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Publication : Protective role of commensals against Clostridium difficile infection via an IL-1β-mediated positive-feedback loop.

First Author  Hasegawa M Year  2012
Journal  J Immunol Volume  189
Issue  6 Pages  3085-91
PubMed ID  22888139 Mgi Jnum  J:189813
Mgi Id  MGI:5447087 Doi  10.4049/jimmunol.1200821
Citation  Hasegawa M, et al. (2012) Protective role of commensals against Clostridium difficile infection via an IL-1beta-mediated positive-feedback loop. J Immunol 189(6):3085-91
abstractText  Clostridium difficile is a Gram-positive obligate anaerobic pathogen that causes pseudomembranous colitis in antibiotic-treated individuals. Commensal bacteria are known to have a significant role in the intestinal accumulation of C. difficile after antibiotic treatment, but little is known about how they affect host immunity during C. difficile infection. In this article, we report that C. difficile infection results in translocation of commensals across the intestinal epithelial barrier that is critical for neutrophil recruitment through the induction of an IL-1beta-mediated positive-feedback loop. Mice lacking ASC, an essential mediator of IL-1beta and IL-18 processing and secretion, were highly susceptible to C. difficile infection. ASC(-/-) mice exhibited enhanced translocation of commensals to multiple organs after C. difficile infection. Notably, ASC(-/-) mice exhibited impaired CXCL1 production and neutrophil influx into intestinal tissues in response to C. difficile infection. The impairment in neutrophil recruitment resulted in reduced production of IL-1beta and CXCL1 but not IL-18. Importantly, translocated commensals were required for ASC/Nlrp3-dependent IL-1beta secretion by neutrophils. Mice lacking IL-1beta were deficient in inducing CXCL1 secretion, suggesting that IL-1beta is the dominant inducer of ASC-mediated CXCL1 production during C. difficile infection. These results indicate that translocated commensals play a crucial role in CXCL1-dependent recruitment of neutrophils to the intestine through an IL-1beta/NLRP3/ASC-mediated positive-feedback mechanism that is important for host survival and clearance of translocated commensals during C. difficile infection.
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