Apoptosis in response to microbial infection induces autoreactive TH17 cells

Nat Immunol. 2016 Sep;17(9):1084-92. doi: 10.1038/ni.3512. Epub 2016 Jul 25.

Abstract

Microbial infections often precede the onset of autoimmunity. How infections trigger autoimmunity remains poorly understood. We investigated the possibility that infection might create conditions that allow the stimulatory presentation of self peptides themselves and that this might suffice to elicit autoreactive T cell responses that lead to autoimmunity. Self-reactive CD4(+) T cells are major drivers of autoimmune disease, but their activation is normally prevented through regulatory mechanisms that limit the immunostimulatory presentation of self antigens. Here we found that the apoptosis of infected host cells enabled the presentation of self antigens by major histocompatibility complex class II molecules in an inflammatory context. This was sufficient for the generation of an autoreactive TH17 subset of helper T cells, prominently associated with autoimmune disease. Once induced, the self-reactive TH17 cells promoted auto-inflammation and autoantibody generation. Our findings have implications for how infections precipitate autoimmunity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigen Presentation
  • Apoptosis*
  • Autoantigens / immunology
  • Autoantigens / metabolism*
  • Autoimmune Diseases / etiology
  • Autoimmune Diseases / immunology*
  • Autoimmunity
  • Citrobacter rodentium / immunology*
  • Enterobacteriaceae Infections / complications
  • Enterobacteriaceae Infections / immunology*
  • Histocompatibility Antigens Class II / metabolism
  • Humans
  • Interleukin-10 / genetics
  • Interleukin-10 / metabolism
  • Lymphocyte Activation
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Radiation Chimera
  • Th17 Cells / immunology*

Substances

  • Autoantigens
  • Histocompatibility Antigens Class II
  • Interleukin-10