[PDF][PDF] Transferrable protection by gut microbes against STING-associated lung disease

DJ Platt, D Lawrence, R Rodgers, L Schriefer, W Qian… - Cell reports, 2021 - cell.com
DJ Platt, D Lawrence, R Rodgers, L Schriefer, W Qian, CA Miner, AM Menos, EA Kennedy
Cell reports, 2021cell.com
STING modulates immunity by responding to bacterial and endogenous cyclic dinucleotides
(CDNs). Humans and mice with STING gain-of-function mutations develop a syndrome
known as STING-associated vasculopathy with onset in infancy (SAVI), which is
characterized by inflammatory or fibrosing lung disease. We hypothesized that
hyperresponsiveness of gain-of-function STING to bacterial CDNs might explain
autoinflammatory lung disease in SAVI mice. We report that depletion of gut microbes with …
Summary
STING modulates immunity by responding to bacterial and endogenous cyclic dinucleotides (CDNs). Humans and mice with STING gain-of-function mutations develop a syndrome known as STING-associated vasculopathy with onset in infancy (SAVI), which is characterized by inflammatory or fibrosing lung disease. We hypothesized that hyperresponsiveness of gain-of-function STING to bacterial CDNs might explain autoinflammatory lung disease in SAVI mice. We report that depletion of gut microbes with oral antibiotics (vancomycin, neomycin, and ampicillin [VNA]) nearly eliminates lung disease in SAVI mice, implying that gut microbes might promote STING-associated autoinflammation. However, we show that germ-free SAVI mice still develop severe autoinflammatory disease and that transferring gut microbiota from antibiotics-treated mice to germ-free animals eliminates lung inflammation. Depletion of anaerobes with metronidazole abolishes the protective effect of the VNA antibiotics cocktail, and recolonization with the metronidazole-sensitive anaerobe Bacteroides thetaiotaomicron prevents disease, confirming a protective role of a metronidazole-sensitive microbe in a model of SAVI.
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