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Targeting Cytokines to Regulate Host Disease Tolerance to Clostridioides difficile Infection
Targeting Cytokines to Regulate Host Disease Tolerance to Clostridioides difficile Infecti...
Targeting Cytokines to Regulate Host Disease Tolerance to Clostridioides difficile Infection

상세정보

자료유형  
 학위논문 서양
최종처리일시  
20260202103702
ISBN  
9798293802036
DDC  
616.079
저자명  
Mears, Kevin Stanton.
서명/저자  
Targeting Cytokines to Regulate Host Disease Tolerance to Clostridioides difficile Infection
발행사항  
[Sl] : University of Pennsylvania, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
163 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
주기사항  
Advisor: Abt, Michael C.
학위논문주기  
Thesis (Ph.D.)--University of Pennsylvania, 2025.
초록/해제  
요약As the leading cause of hospital-associated infections, Clostridioides difficile is a serious public health concern. The host immune response is a major determinant of disease outcome, and previous works have identified specific components of the immune response that protect against disease or drive pathology. Cytokines are central to the regulation of the immune system and have been targeted for therapies in autoimmunity and oncology. Interleukin (IL)-22 promotes epithelial regeneration in colitis models, and previous works have shown that IL-22 is protective against C. difficile infection by enhancing complement-mediated clearance of disseminating bacteria and promoting the growth of commensal bacteria that outcompete C. difficile for nutrients. Interferon lambda (IFN-λ) plays an important role in regulating immune responses at barrier sites, and recent works have shown that it is also protective in colitis models by promoting intestinal stem cell proliferation and regulating the inflammatory response. In this dissertation, we investigated the potential for therapeutic benefit of IL-22 induction by toll-like receptor 7 (TLR7) stimulation and additionally explored the role for IFN-λ signaling in the protection against C. difficile infection. We found that oral administration of the TLR7 agonist R848 mitigated disease following C. difficile infection by stimulating the production of IL-22 from innate lymphoid cells (ILCs). This led to increased proliferation of intestinal stem cells, reducing toxin-mediated intestinal damage and limiting the systemic dissemination of C. difficile toxin. We also identified a critical role for IFN-λ signaling in regulating the immune response to C. difficile infection. Together, our results demonstrate the utility of targeting protective cytokines for immunomodulation to combat C. difficile infection.
일반주제명  
Immunology
일반주제명  
Microbiology
일반주제명  
Pathology
키워드  
Colitis models
키워드  
Cytokine
키워드  
Disease tolerance
키워드  
Infection
키워드  
Mucosal immunity
기타저자  
University of Pennsylvania Cell and Molecular Biology
기본자료저록  
Dissertations Abstracts International. 87-03B.
전자적 위치 및 접속  
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MARC

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■020    ▼a9798293802036
■035    ▼a(MiAaPQ)AAI32112984
■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a616.079
■1001  ▼aMears,  Kevin  Stanton.
■24510▼aTargeting  Cytokines  to  Regulate  Host  Disease  Tolerance  to  Clostridioides  difficile  Infection
■260    ▼a[Sl]▼bUniversity  of  Pennsylvania▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a163  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-03,  Section:  B.
■500    ▼aAdvisor:  Abt,  Michael  C.
■5021  ▼aThesis  (Ph.D.)--University  of  Pennsylvania,  2025.
■520    ▼aAs  the  leading  cause  of  hospital-associated  infections,  Clostridioides  difficile  is  a  serious  public  health  concern.  The  host  immune  response  is  a  major  determinant  of  disease  outcome,  and  previous  works  have  identified  specific  components  of  the  immune  response  that  protect  against  disease  or  drive  pathology.  Cytokines  are  central  to  the  regulation  of  the  immune  system  and  have  been  targeted  for  therapies  in  autoimmunity  and  oncology.  Interleukin  (IL)-22  promotes  epithelial  regeneration  in  colitis  models,  and  previous  works  have  shown  that  IL-22  is  protective  against  C.  difficile  infection  by  enhancing  complement-mediated  clearance  of  disseminating  bacteria  and  promoting  the  growth  of  commensal  bacteria  that  outcompete  C.  difficile  for  nutrients.  Interferon  lambda  (IFN-λ)  plays  an  important  role  in  regulating  immune  responses  at  barrier  sites,  and  recent  works  have  shown  that  it  is  also  protective  in  colitis  models  by  promoting  intestinal  stem  cell  proliferation  and  regulating  the  inflammatory  response.  In  this  dissertation,  we  investigated  the  potential  for  therapeutic  benefit  of  IL-22  induction  by  toll-like  receptor  7  (TLR7)  stimulation  and  additionally  explored  the  role  for  IFN-λ  signaling  in  the  protection  against  C.  difficile  infection.  We  found  that  oral  administration  of  the  TLR7  agonist  R848  mitigated  disease  following  C.  difficile  infection  by  stimulating  the  production  of  IL-22  from  innate  lymphoid  cells  (ILCs).  This  led  to  increased  proliferation  of  intestinal  stem  cells,  reducing  toxin-mediated  intestinal  damage  and  limiting  the  systemic  dissemination  of  C.  difficile  toxin.  We  also  identified  a  critical  role  for  IFN-λ  signaling  in  regulating  the  immune  response  to  C.  difficile  infection.  Together,  our  results  demonstrate  the  utility  of  targeting  protective  cytokines  for  immunomodulation  to  combat  C.  difficile  infection.
■590    ▼aSchool  code:  0175.
■650  4▼aImmunology
■650  4▼aMicrobiology
■650  4▼aPathology
■653    ▼aColitis  models
■653    ▼aCytokine
■653    ▼aDisease  tolerance
■653    ▼aInfection
■653    ▼aMucosal  immunity
■690    ▼a0982
■690    ▼a0410
■690    ▼a0571
■71020▼aUniversity  of  Pennsylvania▼bCell  and  Molecular  Biology.
■7730  ▼tDissertations  Abstracts  International▼g87-03B.
■790    ▼a0175
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358227▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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