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The Contribution of T Cells to Intestinal Inflammation and Fibrosis
                                                                                             Eric Ma (Asava-Aree) , Guntram A. Grassl , B. Brett Finlay    1                            1                        1

                                                                               1
                                                                                Michael Smith Laboratories, The University of British Columbia, Vancouver, British Columbia
                                                                                                                              ericasav@interchange.ubc.ca; guntram@msl.ubc.ca; bfinlay@interchange.ubc.ca                                      Rag vs B6 Cytokine Graphs.pzf:TNF-a Timecourse graph - Wed Aug 13 14:33:08 2008
                                                                                                                                                                                                                                                                                                                                      Rag vs B6 Cytokine Graphs.pzf:IL-6 Timecourse graph - Wed Aug 13 14:42:




                                    Introduction                                                  (2) S. Typhimurium DaroA is found primarily in the lumen of                                                        (4) S. Typhimurium DaroA induces
•Instestinal fibrosis is a major complication in Crohn’s                                                                infected ceca                                                                                 proinflammatory and profibrotic
 Disease (CD) patients.1                                                                                                          Uninfected Control                                        Day 14
•Mechanisms that lead to intestinal fibrosis and stricture                                                                   B6                          Rag1-/-              B6                      Rag1-/-
                                                                                                                                                                                                                                 cytokines
 formation are still poorly understood.                                                                                                                                                                                                                   TNF-α                                                                                    IL-6
•The    bacterium      Salmonella     enterica   serovar
                                                                                                                                                                                                                                                Rag vs B6 Cytokine Graphs.pzf:IL-17 Timecourse graph - Wed Aug 13 14:17:01 2008
                                                                                                                                                                                                                             12                                                                                     100                Rag vs B6 Cytokine Graphs.pzf:IFN-g Timecourse graph - Wed Aug 13 13:
                                                                                                                                                                                                                             11

 Typhimurium (S. Typhimurium) causes food poisoning                                                                                                                                                                          10




                                                                                                                                                                                                                     Induction




                                                                                                                                                                                                                                                                                                       Induction
                                                                                                                                                                                                                              9                                                                                       75
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 and gastroenteritis in millions of people each year.




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•Mice pre-treated with the antibiotic streptomycin prior                                                                                                                                                                      4
                                                                                                                                                                                                                              3                                                                                       25
 to infection with S. Typhimurium experience heavy                                                                                                                                                                            2
                                                                                                                                                                                                                              1
                                                                                                                                                                                                                              0                                                                                         0
 colonization of the cecum and colon with significant




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                                                                                                                                                                                                                                                B6                    Rag1-/-                                                         B6                    Rag1-/-
•We recently showed that chronic infections with S.                                                                                        S. Typhimurium     MPO
 Typhimurium lead to severe intestinal fibrosis.3                                                                                                                                                                                                            IL-17                                                                                     IFN-γ
                                                                                                Fig. 2: Salmonella (Salmonella LPS, red) and neutrophils (myeloperoxidase (MPO), green) were primarily                                         Rag vs B6 Cytokine Graphs.pzf:MCP-1 Timecourse graph - Wed Aug 13 13:33:56 2008


•Here, we investigated the contribution of T cells to the                                       found in the lumen of ceca at 14 days post-infection (p.i.). Uninfected controls shown for comparison.
                                                                                                                                                                                                                                 70
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                                                                                                                                                                                                                                                                                                                       450
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                                                                                                                                                                                                                                                                                                                                      Rag vs B6 Cytokine Graphs.pzf:IGF-1 Timecourse graph - Wed Aug 13 14:2




                                                                                                                                                                                                                                                                                                       Induction
 development of intestinal fibrosis in mice caused by




                                                                                                                                                                                                                     Induction
                                                                                                DAPI staining of nuclei shown in blue. L = Lumen, M = Mucosa.                                                                    50
                                                                                                                                                                                                                                                                                                                       350
                                                                                                                                                                                                                                                                                                                       300
 chronic Salmonella-induced colitis, and found that T-cell




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 deficient mice developed attenuated inflammation                                                                                                                                                                                30
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                                                                                                                                                                                                                                                                                                                       150

 and fibrosis.
                                                                                                     (3) Rag1 mice display attenuated inflammation and fibrosis
                                                                                                                                                                                                                                                                                                                       100
                                                                                                                                  -/-                                                                                            10
                                                                                                                                                                                                                                                                                                                        50
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                                                                                                                                             Masson’s Trichrome                               H&E                                                  B6                   Rag1-/-                                                         B6                      Rag1-/-
                                                                                                                                        B6                     Rag1-/-             B6                  Rag1-/-
                                                                                                                                                                                                                                                          MCP-1                                                                                   IGF-1
                                                                                                                                                                                                                                 45                                                                                    5.5
                                                                                                                                                                                                                                 40                                                                                    5.0




