Laboratory for Clinical Immunology, Core Facility for Cell Sorting & Cell Analysis, University Medical Center Rostock, Rostock, Germany.
Department of Tropical Medicine and Infectious Diseases, University Medical Center Rostock, Rostock, Germany.
Front Immunol. 2020 Oct 30;11:571049. doi: 10.3389/fimmu.2020.571049. eCollection 2020.
Rheumatoid arthritis is an autoimmune disease with multifactorial etiopathogenesis. Among the environmental factors, mucosal infections and the inducing pathobionts are gaining increasing attention. We here set out to explore the gut-joint-axis and the impact of infection on subsequent arthritis.
We combined infection in DBA/1J × B10.Q F1 mice with collagen induced arthritis (CIA). Mice were infected oral gavage and infection was monitored by weight loss, colonic histology, and antibodies against bacteria. Scoring of arthritis was performed macroscopically. Intestinal microbiomes were analyzed and immune responses were monitored quantification of transcription factor-specific mRNA isolated from the inguinal and mesenteric lymph nodes.
Infection with VPI 10463 resulted in significant weight loss and severe colitis yet accelerated the reversal towards the original microbiome after antibiotic treatment. Spontaneous clearance of VPI 10463 infection reduced the incidence of subsequent CIA and led to mesenteric T and T polarization. However, this attenuating effect was abrogated if VPI 10463 was eradicated vancomycin followed by fecal microbiota transplantation. Moreover, VPI 10463 infection following the onset of CIA lacked therapeutic potential.
Our results demonstrate that infection with VPI10463 induced an inflammation of the gut that protected from subsequent arthritis development in mice. Both, microbial changes to the gut and immune cell mobilization and/or polarization may have contributed to arthritis protection. The prospect of potential therapeutic benefits resulting from infections or some byproduct thereof call for further experiments that help elucidate exact mechanisms.
类风湿关节炎是一种具有多因素发病机制的自身免疫性疾病。在环境因素中,黏膜感染和诱导共生体越来越受到关注。我们在这里探讨肠道-关节轴以及感染对随后关节炎的影响。
我们将 DBA/1J×B10.QF1 小鼠的黏膜感染与胶原诱导性关节炎(CIA)相结合。通过体重减轻、结肠组织学和针对细菌的抗体监测,对小鼠进行经口灌胃感染,并监测感染情况。通过宏观评分进行关节炎评分。分析肠道微生物组,并通过定量分析腹股沟和肠系膜淋巴结中分离的转录因子特异性 mRNA 来监测免疫反应。
感染 VPI10463 导致明显的体重减轻和严重的结肠炎,但在抗生素治疗后加速了向原始微生物组的逆转。自发性清除 VPI10463 感染降低了随后 CIA 的发生率,并导致肠系膜 T 和 T 极化。然而,如果 VPI10463 在万古霉素治疗后被根除并进行粪便微生物群移植,则这种减弱作用被消除。此外,CIA 发病后感染 VPI10463 缺乏治疗潜力。
我们的结果表明,感染 VPI10463 会引起肠道炎症,从而保护小鼠免受随后的关节炎发展。肠道微生物变化以及免疫细胞动员和/或极化都可能有助于关节炎的保护。感染或其某些副产物可能带来潜在治疗益处的前景需要进一步的实验来帮助阐明确切的机制。