Abstract |
CD4+ T cells are essential for development and perpetuation of Crohn's disease, a chronic immune-mediated condition that affects primarily the small intestine. Using novel models of Crohn's disease-like ileitis (i.e., SAMP1/YitFc and CD4+ T cell transfer models), we have begun to understand the adhesive pathways that mediate lymphocyte trafficking to the chronically inflamed small bowel. Expansion of the CD4/beta7+ population and increased mucosal addressin cell adhesion molecule-1 (MAdCAM-1) expression were observed within the intestinal lamina propria with disease progression. However, Ab blockade of the beta7 integrin, the alpha4beta7 heterodimer, MAdCAM-1, or L-selectin did not attenuate inflammation. Blockade of two pathways ( L-selectin and MAdCAM-1 or alpha4 integrins) was required to improve ileitis. Further analyses showed that 55 +/- 7% of the mesenteric lymph node alpha4beta7+CD4 expressed L-selectin. These L-selectin+ T cells were the main producers of TNF-alpha and the predominant ileitis-inducing subpopulation. Mechanistically, combined blockade of L-selectin and MAdCAM-1 depleted the intestinal lamina propria of CD4+ T cells that aberrantly coexpressed alpha4beta7 and alpha4beta1 integrins, markedly decreasing local production of TNF-alpha and IFN-gamma. Thus, pathogenic CD4+ T cells not only use the physiologic alpha4beta7/MAdCAM-1 pathway, but alternatively engage alpha4beta1 and L-selectin to recirculate to the chronically inflamed small intestine.
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Authors | Jesús Rivera-Nieves, Timothy Olson, Giorgos Bamias, Anthony Bruce, Michael Solga, Robert F Knight, Sharon Hoang, Fabio Cominelli, Klaus Ley |
Journal | Journal of immunology (Baltimore, Md. : 1950)
(J Immunol)
Vol. 174
Issue 4
Pg. 2343-52
(Feb 15 2005)
ISSN: 0022-1767 [Print] United States |
PMID | 15699171
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Antibodies, Blocking
- Cell Adhesion Molecules
- Immunoglobulins
- Integrin alpha4beta1
- Integrins
- Madcam1 protein, mouse
- Mucoproteins
- Tumor Necrosis Factor-alpha
- integrin alpha4beta7
- L-Selectin
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Topics |
- Animals
- Antibodies, Blocking
(administration & dosage)
- CD4-Positive T-Lymphocytes
(immunology, metabolism, pathology)
- Cell Adhesion Molecules
- Cell Movement
(immunology)
- Chronic Disease
- Disease Progression
- Female
- Ileitis
(genetics, immunology, pathology)
- Immunoglobulins
(biosynthesis)
- Integrin alpha4beta1
(biosynthesis, physiology)
- Integrins
(antagonists & inhibitors, biosynthesis, physiology)
- L-Selectin
(biosynthesis, immunology, physiology)
- Male
- Mice
- Mice, Inbred AKR
- Mice, Mutant Strains
- Mice, SCID
- Mucoproteins
(antagonists & inhibitors, biosynthesis)
- Signal Transduction
(immunology)
- Tumor Necrosis Factor-alpha
(biosynthesis)
- Up-Regulation
(genetics, immunology)
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