Th2 immune responses are associated with atopic disease, such as allergy and asthma, as well as enteric nematode infection. It is well known that Th2 cytokines regulate expansion of Th1 cytokines and vice versa to maintain homeostasis in vivo and the imbalance between the Th1 and Th2 profiles is implicated in a number of gastrointestinal pathologies. Recent reports propose a role for Th2 cytokines in pathogenesis of inflammatory bowel diseases with dysregulation of IL-13 emerging as a key factor in the development of chronic mucosal inflammation in animal models (
17,
18). This further emphasizes the importance of determining the mechanisms involved in the regulation of Th2 cytokine expression as well as the role of their receptors in biological effects of Th2 cytokines on gut function.
N. brasiliensis is a well-studied enteric nematode parasite that induces polarized Th2 responses characterized by elevation of IgE and Th2 cytokines such as IL-4, IL-5, and IL-13. IL-4 and IL-13 share receptor components, in part, and their biological effects are linked to STAT6 signaling. IL-13, IL-4R
α, and STAT6 are all required for the expulsion of
N. brasiliensis (
1). In this study, we showed for the first time that IL-13R
α2 has a constitutive role in the regulation of the effects of IL-13 on intestinal epithelial function. In addition, we observed that the IL-13R
α2 contributes to the development of Th2-mediated immunity as well as to the control of the biological effects of IL-13 on intestinal function.
There are a number of cytokines with soluble receptors that act as agonists or antagonists to attenuate or promote cytokine signaling and to regulate inflammation and immunity (
9,
19,
20). There is considerable evidence that IL-13R
α2 acts as a decoy receptor. There are also reports that in the presence of TNF-
α, IL-13 binding to IL-13R
α2 signals though AP-1 to increase TGF-
β1 expression in monocytes and macrophages and promote fibrosis (
7). In the current study, IL-13R
α2 gene expression was highly up-regulated in
N. brasiliensis-infected WT mice and was dependent on both IL-13 and STAT6, but not IL-4. Previous studies report that both IL-4 and IL-13 increased levels of IL-13R
α2 based on studies using exogenous IL-4 or IL-13 in WT, IL-4R
α−/−, and STAT6
−/− mice (
8,
20). In the present study, we used whole intestinal tissue from WT and mice deficient in IL-4, IL-13, and STAT6 genes to study IL-13R
α2 gene expression. Although we found that IL-13R
α2 was independent of IL-4 gene expression, the requirement for STAT6 is consistent with the requirement of an intact type 2 IL-4R for
N. brasiliensis-induced up-regulation of IL-13R
α2 in the small intestine. We did not find evidence for IL-13R
α2-dependent TGF-
β1 gene expression because the increased bioavailability of IL-13 in both uninfected and
N. brasiliensis-infected IL-13R
α2
−/− mice did not lead to changes in TGF-
β1 compared with levels induced in WT mice. This is consistent with previous reports showing that IL-13 can induce liver fibrosis independently of TGF-
β (
21).
We demonstrated previously the location and distribution of Th2 cytokine receptors expressed in intact gastrointestinal tract using LCM (
10). Although IL-13 is known to be essential for worm expulsion, infection-induced changes in the distribution and expression of Th2 cytokine receptors in the gut tissues are not known. The IL-13R
α1-binding chain forms a high-affinity receptor for IL-13 when coexpressed with IL-4-R
α. IL-4R
α gene expression was up-regulated in whole tissue, but not in structural cells, suggesting that the increased expression is attributed to the type 1 receptor in hematopoietic cells. Infection with
N. brasiliensis significantly down-regulated IL-13R
α1 gene expression in whole tissue as well in smooth muscle, but expression was unaltered in epithelial cells. We showed previously that there is a regional- and cell-specific distribution of IL-13R
α2 along the gut with a constitutive expression only in smooth muscle (
10). Infection markedly increased IL-13R
α2 expression in smooth muscle cells while there was no IL-13R
α2 expression detected in epithelial cells, even after infection. Receptor expression, therefore, is important to the coordination and localization of the immune response and the biological activity of IL-13. The infection-induced changes in IL-13
α1 receptor expression may serve to limit the effects of IL-13 acting at the type 2 IL-4R to avoid exaggerated responses. Simultaneously, the increase in IL-13R
α2 expression serves to limit the biological availability of IL-13 to exert its effects through the IL-13R
α1. These changes appear to be particularly important for regulating the effects of IL-13 on smooth muscle, confining the activity to this cell type, and/or sequestering IL-13 away from other cells such as epithelial cells.
