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Impact du microbiote sur la maturation du système immunitaire de l'hôte : analyse des fortes propriétés immunostimulantes de la bactérie segmentée filamenteuse en souris gnotobiotiquesLécuyer, Emelyne 14 December 2012 (has links) (PDF)
Chez les mammifères, le développement du système immunitaire intestinal est initié in utero par un programme déterminé génétiquement. Cependant, le développement complet de ce système immunitaire et sa maturation finale n'ont lieu qu'après la naissance, sous l'influence des très nombreuses bactéries qui colonisent alors l'intestin et qui composent le microbiote intestinal. L'utilisation de modèles in vivo originaux de souris axéniques, sans germe, et gnotoxéniques, colonisées avec des bactéries individuelles ou des groupes de bactéries plus ou moins complexes, nous a permis d'identifier le rôle particulier de la bactérie segmentée filamenteuse (ou SFB) dans la maturation des réponses immunes intestinales adaptatives, IgA et lymphocytaires T. Sa capacité singulière à adhérer à l'épithélium des plaques de Peyer suggère un rôle important de ces formations lymphoïdes dans l'initiation des réponses immunes induites par la SFB. Nos résultats renforcent l'idée du rôle majeur des plaques de Peyer dans l'initiation des réponses IgA intestinales par le microbiote. De façon inattendue, en l'absence de ces structures, la SFB induit dans le chorion des souris, la néogenèse de structures lymphoïdes tertiaires capables d'initier des réponses IgA associées à une forte réponse IL-17 spécifique de la SFB. Ces résultats suggèrent que les puissantes propriétés immunostimulantes de la SFB sont soutenues par de multiples voies d'induction des réponses immunes qui pourraient être liées à son adhésion à la muqueuse intestinale
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Production and immunogenicity of selected proteins of Salmonella EnteritidisCui, Yun 11 1900 (has links)
Au cours des dernières années, Salmonella Enteritidis est devenus les sérotypes les plus souvent isolés chez les patients canadiens, les cas étant liés à la consommation de viande de poulet et d’œufs crus. Les vaccins tués commercialement disponibles pour la volaille, stimulent mal l'immunité mucosale, tandis que l'utilisation de vaccins vivants reste controversée. Par conséquent, un vaccin sous-unitaire par voie orale peut être une solution. Cinq protéines bactériennes ont été choisies comme candidates potentielles et identifiées, soit Glyceraldehyde-3-phosphate dehydrogenase, Enolase, Lipoamide dehydrogenase, DNA protection during starvation protein et Elongation factor-Tu. Notre objectif a été de produire et de purifier ces protéines et de démontrer leur immunogénicité. Les gènes des protéines ont été amplifiés et clonés dans le vecteur pQE-30 pour expression dans Escherichia coli M15. La purification a été effectuée par FPLC. Des poules pondeuses SPF ont été séparées en 6 groupes et injectées par voie intramusculaire à different âges avec une des 5 protéines, ou le PBS chez le groupe témoin. Les œufs ont été ramassés pendant l'expérience et du sang a été prélevé à 36 semaines d'âge. Les anticorps IgY ont été extraits à partir du jaune d'oeuf et du sérum, et les IgA à partir du blanc d'oeuf. Des immunodots, westernblots et ELISA ont évalué l'immunogénicité des protéines et les niveaux d'anticorps induits . Nous avons constaté que ces cinq protéines pourraient stimuler la production d'anticorps spécifiques in vivo. GAPDH, Enolase et DPS ont induit des titres d'anticorps plus élevés que LpdA et EF-Tu. / Over the past years, Salmonella Enteritidis (SE) has become the most prevalent serovars isolated in Canadian patients. Most cases in humans are associated with consumption of chicken meat, raw egg and related products. For controlling Salmonella transmission and infection in poultry, available commercially killed vaccines poorly stimulate mucosal immunity, while the use of live vaccines remains controversial. Therefore an oral subunit vaccine may be a solution. Five bacterial proteins were chosen as potential candidates and identified as Glyceraldehyde-3-phosphate dehydrogenase, Enolase, Lipoamide dehydrogenase, DNA protection during starvation protein and Elongation factor-Tu. Our objectives were to produce and purify these proteins and study their immunogenicity. The proteins genes were amplified and cloned into pQE-30 vector, then transformed into Escherichia coli M15 for expression. Purification was performed using FPLC. SPF laying hens were separated into 6 groups and injected intramuscularly 3 times at 16, 20 and 28 weeks of age. Five groups were injected with a single protein respectively while the sixth group was injected with PBS as control. Eggs were collected during the duration of the experiment and blood was collected when hens were sacrificed at 36 weeks of age. IgY was extracted from egg yolk and serum and IgA from egg white. Immunodot, westernblot and ELISA were used to evaluate the immunogenicity of proteins and antibody levels they induced. We found that these five proteins could stimulate production of specific antibody in vivo. GAPDH, Enolase and DPS induced higher antibody titer than LpdA and Ef-Tu.
