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A dendritic cell population responsible for transglutaminase 2–mediated gluten antigen presentation in celiac disease
Fu-Chen Yang, … , Bana Jabri, Chaitan Khosla
Fu-Chen Yang, … , Bana Jabri, Chaitan Khosla
Published August 28, 2025
Citation Information: JCI Insight. 2025;10(19):e196102. https://doi.org/10.1172/jci.insight.196102.
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Research Article Gastroenterology

A dendritic cell population responsible for transglutaminase 2–mediated gluten antigen presentation in celiac disease

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Abstract

In celiac disease (CeD), a gluten-dependent autoimmune disorder, transglutaminase 2 (TG2), deamidates selected glutamine residues in gluten peptides, while HLA-DQ2 presents deamidated antigens to inflammatory T cells. The cellular sources of pathogenic TG2 and DQ2 are unclear. Using chemical biology tools, we show that intestinal CD103+ dendritic cells (DCs) couple cell-surface TG2 to the endocytic LRP1 receptor to simultaneously deamidate gluten antigens and concentrate them in lysosomes. In DQ2-transgenic mice, CD103+ DCs loaded with deamidated antigens migrate from intestinal lamina propria and Peyer’s patches into mesenteric lymph nodes, where they engage T cells. In turn, gluten antigen presentation upregulates intestinal TG2 activity. The tool (HB-230) used to establish a role of CD103+ DCs in gluten antigen presentation and TG2 activation in mice also revealed that the TG2/LRP1 pathway is active in human CD14+ monocytes. Within this population of circulating monocytes, a DC subset with the gut-homing β7-integrin marker is elevated in patients with CeD with active disease compared with nonceliac controls or patients on a gluten-free diet. Our findings not only inform the cellular basis for gluten toxicity in CeD, but they also highlight the immunologic role of an enigmatic protein of growing therapeutic relevance in CeD and other immune disorders.

Authors

Fu-Chen Yang, Harrison A. Besser, Hye Rin Chun, Megan Albertelli, Nielsen Q. Fernandez-Becker, Bana Jabri, Chaitan Khosla

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Figure 5

Enhanced gluten diet, reovirus infection, and IL-15 overexpression increase TG2 activity in the small intestine.

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Enhanced gluten diet, reovirus infection, and IL-15 overexpression incre...
(A and B) WT and DR3.DQ2 mice were fed control (gluten-free) or gluten-enriched diets for 14 days prior to oral HB-230 administration (10 mg/kg). Two hours later, tissues were collected and stained. (A) DR3.DQ2 mice on a gluten-enhanced diet showed increased HB-230 labeling at villus tips. Dot plot quantifies extracellular HB-230+ villi per 10 villi. (B) Confocal imaging revealed strong colocalization of HB-230 with TG2 at villus tips, indicating increased ECM-associated TG2 activity. P values were determined using a 2-way ANOVA, and multiple comparisons were assessed using Benjamini, Krieger, and Yekutieli’s 2-stage step-up method. *P < 0.05. Data represent mean ± SEM. (C–E) DdVil-IL15 transgenic and WT mice received HB-230 (10 mg/kg), and intestines were collected 2 hours later. (C) Quantification of HB-230+ signal (pixel area relative to total tissue area) in proximal and distal intestine sections revealed increased TG2 activity in DdVil-IL15 mice. (D) Flow cytometry of lamina propria cells showed a higher frequency of CD11c+ DCs, but not CD19+ B cells or F4/80+ macrophages, among total HB-230+CD45+MHCII+ cells in DdVil-IL15 mice. (E) Representative flow cytometry plots of HB-230+CD103+ DCs in WT (n = 8) vs. DdVil-IL15 (n = 5) mice. P values were determined using a 2-way ANOVA, and multiple comparisons were assessed using Benjamini, Krieger, and Yekutieli’s 2-stage step-up method. *P < 0.05. Data shown as mean ± SEM. (F) WT mice were infected with T1L reovirus or treated with PBS 46 hours prior to HB-230 administration. Confocal images showed increased extracellular HB-230 staining in distal intestines of reovirus-infected WT mice. P values were determined using a 2-way ANOVA, and multiple comparisons were assessed using Benjamini, Krieger, and Yekutieli’s 2-stage step-up method. *P < 0.05. Data shown as mean ± SEM.

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