Evidence map›Paper›PMID 40138315›Full record

ArticleCell reports2025

Therapeutic activation of IL-22-producing innate lymphoid cells enhances host defenses to Clostridioides difficile infection.

Kevin S Mears, Joshua E Denny, Jeffrey R Maslanka, Nontokozo V Mdluli, Ellie N Hulit, Rina Matsuda, Emma E Furth, Charlie G Buffie, Michael C Abt

Abstract read
In one paragraph

Article in Cell reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Building and regenerating intestines by manipulating intestinal stem cells.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  3. Early-life colonization withScience (New York, N.Y.) · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Intestinal IL-22RA1 signaling regulatesFrontiers in microbiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kevin S MearsDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Joshua E DennyDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Jeffrey R MaslankaDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Nontokozo V MdluliDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Ellie N HulitDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Rina MatsudaDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, USA.
Emma E FurthDepartment of Pathology, University of Pennsylvania Medical Center, Philadelphia, PA, USA.
Charlie G BuffieLaboratory of Genetically Encoded Small Molecules, The Rockefeller University, New York, NY, USA.
Michael C AbtDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Institute for Immunology and Immune Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: michael.abt@pennmedicine.upenn.edu.

Funding

TRANSGENIC AND CHIMERIC MOUSE COREP30DK050306 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI REBECCA G WELLS · 1997 to 2026
$32.5M
Investigating Immune-Microbiome interactions during treatment of Clostridioides difficile with fecal microbiome transplantationR01AI158830 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ABT, MICHAEL C. · 2021 to 2025
$2.4M
Immune regulation of the transcriptional and spatial profile of Clostridioides difficileR21AI164385 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ABT, MICHAEL C. · 2021 to 2022
$447k
Investigating the role of interferon lambda in protection against severe Clostridioides difficile infectionF31DK138546 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI MEARS, KEVIN STANTON · 2024 to 2025
$73k
NIAID NIH HHS R01 AI158830NIAID NIH HHS R21 AI164385NIDDK NIH HHS F31 DK138546NIDDK NIH HHS P30 DK050306
6 · The paper itself

Abstract

Clostridioides difficile causes debilitating colitis via secreted toxins that disrupt the intestinal barrier, and toxemia is associated with severe disease. Thus, therapies that fortify the intestinal barrier will reduce the severity of infection. Innate lymphoid cells (ILCs) are critical in the defense against acute C. difficile infection and represent a promising therapeutic target to limit disease. Here, we report that oral administration of the Toll-like receptor (TLR) 7 agonist R848 limits intestinal damage and protects mice from lethal C. difficile infection without impacting pathogen burden or altering the intestinal microbiome. R848 induced interleukin (IL)-22 secretion by ILCs, leading to STAT3 phosphorylation in the intestinal epithelium and increased stem cell proliferation. Genetic ablation of ILCs, IL-22, or epithelial-specific STAT3 abrogated R848-mediated protection. R848 reduced intestinal permeability following infection and limited systemic toxin dissemination. Combined, these data identify an immunostimulatory molecule that activates IL-22 production in ILCs to enhance host tissue defenses following C. difficile infection.

Indexed as

Clostridioides difficileClostridium InfectionsImmunity, InnateInterleukinsLymphocytesAnimalsImidazolesInterleukin-22Intestinal MucosaMiceMice, Inbred C57BLSTAT3 Transcription FactorImidazolesInterleukin-22InterleukinsresiquimodSTAT3 Transcription FactorC. difficilecolitisCP: ImmunologyCP: Microbiologyimmunologyinfectioninnate immunityinnate lymphoid cellsinterleukin-22intestinal stem cellsmucosal repair

Identifiers

PMID40138315
PMCPMC12115236

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.