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2017 ; 114
(44
): E9318-E9327
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Gut dysbiosis breaks immunological tolerance toward the central nervous system
during young adulthood
#MMPMID29078267
Yadav SK
; Boppana S
; Ito N
; Mindur JE
; Mathay MT
; Patel A
; Dhib-Jalbut S
; Ito K
Proc Natl Acad Sci U S A
2017[Oct]; 114
(44
): E9318-E9327
PMID29078267
show ga
Multiple sclerosis (MS) is an autoimmune disease targeting the central nervous
system (CNS) mainly in young adults, and a breakage of immune tolerance to CNS
self-antigens has been suggested to initiate CNS autoimmunity. Age and microbial
infection are well-known factors involved in the development of autoimmune
diseases, including MS. Recent studies have suggested that alterations in the gut
microbiota, referred to as dysbiosis, are associated with MS. However, it is
still largely unknown how gut dysbiosis affects the onset and progression of CNS
autoimmunity. In this study, we investigated the effects of age and gut dysbiosis
on the development of CNS autoimmunity in humanized transgenic mice expressing
the MS-associated MHC class II (MHC-II) gene, HLA-DR2a, and T-cell receptor (TCR)
genes specific for MBP87-99/DR2a that were derived from an MS patient. We show
here that the induction of gut dysbiosis triggers the development of spontaneous
experimental autoimmune encephalomyelitis (EAE) during adolescence and early
young adulthood, while an increase in immunological tolerance with aging
suppresses disease onset after late young adulthood in mice. Furthermore, gut
dysbiosis induces the expression of complement C3 and production of the
anaphylatoxin C3a, and down-regulates the expression of the Foxp3 gene and
anergy-related E3 ubiquitin ligase genes. Consequently, gut dysbiosis was able to
trigger the development of encephalitogenic T cells and promote the induction of
EAE during the age window of young adulthood.