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. 2020 Aug:58:102913.
doi: 10.1016/j.ebiom.2020.102913. Epub 2020 Jul 22.

Microbiota-derived butyrate limits the autoimmune response by promoting the differentiation of follicular regulatory T cells

Affiliations

Microbiota-derived butyrate limits the autoimmune response by promoting the differentiation of follicular regulatory T cells

Daisuke Takahashi et al. EBioMedicine. 2020 Aug.

Abstract

Background: Rheumatoid arthritis (RA) is a chronic debilitating autoimmune disorder with a high prevalence, especially in industrialized countries. Dysbiosis of the intestinal microbiota has been observed in RA patients. For instance, new-onset untreated RA (NORA) is associated with the underrepresentation of the Clostridium cluster XIVa, including Lachnospiraceae, which are major butyrate producers, although the pathological relevance has remained obscure. Follicular regulatory T (TFR) cells play critical regulatory roles in the pathogenesis of autoimmune diseases, including RA. Reduced number of circulating TFR cells has been associated with the elevation of autoantibodies and disease severity in RA. However, the contribution of commensal microbe-derived butyrate in controlling TFR cell differentiation remains unknown.

Methods: We examined the contribution of microbe-derived butyrate in controlling autoimmune arthritis using collagen-induced arthritis (CIA) and SKG arthritis models. We phenotyped autoimmune responses in the gut-associated lymphoid tissues (GALT) in the colon and joint-draining lymph nodes in the CIA model. We developed an in vitro CXCR5+Bcl-6+Foxp3+ TFR (iTFR) cell culture system and examined whether butyrate promotes the differentiation of iTFR cells.

Findings: Microbe-derived butyrate suppressed the development of autoimmune arthritis. The immunization of type II collagen (CII) caused hypertrophy of the GALT in the colon by amplifying the GC reaction prior to the onset of the CIA. Butyrate mitigated these pathological events by promoting TFR cell differentiation. Butyrate directly induced the differentiation of functional TFR cells in vitro by enhancing histone acetylation in TFR cell marker genes. This effect was attributed to histone deacetylase (HDAC) inhibition by butyrate, leading to histone hyperacetylation in the promoter region of the TFR-cell marker genes. The adoptive transfer of the butyrate-treated iTFR cells reduced CII-specific autoantibody production and thus ameliorated the symptoms of arthritis.

Interpretation: Accordingly, microbiota-derived butyrate serves as an environmental cue to enhance TFR cells, which suppress autoantibody production in the systemic lymphoid tissue, eventually ameliorating RA. Our findings provide mechanistic insights into the link between the gut environment and RA risk.

Funding: This work was supported by AMED-Crest (16gm1010004h0101, 17gm1010004h0102, 18gm1010004h0103, and 19gm1010004s0104 to KH), the Japan Society for the Promotion of Science (JP17KT0055, JP16H01369, and JP18H04680 to KH; JP17K15734 to DT), Keio University Special Grant-in-Aid for Innovative Collaborative Research Projects (KH), Keio Gijuku Fukuzawa Memorial Fund for the Advancement of Education and Research (DT), the SECOM Science and Technology Foundation (KH), the Cell Science Research Foundation (KH), the Mochida Memorial Foundation for Medical and Pharmaceutical Research (DT), the Suzuken Memorial Foundation (KH and DT), the Takeda Science Foundation (KH and DT), The Science Research Promotion Fund, and The Promotion and Mutual Aid Corporation for Private Schools of Japan (KH).

Keywords: Autoimmunity; Butyrate; Follicular regulatory T cells; Intestinal microbiota; Rheumatoid arthritis.

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Conflict of interest statement

Declaration of Competing Interest The authors declare no competing financial interests. Correspondence should be addressed to K.H. ([email protected]).