                                                                                                                                                                                                                     Induction




                                                                                                                                                                                                                                                                                                       Induction
                                                                                                                                                                                                                                 35                                                                                    4.5
                                                                                                                                                                                                                                 30                                                                                    4.0




                                                                                                                                                                                                                       Fold
                                                                                                                                                                                                                                                                                                                       3.5




                                                                                                                                                                                                                                                                                                         Fold
                                                                                                                                                                                                                                 25                                                                                    3.0
                                                                                                                      50X




                                                              Harvest Organs
                                                                                                Uninfected Controls




                                                                                                                                                                                                                                 20                                                                                    2.5
                                                                                                                                                                                                                                 15                                                                                    2.0
                                                                                                                                                                                                                                                                                                                       1.5
                                                                                                                                                                                                                                 10
             Day ‐1                Day 0    Day 7       Day 14    Day 21     Day 28   Day 35                                                                                                                                      5
                                                                                                                                                                                                                                                                                                                       1.0
                                                                                                                                                                                                                                                                                                                       0.5
         Oral      Infection with                                                                                                                                                                                                 0                                                                                    0.0
     pretreatment S. Typhimurium             Homogenize tissue / enumerate bacteria




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                       ΔaroA
     streptomycin
                                             Histological stains: H&E, Masson's                                                                                                                                                                  B6                    Rag1-/-                                                          B6                    Rag1-/-
                                             Trichrome to evaluate inflammation/
            Treatment Groups:                intestinal fibrosis                                                                                                                                                      Fig. 4: Induction of proinflammatory (TNF-α, IL-6,
                                                                                                                                                                                                                     IL-17, IFN-γ) and profibrotic (MCP-1, IGF-1) cytokines in
                                                                                                                      200X




            C57/Bl6 (B6) wild type
            control mice                     Immunofluorescent staining to identify
                                             and localize cell types                                                                                                                                                 infected ceca was determined by real-time PCR. Data
            Rag1-/- mice that have
            no T and B cells
                                                                                                                                                                                                                     were normalized to GAPDH levels and are relative to an
                                             mRNA isolation to perform qPCR to                                                                                                                                       arbitrarily selected uninfected control.
                                             quantify cytokine expression



                                           Results                                                                                                                                                                        (5) B6 and Rag1 ceca have                                                           -/-

                                                                                                                                                                                                                         similar numbers of fibroblasts
                                                                                                                      50X




       (1) S. Typhimurium DaroA                                                                                                                                                                                                                         B6                                                                               Rag1-/-
    chronically colonizes the cecum
                                                                                                Day 35




         of B6 and Rag1 mice
                        -/-

                               day 7        day 14          day 21         day 28     day 35
                                                                                                                      200X
Bacterial Load (cfu)
 S. Typhimurium




                       10 9
                       10 8
                       10 7                                                                                                                                                                                                                           Vimentin                                α-Smooth Muscle Actin
                       10 6                                                                     Fig. 3: Masson’s Trichrome (MT) and Hematoxylin & Eosin (H&E) staining of mice ceca from uninfected
                       10 5
                                                                                                controls and day 35 infected B6 and Rag1-/- mice. MT staining indicates position of collagen deposition              Fig. 5: Distribution of mesenchymal cell types in ceca
                       10 4
                                                                                                (blue), while H&E staining reveals extent of inflammation and damage. L = Lumen, M = Mucosa, S =                     of B6 and Rag1-/- mice infected with S. Typhimurium 35
                       10 3
                                                                                                Submucosa. Note region of denser collagen deposition (black arrows) with greater edema in the submucosa              days p.i., differentiated by staining for fibroblast-specific
                       10 2
                       10 1                                                                     of B6 ceca compared to Rag1-/- ceca.                                                                                 vimentin (V) and α-smooth muscle actin (A) shown at
                       10 0                                                                                                                                                                                          400X magnification. Similar amounts of V+A- fibroblasts
                                                                                                                                                                                                                     (white arrow) were found in the submucosa and mucosa
                                     -




                                                    -




                                                                 -




                                                                               -




                                                                                           -
                              B6



                                           B6



                                                         B6



                                                                      B6



                                                                                    B6
                                    -/




                                                -/




                                                                 -/




                                                                               -/




                                                                                           -/
                               g1



                                             g1



                                                             g1



                                                                            g1



                                                                                       g1




                                                                                                                                                                                                                     of B6 and Rag1-/- ceca. S = Submucosa; M = Mucosa
                                                                                                                                                            Conclusions
                              Ra