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Papilomavírus humano: novas abordagens epidemiológicas, diagnósticas e perspectivas vacinaisMatias, Bruna França 03 September 2015 (has links)
Conselho Nacional de Desenvolvimento Científico e Tecnológico / Introduction: HPV infection is the most common sexually transmitted disease in
humans, which can cause benign diseases (warty lesion) or malignant as the
anogenital cancer, oral cancer and, with the highest incidence, cervical cancer.
Overall, the main HPV detection method is based on cytological evaluation of
Papanicolaou; however, false-negative results and unsatisfactory sampling
complicate the disease diagnosis and prevention. In this context, the investigation
of new diagnosis platforms and prophylaxys has great interest.
Objectives: The aim of this study was to conduct an epidemiological study of HPV
infection in the women population of southeastern Brazil and then propose new
diagnostic and vaccine approaches.
Methodology: Genital samples of 5,223 women were evaluated by a new
molecular tool based on PCR (Nested Multiplex PCR - NMPCR), using a cocktail
of primers for simultaneous detection of 38 different HPV types, in single tube.
Another molecular approach was proposed by Phage Display technique to select
the IgA binding peptides from cervical samples of patients with HPV infection. In
silico (Linear and 3D bioinformatics) and in vitro (ELISA, Slot blot and
Bioelectrode) analysis were performed to validate the selected phages and
synthetic peptides in cervical (n=91) and salivary specimens (n=66). The
sensitivity and specificity parameters of HPV diagnosis were determined by ROC
curve. To test the vaccine potential of synthetic peptides, in silico (3D
bioinformatic), in vivo (female BALB/c mice immunization) or in vitro analyzes
(MTT, ELISA, splenocytes culture, CBA and Neutralization assay) were carried
out.
Results: Among the 5,223 women evaluated, there was a prevalence of 58.9% of
HPV infection, especially the types 53, 52 and 06, showing the relevance to
propose new alternatives for HPV detection and prevention. In molecular approach
of Phage Display, thirty-two distinct phage clones were selected against IgA from
positive HPV cervical samples. Phage C.B1 showed higher reactivity against HPV
samples compared to the negative control group by ELISA. This peptide is a
putative epitope of HPV major capsid protein (L1) and has distinguished efficiently
infection from HPV controls in cervical and saliva samples (p <0.0001), with high sensitivity (above 95%) and specificity (above 71%) in both fluids. The C.B1
peptide was also successfully incorporated (p<0.05) onto a graphite bioelectrode
for HPV direct diagnosis in saliva. In the vaccine approach, three peptides (PEP1,
PEP3 and PEP4) showed no toxicity in murine macrophages. Immunizations
showed potent induction of serum IgG antibodies production by PEP3, and
increase in IgA titer in the vaginal mucosa under PEP1 and PEP3 stimuli. The
evaluation of cellular immune response indicated that the PEP1 and, particularly,
the PEP3 chimeric peptide were able to polarize the immune response towards to
Th1 profile and sensitize the cells to a pro-inflammatory \"status\", suitable for
antiviral activity. The HPV-16 PsVs neutralization assay showed that PEP3 was
able to reduce the infection by 49%.
