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BRIEF DEFINITIVE REPORT |
CORRESPONDENCE David Artis: dartis{at}vet.upenn.edu OR Colby Zaph: colby{at}brc.ubc.ca
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The intestinal tract is a major site of colonization by commensal bacteria (1, 2). This bacterial population is acquired shortly after birth, is estimated to number 1014 organisms, and is remarkably diverse, being composed of at least 500–1,000 individual species (3). The host–commensal relationship is the product of millions of years of coevolution, and it can be influenced by the number and composition of bacterial species within the intestine. For example, studies using germ-free (GF) animals demonstrated that commensal bacteria are required for normal development of the immune system (2). Commensal bacteria have also been implicated in the pathogenesis of inflammatory bowel disease (IBD), as colitis-prone mice fail to develop intestinal inflammation if reared under GF conditions and patients suffering from IBD exhibit dysregulated immune responses against commensal bacteria (4, 5).
IL-17–producing CD4+ T (Th17) cells play a significant role in the pathogenesis of IBD (6–8). The differentiation of Th17 cells is promoted by IL-6– and TGF-β–dependent expression of the transcription factor retinoic acid–related orphan nuclear receptor-
In this study, we show that intestinal commensal bacteria regulate expression of the IL-17 family of cytokines in the intestine. The frequency of Th17 cells was significantly increased in the large intestine of GF mice compared with conventionally reared (CNV) mice and was associated with heightened levels of IL-23. Expression of the IL-17 family member IL-25 (IL-17E) by intestinal epithelial cells (IECs) was dependent on the presence of commensal bacteria and administration of IL-25 to GF mice reduced expression of IL-23, and the frequency of Th17 cells in the large intestine. Consistent with a role for IL-25 in limiting IL-23 and Th17 cells in the large intestine, neutralization of IL-23 also resulted in decreased frequencies of Th17 cells in the large intestine of GF mice. Further, IL-25 directly inhibited LPS-induced IL-23 expression by macrophages in a STAT6-independent manner. Thus, these results demonstrate a functional link between commensal bacteria and the IL-25–IL-23–IL-17 axis and identify a novel commensal-dependent mechanism in the regulation of Th17 cells in the intestinal microenvironment.
t (ROR
t [Rorc]), whereas IL-23 controls their expansion or survival (7, 9). Th17 cells are found constitutively in the small intestine of naive mice housed under conventional conditions (9), suggesting the presence of commensal bacteria may promote their development or maintenance in the intestine (9–11). An alternative model proposes that rather than promoting the presence of effector CD4+ T cell populations and cytokines in the intestine, commensal bacteria are recognized by Toll-like receptors, and MyD88-dependent NF-
B activation results in the maintenance of epithelial integrity that is associated with decreased proinflammatory cytokine and chemokine gene expression, leading to a state of immune hyporesponsiveness in the intestine (12–14). Consistent with this hypothesis, mice depleted of commensal bacteria by antibiotic treatment are highly susceptible to chemically induced colitis (12), and disruption of the NF-
B pathway in IECs results in exaggerated expression of proinflammatory cytokines and the development of spontaneous (15) and infection-induced intestinal inflammation before disruption of the epithelial barrier (16).
