Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).

Clostridium difficile infection (CDI) is the leading cause of hospital and community-acquired antibiotic-associated diarrhoea and currently represents a significant health burden. Although the role and contribution of C. difficile toxins to disease pathogenesis is being increasingly understood, at p...

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Main Authors: Nazila V Jafari, Sarah A Kuehne, Clare E Bryant, Mamoun Elawad, Brendan W Wren, Nigel P Minton, Elaine Allan, Mona Bajaj-Elliott
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3726775?pdf=render
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author Nazila V Jafari
Sarah A Kuehne
Clare E Bryant
Mamoun Elawad
Brendan W Wren
Nigel P Minton
Elaine Allan
Mona Bajaj-Elliott
author_facet Nazila V Jafari
Sarah A Kuehne
Clare E Bryant
Mamoun Elawad
Brendan W Wren
Nigel P Minton
Elaine Allan
Mona Bajaj-Elliott
author_sort Nazila V Jafari
collection DOAJ
description Clostridium difficile infection (CDI) is the leading cause of hospital and community-acquired antibiotic-associated diarrhoea and currently represents a significant health burden. Although the role and contribution of C. difficile toxins to disease pathogenesis is being increasingly understood, at present other facets of C. difficile-host interactions, in particular, bacterial-driven effects on host immunity remain less studied. Using an ex-vivo model of infection, we report that the human gastrointestinal mucosa elicits a rapid and significant cytokine response to C. difficile. Marked increase in IFN-γ with modest increase in IL-22 and IL-17A was noted. Significant increase in IL-8 suggested potential for neutrophil influx while presence of IL-12, IL-23, IL-1β and IL-6 was indicative of a cytokine milieu that may modulate subsequent T cell immunity. Majority of C. difficile-driven effects on murine bone-marrow-derived dendritic cell (BMDC) activation were toxin-independent; the toxins were however responsible for BMDC inflammasome activation. In contrast, human monocyte-derived DCs (mDCs) released IL-1β even in the absence of toxins suggesting host-specific mediation. Infected DC-T cell crosstalk revealed the ability of R20291 and 630 WT strains to elicit a differential DC IL-12 family cytokine milieu which culminated in significantly greater Th1 immunity in response to R20291. Interestingly, both strains induced a similar Th17 response. Elicitation of mucosal IFN-γ/IL-17A and Th1/Th17 immunity to C. difficile indicates a central role for this dual cytokine axis in establishing antimicrobial immunity to CDI.
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spelling doaj.art-4099a747f97d483ab9ffc5b35212b8c42022-12-22T01:56:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0187e6984610.1371/journal.pone.0069846Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).Nazila V JafariSarah A KuehneClare E BryantMamoun ElawadBrendan W WrenNigel P MintonElaine AllanMona Bajaj-ElliottClostridium difficile infection (CDI) is the leading cause of hospital and community-acquired antibiotic-associated diarrhoea and currently represents a significant health burden. Although the role and contribution of C. difficile toxins to disease pathogenesis is being increasingly understood, at present other facets of C. difficile-host interactions, in particular, bacterial-driven effects on host immunity remain less studied. Using an ex-vivo model of infection, we report that the human gastrointestinal mucosa elicits a rapid and significant cytokine response to C. difficile. Marked increase in IFN-γ with modest increase in IL-22 and IL-17A was noted. Significant increase in IL-8 suggested potential for neutrophil influx while presence of IL-12, IL-23, IL-1β and IL-6 was indicative of a cytokine milieu that may modulate subsequent T cell immunity. Majority of C. difficile-driven effects on murine bone-marrow-derived dendritic cell (BMDC) activation were toxin-independent; the toxins were however responsible for BMDC inflammasome activation. In contrast, human monocyte-derived DCs (mDCs) released IL-1β even in the absence of toxins suggesting host-specific mediation. Infected DC-T cell crosstalk revealed the ability of R20291 and 630 WT strains to elicit a differential DC IL-12 family cytokine milieu which culminated in significantly greater Th1 immunity in response to R20291. Interestingly, both strains induced a similar Th17 response. Elicitation of mucosal IFN-γ/IL-17A and Th1/Th17 immunity to C. difficile indicates a central role for this dual cytokine axis in establishing antimicrobial immunity to CDI.http://europepmc.org/articles/PMC3726775?pdf=render
spellingShingle Nazila V Jafari
Sarah A Kuehne
Clare E Bryant
Mamoun Elawad
Brendan W Wren
Nigel P Minton
Elaine Allan
Mona Bajaj-Elliott
Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).
PLoS ONE
title Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).
title_full Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).
title_fullStr Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).
title_full_unstemmed Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).
title_short Clostridium difficile modulates host innate immunity via toxin-independent and dependent mechanism(s).
title_sort clostridium difficile modulates host innate immunity via toxin independent and dependent mechanism s
url http://europepmc.org/articles/PMC3726775?pdf=render
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