                                           Ra



                                                           Ra



                                                                       Ra



                                                                                      Ra




Fig. 1: Bacterial counts of ceca and colons showing similar
                                                                                                •S. Typhimurium triggers severe fibrosis in the cecum.
                                                                                                                                                                                                                                                               References
colonization levels of B6 and Rag1-/- mice; cfu: colony
forming units.
                                                                                                •Salmonella-induced profibrotic and proinflammatory cytokines are                                                    1. Burke J. P., Mulsow J., O’Keane C. et. al. 2007. Fibrogenesis in
                                                                                                 maximally produced at week 3 post-infection.                                                                           Crohn’s disease. Am. J. Gastroenterol. 102(2):439-48.

                        Acknowledgments                                                         •Fibroblasts and smooth muscle cells might be the predominant collagen-
                                                                                                                                                                                                                     2. Coburn B., Li Y., Owen D. et. al. 2005. Salmonella enterica serovar
                                                                                                                                                                                                                        Typhimurium pathogenicity island 2 is necessary for complete
                                                                                                                                                                                                                        virulence in a mouse model of infectious enterocolitis. Infect.
                                                                                                 producing cells.                                                                                                       Immun. 73(6):3219-27
                                                                                                                                                                                                                     3. Grassl G. A., Valdez Y., Bergstrom K. S. B. et. al. 2008. Chronic
                                                                                                •T cells enhance intestinal inflammation and fibrosis                                                                   enteric Salmonella infection in mice leads to severe and persistent
                                                                                                                                                                                                                        intestinal fibrosis. Gastroenterology 134(3): 768-80.

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The Contribution of T Cells to Intestinal Inflammation and Fibrosis

