Herman B Wells Center for Pediatric Research, IAPUI, Indianapolis, IN, United States.
Department of Pediatrics, University of Florida, Gainesville, FL, United States.
Front Immunol. 2020 May 20;11:844. doi: 10.3389/fimmu.2020.00844. eCollection 2020.
Fusion proteins, which consist of factor VIII or factor IX and the transmucosal carrier cholera toxin subunit B, expressed in chloroplasts and bioencapsulated within plant cells, initiate tolerogenic immune responses in the intestine when administered orally. This approach induces regulatory T cells (Treg), which suppress inhibitory antibody formation directed at hemophilia proteins induced by intravenous replacement therapy in hemophilia A and B mice. Further analyses of Treg CD4 lymphocyte sub-populations in hemophilia B mice reveal a marked increase in the frequency of CD4CD25FoxP3LAP T cells (but not of CD4CD25FoxP3 T cells) in the lamina propria of the small but not large intestine. The adoptive transfer of very small numbers of CD4CD25LAP Treg isolated from the spleen of tolerized mice was superior in suppression of antibodies directed against FIX when compared to CD4CD25 T cells. Thus, tolerance induction by oral delivery of antigens bioencapsulated in plant cells occurs via the unique immune system of the small intestine, and suppression of antibody formation is primarily carried out by induced latency-associated peptide (LAP) expressing Treg that likely migrate to the spleen. Tolerogenic antigen presentation in the small intestine requires partial enzymatic degradation of plant cell wall by commensal bacteria in order to release the antigen. Microbiome analysis of hemophilia B mice showed marked differences between small and large intestine. Remarkably, bacterial species known to produce a broad spectrum of enzymes involved in degradation of plant cell wall components were found in the small intestine, in particular in the duodenum. These were highly distinct from populations of cell wall degrading bacteria found in the large intestine. Therefore, FIX antigen presentation and Treg induction by the immune system of the small intestine relies on activity of a distinct microbiome that can potentially be augmented to further enhance this approach.
融合蛋白由因子 VIII 或因子 IX 和跨黏膜载体霍乱毒素亚单位 B 组成,在叶绿体中表达并被生物包裹在植物细胞内,当口服给予时,在肠道中引发耐受原性免疫反应。这种方法诱导调节性 T 细胞(Treg),其抑制针对血友病 A 和 B 小鼠静脉内替代治疗诱导的血友病蛋白的抑制性抗体形成。对血友病 B 小鼠 Treg CD4 淋巴细胞亚群的进一步分析显示,在小肠而不是大肠的固有层中,CD4CD25FoxP3LAP T 细胞(但不是 CD4CD25FoxP3 T 细胞)的频率明显增加。从小肠固有层中分离的耐受小鼠脾中非常少量的 CD4CD25LAP Treg 的过继转移在抑制针对 FIX 的抗体方面优于 CD4CD25 T 细胞。因此,通过口服给予植物细胞内包封的抗原进行的耐受性诱导是通过小肠的独特免疫系统发生的,并且抗体形成的抑制主要是由诱导的潜伏期相关肽(LAP)表达的 Treg 进行的,这些 Treg 可能迁移到脾脏。小肠中的抗原呈递需要共生细菌对植物细胞壁进行部分酶降解,以释放抗原。血友病 B 小鼠的微生物组分析显示小肠和大肠之间存在显著差异。值得注意的是,在小肠中发现了许多已知产生广泛参与降解植物细胞壁成分的酶的细菌物种,特别是在十二指肠中。这些与在大肠中发现的细胞壁降解细菌种群有很大的不同。因此,FIX 抗原呈递和 Treg 诱导依赖于小肠免疫系统的独特微生物组,该微生物组可以通过潜在的增强来进一步增强这种方法。
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