Conclusions: Overall, the studies presented here showed a high prevalence of
HPV among Brazilian women by viral types still little explored in the literature. We
selected mimotopes by Phage Display tool capable of detecting HPV in both saliva
samples as in the cervical secretion, providing a low cost, simple and non-invasive
diagnostics for population screening. In addition, the mimotopes selected have
attractive applicability in vaccine formulations, but further studies are still needed. / Introdução: A infecção por HPV é a doença sexualmente transmissível mais
comum em humanos, que pode causar doenças benignas (lesões verrucosas) ou
malignas como o câncer anogenital, câncer oral e, com maior incidência, o câncer
do colo uterino. Globalmente, o principal método de detecção do HPV baseia-se
na avaliação citopatológica de Papanicolaou, entretanto, resultados falsonegativos
e obtenção de amostras insatisfatórias dificultam o diagnóstico e a
prevenção da doença. Neste contexto, a busca por novas plataformas
diagnósticas e profiláticas para o HPV é de grande interesse.
Objetivos: O objetivo do presente estudo foi realizar um levantamento
epidemiológico da infecção por HPV na populacão feminina da região Sudeste do
Brasil e, a partir de então, propor novas abordagens diagnósticas e vacinais.
Metodologia: Amostras genitais de 5.223 mulheres foram avaliadas por uma
nova ferramenta molecular baseada em PCR (Nested Multiplex PCR - NMPCR),
utilizando-se um coquetel de primers para detecção simultânea de 38 diferentes
tipos virais de HPV, em um único tubo. Outra abordagem molecular foi proposta
através da técnica de Phage Display, a fim de selecionar peptídeos ligantes a
anticorpos IgA oriundos de amostras cervicas de pacientes com infecção por
HPV. Análises in silico (Bioinformática linear e 3D) e in vitro (ELISA, Slot blot e
Bioeletrodo) foram realizadas para a validação dos fagos selecionados e dos
peptídeos sintetizados em espécimes cervicais (n=91) e salivares (n=66). Os
parâmetros de sensibilidade e especificidade do diagnóstico do HPV foram
determinados pela curva ROC. Para testar o potencial vacinal dos peptídeos
sintéticos, análises in silico (Bioinformática 3D), in vivo (imunização em
camundongos fêmeas BALB/c) e in vitro (MTT, ELISA, Cultura de esplenócitos,
CBA e Ensaio de Neutralização) foram conduzidas.
Resultados: Dentre as 5.223 mulheres avaliadas, houve uma prevalência de
58,9% de infecção por HPV, com predominância dos tipos 53, 52 e 06,
evidenciando a relevância de se propor novas alternativas de detecção e
profilaxia do HPV. Na abordagem molecular de Phage Display trinta e dois clones
de fagos distintos foram selecionados contra a IgA de amostras cervicais positivas
para o HPV. O fago C.B1 apresentou maior reatividade contra amostras de HPV
em comparação ao grupo controle negativo, por ELISA. Este peptídeo é um epítopo putativo da proteína principal do capsídeo do HPV (L1) e tem
discriminado eficientemente amostras HPV de controles, em amostras cervicais e
salivares (p<0,0001); com alta sensibilidade (acima de 95%) e especificidade
(acima de 71%) em ambos fluidos. O peptídeo C.B1 também foi incorporado com
sucesso (p<0,05) em um bioeletrodo de grafite para o diagnóstico do HPV direto
na saliva. Na abordagem vacinal, três peptídeos (PEP1, PEP3 e PEP4) não
apresentaram toxicidade em macrófagos murinos. As imunizações revelaram
potente indução na produção de anticorpos séricos IgG pelo PEP3, e aumento
nos títulos de IgA na mucosa vaginal sob estímulo dos PEP1 e PEP3. A avaliação
da resposta imune celular indicou que o PEP1 e, sobretudo o peptídeo quimérico
PEP3, foram capazes de polarizar a resposta imune para o perfil Th1 e
sensibilizar as células a um status pró-inflamatório, propício para atuação
antiviral. O ensaio de neutralização de PsVs do HPV-16 mostrou que o PEP3 foi
capaz de reduzir a infecção em 49%.
