Protective major histocompatibility complex allele prevents type 1 diabetes by shaping the intestinal microbiota early in ontogeny

M Silverman, L Kua, A Tanca, M Pala… - Proceedings of the …, 2017 - National Acad Sciences
M Silverman, L Kua, A Tanca, M Pala, A Palomba, C Tanes, K Bittinger, S Uzzau, C Benoist…
Proceedings of the National Academy of Sciences, 2017National Acad Sciences
Certain MHC-II or HLA-D alleles dominantly protect from particular autoimmune diseases.
For example, expression of the MHC-II Eα: Eβ complex potently protects nonobese diabetic
(NOD) mice, which normally lack this isotype, from spontaneous development of type 1
diabetes. However, the underlying mechanisms remain debated. We investigated MHC-II–
mediated protection from type 1 diabetes using a previously reported NOD mouse line
expressing an Eα transgene and, thereby, the Eα: Eβ complex. Eα16/NOD females vertically …
Certain MHC-II or HLA-D alleles dominantly protect from particular autoimmune diseases. For example, expression of the MHC-II Eα:Eβ complex potently protects nonobese diabetic (NOD) mice, which normally lack this isotype, from spontaneous development of type 1 diabetes. However, the underlying mechanisms remain debated. We investigated MHC-II–mediated protection from type 1 diabetes using a previously reported NOD mouse line expressing an Eα transgene and, thereby, the Eα:Eβ complex. Eα16/NOD females vertically protected their NOD offspring from diabetes and insulitis, an effect that was dependent on the intestinal microbiota; moreover, they developed autoimmunity when treated with certain antibiotics or raised in a germ-free environment. Genomic and proteomic analyses revealed NOD and Eα16/NOD mice to host mild but significant differences in the intestinal microbiotas during a critical early window of ontogeny, and transfer of cecal contents from the latter to the former suppressed insulitis. Thus, protection from autoimmunity afforded by particular MHC/HLA alleles can operate via intestinal microbes, highlighting potentially important societal implications of treating infants, or even just their pregnant mothers, with antibiotics.
National Acad Sciences