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

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My winning poster for the Rising Stars of Research National Undergraduate Research Poster Competition 2008.

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Page 1: The Contribution of T Cells to Intestinal Inflammation and Fibrosis

The Contribution of T Cells to Intestinal Inflammation and FibrosisEric Ma (Asava-Aree)1, Guntram A. Grassl1, B. Brett Finlay1

1Michael Smith Laboratories, The University of British Columbia, Vancouver, British [email protected]; [email protected]; [email protected]

Introduction•Instestinal fibrosis is a major complication in Crohn’s Disease (CD) patients.1

•Mechanisms that lead to intestinal fibrosis and stricture formation are still poorly understood.

•The bacterium Salmonella enterica serovar Typhimurium (S. Typhimurium) causes food poisoning and gastroenteritis in millions of people each year.

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

•We recently showed that chronic infections with S. Typhimurium lead to severe intestinal fibrosis.3

•Here, we investigated the contribution of T cells to the development of intestinal fibrosis in mice caused by chronic Salmonella-induced colitis, and found that T-cell deficient mice developed attenuated inflammation and fibrosis.

Experimental Approach

Day ‐1 Day 0 Day 7 Day 14 Day 21 Day 28 Day 35

Harvest Organs

Oral

pretreatment

with

streptomycin

Infection with

S. Typhimurium

ΔaroAHomogenize tissue / enumerate bacteria

Histological stains: H&E, Masson's Trichrome to evaluate inflammation/intestinal fibrosis

Immunofluorescent staining to identify and localize cell types

mRNA isolation to perform qPCR to quantify cytokine expression

Treatment Groups:

C57/Bl6 (B6) wild type

control mice

Rag1-/- mice that have

no T and B cells

(4) S. Typhimurium DaroA induces proinflammatory and profibrotic

cytokines

(2) S. Typhimurium DaroA is found primarily in the lumen of infected ceca

Acknowledgments

Conclusions•S. Typhimurium triggers severe fibrosis in the cecum.•Salmonella-induced profibrotic and proinflammatory cytokines are maximally produced at week 3 post-infection.

•Fibroblasts and smooth muscle cells might be the predominant collagen-producing cells.

•T cells enhance intestinal inflammation and fibrosis

(3) Rag1-/- mice display attenuated inflammation and fibrosis

200X

50X

Uni

nfec

ted

Cont

rols

200X

50X

Day

35

B6 Rag1-/-

Masson’s Trichrome

B6 Rag1-/-

H&E

Fig. 3: Masson’s Trichrome (MT) and Hematoxylin & Eosin (H&E) staining of mice ceca from uninfected controls and day 35 infected B6 and Rag1-/- mice. MT staining indicates position of collagen deposition (blue), while H&E staining reveals extent of inflammation and damage. L = Lumen, M = Mucosa, S = Submucosa. Note region of denser collagen deposition (black arrows) with greater edema in the submucosa of B6 ceca compared to Rag1-/- ceca.

Results(1) S. Typhimurium DaroA

chronically colonizes the cecum of B6 and Rag1-/- mice

10 0

10 1

10 2

10 3

10 4

10 5

10 6

10 7

10 8

10 9

day 7 day 14 day 21 day 28 day 35

S. T

yphi

mur

ium

Bac

teria

l Loa

d (c

fu)

B6

Rag1-/- B6

Rag1-/- B6

Rag1-/- B6

Rag1-/- B6

Rag1-/-

Fig. 1: Bacterial counts of ceca and colons showing similar colonization levels of B6 and Rag1-/- mice; cfu: colony forming units. References

1. Burke J. P., Mulsow J., O’Keane C. et. al. 2007. Fibrogenesis in Crohn’s disease. Am. J. Gastroenterol. 102(2):439-48.

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. Immun. 73(6):3219-27

3. Grassl G. A., Valdez Y., Bergstrom K. S. B. et. al. 2008. Chronic enteric Salmonella infection in mice leads to severe and persistent intestinal fibrosis. Gastroenterology 134(3): 768-80.

CtrlWk 1 Wk 3 Wk 5 Ctrl

Wk 1 Wk 3 Wk 50123456789

101112

Rag vs B6 Cytokine Graphs.pzf:TNF-a Timecourse graph - Wed Aug 13 14:33:08 2008

Rag1-/-B6

TNF-α

Fold

In

duct

ion

CtrlWk 1 Wk 3 Wk 5 Ctrl

Wk 1 Wk 3 Wk 50

25

50

75

100

Rag vs B6 Cytokine Graphs.pzf:IL-6 Timecourse graph - Wed Aug 13 14:42:20 2008

Rag1-/-B6

IL-6

Fold

In

duct

ion

CtrlW

k 1

Wk

3W

k 5

CtrlW

k 1

Wk

3W

k 5

05

1015202530354045

Fold

Indu

ctio

n

Rag vs B6 Cytokine Graphs.pzf:MCP-1 Timecourse graph - Wed Aug 13 13:33:56 2008

Rag1-/-B6

MCP-1

CtrlWk 1 Wk 3 Wk 5 Ctrl

Wk 1 Wk 3 Wk 50.00.51.01.52.02.53.03.54.04.55.05.5

Rag vs B6 Cytokine Graphs.pzf:IGF-1 Timecourse graph - Wed Aug 13 14:24:47 2008

Rag1-/-B6

IGF-1

Fold

In

duc

tion

CtrlWk 1 Wk 3 Wk 5 Ctrl

Wk 1 Wk 3 Wk 50

10

20

30

40

50

60

70

Fold

In

duct

ion

Rag vs B6 Cytokine Graphs.pzf:IL-17 Timecourse graph - Wed Aug 13 14:17:01 2008

Rag1-/-B6

IL-17

CtrlWk 1 Wk 3 Wk 5 Ctrl

Wk 1 Wk 3 Wk 50

50100150200250300350400450

Fold

In

duct

ion

Rag vs B6 Cytokine Graphs.pzf:IFN-g Timecourse graph - Wed Aug 13 13:53:44 2008

B6 Rag1-/-

IFN-γ

Fig. 4: Induction of proinflammatory (TNF-α, IL-6, IL-17, IFN-γ) and profibrotic (MCP-1, IGF-1) cytokines in infected ceca was determined by real-time PCR. Data were normalized to GAPDH levels and are relative to an arbitrarily selected uninfected control.

(5) B6 and Rag1-/- ceca have similar numbers of fibroblasts

Fig. 5: Distribution of mesenchymal cell types in ceca of B6 and Rag1-/- mice infected with S. Typhimurium 35 days p.i., differentiated by staining for fibroblast-specific vimentin (V) and α-smooth muscle actin (A) shown at 400X magnification. Similar amounts of V+A- fibroblasts (white arrow) were found in the submucosa and mucosa of B6 and Rag1-/- ceca. S = Submucosa; M = Mucosa

Vimentin α-Smooth Muscle Actin

B6 Rag1-/-

S. Typhimurium MPO

Fig. 2: Salmonella (Salmonella LPS, red) and neutrophils (myeloperoxidase (MPO), green) were primarily found in the lumen of ceca at 14 days post-infection (p.i.). Uninfected controls shown for comparison. DAPI staining of nuclei shown in blue. L = Lumen, M = Mucosa.

B6 Rag1-/-

Uninfected Control

B6 Rag1-/-

Day 14