Repository logo
 

Anti-commensal IgG Drives Intestinal Inflammation and Type 17 Immunity in Ulcerative Colitis.

Accepted version
Peer-reviewed

Change log

Authors

Castro-Dopico, Tomas 
Dennison, Thomas W 
Ferdinand, John R 
Mathews, Rebeccah J 
Fleming, Aaron 

Abstract

Inflammatory bowel disease is a chronic, relapsing condition with two subtypes, Crohn's disease (CD) and ulcerative colitis (UC). Genome-wide association studies (GWASs) in UC implicate a FCGR2A variant that alters the binding affinity of the antibody receptor it encodes, FcγRIIA, for immunoglobulin G (IgG). Here, we aimed to understand the mechanisms whereby changes in FcγRIIA affinity would affect inflammation in an IgA-dominated organ. We found a profound induction of anti-commensal IgG and a concomitant increase in activating FcγR signaling in the colonic mucosa of UC patients. Commensal-IgG immune complexes engaged gut-resident FcγR-expressing macrophages, inducing NLRP3- and reactive-oxygen-species-dependent production of interleukin-1β (IL-1β) and neutrophil-recruiting chemokines. These responses were modulated by the FCGR2A genotype. In vivo manipulation of macrophage FcγR signal strength in a mouse model of UC determined the magnitude of intestinal inflammation and IL-1β-dependent type 17 immunity. The identification of an important contribution of IgG-FcγR-dependent inflammation to UC has therapeutic implications.

Description

Keywords

Fcγ receptors, IL-1β, IgG, inflammatory bowel disease, type 17 immunity, Animals, Antibodies, Bacterial, Colitis, Colitis, Ulcerative, Dextran Sulfate, Gastrointestinal Microbiome, Gene Expression Regulation, Genotype, Humans, Immunoglobulin G, Inflammation, Interleukin-1beta, Interleukin-8, Intestinal Mucosa, Macrophages, Mice, Phagocytes, RNA, Messenger, Reactive Oxygen Species, Receptors, IgG, Th17 Cells

Journal Title

Immunity

Conference Name

Journal ISSN

1074-7613
1097-4180

Volume Title

50

Publisher

Elsevier BV
Sponsorship
Department of Health (via National Institute for Health Research (NIHR)) (NIHR BTRU-2014-10027)
Medical Research Council (MR/N024907/1)
Cambridge University Hospitals NHS Foundation Trust (CUH) (BRC)
Cambridge University Hospitals NHS Foundation Trust (CUH) (BRC)
Crohn's & Colitis Foundation of America (CCFA) (via Washington State University (WSU)) (361650)
Arthritis Research UK (21777)