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RESULTS AND DISCUSSION
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ABSTRACT
RESULTS AND DISCUSSION
MATERIALS AND METHODS
REFERENCES
The role of commensal bacteria in intestinal immune homeostasis remains unclear. One study identified the constitutive presence of Th17 cells primarily in the small intestinal lamina propria (LP) and hypothesized that commensal bacteria may be required for their presence in the intestine (9), whereas another reported that Th17 cells are found only in the large intestinal LP of CNV mice (17). We sought to test whether signals derived from commensal bacteria promote or inhibit the presence of Th17 cells in the intestine. We examined the frequency of Th17 cells in tissues isolated from CNV BALB/c or GF BALB/c mice by flow cytometry. In CNV mice, Th17 cells were present primarily in the LP of the small intestine (Fig. 1 A). Comparison of CNV and GF mice revealed equivalent frequencies of Th17 cells in the Peyer's patches and small intestinal LP of CNV and GF mice (Fig. 1 A). In contrast, the frequency of Th17 cells in the cecal patch (a lymphoid follicle associated with the cecum that is analogous to the human appendix) and large intestinal LP was three- to fourfold higher in GF mice compared with CNV animals (Fig. 1 A). Analysis of messenger RNA (mRNA) expression in whole sections of large intestinal tissue isolated from CNV or GF mice demonstrated elevated expression levels of mRNA for Il17 and Rorc (Fig. 1 B). Elevated levels of Il17 mRNA were independent of genetic background, as GF C57BL/6 mice also expressed significantly higher levels of Il17 than CNV C57BL/6 mice (Fig. S1, available at http://www.jem.org/cgi/content/full/jem.20080720/DC1). These results implicate signals derived from commensal bacteria in limiting the frequency of intestinal Th17 cells.
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An alternative approach was adopted to determine whether there was a link between commensal bacteria and expression of IL-23 and -17 in CNV mice. Oral administration of antibiotics has been shown to effectively reduce the numbers of bacteria in the intestine and leads to increased susceptibility to inflammation and food allergy (12, 18). To test whether heightened susceptibility to inflammation after antibiotic treatment was associated with altered expression of the IL-23–IL-17 axis, mice were treated orally with antibiotics for 6 wk, and segments of small and large intestine were analyzed for expression of Il23a and Il17. Antibiotic treatment of adult mice resulted in increased levels of Il23a and Il17 in the large intestine (Fig. 1, E and F). Critically, this effect was confined to the large intestine, as there were no significant changes in expression of Il23a, Il12b, or Il17 in the small intestine (Fig. S4, A–C, available at http://www.jem.org/cgi/content/full/jem.20080720/DC1). Thus, reduction in total numbers of commensal bacteria in adult mice results in heightened expression of IL-23 and -17 in the large intestine, suggesting that commensal bacteria are actively promoting inhibition of IL-23 and -17.
Recent studies identified a reciprocal developmental pathway between Th17 cells and Foxp3-expressing regulatory T cells (19). Therefore, we examined whether the elevated frequency of Th17 cells in GF mice was associated with dysregulation of regulatory T cells. No significant differences in the frequency of CD4+ Foxp3+ regulatory T cells (Fig. 2 A) or IL-10–producing CD4+ T cells in the mesenteric LN (mLN), cecal patch, or large intestinal LP were observed between mice housed under CNV or GF conditions (Fig. S5, A–C, available at http://www.jem.org/cgi/content/full/jem.20080720/DC1). Additionally, there were no differences in the expression levels of Il10 mRNA in the large intestine between CNV and GF mice (Fig. S5 D). Consistent with normal frequencies of CD4+ Foxp3+ T cells in GF mice, there was no evidence of global dysregulation in expression of proinflammatory cytokines. Splenocytes from both CNV and GF mice produced equivalent levels of IFN-
under neutral conditions (Fig. 2, B and C) or in the presence of exogenous IL-12 (Fig. 2, D and E). Further, there were no significant differences in the expression of IL-12p35 (Il12a) mRNA (Fig. S6 A) or the frequencies of CD4+ T cells producing IFN-
in the mLN, cecal patch, and large intestinal LP of CNV and GF mice (Fig. S6 B). Collectively, these results suggest that the absence of commensal bacteria is associated with the selective overexpression of IL-23 and enhanced persistence, survival, or recruitment of Th17 cells in the intestinal microenvironment, rather than a general loss of regulatory T cell– and IL-10–dependent immune regulation.