Figures

Fig. 1
Fig. 1
Commensal bacteria-derived butyrate ameliorates autoimmune arthritis (a) The faecal concentration of acetate, propionate, and butyrate in healthy control and new-onset untreated rheumatoid arthritis (NORA) subjects (n= 41, 31). (b-e) CIA incidence (b, d) and arthritis scores after booster immunization (c, e) in CIA mice fed the control HAMS, or HAMSB diet (n= 13–15; mean ± s.e.m. b, c), and CIA mice fed the control HAMS, HAMSA or HAMSP diet (n= 12; mean ± s.e.m. d, e). AUC was calculated in each mice for c, e. (f) Arthritis scores for SKG mice fed the control HAMS or HAMSB diet after laminarin injection (n= 11; means ± s.e.m.). AUC was calculated in each mice. (g–i) Micro-computed tomography (mCT) analysis of the calcaneus in ankle joint four weeks after booster immunization in CIA mice fed the control HAMS or HAMSB diet (n= 5). Representative mCT images (g). The eroded area is shown in Red. Scale bars: 1 mm. Eroded surface per bone surface (h,%) and eroded volume per bone volume (i,%). Results show one representative experiment of at least two experiments for mouse study. *P< 0.05, **P< 0.01, ***P< 0.001 (A, Mann-Whitney test; c, f, h, i, Welch's t-test or unpaired two-tailed Student's t-test; b, d, Log-rank test; e, one-way ANOVA followed by Tukey's post-hoc test.
Fig. 2.
Fig. 2.
HAMSB diet does not alter the TH17 response in CIA mice (a–c) IFN-γ+ and IL-17A+ producing CD4+T cells in the hind knee joints of CIA mice fed the control HAMS or HAMSB diet two weeks after the initial immunization. Cells were restimulated with PMA and ionomycin for 6 h before staining. Representative flow cytometry contour plots of intracellular IFN-γ and IL-17A staining within CD4+TCRβ+ gate (a), and the frequency (b) and total number (c) of IL-17A+, IFN-γ+, and IFN-γ+IL-17A+ cells (n= 4). (d–f) RORγt+ and IL-17A+ cells in the draining lymph nodes (DLNs) of CIA mice fed the control HAMS or HAMSB diet two weeks after the initial immunization. Cells were restimulated with PMA and ionomycin for 6 h. Representative flow cytometry contour plots of intracellular RORγt and IL-17A staining within CD4+TCRβ+ gate (d), and the frequency (e) and total number (f) of RORγt+IL-17A+ and RORγtIL-17A+ cells (n= 4). (g, h) IL-17A concentration in the hind knee joint extract (g, n= 6) and serum (h, n= 12) of CIA mice fed the control HAMS or HAMSB diet three weeks after the booster immunization. (i, j) The frequency in CD4+T cells (i) and total number (j) of Nrp-1Foxp3+ pTREG and Nrp-1+Foxp3+ tTREG cells in the spleen (SP), DLNs and colonic patches (CoPs) of CIA mice fed control HAMS or HAMSB diet two weeks after the initial immunization (n= 10). Gating strategy is depicted in Figure S4. Results show one representative experiment of at least two experiments. (Welch's t-test or unpaired two-tailed Student's t-test).
Fig. 3
Fig. 3
Butyrate suppresses the GC response and autoantibody production in CIA mice (a, b) CII-specific IgG responses in CIA mice fed the control HAMS or HAMSB diet. The number of CII-specific IgG antibody-forming cells (AFC) cells per 5 × 105 DLN cells three weeks after booster immunization (a, each dot indicates data from 1 well, n= 36 from 6 mice). Statistical analysis was performed on the mean of each mouse. Serum levels of CII-specific IgG1 and IgG2a upon or three weeks after booster immunization (b, n= 5–10). (c–e) Colonic patches (CoPs) and solitary intestinal lymphoid tissues (SILTs) of CIA mice fed the control HAMS or HAMSB diet. Representative whole-mount B220 immunostaining (brown) of colon tissues (c), and the number of CoPs (d) and SILTs (e) in