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Publication : Environmental enteric dysfunction induces regulatory T cells that inhibit local CD4+ T cell responses and impair oral vaccine efficacy.

First Author  Bhattacharjee A Year  2021
Journal  Immunity Volume  54
Issue  8 Pages  1745-1757.e7
PubMed ID  34348118 Mgi Jnum  J:332698
Mgi Id  MGI:6740306 Doi  10.1016/j.immuni.2021.07.005
Citation  Bhattacharjee A, et al. (2021) Environmental enteric dysfunction induces regulatory T cells that inhibit local CD4+ T cell responses and impair oral vaccine efficacy. Immunity 54(8):1745-1757.e7
abstractText  Environmental enteric dysfunction (EED) is a gastrointestinal inflammatory disease caused by malnutrition and chronic infection. EED is associated with stunting in children and reduced efficacy of oral vaccines. To study the mechanisms of oral vaccine failure during EED, we developed a microbiota- and diet-dependent mouse EED model. Analysis of E. coli-labile toxin vaccine-specific CD4(+) T cells in these mice revealed impaired CD4(+) T cell responses in the small intestine and but not the lymph nodes. EED mice exhibited increased frequencies of small intestine-resident RORgammaT(+)FOXP3(+) regulatory T (Treg) cells. Targeted deletion of RORgammaT from Treg cells restored small intestinal vaccine-specific CD4 T cell responses and vaccine-mediated protection upon challenge. However, ablation of RORgammaT(+)FOXP3(+) Treg cells made mice more susceptible to EED-induced stunting. Our findings provide insight into the poor efficacy of oral vaccines in EED and highlight how RORgammaT(+)FOXP3(+) Treg cells can regulate intestinal immunity while leaving systemic responses intact.
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