[PDF][PDF] Anti-commensal IgG drives intestinal inflammation and type 17 immunity in ulcerative colitis

T Castro-Dopico, TW Dennison, JR Ferdinand… - Immunity, 2019 - cell.com
T Castro-Dopico, TW Dennison, JR Ferdinand, RJ Mathews, A Fleming, D Clift, BJ Stewart
Immunity, 2019cell.com
Inflammatory bowel disease is a chronic, relapsing condition with two subtypes, Crohn's
disease (CD) and ulcerative colitis (UC). Genome-wide association studies (GWASs) in UC
implicate a FCGR2A variant that alters the binding affinity of the antibody receptor it
encodes, FcγRIIA, for immunoglobulin G (IgG). Here, we aimed to understand the
mechanisms whereby changes in FcγRIIA affinity would affect inflammation in an IgA-
dominated organ. We found a profound induction of anti-commensal IgG and a concomitant …
Summary
Inflammatory bowel disease is a chronic, relapsing condition with two subtypes, Crohn's disease (CD) and ulcerative colitis (UC). Genome-wide association studies (GWASs) in UC implicate a FCGR2A variant that alters the binding affinity of the antibody receptor it encodes, FcγRIIA, for immunoglobulin G (IgG). Here, we aimed to understand the mechanisms whereby changes in FcγRIIA affinity would affect inflammation in an IgA-dominated organ. We found a profound induction of anti-commensal IgG and a concomitant increase in activating FcγR signaling in the colonic mucosa of UC patients. Commensal-IgG immune complexes engaged gut-resident FcγR-expressing macrophages, inducing NLRP3- and reactive-oxygen-species-dependent production of interleukin-1β (IL-1β) and neutrophil-recruiting chemokines. These responses were modulated by the FCGR2A genotype. In vivo manipulation of macrophage FcγR signal strength in a mouse model of UC determined the magnitude of intestinal inflammation and IL-1β-dependent type 17 immunity. The identification of an important contribution of IgG-FcγR-dependent inflammation to UC has therapeutic implications.
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