T helper type 1 memory cells disseminate postoperative ileus over the entire intestinal tract英文文献.pdfVIP
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a r t i c l e s
T helper type 1 memory cells disseminate postoperative
ileus over the entire intestinal tract
1,4 2,4 2 1 1 1
Daniel R Engel , Arne Koscielny , Sven Wehner , Juliane Maurer , Marzena Schiwon , Lars Franken ,
1 1 3 2 1 2
Beatrix Schumak , Andreas Limmer , Tim Sparwasser , Andreas Hirner , Percy A Knolle , Jörg C Kalff
Christian Kurts1
. Localized abdominal surgery can lead to disruption of motility in the entire gastrointestinal tract (postoperative ileus). Intestinal
d macrophages produce mediators that paralyze myocytes, but it is unclear how the macrophages are activated, especially those in
e
v + +
r unmanipulated intestinal areas. Here we show that intestinal surgery activates intestinal CD103 CD11b dendritic cells (DCs)
e
s +
e to produce interleukin-12 (IL-12). This promotes interferon-γ (IFN-γ) secretion by CCR9 memory T helper type 1 (TH1) cells
r
s which activates the macrophages. IL-12 also caused some TH1 cells to migrate from surgically manipulated sites through the
t bloodstream to unmanipulated intestinal areas where they induced ileus. Preventing T cell migration with the drug FTY720 or
h
g
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