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Muramyl dipeptide and toll-like receptor sensitivity in NOD2-associated Crohn's disease
David A van Heel1, Subrata Ghosh, Matt Butler
1Intestinal Inflammation and Repair Group, Department of Gastroenterology, Imperial College London, UK. d.vanheel@imperial.ac.uk
Abstract:
Both NOD2 (CARD15) alleles are mutated in roughly 15% of patients with Crohn's disease, but functional effects are unclear. We analysed the cytokine response of peripheral blood mononuclear cells to muramyl dipeptide (MDP), the ligand for NOD2. MDP induced little TNFalpha or interleukin 1beta, but strong interleukin-8 secretion. MDP also substantially upregulated secretion of TNFalpha and interleukin 1beta induced by toll-like receptor ligands. These effects were abolished by the most common Crohn's NOD2 double mutant genotypes at low nanomolar MDP concentrations, and provide the basis to develop a test of NOD2 functional deficiency. In Crohn's disease, there are defects in neutrophil recruitment driven by NOD2 and interleukin 8 and in cross talk between the NOD2 and toll-like receptor pathways, which suggests that the immune system fails to receive an early priming signal.
Insights
Mutations in NOD2 (CARD15) affect Crohn's disease by impairing immune cell responses to muramyl dipeptide (MDP). This suggests a deficiency in early immune priming and provides a basis for a NOD2 functional test.
Area of Science:
- Immunology
- Gastroenterology
- Genetics
Background:
- NOD2 (CARD15) mutations are common in Crohn's disease, but their functional impact on immune responses remains unclear.
- NOD2 is a key receptor for muramyl dipeptide (MDP), a component of bacterial cell walls.
Purpose of the Study:
- To investigate the functional consequences of NOD2 mutations on cytokine production in response to MDP.
- To explore the interplay between NOD2 and Toll-like receptor (TLR) signaling pathways in Crohn's disease.
Main Methods:
- Peripheral blood mononuclear cells (PBMCs) from patients and controls were stimulated with MDP and/or TLR ligands.
- Cytokine secretion (TNF-alpha, IL-1beta, IL-8) was measured using ELISAs or similar assays.
- The effects of common NOD2 mutations on these responses were analyzed.
Main Results:
- MDP alone induced significant interleukin-8 (IL-8) secretion but minimal TNF-alpha or IL-1beta.
- MDP potentiated TNF-alpha and IL-1beta responses to TLR ligands.
- These MDP-induced effects were abolished in cells with common NOD2 double mutant genotypes, particularly at low MDP concentrations.
Conclusions:
- Common NOD2 mutations impair immune responses to MDP, affecting IL-8 production and cross-talk with TLR pathways.
- These findings suggest a defect in early immune priming in Crohn's disease patients with NOD2 mutations.
- The observed functional deficiency provides a basis for developing a diagnostic test for NOD2 functional deficiency.
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