powerpoint presentation - regulation of tolerance and immunity … · 2018. 4. 3. · thymus and...
TRANSCRIPT
![Page 1: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/1.jpg)
Mucosal Immunology
Cathryn Nagler
University of Chicago
Department of Pathology/Committee on Immunology
![Page 2: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/2.jpg)
Largest area of contact of the immune system with
the environment.
Largest accumulation of lymphoid tissue in the body:
6 x 1010 antibody forming cells in mucosal tissues vs
2.5 x 1010 in lymphoid organs.
The gut associated lymphoid tissue (GALT) contains
more lymphocytes than all of the secondary lymphoid
organs combined!
Secretory IgA is produced at a rate of 40-60 mg/kg/day.
Mucosal surfaces are the major
portals of entry for antigen
![Page 3: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/3.jpg)
Antigens enter through mucosal surfaces
From Nagler-Anderson, Nat.Rev. Immunol. 2001, 1:59
![Page 4: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/4.jpg)
Lymphoid cells protect epithelial barriers at mucosal surfaces
From Gerald Pier, Channing Labs, HMS
![Page 5: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/5.jpg)
Peyer’s patch (inductive)
Villus epithelium and lamina propria (effector)
(effector)
The gut-associated lymphoid tissue contains both
inductive and effector sites
From Nagler-Anderson, Nat.Rev. Immunol. 2001, 1:59
![Page 6: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/6.jpg)
Barker, N., Nat. Rev. Mol. Cell Bio. 2014, 15: 19
The intestinal epithelium is self-renewing
Small
intestine
Colon
![Page 7: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/7.jpg)
1. Mucus
2. Anti-Microbial Peptides
3. Intercellular tight junctions that restrict the
passage of even very small (2kD) molecules
between cells
4. Secretory IgA
Specialized protective adaptations of
the intestinal epithelial barrier
![Page 8: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/8.jpg)
Johansson MEV and Hansson, GC Nat. Rev. Immunol. 2016, 16: 639
Mucus layers in the small intestine and colon
![Page 9: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/9.jpg)
Anti-microbial peptides protect the
intestinal epithelial barrier
Gallo, RL & LV Hooper Nat. Rev. Immunol. 2012, 12: 503
![Page 10: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/10.jpg)
Anatomy of the mucosal barrier: the intestinal
epithelial junctional complex
Turner, J.R. Nat. Rev., Immunol. 2009, 9:799
![Page 11: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/11.jpg)
Clayburgh, DR, Shen, L & Turner JR. Lab Invest. 2004, 84: 282
![Page 12: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/12.jpg)
The epithelial tight junction regulates mucosal homeostasis
Turner, J.R. Nat. Rev., Immunol. 2009, 9:799
![Page 13: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/13.jpg)
Secretory IgA
IgA (not IgG) is the major isotype of Ig synthesized by the body!
At least 80% of all plasma cells are located in the intestinal lamina
propria and together produce more IgA than all other Ig isotypes
combined. Class switching to IgA is regulated by TGF-b.
J chain joins IgA monomers
![Page 14: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/14.jpg)
Castro, C. & Flajnik, M. J Immunol. 2014, 193: 3248.
Models of J chain expression
Is J chain protein expressed in all plasma cells but degraded
when it is not associated with secretory Ig?
Or is it absent from some B cells?
![Page 15: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/15.jpg)
IgA binds to the
polymeric Ig receptor
(pIgR), also known as
transmembrane
secretory component
(SC) on the basolateral
surface and is
transported to the
apical surface. The
portion of the
pIgR attached to the Fc
region of IgA is then
enzymatically cleaved
and stays bound to
dimeric IgA as SC.
From Gerald Pier, Channing Labs, HMS
Transport of secretory IgA to the luminal surface
![Page 16: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/16.jpg)
Secretory IgA has several functions at epithelial surfaces
![Page 17: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/17.jpg)
Mechanisms of antigen sampling in the small intestine
Schulz, O & Pabst. O Trends Immunol 2013, 34: 155
APC (DC or macrophage)
![Page 18: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/18.jpg)
The chemokine CCL25 (also called
thymus expressed chemokine, TECK)
is secreted only by epithelial cells in the
thymus and the small intestine, and
attracts developing CCR9+ T
cells to these sites.
