The mammalian immune system displays marked changes in both innate and adaptive immune regulation following severe injury. These injury-induced changes disrupt immune system homeostasis leaving the injured host susceptible to developing infections or excessive inflammatory responses. Advances in our understanding of how injury influences the immune system suggest that severe injury provokes opposing phenotypic effects on cells of the innate and adaptive immune system. This project will test the hypothesis that specific interactions between cells and stimuli of the innate and adaptive immune systems bias the outcome of adaptive immune responses following severe injury. This overall hypothesis will be addressed by the following specific aims: 1. To explore the cellular components underlying the enhanced T-helper 2 (Th2)-type and suppressed Th1-type T-cell response following burn injury. 2. To identify and characterize phenotypic changes in antigen presenting cell types in secondary lymphoid compartments following bum injury and to determine how these changes affect CD4+ T cell activation and differentiation processes. 3. To study the mechanism(s) of action of immunotherapies shown to prevent injury-induced immune dysfunction and to investigate the influences of TLR agonist treatment on antigen-specific CD4+ T cell responses following bum injury. This research program will take advantage of state of the art in vivo approaches to uncover basic mechanisms responsible for altering host immunity following severe injury. An improved understanding of the cellular immune regulatory networks that are modulated following trauma will form the foundation for future research directions addressing this complex scientific and clinically relevant problem. It is hoped that the results of these studies will advance the development of treatments designed to prevent the development of immune system failure and infectious complications following severe injury.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Research Project (R01)
Project #
5R01GM057664-08
Application #
7122948
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Program Officer
Somers, Scott D
Project Start
1999-09-01
Project End
2008-08-31
Budget Start
2006-09-01
Budget End
2007-08-31
Support Year
8
Fiscal Year
2006
Total Cost
$343,740
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
Tajima, G; Delisle, A J; Hoang, K et al. (2013) Immune system phenotyping of radiation and radiation combined injury in outbred mice. Radiat Res 179:101-12
Hanschen, Marc; Tajima, Goro; O'Leary, Fionnuala et al. (2012) Phospho-flow cytometry based analysis of differences in T cell receptor signaling between regulatory T cells and CD4+ T cells. J Immunol Methods 376:1-12
Stoecklein, Veit M; Osuka, Akinori; Lederer, James A (2012) Trauma equals danger--damage control by the immune system. J Leukoc Biol 92:539-51
Osuka, Akinori; Hanschen, Marc; Stoecklein, Veit et al. (2012) A protective role for inflammasome activation following injury. Shock 37:47-55
MacConmara, Malcolm P; Tajima, Goro; O'Leary, Fionnuala et al. (2011) Regulatory T cells suppress antigen-driven CD4 T cell reactivity following injury. J Leukoc Biol 89:137-47
Hanschen, Marc; Tajima, Goro; O'Leary, Fionnuala et al. (2011) Injury induces early activation of T-cell receptor signaling pathways in CD4+ regulatory T cells. Shock 35:252-7
O'Leary, Fionnuala M; Tajima, Goro; Delisle, Adam J et al. (2011) Injury-induced GR-1+ macrophage expansion and activation occurs independently of CD4 T-cell influence. Shock 36:162-9
Fujimi, Satoshi; Lapchak, Peter H; Zang, Yan et al. (2009) Murine dendritic cell antigen-presenting cell function is not altered by burn injury. J Leukoc Biol 85:862-70
Mannick, J A; Rodrick, M L; Lederer, J A (2001) The immunologic response to injury. J Am Coll Surg 193:237-44
Kell, M R; Shelley, O; Mannick, J A et al. (2000) A central role for CD95 (Fas) in T-cell reactivity after injury. Surgery 128:159-64