Conclusões: De maneira geral, os estudos aqui apresentados evidenciaram uma
alta prevalência de HPV em mulheres brasileiras por tipos virais ainda pouco
explorados na literatura mundial. Nós selecionamos mimotopos pela ferramenta
de Phage Display capazes de detectar o HPV tanto em amostras de saliva quanto
em secreção cervical, possibilitando um diagnóstico simples, de baixo custo, e
não invasivo para rastreios populacionais. Além disso, os mimotopos aqui
selecionados possuem atraente aplicabilidade em formulações vacinais, porém
estudos adicionais ainda são necessários. / Doutor em Genética e Bioquímica
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Impact du déficit en IgA sur la symbiose hôte/microbiote intestinal chez l'homme / Effects of IgA deficiency on Host/Intestinal microbiota symbiosis in humansFadlallah, Jehane 12 December 2016 (has links)
Le système immunitaire muqueux, et plus particulièrement les réponses intestinales IgA sont essentielles non seulement à la défense contre les agents pathogènes, mais aussi au façonnement de la flore intestinale commensale. Dans les modèles murins de déficit en IgA, on observe une dysbiose intestinale majeure associée à une inflammation muqueuse, réversibles après restauration des IgA. Le but de ce travail est de décrire l'impact de l'absence d'IgA chez l'homme sur la composition du microbiote intestinal ainsi que ses conséquences locales et systémiques. L'étude comparative par analyse métagénomique des selles de 17 sujets déficitaires en IgA et de 34 donneurs sains retrouve l'absence de différence majeure en termes de répartition des phyla dominants, de diversité et de richesse génique bactériennes entre les deux groupes. En revanche, en analysant à l'échelon des espèces, on observe dans le déficit en IgA une surreprésentation d'espèces pro-inflammatoires et une sous-représentation d'espèces anti-inflammatoires. En outre, en l'absence d'IgA, nous observons la présence de réponses IgM qui opsonisent partiellement les genres ciblés par l'IgA, mais semblent maintenir la diversité au sein des Actinobactéries. Les patients présentent un biais phénotypique lymphocytaire T circulant (TH17) associé à des stigmates de translocation bactérienne. Enfin, l'absence d'IgA s'associe à une perturbation du réseau bactérien minimal "obligatoire". Ces résultats suggèrent que le déficit en IgA humain s'accompagne d'une dysbiose modérée associée à une altération de l'architecture du réseau bactérien induisant une hyperactivation du système immunitaire, malgré la présence de réponses IgM. / IgA responses play a key role in gut mucosa, defending host against pathogens but also shaping the commensal flora. In order to get insights into the specific contributions of IgA to host/microbial symbiosis in humans, we explored patients that lack only IgA, using gut microbial metagenomics and systems immunology. Microbiota composition was compared between 34 healthy controls and 17 selective IgA deficiency (sIgAd) patients. Contrary to what was observed in murine models of IgA deficiency, we show that human sIgAd is not associated with massive perturbations of gut microbial ecology, regarding phyla distribution, bacterial diversity and gene richness. A clear gut microbial signature is however associated to sIgAd: we found 19 over-represented MGS mainly described to be pro-inflammatory, but also 14 under-represented MGS, mainly known to be beneficial. We also explored local consequences of IgA deficiency, particularly whether IgM could replace IgA at host/bacterial interface. Using a combination of bacterial flow sorting and DNA sequencing, we therefore analysed the composition of IgM-coated microbiomes observed in sIgAd. We show that IgM only partially supply IgA deficiency, as not all typical IgA targets can also be opsonized by IgM, but nevertheless contribute to maintain Actinobacteria diversity. IgA deficiency is associated with a skewed circulating CD4+ T cell profile towards TH17, as well as markers of bacterial translocation. Finally, sIgAd is associated with a perturbation of the minimal bacterial network. Altogether our results suggest that human IgA deficiency is associated with a mild dysbiosis associated to systemic inflammation despite the presence of IgM
