Basophils balance healing after myocardial infarction via IL-4/IL-13

F Sicklinger, IS Meyer, X Li, D Radtke… - The Journal of …, 2021 - Am Soc Clin Investig
F Sicklinger, IS Meyer, X Li, D Radtke, S Dicks, MP Kornadt, C Mertens, JK Meier, KJ Lavine
The Journal of Clinical Investigation, 2021Am Soc Clin Investig
The inflammatory response after myocardial infarction (MI) is a precisely regulated process
that greatly affects subsequent remodeling. Here, we show that basophil granulocytes
infiltrated infarcted murine hearts, with a peak occurring between days 3 and 7. Antibody-
mediated and genetic depletion of basophils deteriorated cardiac function and resulted in
enhanced scar thinning after MI. Mechanistically, we found that basophil depletion was
associated with a shift from reparative Ly6Clo macrophages toward increased numbers of …
The inflammatory response after myocardial infarction (MI) is a precisely regulated process that greatly affects subsequent remodeling. Here, we show that basophil granulocytes infiltrated infarcted murine hearts, with a peak occurring between days 3 and 7. Antibody-mediated and genetic depletion of basophils deteriorated cardiac function and resulted in enhanced scar thinning after MI. Mechanistically, we found that basophil depletion was associated with a shift from reparative Ly6Clo macrophages toward increased numbers of inflammatory Ly6Chi monocytes in the infarcted myocardium. Restoration of basophils in basophil-deficient mice by adoptive transfer reversed this proinflammatory phenotype. Cellular alterations in the absence of basophils were accompanied by lower cardiac levels of IL-4 and IL-13, two major cytokines secreted by basophils. Mice with basophil-specific IL-4/IL-13 deficiency exhibited a similarly altered myeloid response with an increased fraction of Ly6Chi monocytes and aggravated cardiac function after MI. In contrast, IL-4 induction in basophils via administration of the glycoprotein IPSE/α-1 led to improved post-MI healing. These results in mice were corroborated by the finding that initially low counts of blood basophils in patients with acute MI were associated with a worse cardiac outcome after 1 year, characterized by a larger scar size. In conclusion, we show that basophils promoted tissue repair after MI by increasing cardiac IL-4 and IL-13 levels.
The Journal of Clinical Investigation