An IL-10/DEL-1 axis supports granulopoiesis and survival from sepsis in early life

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Eleni Vergadi - , University of Crete, Foundation for Research and Technology-Hellas (Author)
  • Ourania Kolliniati - , Foundation for Research and Technology-Hellas, University of Crete (Author)
  • Ioanna Lapi - , Foundation for Research and Technology-Hellas, University of Crete (Author)
  • Eleftheria Ieronymaki - , Foundation for Research and Technology-Hellas, University of Crete (Author)
  • Konstantina Lyroni - , Foundation for Research and Technology-Hellas, University of Crete (Author)
  • Vasileia Ismini Alexaki - , University Medicine (Faculty of Medicine and University Hospital), Institute of Clinical Chemistry and Laboratory Medicine, German Center for Diabetes Research (DZD e.V.) (Author)
  • Eleni Diamantaki - , University of Crete (Author)
  • Katerina Vaporidi - , University of Crete (Author)
  • Eleftheria Hatzidaki - , University of Crete (Author)
  • Helen A. Papadaki - , University of Crete (Author)
  • Emmanouil Galanakis - , University of Crete (Author)
  • George Hajishengallis - , University of Pennsylvania (Author)
  • Triantafyllos Chavakis - , University Medicine (Faculty of Medicine and University Hospital), Institute of Clinical Chemistry and Laboratory Medicine, German Center for Diabetes Research (DZD e.V.) (Author)
  • Christos Tsatsanis - , Foundation for Research and Technology-Hellas, University of Crete (Author)

Abstract

The limited reserves of neutrophils are implicated in the susceptibility to infection in neonates, however the regulation of neutrophil kinetics in infections in early life remains poorly understood. Here we show that the developmental endothelial locus (DEL-1) is elevated in neonates and is critical for survival from neonatal polymicrobial sepsis, by supporting emergency granulopoiesis. Septic DEL-1 deficient neonate mice display low numbers of myeloid-biased multipotent and granulocyte-macrophage progenitors in the bone marrow, resulting in neutropenia, exaggerated bacteremia, and increased mortality; defects that are rescued by DEL-1 administration. A high IL-10/IL-17A ratio, observed in newborn sepsis, sustains tissue DEL-1 expression, as IL-10 upregulates while IL-17 downregulates DEL-1. Consistently, serum DEL-1 and blood neutrophils are elevated in septic adult and neonate patients with high serum IL-10/IL-17A ratio, and mortality is lower in septic patients with high serum DEL-1. Therefore, IL-10/DEL-1 axis supports emergency granulopoiesis, prevents neutropenia and promotes sepsis survival in early life.

Details

Original languageEnglish
Article number680
JournalNature communications
Volume15
Issue number1
Publication statusPublished - Dec 2024
Peer-reviewedYes

External IDs

PubMed 38263289