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Rôle de l’environnement microbien dans la régulation de l’immunoglobuline A mucosale et dans le développement de la maladie de Berger / Role of microbial environment on the mucosal immunoglobulin A regulation and in the development of IgA nephropathyArchelus, Anderson 04 May 2018 (has links)
La maladie de Berger est la glomérulonéphrite la plus fréquente avec une estimation selon laquelle 1% de la population mondiale serait touchée. L’agent causal est une immunoglobuline (Ig)A anormale (polymérique et hypogalactosylée) qui se dépose dans le mésangium et provoque un dysfonctionnement rénal (protéinurie, hématurie) et des lésions glomérulaires. Dans 25% des cas, la maladie évolue sur 20 ans vers l’insuffisance rénale terminale. Des évidences, de plus en plus nombreuses, montrent que l’environnement microbien, en particulier bactérien, commensal ou pathogène, a un impact important sur le développement de la maladie. Au cours de ma thèse, j’ai d’abord étudié l’effet d’une molécule de la paroi bactérienne, le lipopolysaccharide (LPS), sur la production des IgA dans les muqueuses chez la souris normale. Les résultats que j’ai obtenus et ceux publiés permettent de proposer que la stimulation chronique des muqueuses par l’environnement microbien conduit à une augmentation de la production d’IgA néphrotoxiques, qui, du fait d’un déficit de leur récepteur pIgR mucosal, sont anormalement dirigées vers la circulation plûtôt que dans la lumière es muqueuses. Dans une seconde partie de mon travail, j’ai étudié l’effet du LPS sur le développement de la maladie de Berger dans un modèle de souris 1KI. Ces souris génétiquement modifiées produisent de l’IgA humaine et développent spontanément des dépôts mésangiaux d’IgA mais n’ont pas de protéinurie, d’hématurie ou de lésions glomérulaires. Nos résultats montrent que le LPS provoque une forte hématurie dans les souris 1KI lorsque celles-ci expriment le récepteur des IgA humaines, CD89, à la surface des polymorphonucléaires neutrophiles. En conclusion, mon travail de thèse a permis de mettre en lumière un impact de l’environnement microbien sur pIgR et sur les polymorphonucléaires neutrophiles dont la déficience ou l’activation pourrait contribuer au développement de la maladie de Berger. / IgA nephropathy is the most frequent glomerulonephritis worldwide. It features mesangial immunoglobulin (Ig)A deposits and proteinuria, hematuria and glomerular histological lesions. In 25% patients, it evolves, within 20 years, towards the end stage renal disease. Microbial environment, through the interaction with mucosa, is believed to play a crucial role in the development of the disease. The objectives of my work were to evaluate the effect of the microbial compound lipopolysaccharide (LPS) on the production of the nephritogenic IgA in the mucosa of mice and on the development of IgA nephropathy in the murine model 1KI that spontaneously develops mesangial IgA deposits without the other signs of the disease. Our results and those previously published suggest that the chronic stimulation of mucosa by microbiota leads to the increased production of nephritogenic IgA in the mucosa. These IgA, thanks to a deficient mucosal receptor pIgR in patients with IgA nephropathy, may be abnormally routed in the blood. We also showed that LPS provokes hematuria in the 1KI mice, when they express a specific IgA receptor, CD89, on the surface of polymorphonuclear neutrophils. Altogether our findings highlight the impact of microbial environment on pIgR and on polymorphonuclear neutrophils and thus, potentially, on IgA nephropathy.