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p19). Consistent with results obtained from administration of IL-25, neutralization of IL-23p19 in GF mice resulted in significantly decreased expression of Il17 and Rorc in the large intestine (Fig. 3, G and H), as well as a significant decrease in the frequency of Th17 cells in the large intestinal LP (Fig. 3 I). These results suggest that commensal-dependent expression of IL-25 is a component of the pathways that regulate expression of IL-23 and the frequency of Th17 cells in the intestinal microenvironment. As GF mice and antibiotic-treated CNV mice expressed lower levels of IL-25, we hypothesized that the absence of IL-25 in CNV mice would recapitulate the heightened expression of IL-23 and increased frequency of Th17 cells observed in GF mice. To test this, expression of IL-17 and -23 in the large intestine of naive WT and IL-25–deficient (Il25–/–) mice housed under conventional conditions was examined. Expression of Il23a, Il12b, and Il17 was increased in naive Il25–/– mice compared with WT controls (Fig. 4, A–C), similar to results obtained in GF mice. Moreover, flow cytometric analysis of lymphocytes isolated from the large intestinal LP demonstrated an increased frequency of Th17 cells in Il25–/– mice under steady-state conditions (Fig. 4 D). The consequences of IL-25 deficiency on IL-17 expression were apparent primarily in the intestinal tissue, as the frequencies of Th17 cells in the mLN or spleen were similar in WT and Il25–/– mice (Fig. 4 D). Thus, the absence of endogenous IL-25 in CNV mice is associated with increased levels of IL-23 and heightened frequencies of Th17 cells in the large intestine of naive Il25–/– mice.
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B and expression of proinflammatory cytokines by several mechanisms, including sequestration of signaling components such as PPAR-
and RelA and inhibition of I
B degradation (13, 14, 29). The absence of these signals in GF mice could contribute to a mechanism that results in increased IL-23 and -17 expression in the absence of commensal bacteria. Supporting a model in which innate recognition of commensal bacteria shapes the local immune environment, a recent study in Drosophila highlighted the influence of signals derived from commensal bacteria in the maintenance of intestinal immune homeostasis (30). When NF-
B–dependent expression of antimicrobial peptides was disrupted in intestinal cells of the fly, there was an outgrowth of a population of pathogenic commensal bacteria that led to fly mortality. In mammals, disruption of innate recognition of commensal bacteria via IEC-specific deletion of the NF-
B pathway by targeting I
B kinase-β (IKK-β) or IKK-
/NEMO, resulted in spontaneous and infection-induced intestinal inflammation (15, 16). Collectively, these studies highlight the growing recognition of the influence of commensal bacteria-derived signals that promote immunoregulatory pathways in the intestine. Thus, in addition to established immunoregulatory cytokines such as IL-10 and TGF-β, the demonstration of a role for commensal bacteria in influencing IL-25 expression identifies a previously unrecognized pathway through which commensal bacteria can regulate intestinal immune responses. | MATERIALS AND METHODS |
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Cytokine and antibody treatments.
IL-25 (R&D Systems) was administered daily (0.5 µg i.p.) to GF mice for 7 d. Control mice received PBS. Monoclonal anti–IL-23p19 was produced at Schering-Plough Biopharma, and 1 mg was administered i.p. daily. Control mice received 1 mg of control antibody i.p. daily.
Isolation of cells.
At necropsy, mLNs, spleen, cecal patches, and Peyer's patches were harvested, and single-cell suspensions were prepared. IECs and LP lymphocytes were isolated as previously described (9). Purity of IECs was determined by flow cytometric analysis using anti–Ep-Cam antibody (G8.8, obtained from Developmental Studies Hybridoma Bank, University of Iowa, Iowa City, Iowa) and was routinely >90%.
Macrophage isolation, culture, and stimulation.
CD11b+ cells were isolated from LP of CNV and GF mice using magnetic beads (Miltenyi Biotech). Bone marrow macrophages were cultured for 7 d, plated overnight at 106 cells/ml, and pulsed with 10 ng/ml LPS (Salmonella typhimurium; Sigma-Aldrich) in the absence or presence of 50 ng/ml IL-25 the next day.
Cell stimulations and cytokine assays.
