Nottingham Digestive Diseases Biomedical Research Unit, Centre for Biomolecular Sciences, University of Nottingham School of Medicine Nottingham, UK.
Clinical Neurology Research Group, Division of Clinical Neuroscience, University of Nottingham School of Medicine Nottingham, UK.
Front Microbiol. 2015 Feb 13;6:52. doi: 10.3389/fmicb.2015.00052. eCollection 2015.
Recent research has demonstrated that infection with the bacterial pathogen Helicobacter pylori is less common amongst patients with multiple sclerosis (MS), an inflammatory demyelinating disease of the central nervous system (CNS). We aimed to compare the prevalence of H. pylori amongst MS patients and healthy controls, and also investigated the impact of this infection on an animal model for MS, experimental autoimmune encephalomyelitis (EAE). The H. pylori status of 71 MS patients and 42 healthy controls was determined by serology. Groups of C57BL/6 mice were infected with H. pylori, or given diluent alone as a placebo, prior to inducing EAE. Clinical scores were assessed for all mice, and spleens and spinal cord tissue were harvested. CD4(+) T cell subsets were quantified by flow cytometry, and T cell proliferation assays were performed. In MS patients the seroprevalence of H. pylori was half that of healthy controls (p = 0.018). Over three independent experiments, prior H. pylori infection had a moderate effect in reducing the severity of EAE (p = 0.012). In line with this, the antigen-specific T cell proliferative responses of infected animals were significantly reduced (p = 0.001), and there was a fourfold reduction in the number of CD4(+) cells in the CNS. CD4(+) populations in both the CNS and the spleens of infected mice also contained greatly reduced proportions of IFNγ(+), IL-17(+), T-bet(+), and RORγt(+) cells, but the proportions of Foxp3(+) cells were equivalent. There were no differences in the frequency of splenic CD4(+)cells expressing markers of apoptosis between infected and uninfected animals. H. pylori was less prevalent amongst MS patients. In mice, the infection exerted some protection against EAE, inhibiting both Th1 and Th17 responses. This could not be explained by the presence of increased numbers of Foxp3(+) regulatory T cells, or T cell apoptosis. This is the first direct experimental evidence showing that H. pylori may provide protection against inflammatory demyelination in the CNS.
最近的研究表明,在多发性硬化症(MS)患者中,细菌病原体幽门螺杆菌的感染较为少见,MS 是一种中枢神经系统(CNS)的炎症性脱髓鞘疾病。我们旨在比较 MS 患者和健康对照组中 H. pylori 的患病率,并研究这种感染对 MS 动物模型,实验性自身免疫性脑脊髓炎(EAE)的影响。通过血清学方法确定 71 名 MS 患者和 42 名健康对照者的 H. pylori 状态。将 C57BL/6 小鼠分为感染 H. pylori 组或仅给予稀释剂作为安慰剂组,然后诱导 EAE。对所有小鼠进行临床评分,并采集脾脏和脊髓组织。通过流式细胞术定量 CD4(+)T 细胞亚群,并进行 T 细胞增殖测定。在 MS 患者中,H. pylori 的血清阳性率为健康对照组的一半(p = 0.018)。在三个独立的实验中,先前的 H. pylori 感染对 EAE 的严重程度有中度影响(p = 0.012)。与此一致的是,感染动物的抗原特异性 T 细胞增殖反应显著降低(p = 0.001),并且中枢神经系统中的 CD4(+)细胞数量减少了四倍。感染小鼠的中枢神经系统和脾脏中的 CD4(+)细胞群中 IFNγ(+)、IL-17(+)、T-bet(+)和 RORγt(+)细胞的比例也大大降低,但 Foxp3(+)细胞的比例相当。感染和未感染动物的脾脏 CD4(+)细胞中凋亡标记的表达频率没有差异。MS 患者中 H. pylori 的患病率较低。在小鼠中,感染对 EAE 有一定的保护作用,抑制了 Th1 和 Th17 反应。这不能用 Foxp3(+)调节性 T 细胞或 T 细胞凋亡的数量增加来解释。这是首次直接的实验证据表明,H. pylori 可能对中枢神经系统的炎症性脱髓鞘提供保护。