The dual expression of the intestinal
homing receptor a4b7 (an integrin
which binds the mucosal vascular
addressin MADCAM-1) and CCR9 allows
for the selective homing of memory T
cells to the intestinal lamina propria.
Chemokine/receptor pairs regulate tissue
specific migration
From Cheroutre and Madakamutil, Nat. Rev. Immunol. 2004, 4: 290
![Page 19: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/19.jpg)
Enzymatically converted vitamins control lymphocyte
migration in the skin and the gut
From Mebius, Nat. Immunol 2007, 8: 229
Dendritic cells (DCs) in the GALT
express enzymes required for
converting dietary vitamin A to retinoic
acid (RA). T cell activation in the
presence of retinoic acid induces the
expression of the gut homing receptors
CCR9 and a4b7.
DCs in the skin convert sunlight
induced vitamin D3 to its active form
1,25(OH)2D3, which induces the
expression of CCR10 on activated T
cells, allowing their migration into the
epidermis.
![Page 20: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/20.jpg)
Memory T effector cells accumulate in the intestinal
lamina propria, enabling the GALT to respond quickly
and effectively to challenge with enteric pathogens.
Antigen challenge redistributes memory T effector
cells to “man the barrier” for strategic
mucosal defense
Memory T cells accumulate in the GALT
![Page 21: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/21.jpg)
Atypical populations of T cells
that reside between enterocytes
above the basement membrane.
Express CD8 as a CD8aa
homodimer (rather than the
CD8ab heterodimer expressed
by CD8+ T cells at other
sites)
Many IEL are constitutively
cytolytic directly ex vivo.
A large proportion of IEL bear gd
(as opposed to ab) T cell receptors.
Intestinal intraepithelial lymphocytes
From Karen Edelblum, U. Chicago
![Page 22: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/22.jpg)
IEL act as sentinels to detect and repair damaged epithelium
ab-TCR+
From Cheroutre and Madakamutil,
Nat. Rev. Immunol. 2004, 4: 290
lumen gd T cell nuclei
Edelblum et al PNAS 2012, 109: 7097
![Page 23: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/23.jpg)
![Page 24: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/24.jpg)
How does the gut associated
lymphoid tissue distinguish
innocuous dietary antigens and
commensal bacteria from
pathogenic microbes
….and mount an appropriate
response to each?
![Page 25: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/25.jpg)
Oral tolerance- induction of
mucosal and systemic non-
responsiveness to orally-
administered antigens
![Page 26: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/26.jpg)
Orally administered antigen ameliorates disease
in a large variety of experimental models
Weiner, H. et al Immuno. Rev. 2011; 241:241
![Page 27: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/27.jpg)
A multistep model of oral tolerance to dietary antigens
I. Antigen loaded CD103+
DC migrate to MLN
II. RA produced by DC and
stromal cells in MLN
induce homing
receptors and favor
TGF-b dependent
conversion of Foxp3+
Tregs
III. Committed Tregs home
back to LP
IV. Tregs expand under the
influence of IL-10
produced by CX3CR1hi
macrophages
V. Some Tregs exit mucosa
via lymph or blood-
stream to promote
systemic tolerancePabst and Mowat, Mucosal Immunology 2012, 5: 232
![Page 28: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/28.jpg)
Tolerance to dietary antigen requires the induction
of a bacteria-induced barrier protective response
Stefka, Feehley et al PNAS 2014, 111; 13145
![Page 29: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/29.jpg)
Mucosal (oral/nasal) vaccines are the
preferred method for vaccination in the
developing world.
Mucosal vaccines are easily administered
(needle-free), non-invasive and cost-
effective.
Only mucosal vaccination elicits a
protective secretory IgA response.
Mucosal Vaccines
![Page 30: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/30.jpg)
Currently licensed mucosal vaccines
Kim, S.-H. and Jang, Y.-S. Clin. Exp. Vaccine Res 2017, 6: 15
![Page 31: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/31.jpg)
Mucosal vaccination routes and compartmentalization
of effector functions
Lycke, N. Nat. Rev. Immunol. 2012, 12; 592
![Page 32: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/32.jpg)
Adjuvants that are effective parenterally are generally
toxic or unstable when given orally.
