Abstract

BackgroundColitis is a common clinical complication in chronic granulomatous disease (CGD), a primary immunodeficiency caused by impaired oxidative burst. Existing experimental data from NADPH-oxidase knockout mice propose contradictory roles for the involvement of reactive oxygen species in colitis chronicity and severity. Since genetically controlled mice with a point-mutation in the Ncf1 gene are susceptible to chronic inflammation and autoimmunity, we tested whether they presented increased predisposition to develop chronic colitis.MethodsColitis was induced in Ncf1-mutant and wild-type mice by a 1st 7-days cycle of dextran sulfate sodium (DSS), intercalated by a 7-days resting period followed by a 2nd 7-days DSS-cycle. Cytokines were quantified locally in the colon inflammatory infiltrates and in the serum. Leukocyte infiltration and morphological alterations of the colon mucosa were assessed by immunohistochemistry.ResultsClinical scores demonstrated a more severe colitis in Ncf1-mutant mice than controls, with no recovery during the resting period and a severe chronic colitis after the 2nd cycle, confirmed by histopathology and presence of infiltrating neutrophils, macrophages, plasmocytes and lymphocytes in the colon. Severe colitis was mediated by increased local expression of cytokines (IL-6, IL-10, TNF-α, IFN-γ and IL-17A) and phosphorylation of Leucine-rich repeat kinase 2 (LRRK2). Serological cytokine titers of those inflammatory cytokines were more elevated in Ncf1-mutant than control mice, and were accompanied by systemic changes in functional subsets of monocytes, CD4+T and B cells.ConclusionThis suggests that an ineffective oxidative burst leads to severe chronic colitis through local accumulation of peroxynitrites, pro-inflammatory cytokines and lymphocytes and systemic immune deregulation similar to CGD.

Highlights

  • Mutations in the components of the NADPH oxidase 2 (NOX2) complex compromise the normal oxidative burst by phagocytes and B cells and are related to hyper-inflammation phenomena and recurrent opportunistic infections in patients with chronic granulomatous disease (CGD) and several animal models of inflammatory diseases [1,2,3,4,5]

  • The results in Ncf12/2 and gp91phox2/2 mice were not consistent with those observed in CGD patients, since dextran sulfate sodium (DSS)induced colitis was indistinguishable between Ncf12/2 mice and their wild type (WT) counterparts, whereas in gp91phox2/2 mice DSS-induced colitis was milder than in the WT groups [16]

  • By inducing two cycles of colitis with DSS intercalated by a resting period in BQ.Ncf1m1J mice with a point mutation in the Ncf1 gene, similar to that in CGD patients, we propose a new colitis model to study how the lack of oxidative burst can lead to the development of chronic inflammatory bowel disease (IBD)

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Summary

Introduction

Mutations in the components of the NADPH oxidase 2 (NOX2) complex compromise the normal oxidative burst by phagocytes and B cells and are related to hyper-inflammation phenomena and recurrent opportunistic infections in patients with chronic granulomatous disease (CGD) and several animal models of inflammatory diseases [1,2,3,4,5]. A point mutation in the Ncf gene of B10.Q mice impairs the production of reactive oxygen species (ROS) leading to increased susceptibility to infections with Staphylococcus xylosus, Staphylococcus aureus and Burkholderia cepacia [10], and to the development of severe chronic autoimmune disorders such as collagen-induced arthritis and experimental autoimmune encephalopathy [11,12,13] These hyperinflammatory responses are directly related to the incapacity of producing ROS, since the administration of oxidants or reestablishing the burst capacity of macrophages with a functional Ncf lead to permanent recovery in treated animals [8,11,12,13,14]. Since genetically controlled mice with a point-mutation in the Ncf gene are susceptible to chronic inflammation and autoimmunity, we tested whether they presented increased predisposition to develop chronic colitis

Methods
Results
Conclusion

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