S. aureus osteomyelitis is unknown. To address this knowledge gap, we completed a clinical study and observed elevated serum IL-27 levels (20-fold higher,...

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Main Authors: Yugo Morita, Motoo Saito, Javier Rangel-Moreno, Anthony M. Franchini, John R. Owen, John C. Martinez, John L. Daiss, Karen L. de Mesy Bentley, Stephen L. Kates, Edward M. Schwarz, Gowrishankar Muthukrishnan
Format: Article
Language:English
Published: Nature Publishing Group 2022-08-01
Series:Bone Research
Online Access:https://doi.org/10.1038/s41413-022-00228-7
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author Yugo Morita
Motoo Saito
Javier Rangel-Moreno
Anthony M. Franchini
John R. Owen
John C. Martinez
John L. Daiss
Karen L. de Mesy Bentley
Stephen L. Kates
Edward M. Schwarz
Gowrishankar Muthukrishnan
author_facet Yugo Morita
Motoo Saito
Javier Rangel-Moreno
Anthony M. Franchini
John R. Owen
John C. Martinez
John L. Daiss
Karen L. de Mesy Bentley
Stephen L. Kates
Edward M. Schwarz
Gowrishankar Muthukrishnan
author_sort Yugo Morita
collection DOAJ
description Abstract Interleukin-27 is a pleiotropic cytokine whose functions during bacterial infections remain controversial, and its role in patients with S. aureus osteomyelitis is unknown. To address this knowledge gap, we completed a clinical study and observed elevated serum IL-27 levels (20-fold higher, P < 0.05) in patients compared with healthy controls. Remarkably, IL-27 serum levels were 60-fold higher in patients immediately following septic death than in uninfected patients (P < 0.05), suggesting a pathogenic role of IL-27. To test this hypothesis, we evaluated S. aureus osteomyelitis in WT and IL-27Rα−/− mice with and without exogenous IL-27 induction by intramuscular injection of rAAV-IL-27p28 or rAAV-GFP, respectively. We found that IL-27 was induced at the surgical site within 1 day of S. aureus infection of bone and was expressed by M0, M1 and M2 macrophages and osteoblasts but not by osteoclasts. Unexpectedly, exogenous IL-27p28 (~2 ng·mL−1 in serum) delivery ameliorated soft tissue abscesses and peri-implant bone loss during infection, accompanied by enhanced local IL-27 expression, significant accumulation of RORγt+ neutrophils at the infection site, a decrease in RANK+ cells, and compromised osteoclast formation. These effects were not observed in IL-27Rα−/− mice compared with WT mice, suggesting that IL-27 is dispensable for immunity but mediates redundant immune and bone cell functions during infection. In vitro studies and bulk RNA-seq of infected tibiae showed that IL-27 increased nos1, nos2, il17a, il17f, and rorc expression but did not directly stimulate chemotaxis. Collectively, these results identify a novel phenomenon of IL-27 expression by osteoblasts immediately following S. aureus infection of bone and suggest a protective role of systemic IL-27 in osteomyelitis.
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spelling doaj.art-225a91035f104c71992dd36009af973e2022-12-22T03:05:49ZengNature Publishing GroupBone Research2095-62312022-08-0110111210.1038/s41413-022-00228-7Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activationYugo Morita0Motoo Saito1Javier Rangel-Moreno2Anthony M. Franchini3John R. Owen4John C. Martinez5John L. Daiss6Karen L. de Mesy Bentley7Stephen L. Kates8Edward M. Schwarz9Gowrishankar Muthukrishnan10Center for Musculoskeletal Research, University of Rochester Medical CenterCenter for Musculoskeletal Research, University of Rochester Medical CenterDivision of Allergy, Immunology and Rheumatology, Department of Medicine, University of Rochester Medical CenterDepartment of Environmental Medicine, University of Rochester School of Medicine and DentistryDepartment of Orthopedic Surgery, Virginia Commonwealth UniversityCenter for Musculoskeletal Research, University of Rochester Medical CenterCenter for Musculoskeletal Research, University of Rochester Medical CenterCenter for Musculoskeletal Research, University of Rochester Medical CenterDepartment of Orthopedic Surgery, Virginia Commonwealth UniversityCenter for Musculoskeletal Research, University of Rochester Medical CenterCenter for Musculoskeletal Research, University of Rochester Medical CenterAbstract Interleukin-27 is a pleiotropic cytokine whose functions during bacterial infections remain controversial, and its role in patients with S. aureus osteomyelitis is unknown. To address this knowledge gap, we completed a clinical study and observed elevated serum IL-27 levels (20-fold higher, P < 0.05) in patients compared with healthy controls. Remarkably, IL-27 serum levels were 60-fold higher in patients immediately following septic death than in uninfected patients (P < 0.05), suggesting a pathogenic role of IL-27. To test this hypothesis, we evaluated S. aureus osteomyelitis in WT and IL-27Rα−/− mice with and without exogenous IL-27 induction by intramuscular injection of rAAV-IL-27p28 or rAAV-GFP, respectively. We found that IL-27 was induced at the surgical site within 1 day of S. aureus infection of bone and was expressed by M0, M1 and M2 macrophages and osteoblasts but not by osteoclasts. Unexpectedly, exogenous IL-27p28 (~2 ng·mL−1 in serum) delivery ameliorated soft tissue abscesses and peri-implant bone loss during infection, accompanied by enhanced local IL-27 expression, significant accumulation of RORγt+ neutrophils at the infection site, a decrease in RANK+ cells, and compromised osteoclast formation. These effects were not observed in IL-27Rα−/− mice compared with WT mice, suggesting that IL-27 is dispensable for immunity but mediates redundant immune and bone cell functions during infection. In vitro studies and bulk RNA-seq of infected tibiae showed that IL-27 increased nos1, nos2, il17a, il17f, and rorc expression but did not directly stimulate chemotaxis. Collectively, these results identify a novel phenomenon of IL-27 expression by osteoblasts immediately following S. aureus infection of bone and suggest a protective role of systemic IL-27 in osteomyelitis.https://doi.org/10.1038/s41413-022-00228-7
spellingShingle Yugo Morita
Motoo Saito
Javier Rangel-Moreno
Anthony M. Franchini
John R. Owen
John C. Martinez
John L. Daiss
Karen L. de Mesy Bentley
Stephen L. Kates
Edward M. Schwarz
Gowrishankar Muthukrishnan
Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation
Bone Research
title Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation
title_full Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation
title_fullStr Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation
title_full_unstemmed Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation
title_short Systemic IL-27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation
title_sort systemic il 27 administration prevents abscess formation and osteolysis via local neutrophil recruitment and activation
url https://doi.org/10.1038/s41413-022-00228-7
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