unimmunized DBA1/J mice and CIA mice one week after the initial immunization (n= 5 or 6).Dashed line, CoP, arrowheads, SILT. Scale bars, 5 mm. (f–h) GCB cells in CoPs from CIA mice fed the control HAMS or HAMSB diet. Representative flow cytometry contour plots of GL7 and intracellular Bcl-6 staining within CD19+ gate (f), and the frequency (g) and total number (h) of Bcl-6+GL7+ GCB cellstwo weeks after the initial immunization (n= 12). (i) GC area (mm2) of DLNs from CIA mice fed the control HAMS, or HAMSB diet Data were obtained two weeks after the initial immunization. Each dot indicates a single GC area of DLNs on cross-sections (n= 43, 30). Statistical analysis was performed on the mean of each mouse. (j–l) GCB cells in DLNs from CIA mice fed control HAMS or HAMSB diet. Representative flow cytometry contour plots of GL7 and intracellular Bcl-6 staining within CD19+ gate (j), and the frequency (k) and total number (l) of Bcl-6+GL7+ GCB cellstwo weeks after the initial immunization (n= 12). (m) Arthritis scores after antibody cocktail injection of collagen antibody-induced arthritis (CAIA) mice fed control HAMS or HAMSB diet (n= 3; means ± s.e.m.). AUC was calculated for each mice. Results show one representative experiment of at least two experiments. *P< 0.05, **P< 0.01, ***P< 0.001 (a, b, g–i, k, l, Welch's t-test or unpaired two-tailed Student's t-test; d, e, one-way ANOVA followed by Tukey's posthoc test; m, Log-rank test).
Fig. 4
Fig. 4
Butyrate increased TFR cells in CoPs (a, b) Follicular T cells in the DLNs and CoPs from CIA mice fed the control HAMS or HAMSB diet two weeks after the initial immunization. Representative flow cytometry contour plots of CXCR5 and intracellular Bcl-6 staining (a), and the frequency (b) of Bcl-6+CXCR5+ follicular T cells within CD4+ TCRβ+ gate (n= 11, 10). (c–g) TFR and TFH cells in the DLNs and CoPs from CIA mice fed the control HAMS or HAMSB diet two weeks after the initial immunization. Representative flow cytometry contour plots of CD25 and intracellular Foxp3 staining (c), and the frequency of CD25Foxp3+ TFR (d) and Foxp3 TFH (e) cells within Bcl-6+CXCR5+ follicular T cell gate and the total number of CD25Foxp3+ TFR (f) and Foxp3 TFH (g) cells (n= 11, 10). Gating strategy is depicted in Figure S4. (h) TFR/TFH ratio calculated using the total number of CD25Foxp3+ TFR and Foxp3 TFH cells in F and G. (i, j) B cell class switching to IgG1 by TFH cells. IgGCD19+B cells sort-purified from the DLNs of CIA mice fed the control HAMS or HAMSB diet (described as HAMS-B or HAMSB-B respectively) two weeks after the initial immunization were cultured alone with 100 µg/ml type II collagen (CII),and IgGCD19+B cells sort-purified from the DLNs of CIA mice fed the control HAMS diet were co-cultured with CXCR5+ICOS+CD4+ TFH cells sort-purified from DLNs of CIA mice fed the control HAMS or HAMSB diet (described as HAMS-TFH or HAMSB-TFH respectively) in the presence or absence of CII. Representative flow cytometry contour plots of GL7 and intracellular IgG1 staining six days after cultivation (i, n= 6), and the frequency of GL7+IgG1+B cells within CD19+ gate (j, n= 6). (k–n) Differentiation of TFR and TFH cells in CoPs of Tcrb−/−Tcrd−/− mice transferred with Foxp3-hCD2+iTREG cells. Sort-purified CD45.1+Foxp3-hCD2+T cells cultured for five days under iTREG conditions were injected intravenously with CD45.2+CD4+T cells into Tcrb−/−Tcrd−/− mice fed the control HAMS or HAMSB diet. Representative flow cytometry contour plots of hCD2 (Foxp3) and CD25 staining (k), and the frequency of Foxp3, CD25+Foxp3+ and CD25Foxp3+ cells (L) within CD45.1+CD4+ TCRβ+ gate (n= 7). Representative flow cytometry contour plots of CXCR5 and PD-1 staining among Foxp3, CD25+Foxp3+ and CD25Foxp3+ gate (m), and the frequency of CXCR5+PD-1+ cells (N) among Foxp3 (TFH cells), CD25+Foxp3+ (CD25+TFR cells) and CD25Foxp3+(CD25TFR cells) gates (n, n= 7). Results show one representative experiment of at least two experiments. *P< 0.05, **P< 0.01, ***P< 0.001 (b, d–h, j, l, n, Welch's t-test or unpaired two-tailed Student's t-test).
