Recent work from this and other laboratories supports the concept that serious injury drives the innate immune and adaptive immune systems in opposite directions. The innate immune system displays an increased pro-inflammatory phenotype, while cells of the adaptive immune system show a concomitant shift to a dominant counter-inflammatory phenotype. This imbalance in immune responses can predispose the seriously injured host to developing opportunistic infections and can result in excessive, life-threatening inflammatory reactivity against pathogens. We have recently reported that injury causes a significant upregulation of regulatory CD4 T cell (Treg) activity and that Tregs play an active role in controlling the development of enhanced innate immune system reactivity after injury. The central purpose of this project is to investigate the factors that influence Treg activity after injury and to provide a more thorough understanding of the role of Tregs in controlling the innate and adaptive immune response.
The specific aims will address the hypothesis that injury induces a Treg response that contributes to the development of post- injury immune suppression and that Tregs control the proinflammatory phenotype displayed by the innate immune system following injury. The project will use a well-established mouse model to study mechanisms responsible for changes in Tregs after injury and will include translational studies to identify changes in human Treg phenotype in critically-injured patients.
The specific aims of this project are: 1) To identify the pathways responsible for increased regulatory activity of Treg cells after injury. 2) To define the contribution of Tregs to host defenses and immune response regulation following injury. And 3) to determine the significance of Tregs in controlling the innate immune system reactivity after injury. The studies will use mice made deficient in Treg cells along with mice lacking CD4 T-cells to address the interplay between injury and the activation of Treg cells or conventional CD4 T-cells. Assays for measuring human Treg phenotype and function have been developed in our laboratory and will be used to determine if phenotypic changes in Tregs contributes to the development of post-injury complications. Relevance of this project to public health: The results of this research will advance our current understanding of how major injury alters immune system regulation. An improved understanding of the injury response will provide insight into the development of specific immune system enhancing or controlling drugs that could protect critically injured patients from developing secondary infections and complications that can occur after major trauma.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Research Project (R01)
Project #
5R01GM035633-23
Application #
7742603
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Program Officer
Somers, Scott D
Project Start
1985-02-01
Project End
2011-11-30
Budget Start
2009-12-01
Budget End
2011-11-30
Support Year
23
Fiscal Year
2010
Total Cost
$379,789
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
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
Byrne, William L; Mills, Kingston H G; Lederer, James A et al. (2011) Targeting regulatory T cells in cancer. Cancer Res 71:6915-20
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
Maung, Adrian A; Fujimi, Satoshi; MacConmara, Malcolm P et al. (2008) Injury enhances resistance to Escherichia coli infection by boosting innate immune system function. J Immunol 180:2450-8
Purcell, Elizabeth M; Dolan, Sinead M; Kriynovich, Sara et al. (2006) Burn injury induces an early activation response by lymph node CD4+ T cells. Shock 25:135-40

Showing the most recent 10 out of 52 publications