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Digestive Health Center of Excellence, University of Virginia Health Sciences Center, Charlottesville, VA 22908
The pathogenesis of Crohns disease has been associated with a dysregulated response of the mucosal immune system against intraluminal Ags of bacterial origin. In this study, we have investigated the effects of germfree (GF) conditions in the SAMP1/YitFc murine model of Crohns disease-like ileitis. We show that the bacterial flora is not essential for ileitis induction, because GF SAMP1/YitFc mice develop chronic ileitis. However, compared with disease in specific pathogen-free (SPF) mice, ileitis in GF mice is significantly attenuated, and is associated with delayed lymphocytic infiltration and defective mucosal expression of Th2 cytokines. In addition, we demonstrate that stimulation with purified fecal Ags from SPF, but not GF mice leads to the generation of IL-4-secreting effector lymphocytes. This result suggests that commensal bacteria drive Th2 responses characteristic of the chronic phase of SAMP1/YitFc ileitis. Finally, adoptive transfer of CD4-positive cells from GF, but not SPF mice induces severe colitis in SCID recipients. These effects were associated with a decreased frequency of CD4+CD25+Foxp3+ T cells in the mesenteric lymph nodes of GF mice compared with SPF mice, as well as lower relative gene expression of Foxp3 in CD4+CD25+ T cells in GF mice. It is therefore apparent that, in the absence of live intraluminal bacteria, the regulatory component of the mucosal immune system is compromised. All together, our results indicate that in SAMP1/YitFc mice, bacterial flora exacerbates intestinal inflammation, but is not essential for the generation of the chronic ileitis that is characteristic of these mice.
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1 This work was supported by a Research Fellowship Award from Crohns and Colitis Foundation of America (to G.B.), U.S. Public Health Service/National Institutes of Health Grants DK-42191, DK-44540, and DK-55812 (to F.C.), and the University of Virginia Digestive Health Research Center (DK-67629).
2 G.B. and A.O. share first authorship.
3 Address correspondence and reprint requests to Dr. Fabio Cominelli, Digestive Health Center of Excellence, University of Virginia Health Sciences Center, P.O. Box 800708, Charlottesville, VA 22908. E-mail address: fc4q{at}virginia.edu
4 Abbreviations used in this paper: CD, Crohns disease; GF, germfree; SPF, specific pathogen free; FA, fecal Ag; MLN, mesenteric lymph node; TIS, total inflammatory score; Treg, T regulatory.
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