Fig. 5.
Fig. 5.
In vitro TFR (iTFR) cell differentiation (a) Schematic of iTFR and iTREG cell differentiation culture. (b) Relative mRNA expression of Pdcd1, Cxcr5, Bcl6, and Tcf7 in sort-purified TCRβ+CD4+Foxp3-hCD2+ cells fro, iTFR or iTREG cell culture conditions (n= 5). Sort-purified naïve CD4+T cells from Foxp3hCD2reporter mice were used for the culture. (c, d) Expression of CD25 and Foxp3 by cells from iTFR or iTREG cultures. Representative flow cytometry contour plots of CD25 and Foxp3-hCD2 staining (c), and the frequency of CD25+Foxp3+ and CD25Foxp3+ cells (d) within CD4+ TCRβ+ gate (n= 5). (e, f) Expression of TFR cell phenotypic markers by cells from iTFR or iTREG cultures. Representative flow cytometry histograms of FSC, PD-1, CXCR5, Bcl-6, and TCF-1 expression (e), and the gMFI of PD-1, CXCR5, Bcl-6, and TCF-1 (f) within CD25+Foxp3+ and CD25Foxp3+ gate (n= 5). (g, h) Expression of Bcl-6-tdTomato reporter by cells from iTFR or iTREG cultures. Sort-purified naïve CD4+T cells from Bcl-6-tdTomato Foxp3hCD2 double reporter mice or Foxp3hCD2reporter mice (described as control) were used for the culture. Representative flow cytometry histograms of Bcl-6-tdTomato reporter and control expression (g), and Bcl-6-tdTomato gMFI (h) within CD25+Foxp3+ and CD25Foxp3+gate (n= 5). (i–l) B cell class switching to IgG1 and IgG2a in suppression assays. IgGCD43CD19+ resting B cells, Foxp3-hCD2CXCR5+Bcl-6-Eyfp+ TFH cells, and CD25Foxp3-hCD2+CXCR5+Bcl-6-Eyfp+ iTFR cells sort-purified from Bcl-6-Eyfp Foxp3hCD2 double reporter mice were used.The resting B cells from were co-cultured with TFH cells alone, TFH and TFR cells, or TFH and sort-purified CD25Foxp3-hCD2+CXCR5+Bcl-6-Eyfp+ iTFR cells under the exsitance of 5 μg ml−1 anti-IgM and 2 μg ml1 anti-CD3ε Abs. Representative flow cytometry histograms of Fixable Viability Stain 780 (FVS780) staining (i), and the frequency of FVS780 live cells (j) within GL7+CD19+B cells (n= 3–5). Representative flow cytometry histograms of intracellular IgG1 and IgG2a staining (k), and the frequency of IgG1+ and IgG2a+ cells (l) within GL7+ CD19+B gate (n= 3–5). Results show one representative experiment of at least two experiments.***P< 0.001 (b, d, Welch's t-test or unpaired two-tailed Student's t-test; j, l, one-way ANOVA followed by Dunnett's post-hoc test; g, h, two-way ANOVA followed by Sidak's post-hoc test).
Fig. 6
Fig. 6
Butyrate induces iTFR cell differentiation (a-d) iTFR cell differentiation with SCFAs treatment. Sort-purified naïve CD4+T cells from Bcl-6-tdTomato Foxp3hCD2 double reporter mice were cultivated under iTFR-cell culture conditions in the presence of sodium acetate (SA), sodium propionate (SP), or sodium butyrate (SB) at 10 μM or 100 μM. Representative flow cytometry contour plots of hCD2 (Foxp3) and CD25 staining (a), and the frequency of CD25+Foxp3+ (upper panel) and CD25Foxp3+ (lower panel) cells within CD45+CD4+ TCRβ+ gate (b, n= 5). Representative flow cytometry contour plots of Bcl-6-tdTomato reporter signal and CXCR5 staining among CD25+Foxp3+ and CD25Foxp3+ gate (c), and the frequency of Bcl-6-tdTomato+CXCR5+ cells among CD25+Foxp3+ (upper panel) and