  • 1. The Contribution of T Cells to Intestinal Inflammation and Fibrosis Eric Ma (Asava-Aree) , Guntram A. Grassl , B. Brett Finlay 1 1 1 1 Michael Smith Laboratories, The University of British Columbia, Vancouver, British Columbia ericasav@interchange.ubc.ca; guntram@msl.ubc.ca; bfinlay@interchange.ubc.ca Rag vs B6 Cytokine Graphs.pzf:TNF-a Timecourse graph - Wed Aug 13 14:33:08 2008 Rag vs B6 Cytokine Graphs.pzf:IL-6 Timecourse graph - Wed Aug 13 14:42: Introduction (2) S. Typhimurium DaroA is found primarily in the lumen of (4) S. Typhimurium DaroA induces •Instestinal fibrosis is a major complication in Crohn’s infected ceca proinflammatory and profibrotic Disease (CD) patients.1 Uninfected Control Day 14 •Mechanisms that lead to intestinal fibrosis and stricture B6 Rag1-/- B6 Rag1-/- cytokines formation are still poorly understood. TNF-α IL-6 •The bacterium Salmonella enterica serovar Rag vs B6 Cytokine Graphs.pzf:IL-17 Timecourse graph - Wed Aug 13 14:17:01 2008 12 100 Rag vs B6 Cytokine Graphs.pzf:IFN-g Timecourse graph - Wed Aug 13 13: 11 Typhimurium (S. Typhimurium) causes food poisoning 10 Induction Induction 9 75 8 and gastroenteritis in millions of people each year. Fold 7 Fold 6 50 5 •Mice pre-treated with the antibiotic streptomycin prior 4 3 25 to infection with S. Typhimurium experience heavy 2 1 0 0 colonization of the cecum and colon with significant l 1 3 5 1 3 5 l l 1 3 5 1 3 5 l tr tr tr tr k k k k k k C C k k k k k k C C colitis.2 W W W W W W W W W W W W B6 Rag1-/- B6 Rag1-/- •We recently showed that chronic infections with S. S. Typhimurium MPO Typhimurium lead to severe intestinal fibrosis.3 IL-17 IFN-γ Fig. 2: Salmonella (Salmonella LPS, red) and neutrophils (myeloperoxidase (MPO), green) were primarily Rag vs B6 Cytokine Graphs.pzf:MCP-1 Timecourse graph - Wed Aug 13 13:33:56 2008 •Here, we investigated the contribution of T cells to the found in the lumen of ceca at 14 days post-infection (p.i.). Uninfected controls shown for comparison. 70 60 450 400 Rag vs B6 Cytokine Graphs.pzf:IGF-1 Timecourse graph - Wed Aug 13 14:2 Induction development of intestinal fibrosis in mice caused by Induction DAPI staining of nuclei shown in blue. L = Lumen, M = Mucosa. 50 350 300 chronic Salmonella-induced colitis, and found that T-cell Fold Fold 40 250 deficient mice developed attenuated inflammation 30 20 200 150 and fibrosis. (3) Rag1 mice display attenuated inflammation and fibrosis 100 -/- 10 50 0 0 l 1 3 5 l 1 3 5 l 1 3 5 1 3 5 l tr tr Experimental Approach tr tr k k k k k k k k k k k k C C C C W W W W W W W W W W W W Masson’s Trichrome H&E B6 Rag1-/- B6 Rag1-/- B6 Rag1-/- B6 Rag1-/- MCP-1 IGF-1 45 5.5 40 5.0 Induction Induction 35 4.5 30 4.0 Fold 3.5 Fold 25 3.0 50X Harvest Organs Uninfected Controls 20 2.5 15 2.0 1.5 10 Day ‐1 Day 0 Day 7 Day 14 Day 21 Day 28 Day 35 5 1.0 0.5 Oral Infection with 0 0.0 pretreatment S. Typhimurium Homogenize tissue / enumerate bacteria l 1 3 5 1 3 5 l l 1 3 5 1 3 5 l tr tr tr tr k k k k k k k k k k k k C C C C W W W W W W with W W W W W W ΔaroA streptomycin Histological stains: H&E, Masson's B6 Rag1-/- B6 Rag1-/- Trichrome to evaluate inflammation/ Treatment Groups: intestinal fibrosis Fig. 4: Induction of proinflammatory (TNF-α, IL-6, IL-17, IFN-γ) and profibrotic (MCP-1, IGF-1) cytokines in 200X C57/Bl6 (B6) wild type control mice Immunofluorescent staining to identify and localize cell types infected ceca was determined by real-time PCR. Data Rag1-/- mice that have no T and B cells were normalized to GAPDH levels and are relative to an mRNA isolation to perform qPCR to arbitrarily selected uninfected control. quantify cytokine expression Results (5) B6 and Rag1 ceca have -/- similar numbers of fibroblasts 50X (1) S. Typhimurium DaroA B6 Rag1-/- chronically colonizes the cecum Day 35 of B6 and Rag1 mice -/- day 7 day 14 day 21 day 28 day 35 200X Bacterial Load (cfu) S. Typhimurium 10 9 10 8 10 7 Vimentin α-Smooth Muscle Actin 10 6 Fig. 3: Masson’s Trichrome (MT) and Hematoxylin & Eosin (H&E) staining of mice ceca from uninfected 10 5 controls and day 35 infected B6 and Rag1-/- mice. MT staining indicates position of collagen deposition Fig. 5: Distribution of mesenchymal cell types in ceca 10 4 (blue), while H&E staining reveals extent of inflammation and damage. L = Lumen, M = Mucosa, S = of B6 and Rag1-/- mice infected with S. Typhimurium 35 10 3 Submucosa. Note region of denser collagen deposition (black arrows) with greater edema in the submucosa days p.i., differentiated by staining for fibroblast-specific 10 2 10 1 of B6 ceca compared to Rag1-/- ceca. vimentin (V) and α-smooth muscle actin (A) shown at 10 0 400X magnification. Similar amounts of V+A- fibroblasts (white arrow) were found in the submucosa and mucosa - - - - - B6 B6 B6 B6 B6 -/ -/ -/ -/ -/ g1 g1 g1 g1 g1 of B6 and Rag1-/- ceca. S = Submucosa; M = Mucosa Conclusions Ra Ra Ra Ra Ra Fig. 1: Bacterial counts of ceca and colons showing similar •S. Typhimurium triggers severe fibrosis in the cecum. References colonization levels of B6 and Rag1-/- mice; cfu: colony forming units. •Salmonella-induced profibrotic and proinflammatory cytokines are 1. Burke J. P., Mulsow J., O’Keane C. et. al. 2007. Fibrogenesis in maximally produced at week 3 post-infection. Crohn’s disease. Am. J. Gastroenterol. 102(2):439-48. Acknowledgments •Fibroblasts and smooth muscle cells might be the predominant collagen- 2. Coburn B., Li Y., Owen D. et. al. 2005. Salmonella enterica serovar Typhimurium pathogenicity island 2 is necessary for complete virulence in a mouse model of infectious enterocolitis. Infect. producing cells. Immun. 73(6):3219-27 3. Grassl G. A., Valdez Y., Bergstrom K. S. B. et. al. 2008. Chronic •T cells enhance intestinal inflammation and fibrosis enteric Salmonella infection in mice leads to severe and persistent intestinal fibrosis. Gastroenterology 134(3): 768-80.