Wen Li, Ley Ruth E, Volchkov Pavel Yu, Stranges Peter B, Avanesyan Lia, Stonebraker Austin C, Hu Changyun, Wong F Susan, Szot Gregory L, Bluestone Jeffrey A, Gordon Jeffrey I, Chervonsky Alexander V
Section of Endocrinology, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Nature. 2008 Oct 23;455(7216):1109-13. doi: 10.1038/nature07336. Epub 2008 Sep 21.
Type 1 diabetes (T1D) is a debilitating autoimmune disease that results from T-cell-mediated destruction of insulin-producing beta-cells. Its incidence has increased during the past several decades in developed countries, suggesting that changes in the environment (including the human microbial environment) may influence disease pathogenesis. The incidence of spontaneous T1D in non-obese diabetic (NOD) mice can be affected by the microbial environment in the animal housing facility or by exposure to microbial stimuli, such as injection with mycobacteria or various microbial products. Here we show that specific pathogen-free NOD mice lacking MyD88 protein (an adaptor for multiple innate immune receptors that recognize microbial stimuli) do not develop T1D. The effect is dependent on commensal microbes because germ-free MyD88-negative NOD mice develop robust diabetes, whereas colonization of these germ-free MyD88-negative NOD mice with a defined microbial consortium (representing bacterial phyla normally present in human gut) attenuates T1D. We also find that MyD88 deficiency changes the composition of the distal gut microbiota, and that exposure to the microbiota of specific pathogen-free MyD88-negative NOD donors attenuates T1D in germ-free NOD recipients. Together, these findings indicate that interaction of the intestinal microbes with the innate immune system is a critical epigenetic factor modifying T1D predisposition.
1型糖尿病(T1D)是一种使人衰弱的自身免疫性疾病,由T细胞介导的胰岛素生成β细胞破坏所致。在过去几十年中,其发病率在发达国家有所上升,这表明环境变化(包括人类微生物环境)可能影响疾病发病机制。非肥胖糖尿病(NOD)小鼠自发性T1D的发病率可受动物饲养设施中的微生物环境影响,或受微生物刺激(如注射分枝杆菌或各种微生物产物)影响。在此,我们表明缺乏MyD88蛋白(一种识别微生物刺激的多种固有免疫受体的衔接蛋白)的无特定病原体NOD小鼠不会患T1D。这种效应依赖于共生微生物,因为无菌的MyD88阴性NOD小鼠会患严重的糖尿病,而用特定的微生物群落(代表通常存在于人类肠道中的细菌门)对这些无菌的MyD88阴性NOD小鼠进行定殖可减轻T1D。我们还发现,MyD88缺陷会改变远端肠道微生物群的组成,并且暴露于无特定病原体的MyD88阴性NOD供体的微生物群可减轻无菌NOD受体的T1D。这些发现共同表明,肠道微生物与固有免疫系统的相互作用是改变T1D易感性的关键表观遗传因素。