Spleen cells were plated in medium alone or in the presence of anti-CD3 and -CD28 (1 µg/ml each) in the presence or absence of 1 ng/ml IL-12 (eBioscience). Large intestinal tissue explant cultures were performed as previously described (12). Cell-free supernatants were harvested after 72 h, and analyzed for cytokine secretion by sandwich ELISA (eBioscience). Cells were stimulated by incubation for 4 h with 50 ng/ml PMA (Sigma-Aldrich) and 750 ng/ml ionomycin (Sigma-Aldrich) in the presence of 10 µg/ml Brefeldin A (Sigma-Aldrich), and then surface stained with fluorochrome-conjugated antibodies against CD4 and CD3 fixed in 2% paraformaldehyde. Fixed cells were permeabilized with 0.5% saponin (Sigma-Aldrich) and stained intracellularly for IL-17, IFN-
, TNF-
, IL-10 or Foxp3 (eBioscience), acquired on a FACSCalibur using CellQuest Pro software (BD Biosciences) and analyzed with FlowJo software (Version 8.5; Tree Star, Inc.).
RNA isolation and real-time PCR.
RNA was isolated from tissues using RNeasy Spin columns (QIAGEN) after disruption in a homogenizer (TissueLyzer; QIAGEN). RNA was reverse transcribed into cDNA, and quantitative real-time PCR was performed on cDNA using primer sets for Il10, Il12a, Il12b, Il23a, Tgfb, Il6, Il27p28, and Ebi3 (QIAGEN) using SYBR Green chemistry. Primers for ROR
t (Rorc) have been previously described (9). Il17 and Il25 were analyzed using TaqMan primer/probe pairs (Applied Biosystems). All reactions were run on an ABI 7500 Fast Real-Time PCR System (Applied Biosystems). Samples were normalized to naive controls unless specifically stated.
Statistics.
Results represent the mean ± SEM. Statistical significance was determined by Student's t test (between two groups or conditions) or analysis of variance with a post-hoc test (three or more groups or conditions) using Prism 4.0 (GraphPad Software).
Online supplemental material.
Increased expression of Il17 in C57BL/6 GF mice is shown in Fig. S1. Production of IL-6 and -12p40 in large intestinal tissue explant cultures is shown in Fig. S2. Increased expression of Il23a in C57BL/6 GF mice is shown in Fig. S3. Fig. S4 shows that there are minimal antibiotic-induced changes in gene expression in the small intestine of CNV mice. Equivalent Il10 mRNA expression and frequencies of IL-10–producing CD4+ T cells in CNV and GF mice are shown in Fig. S5. Fig. S6 depicts expression of IL-12 and IFN-
in CNV and GF mice. Fig. S7 shows that expression of Il25 mRNA is decreased in the large intestine of antibiotic-treated CNV mice. Similar levels of Il13 expression in CNV and GF mice are shown in Fig. S8. Fig. S9 depicts a model of how commensal-dependent IL-25 regulates the IL-23–IL-17 axis in the intestine. The online version of this article is available at http://www.jem.org/cgi/content/full/jem.20080720/DC1.
| Acknowledgments |
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This work was supported by the National Institutes of Health (AI61570 and AI74878 to D. Artis, AI37108 to Y. Yu, F31-GM82187 to S.A. Saenz, T32-AI007532-08 to J.G. Perrigoue, F32-AI72943 to A.E. Troy, and T32-CA09140-30 to B.C. Taylor), the Burroughs Wellcome Fund (Investigator in Pathogenesis of Infectious Disease Award to D. Artis), the Crohn's and Colitis Foundation of America (William and Shelby Modell Family Foundation Research Award to D. Artis), and pilot grants from the University of Pennsylvania (Center for Infectious Diseases and University Research Fund to D. Artis). Schering-Plough Biopharma (formerly DNAX Research Inc.) is funded by the Schering-Plough Corporation. C. Zaph is funded by the Irvington Institute Fellowship Program of the Cancer Research Institute.
The authors have no conflicting financial interests.
Submitted: 4 April 2008
Accepted: 5 August 2008
© 2008 Zaph et al. This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see http://www.jem.org/misc/terms.shtml). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 3.0 Unported license, as described at http://creativecommons.org/licenses/by-nc-sa/3.0/).
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