We showed earlier that there was a increased contractility to acetylcholine in IL-13R
α2
−/− mice, indicating that the receptor has a constitutive role in limiting the effects of IL-13 on intestinal and colonic smooth muscle contractility (
10). Of interest is the exclusive expression of IL-13R
α2 in smooth muscle during
N. brasiliensis infection, suggesting a specific need to regulate the biological effects of IL-13 in this cell type. When compared with WT,
N. brasiliensis-infected IL-13R
α2
−/− mice exhibited an earlier increase of contractility to both acetylcholine and nerve stimulation that is consistent with an increased availability of IL-13. This demonstrated that IL-13R
α2 plays a major role controlling the effects of IL-13 on smooth muscle function both constitutively and during a gastrointestinal nematode infection.
Nematode infection also induces stereotypic STAT6-dependent changes in epithelial cell function including increased mucosal permeability and inhibition of sodium-linked glucose absorption (
16,
22). This impaired resistance and absorption contribute to the net increase in intraluminal fluid that helps facilitate worm expulsion. IL-13 has been identified as a critical effector cytokine for epithelial permeability in inflammatory bowel disease (
23). The increased availability of IL-13 in IL-13R
α2
−/− mice resulted in a constitutive decrease in tissue resistance in the small intestine, but not in the colon, indicating a regional specificity of IL-13. The lack of an effect of IL-13 on colonic mucosal permeability in vivo is at odds with previous data showing that IL-13 impaired epithelial barrier function in the HT29 colorectal cancer cell line (
18). This is likely due to differences in the effects of IL-13 in an integrated explanted tissue system with multiple cell types vs monolayer cell cultures or that colonic cells may not act like small intestinal cells, which exhibit a marked decrease in resistance in response to IL-13 (
15). The significant decrease in resistance and glucose absorption in the small intestine of control IL-13R
α2
−/− mice indicate that increased availability of IL-13 markedly affects epithelial function. This is important given the proposed role of soluble IL-13R
α2 as a mechanism to localize the effects of IL-13 to the site of secretion (
20) or to provide a reservoir for IL-13 that may extend the duration of its activity.
N. brasiliensis induces a strong Th2 response and it is known that IL-13 and IL-4 contribute to expulsion of worms. In the present study, IL-13 gene expression was highly up-regulated compared with IL-4, consistent with the higher IL-13 production reported in other infections (
24). In contrast, expression of both IL-4 and IL-13 were markedly lower in mice lacking the IL-13R
α2, supporting a role for this receptor in controlling the Th2 immune response. The increased availability of IL-13 in the absence of IL-13R
α2 may act to “jump start” the immune response evidenced by the earlier onset and greater intensity of the physiological responses of structural cells in the intestine. Surprisingly, this did not coincide with changes in larval migration to the intestine at day 7 after inoculation or earlier worm expulsion from the intestine. The attenuated IL-4 and IL-13 expression in IL-13R
α2
−/− mice in response to infection, however, suggests that the constitutively elevated levels of IL-13 cytokines impact both the timing and/or magnitude of the Th2 response to
N. brasiliensis infection even if worm expulsion is not markedly altered. These results differ from the dominant role of IL-13R
α2 in limiting the IL-13-mediated pathological responses of IL-13 in
S. mansoni infection (
8), suggesting that increased availability of IL-13 in
N. brasiliensis infection primarily augments IL-13 effector functions. Nevertheless, persistent and increased intraluminal fluid and decreased glucose absorption following nematode infection of the intestine in IL-13R
α2
−/− mice would likely compromise the longer term nutritional and metabolic activity of these mice compared with intact mice that more quickly sequester IL-13 following its contribution to worm expulsion and resume normal nutrient absorption.
In conclusion, Th2 cytokines and their receptors are important for the orchestration of cytokine effects on structural cells that play a key role in host defense. IL-13Rα2 gene expression was dependent on both IL-13 and STAT6, but not on IL-4 gene expression. The absence of the IL-13Rα2 blunted the up-regulation of both IL-4 and IL-13 gene expression, demonstrating that the increased availability of IL-13 can influence the timing as well as the magnitude of the IL-13-mediated actions on effector cells without altering larval migration and worm clearance. The specific expression of IL-13Rα2 in smooth muscle in both uninfected and N. brasiliensis-infected mice emphasized the important role of controlling IL-13 activity given its marked effects on smooth muscle and its role in fibrosis. IL-13Rα2 could have therapeutic importance because it could regulate IL-13-dependent effects on allergy or several inflammatory diseases. The present study is the first to demonstrate changes in both the expression and distribution of Th2 cytokines and their receptors that can be linked to N. brasiliensis-induced alterations in gut function.