F. Widjaja Inflammatory Bowel Disease Institute, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, United States.
Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, United States.
Front Immunol. 2024 Oct 11;15:1465175. doi: 10.3389/fimmu.2024.1465175. eCollection 2024.
The maintenance of intestinal homeostasis depends on a complex interaction between the immune system, intestinal epithelial barrier, and microbiota. Alteration in one of these components could lead to the development of inflammatory bowel diseases (IBD). Variants within the autophagy gene have been implicated in susceptibility and severity of Crohn's disease (CD). Individuals carrying the risk T300A variant have higher caspase 3-dependent degradation of ATG16L1 resulting in impaired autophagy and increased cellular stress. ATG16L1-deficiency induces enhanced IL-1β secretion in dendritic cells in response to bacterial infection. Infection of ATG16L1-deficient mice with a persistent strain of murine norovirus renders these mice highly susceptible to dextran sulfate sodium colitis. Moreover, persistent norovirus infection leads to intestinal virus specific CD8 T cells responses. Both Toll-like receptor 7 (TLR7), which recognizes single-stranded RNA viruses, and ATG16L1, which facilitates the delivery of viral nucleic acids to the autolysosome endosome, are required for anti-viral immune responses.
However, the role of the enteric virome in IBD is still poorly understood. Here, we investigate the role of TLR7 and ATG16L1 in intestinal homeostasis and inflammation. At steady state, mice have a significant increase in large intestinal lamina propria (LP) granzyme B tissue-resident memory CD8 T (T) cells compared to WT mice, reminiscent of persistent norovirus infection. Deletion of in myeloid ( ) or dendritic cells ( ) leads to a similar increase of LP T. Furthermore, and mice were more susceptible to dextran sulfate sodium colitis with an increase in disease activity index, histoscore, and increased secretion of IFN-γ and TNF-α. Treatment of mice with the TLR7 agonist Imiquimod attenuated colonic inflammation in these mice. Our data demonstrate that ATG16L1-deficiency in myeloid and dendritic cells leads to an increase in LP T and consequently to increased susceptibility to colitis by impairing the recognition of enteric viruses by TLR7.
In conclusion, the convergence of ATG16L1 and TLR7 signaling pathways plays an important role in the immune response to intestinal viruses. Our data suggest that activation of the TLR7 signaling pathway could be an attractive therapeutic target for CD patients with risk variants.
肠道内稳态的维持依赖于免疫系统、肠道上皮屏障和微生物群之间的复杂相互作用。这些成分中的任何一个发生改变都可能导致炎症性肠病(IBD)的发生。自噬基因中的变异与克罗恩病(CD)的易感性和严重程度有关。携带风险 T300A 变异的个体,其半胱天冬酶 3 依赖性 ATG16L1 降解增加,导致自噬受损和细胞应激增加。ATG16L1 缺陷会诱导树突状细胞中细菌感染时的 IL-1β 分泌增加。用持续存在的鼠诺如病毒株感染 ATG16L1 缺陷小鼠会使这些小鼠对葡聚糖硫酸钠结肠炎高度易感。此外,持续的诺如病毒感染会导致肠道病毒特异性 CD8 T 细胞反应。识别单链 RNA 病毒的 Toll 样受体 7(TLR7)和促进病毒核酸递送至自噬溶酶体内体的 ATG16L1,均是抗病毒免疫反应所必需的。
然而,肠道病毒组在 IBD 中的作用仍知之甚少。在这里,我们研究了 TLR7 和 ATG16L1 在肠道内稳态和炎症中的作用。在稳定状态下,与 WT 小鼠相比,小鼠的大肠固有层(LP)颗粒酶 B 组织驻留记忆 CD8 T(T)细胞显著增加,类似于持续的诺如病毒感染。髓样()或树突状细胞()中缺失会导致 LP T 类似增加。此外,和小鼠对葡聚糖硫酸钠结肠炎更敏感,疾病活动指数、组织学评分增加,IFN-γ 和 TNF-α 分泌增加。TLR7 激动剂咪喹莫特治疗可减轻这些小鼠的结肠炎症。我们的数据表明,髓样细胞和树突状细胞中 ATG16L1 的缺失会导致 LP T 的增加,进而通过损害 TLR7 对肠道病毒的识别,导致结肠炎易感性增加。
总之,ATG16L1 和 TLR7 信号通路的汇聚在肠道病毒免疫反应中起着重要作用。我们的数据表明,激活 TLR7 信号通路可能是携带 ATG16L1 风险变异的 CD 患者的一个有吸引力的治疗靶点。