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Blood, 14 May 2009, Vol. 113, No. 20, pp. 4930-4941.
Prepublished online as a Blood First Edition Paper on March 13, 2009; DOI 10.1182/blood-2008-06-161414.
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Submitted June 5, 2008
Accepted March 2, 2009
Targeted deletion of tumor suppressor PTEN augments neutrophil function and enhances host defense in neutropenia-associated pneumonia
Yitang Li, Yonghui Jia, Muriel Pichavant, Fabien Loison, Bara Sarraj, Anongnard Kasorn, Jian You, Bryanne E. Robson, Dale T. Umetsu, Joseph P. Mizgerd, Keqiang Ye, and Hongbo R. Luo*
Department of Pathology, Harvard Medical School, Dana-Farber/Harvard Cancer Center, Department of Lab Medicine, Children's Hospital Boston, Boston, MA, United States
Department of Immunology, Children's Hospital Boston and Harvard Medical School, Boston, MA, United States
Molecular and Integrative Physiological Sciences, Harvard School of Public Health, Boston, MA, United States
Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, United States
* Corresponding author; email: hongbo.luo{at}childrens.harvard.edu.
Neutropenia and related infections are the most important dose-limiting toxicities in anti-cancer chemotherapy and radiotherapy. In this study, we explored a new strategy for augmenting host defense in neutropenia-related pneumonia. PtdIns(3,4,5)P3 signaling in neutrophils was elevated by depleting PTEN, a phosphatidylinositol 3'-phosphatase that hydrolyzes PtdIns(3,4,5)P3. In myeloid-specific PTEN-knockout mice, significantly more neutrophils were recruited to the inflamed lungs during neutropenia-associated pneumonia. Using an adoptive transfer technique, we demonstrated that this enhancement could be caused directly by PTEN depletion in neutrophils. In addition, disruption of PTEN increased the recruitment of macrophages and elevated pro-inflammatory cytokines/chemokine levels in the inflamed lungs, which could also be responsible for the enhanced neutrophil recruitment. Depleting PTEN also significantly delayed apoptosis and enhanced the bacteria-killing capability of the recruited neutrophils. Finally, we provide direct evidence that enhancement of neutrophil function by elevating PtdIns(3,4,5)P3 signaling can alleviate pneumonia-associated lung damage and decrease pneumonia-elicited mortality. Collectively, these results not only provide insight into the mechanism of action of PTEN and PtdIns(3,4,5)P3 signaling pathway in modulating neutrophil function during lung infection and inflammation, but also establish PTEN and related pathways as potential therapeutic targets for treating neutropenia-associated pneumonia.

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