CD25Foxp3+(lower panel) gates in (b) (d, n= 5). (e) gMFI of Bcl-6-tdTomato reporter in CXCR5+ and CXCR5 populations among CD25+Foxp3+(upper panel) and CD25Foxp3+(lower panel) gates of iTFRculture in (c). CXCR5+and CXCR5 populations are shown as areas equal to or higher than, or less than the dotted lines in (c), respectively (n= 5). (f, g) Expression of TCF-1 among CD25+Foxp3+(upper panel) and CD25Foxp3+(lower panel) gates of iTFRculture in (c). iTFRculture was treated with 100 μM SA, SP or SB. Representative flow cytometry histograms of TCF-1 expression (f), and the gMFI of TCF-1 (g, n= 5). (h, i) iTFR cell differentiation with pan-HDAC inhibitor treatment. Sort-purified naïve CD4+T cells from Bcl-6-tdTomato Foxp3hCD2 double reporter mice were cultivated under iTFR-cell culture conditions with the treatment of suberoylanilide hydroxamic acid (SAHA, 50 or 200 nM), trichostatin A (TSA, 2.5 or 10 nM), or vehicle control 0.01% dimethyl sulfoxide (DMSO). The frequency of Bcl-6-tdTomato+CXCR5+ cells (h) and the gMFI of TCF-1 (i) among CD25+Foxp3+CD4+ TCRβ+ (upper panel) and CD25Foxp3+CD4+TCRβ+(lower panel) gates (n= 5). (j, k) Differentiation of TFR cells in the inguinal lymph node (InLN) of mice treated with SAHA. C57BL/6 J mice were subcutaneously immunized with human insulin and intravenously injected with SAHA (20 mg/kg body weight) or vehicle control DMSO every day after immunization. The frequency of Bcl-6+CXCR5+ follicular T cells within CD4+ TCRβ+ gate (j, n= 6), and CD25+Foxp3+ TFR cells within Bcl-6+CXCR5+ gate (k, n= 6) from InLN 10 days after immunization. (l) Accumulation of H3K27 acetylation (ac) at the promoter region of TFRcell-related genes in Foxp3+ cells from iTFR or iTREG cultures. ChIP quantitative RT-PCR (qPCR) analysis of H3K27ac levels in the promoters of Bcl6, Cxcr5, and Tcf7 in sort purified Foxp3+T cells cultured for the total three days under iTFR or iTREG-cell polarizing conditions (see Fig. 5a) with or without the treatment of 100 µM SB. (m) iTFR cell differentiation using G-protein coupled receptor-deficient mice. Sort-purified naïve CD4+T cells from Ffar3−/−, Ffar2−/−, or Hcar2−/−mice were cultivated under iTFR-cell culture conditions with or without the treatment of 100 µM S. The frequency of Bcl-6+CXCR5+ cells within CD25Foxp3+CD4+ TCRβ+gate (n= 5). Results show one representative experiment of at least two experiments.*P< 0.05, **P< 0.01, ***P< 0.001 (b, c, d, f-h, one-way ANOVA followed by Dunnett's post-hoc test; l-m Welch's t-test or unpaired two-tailed Student's t-test).
Fig. 7
Fig. 7
iTFR cells prevent autoimmune responses and CIA development (a, b) CII-specific IgG responses in CIA mice inoculated with Foxp3-hCD2+ cells cultured under iTFR-cell conditions in the absence or presence of 100 µM SB. Sort-purified 5 × 106 of Foxp3-hCD2+CD4+T cells were injected intravenously into DBA/1 J mice one week before the initial CII immunization.All mice were fed the control HAMS diet (n= 10, 11). The number of CII-specific IgG AFC cells per 1 × 105 DLN cells (a, each dot indicates data from 1 well, n= 44, 32, statistical analysis was performed on the mean of each mouse.), and serum levels of CII-specific IgG1 and IgG2a three weeks after booster immunization (b, n= 5, 6). (c) Arthritis scores after booster immunization of CIA mice inoculated with Foxp3-hCD2+ cells from iTFR cell culture (n= 10, 11). AUC was calculated in each mice. Results show one representative experiment of at least two experiments.**P< 0.01, ***P< 0.001 (a-c, Welch's t-test or unpaired two-tailed Student's t-test).

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