Published online 9 October 2006. doi:10.1084/jem.20061462
© The Rockefeller University Press, 0022-1007
The Journal of Experimental Medicine
Resolution of a chronic viral infection after interleukin-10 receptor blockade
Mette Ejrnaes1,
Christophe M. Filippi1,
Marianne M. Martinic1,
Eleanor M. Ling1,
Lisa M. Togher1,
Shane Crotty2, and
Matthias G. von Herrath1
1 Immune Regulation Lab DI3 and 2 Division of Vaccine Discovery, La Jolla Institute for Allergy and Immunology, La Jolla, CA 92037
CORRESPONDENCE Matthias G. von Herrath: matthias{at}liai.org
A defining characteristic of persistent viral infections is the loss and functional inactivation of antiviral effector T cells, which prevents viral clearance. Interleukin-10 (IL-10) suppresses cellular immune responses by modulating the function of T cells and antigen-presenting cells. In this paper, we report that IL-10 production is drastically increased in mice persistently infected with lymphocytic choriomeningitis virus. In vivo blockade of the IL-10 receptor (IL-10R) with a neutralizing antibody resulted in rapid resolution of the persistent infection. IL-10 secretion was diminished and interferon
production by antiviral CD8+ T cells was enhanced. In persistently infected mice, CD8
+ dendritic cell (DC) numbers declined early after infection, whereas CD8
DC numbers were not affected. CD8
DCs supported IL-10 production and subsequent dampening of antiviral T cell responses. Therapeutic IL-10R blockade broke the cycle of IL-10mediated immune suppression, preventing IL-10 priming by CD8
DCs and enhancing antiviral responses and thereby resolving infection without causing immunopathology.
Abbreviations used: BFA, Brefeldin A; HCV, hepatitis C virus; LCMV, lymphocytic choriomeningitis virus; PD-1, programmed death 1 receptor; TLR, Toll-like receptor.
M. Ejrnaes, C.M. Filippi, and M.M. Martinic contributed equally to this paper.

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