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IL-5 and IL-5Ra Act as Checkpoint Inhibitors in Regulating Neutrophil-Mediated Cytotoxicity after Lung Surgery

Mei, Zhongcheng
Leyder, Erica C.
Taheri, Mojtaba
Li, Dongge
Khalil, May
Banerjee, Anirban
Kratzmeier, Christina
Neschis, Michael
Lim, Isabelle
Kreisel, Daniel
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2025-05-04
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Pulmonary resection triggers complex immune responses that can lead to postoperative lung injury (PLI). While our previous work implicated eosinophils in postoperative mortality, the roles of interleukin-5 (IL-5) and its receptor IL-5Rα—therapeutic targets in eosinophilic disorders—remain unclear in this setting. In a murine model of PLI, we unexpectedly found that neutralization of IL-5 worsened survival. Further analysis revealed that a subset of neutrophils expressing IL-5Rα exhibited cytotoxic features and contributed to tissue damage. We identified granulocyte colonystimulating factor (G-CSF) as a key upstream driver of IL-5Rα⁺ neutrophil activation, whose cytotoxicity was suppressed in the presence of IL-5. These findings uncover a previously unrecognized IL-5–G-CSF axis that regulates postoperative inflammation and highlight new therapeutic opportunities to mitigate lung injury following surgery.

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IMMUNOLOGY2025 – The 108th Annual Meeting of the American Association of Immunologists. May 04, 2025.
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Attribution-NonCommercial-NoDerivatives 4.0 International
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