Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System Autoimmunity

Vitamin D3 (VitD) insufficiency is postulated to represent a major modifiable risk factor for multiple sclerosis (MS). While low VitD levels strongly correlate with higher MS risk in white populations, this is not the case for other ethnic groups, suggesting the existence of a genetic component. Mor...

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Main Authors: Dimitry N. Krementsov, Loredana Asarian, Qian Fang, Mahalia M. McGill, Cory Teuscher
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.01622/full
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author Dimitry N. Krementsov
Loredana Asarian
Qian Fang
Mahalia M. McGill
Cory Teuscher
Cory Teuscher
author_facet Dimitry N. Krementsov
Loredana Asarian
Qian Fang
Mahalia M. McGill
Cory Teuscher
Cory Teuscher
author_sort Dimitry N. Krementsov
collection DOAJ
description Vitamin D3 (VitD) insufficiency is postulated to represent a major modifiable risk factor for multiple sclerosis (MS). While low VitD levels strongly correlate with higher MS risk in white populations, this is not the case for other ethnic groups, suggesting the existence of a genetic component. Moreover, VitD supplementation studies in MS so far have not shown a consistent benefit. We sought to determine whether direct manipulation of VitD levels modulates central nervous system autoimmune disease in a sex-by-genotype-dependent manner. To this end, we used a dietary model of VitD modulation, together with the autoimmune animal model of MS, experimental autoimmune encephalomyelitis (EAE). To assess the impact of genotype-by-VitD interactions on EAE susceptibility, we utilized a chromosome substitution (consomic) mouse model that incorporates the genetic diversity of wild-derived PWD/PhJ mice. High VitD was protective in EAE in female, but not male C57BL/6J (B6) mice, and had no effect in EAE-resistant PWD/PhJ (PWD) mice. EAE protection was accompanied by sex- and genotype-specific suppression of proinflammatory transcriptional programs in CD4 T effector cells, but not CD4 regulatory T cells. Decreased expression of proinflammatory genes was observed with high VitD in female CD4 T effector cells, specifically implicating a key role of MHC class II genes, interferon gamma, and Th1 cell-mediated neuroinflammation. In consomic strains, effects of VitD on EAE were also sex- and genotype dependent, whereby high VitD: (1) was protective, (2) had no effect, and (3) unexpectedly had disease-exacerbating effects. Systemic levels of 25(OH)D differed across consomic strains, with higher levels associated with EAE protection only in females. Analysis of expression of key known VitD metabolism genes between B6 and PWD mice revealed that their expression is genetically determined and sex specific and implicated Cyp27b1 and Vdr as candidate genes responsible for differential EAE responses to VitD modulation. Taken together, our results support the observation that the association between VitD status and MS susceptibility is genotype dependent and suggest that the outcome of VitD status in MS is determined by gene-by-sex interactions.
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spelling doaj.art-5d54bc1bb97f4cb69b4cba43e6cbee072022-12-22T01:35:19ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-07-01910.3389/fimmu.2018.01622387578Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System AutoimmunityDimitry N. Krementsov0Loredana Asarian1Qian Fang2Mahalia M. McGill3Cory Teuscher4Cory Teuscher5Department of Biomedical and Health Sciences, University of Vermont, Burlington, VT, United StatesDepartment of Medicine, University of Vermont, Burlington, VT, United StatesDepartment of Medicine, University of Vermont, Burlington, VT, United StatesDepartment of Biomedical and Health Sciences, University of Vermont, Burlington, VT, United StatesDepartment of Medicine, University of Vermont, Burlington, VT, United StatesDepartment of Pathology, University of Vermont, Burlington, VT, United StatesVitamin D3 (VitD) insufficiency is postulated to represent a major modifiable risk factor for multiple sclerosis (MS). While low VitD levels strongly correlate with higher MS risk in white populations, this is not the case for other ethnic groups, suggesting the existence of a genetic component. Moreover, VitD supplementation studies in MS so far have not shown a consistent benefit. We sought to determine whether direct manipulation of VitD levels modulates central nervous system autoimmune disease in a sex-by-genotype-dependent manner. To this end, we used a dietary model of VitD modulation, together with the autoimmune animal model of MS, experimental autoimmune encephalomyelitis (EAE). To assess the impact of genotype-by-VitD interactions on EAE susceptibility, we utilized a chromosome substitution (consomic) mouse model that incorporates the genetic diversity of wild-derived PWD/PhJ mice. High VitD was protective in EAE in female, but not male C57BL/6J (B6) mice, and had no effect in EAE-resistant PWD/PhJ (PWD) mice. EAE protection was accompanied by sex- and genotype-specific suppression of proinflammatory transcriptional programs in CD4 T effector cells, but not CD4 regulatory T cells. Decreased expression of proinflammatory genes was observed with high VitD in female CD4 T effector cells, specifically implicating a key role of MHC class II genes, interferon gamma, and Th1 cell-mediated neuroinflammation. In consomic strains, effects of VitD on EAE were also sex- and genotype dependent, whereby high VitD: (1) was protective, (2) had no effect, and (3) unexpectedly had disease-exacerbating effects. Systemic levels of 25(OH)D differed across consomic strains, with higher levels associated with EAE protection only in females. Analysis of expression of key known VitD metabolism genes between B6 and PWD mice revealed that their expression is genetically determined and sex specific and implicated Cyp27b1 and Vdr as candidate genes responsible for differential EAE responses to VitD modulation. Taken together, our results support the observation that the association between VitD status and MS susceptibility is genotype dependent and suggest that the outcome of VitD status in MS is determined by gene-by-sex interactions.https://www.frontiersin.org/article/10.3389/fimmu.2018.01622/fullvitamin Dmultiple sclerosisCD4 T cellsgenetic variationexperimental autoimmune encephalomyelitis (EAE)sex differences
spellingShingle Dimitry N. Krementsov
Loredana Asarian
Qian Fang
Mahalia M. McGill
Cory Teuscher
Cory Teuscher
Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System Autoimmunity
Frontiers in Immunology
vitamin D
multiple sclerosis
CD4 T cells
genetic variation
experimental autoimmune encephalomyelitis (EAE)
sex differences
title Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System Autoimmunity
title_full Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System Autoimmunity
title_fullStr Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System Autoimmunity
title_full_unstemmed Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System Autoimmunity
title_short Sex-Specific Gene-by-Vitamin D Interactions Regulate Susceptibility to Central Nervous System Autoimmunity
title_sort sex specific gene by vitamin d interactions regulate susceptibility to central nervous system autoimmunity
topic vitamin D
multiple sclerosis
CD4 T cells
genetic variation
experimental autoimmune encephalomyelitis (EAE)
sex differences
url https://www.frontiersin.org/article/10.3389/fimmu.2018.01622/full
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