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Circulation of gut pre-activated naïve CD8+ T cells enhances anti-tumor immunity in B cell defective mice / 腸管前活性型ナイーブCD8陽性細胞の体内循環は、B細胞欠損マウスにおける抗腫瘍免疫効果を亢進させるMaryam, Akramisomeabozorg 24 November 2020 (has links)
京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第22833号 / 医博第4672号 / 新制||医||1047(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 竹内 理, 教授 濵﨑 洋子, 教授 椛島 健治 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM
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Effects of Flunixin Meglumine, Metamizole and Phenylbutazone on Equine Kidney Functions and Urinary Mucus and Immunoglobulin A (IgA) SecretionsIbrahim, Mohammed 20 June 2019 (has links)
Introduction: Nonsteroidal anti-inflammatory drugs (NSAIDs) are one of the most used drugs in equine medicine, mainly used to treat inflammation, endotoxemia, pain or fever. NSAIDs inhibit cyclooxygenases which induce to synthesize prostanoids. But NSAIDs have side effects to renal functions too.
Objectives: The current study was carried out to investigate the effects of the most common used NSAIDs on urinary parameters in horses.
Materials and Methods: Thirty healthy horses were used as a control group and 20 horses with left dorsal displacement, left ventral impaction or lameness of using either flunixin meglumine (FM), metamizole (MZ) or phenylbutazone (PHZ) have been assigned to groups 1, 2 or 3, respectively. Creatinine, urea nitrogen, glucose, protein and electrolytes were measured in serum and urine including GGT using an automatic analyzer. Fractional excretions (FE) of sodium, chloride, potassium, calcium, magnesium and inorganic phosphate, in addition to urinary protein (U-Pro):U-Cr and urinary gamma glutamyl transferase (U-GGT):U-Cr ratios were calculated. Urinary mucus and IgA concentrations were measured and their ratios to the urinary creatinine were calculated. The data were statistically analyzed using Shapiro-Wilks test, descriptive statistics, Kruskal-Wallis one-way analysis of variance and Dunn’s test. Significance was set at P £ 0.05.
Results: The FEMg was significantly higher in group 3 (P < 0.033) compared to the control group. The U-GGT:U-Cr ratio was also significantly higher in group 3 (P < 0.001) compared with the control group. The U-Pro:U-Cr ratio was significantly higher in groups 1 and 2 (P < 0.007 and P < 0.001, respectively) than in the control group. PHZ group had a significantly increase in mucus:U-Cr ratio (P < 0.005). Significant increases were observed regarding the IgA:U-Cr ratio in groups 1 (P < 0.007) and 2 (P < 0.014).
Conclusions: Long-term use of PHZ has an influence on the renal ascending limb of the loop of Henle, and all these drugs could have effects on the proximal tubules. Phenylbutazone causes an increase in urinary mucus secretion, probably as a protective mechanism against the necrotic effect in renal pelvis of PHZ. Parameters such as U-Pro:U-Cr and U-GGT:U-Cr ratios and FEMg are helpful in detecting these renal abnormalities.
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The Flex Representation Method: Versatile Modeling for Isogeometric AnalysisWhetten, Christopher David 13 December 2022 (has links)
The Flex Representation Method (FRM) leverages unique computational advantages of splines to address limitations in the process of building CAE simulation models from CAD geometric models. Central to the approach is the envelope CAD domain that encapsulates a CAD model. An envelope CAD domain can be of arbitrary topological and geometric complexity. Envelope domains are constructed from spline representations, like U-splines, that are analysis-suitable. The envelope CAD domain can be used to approximate none, some, or all of the features in a CAD model. This yields additional simulation modeling options that simplify the model-building process while leveraging the properties of splines to control the accuracy and robustness of computed solutions. Modern integration techniques are adapted to envelope domains to maintain accurate solutions regardless of the CAD envelope chosen. The potential of the method is illustrated through several carefully selected benchmark problems.
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IGA MEDIATED DEFENSES AGAINST HIV-1Wright, Alison Laing 08 February 2008 (has links)
No description available.
