Sensitization to gliadin induces moderate enteropathy and insulitis in nonobese diabetic-DQ8 mice

J Immunol. 2011 Oct 15;187(8):4338-46. doi: 10.4049/jimmunol.1100854. Epub 2011 Sep 12.

Abstract

Celiac disease (CD) is frequently diagnosed in patients with type 1 diabetes (T1D), and T1D patients can exhibit Abs against tissue transglutaminase, the auto-antigen in CD. Thus, gliadin, the trigger in CD, has been suggested to have a role in T1D pathogenesis. The objective of this study was to investigate whether gliadin contributes to enteropathy and insulitis in NOD-DQ8 mice, an animal model that does not spontaneously develop T1D. Gliadin-sensitized NOD-DQ8 mice developed moderate enteropathy, intraepithelial lymphocytosis, and barrier dysfunction, but not insulitis. Administration of anti-CD25 mAbs before gliadin-sensitization induced partial depletion of CD25(+)Foxp3(+) T cells and led to severe insulitis, but did not exacerbate mucosal dysfunction. CD4(+) T cells isolated from pancreatic lymph nodes of mice that developed insulitis showed increased proliferation and proinflammatory cytokines after incubation with gliadin but not with BSA. CD4(+) T cells isolated from nonsensitized controls did not response to gliadin or BSA. In conclusion, gliadin sensitization induced moderate enteropathy in NOD-DQ8 mice. However, insulitis development required gliadin-sensitization and partial systemic depletion of CD25(+)Foxp3(+) T cells. This humanized murine model provides a mechanistic link to explain how the mucosal intolerance to a dietary protein can lead to insulitis in the presence of partial regulatory T cell deficiency.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CD4-Positive T-Lymphocytes / immunology
  • Cell Separation
  • Diabetes Mellitus, Experimental / complications*
  • Diabetes Mellitus, Experimental / immunology*
  • Enzyme-Linked Immunosorbent Assay
  • Flow Cytometry
  • Gliadin / immunology*
  • HLA-DQ Antigens / genetics
  • Humans
  • Immunohistochemistry
  • Intestinal Diseases / complications
  • Intestinal Diseases / immunology*
  • Male
  • Mice
  • Mice, Inbred NOD
  • Mice, Transgenic
  • Pancreatitis / complications
  • Pancreatitis / immunology*

Substances

  • HLA-DQ Antigens
  • HLA-DQ8 antigen
  • Gliadin