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Selection of cross-reactive T cells by commensal and food-derived yeasts drives cytotoxic TH1 cell responses in Crohn's disease.


ABSTRACT: Aberrant CD4+ T cell reactivity against intestinal microorganisms is considered to drive mucosal inflammation in inflammatory bowel diseases. The disease-relevant microbial species and the corresponding microorganism-specific, pathogenic T cell phenotypes remain largely unknown. In the present study, we identified common gut commensal and food-derived yeasts, as direct activators of altered CD4+ T cell reactions in patients with Crohn's disease (CD). Yeast-responsive CD4+ T cells in CD display a cytotoxic T helper cell (TH1 cell) phenotype and show selective expansion of T cell clones that are highly cross-reactive to several commensal, as well as food-derived, fungal species. This indicates cross-reactive T cell selection by repeated encounter with conserved fungal antigens in the context of chronic intestinal disease. Our results highlighted a role of yeasts as drivers of aberrant CD4+ T cell reactivity in patients with CD and suggest that both gut-resident fungal commensals and daily dietary intake of yeasts might contribute to chronic activation of inflammatory CD4+ T cell responses in patients with CD.

SUBMITTER: Martini GR 

PROVIDER: S-EPMC10579100 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Selection of cross-reactive T cells by commensal and food-derived yeasts drives cytotoxic T<sub>H</sub>1 cell responses in Crohn's disease.

Martini Gabriela Rios GR   Tikhonova Ekaterina E   Rosati Elisa E   DeCelie Meghan Bialt MB   Sievers Laura Katharina LK   Tran Florian F   Lessing Matthias M   Bergfeld Arne A   Hinz Sophia S   Nikolaus Susanna S   Kümpers Julia J   Matysiak Anna A   Hofmann Philipp P   Saggau Carina C   Schneiders Stephan S   Kamps Ann-Kristin AK   Jacobs Gunnar G   Lieb Wolfgang W   Maul Jochen J   Siegmund Britta B   Seegers Barbara B   Hinrichsen Holger H   Oberg Hans-Heinrich HH   Wesch Daniela D   Bereswill Stefan S   Heimesaat Markus M MM   Rupp Jan J   Kniemeyer Olaf O   Brakhage Axel A AA   Brunke Sascha S   Hube Bernhard B   Aden Konrad K   Franke Andre A   Iliev Iliyan D ID   Scheffold Alexander A   Schreiber Stefan S   Bacher Petra P  

Nature medicine 20230925 10


Aberrant CD4<sup>+</sup> T cell reactivity against intestinal microorganisms is considered to drive mucosal inflammation in inflammatory bowel diseases. The disease-relevant microbial species and the corresponding microorganism-specific, pathogenic T cell phenotypes remain largely unknown. In the present study, we identified common gut commensal and food-derived yeasts, as direct activators of altered CD4<sup>+</sup> T cell reactions in patients with Crohn's disease (CD). Yeast-responsive CD4<su  ...[more]

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