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Coeliac disease & gluten sensitivity

Epithelial stress enters the dance in coeliac disease

Coeliac disease is an immune-mediated enteropathy induced by gluten. Generation of gluten-specific CD4+ T cells is necessary but not sufficient to induce overt disease. Now, epithelial stress has been proposed as a distinct factor that synergizes with the anti-gluten adaptive immune response to induce intraepithelial lymphocyte activation and tissue damage.

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Figure 1: Epithelial stress and adaptive immunity in coeliac disease pathogenesis.

References

  1. Setty, M. et al. Distinct and synergistic contributions of epithelial stress and adaptive immunity to functions of intraepithelial killer cells and active celiac disease. Gastroenterology http://dx.doi.org/10.1053/j.gastro.2015.05.013.

  2. Meresse, B., Malamut, G. & Cerf-Bensussan, N. Celiac disease: an immunological jigsaw. Immunity 36, 907–919 (2012).

    Article  CAS  PubMed  Google Scholar 

  3. Korneychuk, N., Meresse, B. & Cerf-Bensussan, N. Lessons from rodent models in celiac disease. Mucosal Immunol. 8, 18–28 (2015).

    Article  CAS  PubMed  Google Scholar 

  4. Abadie, V. & Jabri, B. IL-15: a central regulator of celiac disease immunopathology. Immunol. Rev. 260, 221–234 (2014).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Mention, J. J. et al. Interleukin 15: a key to disrupted intraepithelial lymphocyte homeostasis and lymphomagenesis in celiac disease. Gastroenterology 125, 730–745 (2003).

    Article  CAS  PubMed  Google Scholar 

  6. Colpitts, S. L. et al. Cutting edge: the role of IFN-alpha receptor and MyD88 signaling in induction of IL-15 expression in vivo. J. Immunol. 188, 2483–2487 (2012).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Jabri, B. et al. TCR specificity dictates CD94/NKG2A expression by human CTL. Immunity 17, 487–499 (2002).

    Article  CAS  PubMed  Google Scholar 

  8. Korneychuk, N. et al. Interleukin 15 and CD4+ T cells cooperate to promote small intestinal enteropathy in response to dietary antigen. Gastroenterology 146, 1017–1027 (2014).

    Article  CAS  PubMed  Google Scholar 

  9. Hu, S. et al. Translational inhibition of colonic epithelial heat shock proteins by IFN-gamma and TNF-alpha in intestinal inflammation. Gastroenterology 133, 1893–1904 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Gutierrez-Achury, J. et al. Fine mapping in the MHC region accounts for 18% additional genetic risk for celiac disease. Nat. Genet. 47, 577–578 (2015).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The authors are supported by Institut National Pour la Santé et la Recherche and Université Paris Descartes and by grants from la Ligue Contre le Cancer, la Fondation Princesse Grace et l'Association Française des Intolérants au Gluten (AFDIAG). Institut Imagine is recipient of Investissement d'Avenir ANR10-IAHU01.

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Correspondence to Nadine Cerf-Bensussan.

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Cerf-Bensussan, N., Meresse, B. Epithelial stress enters the dance in coeliac disease. Nat Rev Gastroenterol Hepatol 12, 491–492 (2015). https://doi.org/10.1038/nrgastro.2015.120

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