Kim Sangdoo, Kim Hyunju, Yim Yeong Shin, Ha Soyoung, Atarashi Koji, Tan Tze Guan, Longman Randy S, Honda Kenya, Littman Dan R, Choi Gloria B, Huh Jun R
Division of Infectious Diseases and Immunology and Program in Innate Immunity, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA.
The McGovern Institute for Brain Research, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA.
Nature. 2017 Sep 28;549(7673):528-532. doi: 10.1038/nature23910. Epub 2017 Sep 13.
Maternal immune activation (MIA) contributes to behavioural abnormalities associated with neurodevelopmental disorders in both primate and rodent offspring. In humans, epidemiological studies suggest that exposure of fetuses to maternal inflammation increases the likelihood of developing autism spectrum disorder. In pregnant mice, interleukin-17a (IL-17a) produced by T helper 17 (T17) cells (CD4 T helper effector cells involved in multiple inflammatory conditions) induces behavioural and cortical abnormalities in the offspring exposed to MIA. However, it is unclear whether other maternal factors are required to promote MIA-associated phenotypes. Moreover, the underlying mechanisms by which MIA leads to T cell activation with increased IL-17a in the maternal circulation are not well understood. Here we show that MIA phenotypes in offspring require maternal intestinal bacteria that promote T17 cell differentiation. Pregnant mice that had been colonized with mouse commensal segmented filamentous bacteria or human commensal bacteria that induce intestinal T17 cells were more likely to produce offspring with MIA-associated abnormalities. We also show that small intestine dendritic cells from pregnant, but not from non-pregnant, females secrete IL-1β, IL-23 and IL-6 and stimulate T cells to produce IL-17a upon exposure to MIA. Overall, our data suggest that defined gut commensal bacteria with a propensity to induce T17 cells may increase the risk of neurodevelopmental disorders in the offspring of pregnant mothers undergoing immune system activation owing to infections or autoinflammatory syndromes.
母体免疫激活(MIA)会导致灵长类和啮齿类动物后代出现与神经发育障碍相关的行为异常。在人类中,流行病学研究表明,胎儿暴露于母体炎症会增加患自闭症谱系障碍的可能性。在怀孕小鼠中,辅助性T细胞17(T17,参与多种炎症反应的CD4辅助效应细胞)产生的白细胞介素-17a(IL-17a)会在暴露于MIA的后代中诱发行为和皮质异常。然而,尚不清楚是否需要其他母体因素来促进与MIA相关的表型。此外,MIA导致母体循环中IL-17a增加从而引起T细胞激活的潜在机制也尚未完全了解。在此,我们表明后代中的MIA表型需要促进T17细胞分化的母体肠道细菌。用诱导肠道T17细胞的小鼠共生分节丝状细菌或人类共生细菌定殖的怀孕小鼠更有可能产出具有MIA相关异常的后代。我们还表明,怀孕雌性而非未怀孕雌性的小肠树突状细胞在暴露于MIA时会分泌IL-1β、IL-23和IL-6,并刺激T细胞产生IL-17a。总体而言,我们的数据表明,具有诱导T17细胞倾向的特定肠道共生细菌可能会增加因感染或自身炎症综合征而经历免疫系统激活的怀孕母亲后代患神经发育障碍的风险。