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Gut. Published Online First: 15 October 2009. doi:10.1136/gut.2008.171546
Copyright © 2009 BMJ Publishing Group Ltd & British Society of Gastroenterology.

Paper

Nod2 regulates the host response towards microflora by modulating T-cell function and epithelial permeability in mouse Peyer’s patches.

Frédérick Barreau1, Chrystèle Madre1, Monique Dusaillant1, Dominique Berrebi1, Françoise Merlin1, Ghislaine Sterkers2, Stéphane Bonacorsi2, Thécla Lesuffleur1, Jean-Pierre Hugot1,*

1 INSERM, France;
2 Université Paris Diderot, France

Correspondence to: Jean-Pierre Hugot, Hopital Robert Debré, 48 Bd Sérurier, Paris, 75019, France; jean-pierre.hugot{at}rdb.aphp.fr

Accepted 14 July 2009

ABSTRACT

NOD2 mutations are associated with susceptibility to Crohn's Disease and Graft-Versus-Host Disease, two Human disorders related with dysfunctions of Peyer's patches (PP). In Nod2-/- mice transcellular permeability and bacterial translocation are increased in PP. In this study, we show that both anti-CD4+ and anti-IFN{gamma} monoclonal antibodies abrogate this phenotype and reduce the expression of TNFR2 and the long isoform of MLCK, thus demonstrating that immune T cells influence the epithelial functions. In turn, intraperitoneal injection of ML-7 (a MLCK inhibitor) normalise the values of CD4+ T-cells, IFN{gamma} and TNF{alpha}. This reciprocal crosstalk is under the control of the gut microflora as shown by the normalisation of all parameters after antibiotic treatment. TLR2 and TLR4 expression were increased in Nod2-/- mice under basal conditions and TLR2 and TLR4 agonists induced an increased transcellular permeability in Nod2+/+ mice. Muramyldipeptide (a Nod2 agonist) or ML-7 were able to reverse this phenomenon.

It thus appears that Nod2 modulates the cross-talk between CD4+ T-cells and the epithelium recovering PP and that it down-regulates the pro-inflammatory effect driven by the ileal microflora, likely by inhibiting the TLR pathways.


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