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Régulation des réponses immunitaire allergiques par la kinase IKKb des cellules épitheliales intestinales : Effect sur les reactions allergique inflammatoires au niveau des muqueuses pulmonaires et de la peau / Regulation of allergic immune responses by IKKb in intestinal epithelial cells : Effect on allergic inflammation at distant mucosal sitesBonnegarde-Bernard, Astrid 05 December 2013 (has links)
La régulation de l'homéostasie intestinale est de la plus haute importance en raison de la constante exposition de l'intestin aux antigènes alimentaires et à la flore commensale. La perturbation de la flore intestinale est souvent associée à diverses maladies telles que l'allergie, l'obésité et certaines maladies inflammatoires. La plupart des individus sont tolérant aux antigènes alimentaires et ne développe pas de réponse immunitaire sauf en cas de prédisposition génétique ou d'exposition à un environnement défavorable. La réponse allergique se caractérise par la production d'IgE stimulé par les lymphocytes Th2. Les symptômes allergiques sont très variés et affectent plusieurs parties de l'organisme. La plupart des travaux de recherche se sont focalisé jusqu'à présent sur le rôle des cellules de l'immunité adaptative dans le développement de l'allergie en sous-estimant le rôle majeur des cellules épithéliales et des cellules de l'immunité innée. L'objectif de ce projet est de comprendre comment les cellules épithéliales intestinales modulent la réponse immunitaire à distance vers la muqueuse pulmonaire ou la peau après stimulation allergique. L'ingestion de l'antigène associé à l'adjuvant de la toxine cholérique permet d'étudier la réponse allergique chez l'animal. Nous avons démontré sur ce modèle animal que l'absence de la kinase inhibitrice IKKb dans la voie de signalisation du facteur de transcription NF-kB altère la composition de la flore intestinal d'une part et transforme la réponse immunitaire inflammatoire au niveau pulmonaire et de la peau grâce à la présence d'IgA et de lymphocyte Th17 d'autre part. En adéquation avec les observations cliniques rapportées chez les patients allergiques (allergies alimentaires, asthme, dermatite atopique), nos résultats identifient IKKb dans la cellule épithéliale intestinale comme cible potentielle pour traiter les allergies alimentaires. De futurs efforts devront être faits pour développer de nouvelles stratégies thérapeutiques qui considèrent la muqueuse intestinale, la production d'IgA et l'importance des bactéries commensales dans le traitement des allergies. / Immune homeostasis is of paramount importance in the gastrointestinal tract, which is constantly exposed to ingested antigens and commensal microbiota. The gut microbiota can be perturbed by endogenous or exogenous factors and it is now established that microbial dysbiosis is associated with allergy, obesity, and inflammatory diseases. Ingestion of food antigens generally fails to promote brisk immune responses but rather results in a state of immune tolerance. However, aberrant immune responses can develop in individuals with a genetic predisposition. Food allergies are generally regarded as pathologic responses to food antigens mediated by excessive Th2 responses and antigen-specific IgE antibody responses. Clinical manifestations of food allergies are very broad and symptoms can affect different organs. While past research on allergy focused on the role of cells and molecules involved in adaptive immunity, epithelial cells lining the sites of antigen entry and innate immune responses have recently emerged as important players in allergy. This project was undertaken to understand the mechanisms employed by intestinal epithelial cells (IECs) to shape immune responses to allergens and influence allergic manifestations in distant mucosal sites such as the airways or the skin. Oral administration of food antigen with cholera toxin as adjuvant in experimental animals is a well-accepted model to study allergic sensitization to food antigens. Using this model, we show that a localized impairment of the canonical NF-κB pathway through deletion of IkB kinase (IKKβ) in IECs alters the gut microbiota during oral allergic sensitization and regulates the magnitude of allergic inflammatory responses at distant sites of the airway and the skin through enhancement of IgA Abs and Th17 responses. Consistent with the clinical observations linking atopic diseases (food allergy, allergic asthma, atopic dermatitis), our results identify IKKβ in IECs as a potential therapeutic target for treatment of food allergies and subsequent disease. They also suggest that future efforts for controlling allergic responses in the airways and the skin could include strategies that use the gut microbiota and promote IgA Ab responses and prevent IL-17 responses.
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