The tendency of the GALT to induce tolerance to soluble
antigens has made identification of effective mucosal
adjuvants difficult.
Microbial products such as cholera toxin, E. coli heat-labile
toxin and oligodeoxynucleotides containing a bacterial CpG
motif can act as effective mucosal adjuvants and induce both
mucosal and systemic immune responses to co-administered
protein antigens.
Mucosal adjuvants
![Page 33: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/33.jpg)
Pattern recognition receptors and their cellular location
![Page 34: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/34.jpg)
Capsule
Bacterial TLR ligands
![Page 35: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/35.jpg)
TLR expression in the intestinal epithelium
Abreu, M.T. Nat. Rev. Immunol. 2010, 10: 131
![Page 36: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/36.jpg)
Pathogenic bacteria use various strategies to trigger a
proinflammatory program in intestinal epithelial cells
From Sansonetti, Nat. Rev.Immunol. 2004, 12:953
![Page 37: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/37.jpg)
Commensal bacteria populate our skin and mucosal surfaces
and profoundly influence our health
0
1.2E+14
Human cells Bacterial cells
10 trillion human cells
20,000 genes
100 trillion bacterial cells
2 -20,000,000 genes
There are as many E. coli in our gut as there are people on earth!
![Page 38: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/38.jpg)
We exist in a dynamic interrelationship with our
commensal microbiome!
Healthy individuals “tolerate” their intestinal
microbiota but are also constantly receiving
signals from the microbiome that have a
profound impact on both systemic and mucosal
immunity.
![Page 39: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/39.jpg)
The commensal microbiota confers many
health benefits to the host
![Page 40: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/40.jpg)
The 16S rRNA gene is
highly conserved among
bacterial species.
“Universal” primers target
conserved regions of this
gene and allow for
amplification and
sequencing of species
specific hypervariable
regions for bacterial
classification.
Structure of 16S ribosomal RNA
Culture independent methods of analysis have transformed
our understanding of the composition of the microbiome
![Page 41: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/41.jpg)
The composition of the microbiota varies by anatomical site
Cho, I. & Blaser, M.J. Nat. Rev. Genetics 2012; 13: 260
![Page 42: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/42.jpg)
Dominguez-Bello, MG et al, Gastroenterology 2011; 140:1713
The gastrointestinal microbiota changes throughout life
![Page 43: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/43.jpg)
Antibiotic
use
Western
high fat,
low fiber
diet
Elimination of entero-
pathogens
(H. pylori,
helminths)
Vaccination/reduced
exposure to
infectious
disease
Caesarean
birth/formula
feeding
Alteration of
commensal
microbiota
“dysbiosis”
genetically
susceptible
individual
Inflammatory
Bowel
Disease
Obesity
Food Allergy
Diabetes
Autism
Asthma
Feehley et al Seminars in Immunopathology 2012, 34; 671
“Diseases of Western
Society”
![Page 44: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/44.jpg)
![Page 45: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/45.jpg)
Germ free mice are a powerful tool to examine the role of the
commensal microbiota in the regulation of health and disease
![Page 46: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/46.jpg)
Protection against allergic sensitization to food requires the
induction of a bacteria-induced barrier protective response
Stefka, Feehley et al PNAS 2014, 111; 13145
![Page 47: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/47.jpg)
The composition of the fecal microbiota is
altered in cow’s milk allergic infants
Berni Canani, Sangwan, Stefka et al ISMEJ 2016, 10; 742
Healthy
n=20
Cow's Milk Allergic
n=20
Lactobacillales
Bifidobacteriales
Enterobacteriales
Bacteroidales
Burkholderiales
Pasteurellales
Other
Clostridiales
![Page 48: PowerPoint Presentation - Regulation of tolerance and immunity … · 2018. 4. 3. · thymus and the small intestine, and attracts developing CCR9+ T cells to these sites. The dual](https://reader035.vdocuments.us/reader035/viewer/2022071104/5fddfcc2885e810bec2fe87a/html5/thumbnails/48.jpg)
IL-22
food
modified from
M. Velasquez-Manoff,
Nature 2015, 518: S4