Microbiota–the trillions of bacteria that co-exist in the body–regulate the ability of lung dendritic cells to generate immune responses, according to a study led by researchers from the Icahn School of Medicine at Mount Sinai, published online in the Journal of Experimental Medicine.
"Our findings demonstrate a clear role of bacteria in modulating immune function in the lungs, which were long considered 'sterile' sites," said Saurabh Mehandru, MD, senior author of the paper and Assistant Professor of Medicine in Gastroenterology, Icahn School of Medicine at Mount Sinai. "This provides the basis to study other aspects of lung immune function that may be affected by microbial communities, and may also help with improving nasal vaccines used to protect against infections of the lung and elsewhere in the body."
The human body contains approximately ten times as many bacterial cells as human cells. Known as commensal bacteria, they exist in a mutually beneficial, symbiotic relationship with their human hosts, helping with a diverse range of functions that are only beginning to be understood. While a majority of previous studies have focused on how bacteria shape and protect the immune system within the intestines, it is becoming clear that other sites of the body also benefit immensely from commensal bacteria.
The immune system produces a complex range of proteins and chemicals to protect against infections, allergies and cancer. One group of these proteins is called immunoglobulins, or antibodies, that are produced by specialized cells called B cells. Immunoglobulin A (IgA) is the predominant antibody within the inner lining of the body, called the mucosa; intestines and lungs are two of the largest mucosal surfaces. At these sites, IgA is shown to protect against infections. Evidence is also emerging that IgA may help suppress allergies at these sites.
To study the production of IgA within the lungs, the researchers used mouse models to isolate specialized cells called dendritic cells and cultured them with antibody-producing B cells. After four to five days of culture, the B cells started producing the IgA antibody in a process called "IgA class switch recombination." To the researchers' surprise, they found that when they isolated lung dendritic cells from "germ free" or antibiotic-treated mice, the production of IgA was highly impaired. Further, when the germ-free mice were fed with a component of bacterial cell wall called LPS, the lung dendritic cells started instructing B cells to produce IgA again.
Indiscriminate use of antibiotics in clinical use as well as in food production in western countries has changed the bacterial composition of our body, causing dysbiosis (microbial imbalance), and coinciding with a dramatic increase in allergic disorders like asthma and food allergies. With this study, Mount Sinai researchers have shown a key link between antibiotic use, dysbiosis and reduced production of IgA within the lungs. Since low levels of IgA have previously been shown to relate to asthma and other allergic diseases, this in turn provides a novel mechanism behind the rising incidence of these disorders in the western populations.
Additionally, researchers have shown that changing the bacterial composition of the body may have important consequences on the effectiveness of vaccines used to protect the mucosal surfaces of the body against infection. Thus, their study demonstrates how commensal bacteria may affect important aspects of lung immunity, in turn increasing our susceptibility to allergies and infections.
This work was supported by grants from the American Gastroenterology Association Elsevier Award and The National Institutes of Health/National Center for Research Resources.
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The Mount Sinai Health System is an integrated health system committed to providing distinguished care, conducting transformative research, and advancing biomedical education. Structured around seven hospital campuses and a single medical school, the Health System has an extensive ambulatory network and a range of inpatient and outpatient services–from community-based facilities to tertiary and quaternary care.
The System includes approximately 6,100 primary and specialty care physicians; 12 joint-venture ambulatory surgery centers; more than 140 ambulatory practices throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and 31 affiliated community health centers. Physicians are affiliated with the renowned Icahn School of Medicine at Mount Sinai, which is ranked among the highest in the nation in National Institutes of Health funding per investigator. The Mount Sinai Hospital is ranked as one of the nation's top 10 hospitals in Geriatrics, Cardiology/Heart Surgery, and Gastroenterology, and is in the top 25 in five other specialties in the 2015-2016 "Best Hospitals" issue of U.S. News & World Report. Mount Sinai's Kravis Children's Hospital also is ranked in seven out of ten pediatric specialties by U.S. News & World Report. The New York Eye and Ear Infirmary of Mount Sinai is ranked 11th nationally for Ophthalmology, while Mount Sinai Beth Israel is ranked regionally.
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