A组链球菌鼻内感染促进链球菌特异性Th17细胞浸润中枢神经系统。
Group A Streptococcus intranasal infection promotes CNS infiltration by streptococcal-specific Th17 cells.
作者信息
Dileepan Thamotharampillai, Smith Erica D, Knowland Daniel, Hsu Martin, Platt Maryann, Bittner-Eddy Peter, Cohen Brenda, Southern Peter, Latimer Elizabeth, Harley Earl, Agalliu Dritan, Cleary P Patrick
出版信息
J Clin Invest. 2016 Jan;126(1):303-17. doi: 10.1172/JCI80792. Epub 2015 Dec 14.
Group A streptococcal (GAS) infection induces the production of Abs that cross-react with host neuronal proteins, and these anti-GAS mimetic Abs are associated with autoimmune diseases of the CNS. However, the mechanisms that allow these Abs to cross the blood-brain barrier (BBB) and induce neuropathology remain unresolved. We have previously shown that GAS infection in mouse models induces a robust Th17 response in nasal-associated lymphoid tissue (NALT). Here, we identified GAS-specific Th17 cells in tonsils of humans naturally exposed to GAS, prompting us to explore whether GAS-specific CD4+ T cells home to mouse brains following i.n. infection. Intranasal challenge of repeatedly GAS-inoculated mice promoted migration of GAS-specific Th17 cells from NALT into the brain, BBB breakdown, serum IgG deposition, microglial activation, and loss of excitatory synaptic proteins under conditions in which no viable bacteria were detected in CNS tissue. CD4+ T cells were predominantly located in the olfactory bulb (OB) and in other brain regions that receive direct input from the OB. Together, these findings provide insight into the immunopathology of neuropsychiatric complications that are associated with GAS infections and suggest that crosstalk between the CNS and cellular immunity may be a general mechanism by which infectious agents exacerbate symptoms associated with other CNS autoimmune disorders.
A组链球菌(GAS)感染可诱导产生与宿主神经元蛋白发生交叉反应的抗体,这些抗GAS模拟抗体与中枢神经系统自身免疫性疾病相关。然而,这些抗体穿越血脑屏障(BBB)并诱发神经病理学的机制仍未明确。我们之前已经表明,小鼠模型中的GAS感染会在鼻相关淋巴组织(NALT)中诱导强烈的Th17反应。在此,我们在自然暴露于GAS的人类扁桃体中鉴定出了GAS特异性Th17细胞,这促使我们探究经鼻内感染后GAS特异性CD4⁺T细胞是否会归巢至小鼠脑内。在中枢神经系统组织中未检测到活细菌的情况下,对反复接种GAS的小鼠进行鼻内攻击,促进了GAS特异性Th17细胞从NALT迁移至脑内、BBB破坏、血清IgG沉积、小胶质细胞活化以及兴奋性突触蛋白丧失。CD4⁺T细胞主要位于嗅球(OB)以及其他直接接受来自OB输入的脑区。总之,这些发现为与GAS感染相关的神经精神并发症的免疫病理学提供了见解,并表明中枢神经系统与细胞免疫之间的相互作用可能是病原体加剧与其他中枢神经系统自身免疫性疾病相关症状的一种普遍机制。