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Gut-Residing Segmented Filamentous Bacteria Drive Autoimmune Arthritis via T Helper 17 Cells Immunity 32, 815–827, June 25, 2010 Hsin-Jung Wu, Ivaylo I. Ivanov, Jaime Darce, Kimie Hattori, Tatsuichiro Shima, Yoshinori Umesaki, Dan R. Littman, Christophe Benoist, and Diane Mathis 2010. 7. 26. Lee, Hye-Yeong Introduction • Mammals host trillions of microbes at diverse locations throughout the body, in particular in the gut • The total number of genes borne by the gastrointestinal microbiome has been estimated to exceed more than a 100-fold that of the human genome • The products of these genes are put to good use by the host, for example in digestion, production of nutrients, detoxification, defense against pathogens, and development of a competent immune system • The gastrointestinal microbiome and the immune system are closely tied, each influencing and being influenced by the other • GF(Germ Free)-housed individuals and neonates can have – a reduced fraction of peripheral CD4+ T lymphocytes – a systemic tilt toward the T helper 2 (Th2) cell phenotype – defective T and B cell compartments in gut-associated lymphoid tissue – reduced complements of IgG and IgA antibodies Introduction Q. Gut microbiota와 immune system의 연관성을 근거로 autoimmune disease를 연구하 고자 함 • Inflammatory arthritis – K/BxN T cell receptor Tg mouse model • KRN/B6 x NOD • MHC class II restricted TCR • Ubiquitously expressed self antigen : Glucose-6-phosphate isomerase(GPI) peptide ; Ag7 • Initiation phase – Autoreactive T cells provide help to GPI-specific B cells autoAb • Effector phase – Innate immune system player ; mast cells, neutorphils, complement, Fcg receptors, TNFa, IL-1 Q1. Impact of commensal microbes on the development of autoimmune arthritis Figure 1. Attenuation of Arthritis in GF K/xBN Mice SPF(specific pathogen free) or Germ Free 상태의 K/BxN severity ankle thickness Development of disease GPI auto Abs 7 weeks mice GF to SPF : 21-day old GF mice Transfer into SPF A1. Commensal microbes are required for the develpoment of high GPI auto Ab titers and severe arthritis in the K/BxN model Q2. Impact of commensals on the adaptive immune system in K/BxN model GPI Ab-secreting cells(ASCs)가 주로 있는 spleen 관찰 http://en.wikipedia.org/wiki/File:Germinal_center.svg Figure 2. Impact of Commensal Flora on the B and T Cell compartments of K/BxN Mice ELISPOT assay : ASC 비교 SPF에서 Fas+PNA-R+(germinal center B cells) population의 증가 activation and expansion of the anti-GPI specificities GF mice에서는 적은 수의 CXCR5+PD-1+ T follicular helper (Tfh) cells이 보임 B cell Enzyme conjugated anti-mouse IgG substrate detection rGPI Figure 2. Impact of Commensal Flora on the B and T Cell compartments of K/BxN Mice CD4+ T cells (isolated from spleen)의 activation state에 차이 없음 그러나 GPI peptide에 대한 splenocytes의 response는 GF 상태의 경우 SPF 보다 낮음 A2. GF에서 자란 K/BxN mice는 B / T cell의 defect 보임 Figure 3. A Defective Th17 Cell Signature in GF K/BxN Mice Q3. 두 condition의 Th cells의 비교 CD4+ T cell isolation from spleen Microarray-based gene-expression profiling Volcano plot SPF에 비해 GF에서 발현 감소 GF에 비해 SPF에서 발현 감소 GF에서 발현이 증가된 gene의 수 FC SPF K/BxN VS. BxN P value FC GF K/BxN VS. BxN FC/FC plot FC GF VS. SPF Figure 3. A Defective Th17 Cell Signature in GF K/BxN Mice 각 condition별 spleen에서 B220-CD3+CD4+ cell gating CCR6+IL-17+ cells CCR6 : CCL20의 receptor Th17 cell의 migration과 effector function을 조절함 SPF보다 GF에서 감소 Spleen CD4+T isolation RT-PCR로 IL-4, IFN-g, IL-17의 발현양 비교 GF condition에서 IL-17이 상대적으로 적게 발현 SPF에서는 IL17a gene의 induction이 강하게 일어나지만 GF에서는 그렇지 않음 A3. GF K/BxN mice의 Th1과 Th17 cell에서 defect가 보임 Figure 4. Reduction of Arthritis by Neutralization of IL-17 Q4. Th17 cell의 defect가 arthritis와 실제 관련이 있는가 IL-17 monoclonal Ab를 이용한 neutralization experiment Anti-IL-17 Ab treatment로 arthritis의 severity, anti-GPI Ab titer 감소됨을 확인 이것은 GC의 formation이 잘 되지 않기 때문 Figure 4. Reduction of Arthritis by Neutralization of IL-17 IL-17과 B cell의 관계; Transfer experiment 1x10^7 B cells (not expressing or expressing IL-17R) + arthritis K/BxN splenocytes transfer into irradiated BxN.Rag1-/ B cell reconstitution 확인 CD45.1+CD45.2+ : from K/BxN CD45.2+ : IL17R-/- or WT Gated on B220+ A4. IL-17은 GC formation을 촉진시켜 GPI autoAb production을 증가시킴 Gated on FAS+PD-1+B220+ Figure 5. Linking Gut and Spleen IL-17 Cells Q5. Impact of commensal microbes on the production of IL-17 by splenic T cells Gut에서의 microbial colonization은 소장의 laminal propria(SI-LP) Th17 cell differentiation을 촉진한다 (Ivanov et al., 2008) GF- SI-LP Th17 cell 없음 Nature Reviews Immunology 3, 331-341 (April 2003) SPF 상태에서 Th17 cell의 발생 시기는? Splenic Th17의 gut homming Rc의 발현은? Figure 5. Linking Gut and Spleen IL-17 Cells SPF mice Th17 cell 발생 SI-LP : 2-3주 Spleen : 3-4 주 4주 : arthritis onset SPF mice Splenic Th17 cell의 gut homming Rc(a4b7) Figure 6. Effects of Various Antibiotics Sensitivity of SI-LP or splenic Th17 cells to antibiotics SPF K/BxN : from birth to 5 weeks of age, treated with antibiotics SI-LP Met : metronidazole Neo: neomycin Van : vancomycin Amp : ampicillin arthritis neo none met amp van GF에서 자란 K/BxN mice에서는 - SPF mice보다 arthritis가 심하지 않음 - Th17 cell의 defect보임 Neomycin이나 vancomycin에 의해서 죽는 microbes SI-LP에서 Th17 cell의 differentiation을 유발한다. Th17 cell : spleen으로 이동 GC formation을 촉진 B cell이 anti-GPI Ab를 secreation arthritis 발생 Single bacterial species-SFB(Segmented Filamentous Bacteria)가 Jax SPF mice의 SI-LP Th17의 development에 충분하다는 보고(Ivanov et al., 2009) Q6. SFB를 GF mice에 넣어주면 arthritis가 일어날 것인가 SFB-mono-colonized mice의 fecal을 GF K/BxN mice에 먹임 Figure 7. Triggering of Arthritis in SFB-Colonized GF K/BxN Mice 16s rRNA A6. Single bacterial species , SFB는 Th17 cell의 promotion을 통해 arthritis를 일으킨다. Total bacteria Conclsion • A single commensal microbe, via its ability to promote a specific Th cell subset, can drive an auto-immune disease