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Microbial mannan inhibits bacterial killing by macrophages: a possible pathogenic mechanism for Crohn's disease
Chiedzo M Mpofu1, Barry J Campbell, Sreedhar Subramanian
1Division of Gastroenterology, School of Clinical Science, University of Liverpool, Liverpool, United Kingdom.
Background & Aims:
Crohn's disease (CD) is mimicked by inherited phagocyte disorders and is associated with circulating antibodies against yeast mannan (anti-Saccharomyces cerevisiae antibody; ASCA). We speculated that mannans might impair phagocyte function.
Methods:
S cerevisiae mannan was assessed for its effects on human peripheral blood neutrophils, adherent monocytes, and monocyte-derived macrophages (MDM).
Results:
Mannan caused dose-related increased survival of CD Escherichia coli HM605 within adherent monocytes from 24% +/- 10.5% (control) to 114% +/- 22.7% with mannan 1 mg/mL at 2 hours (mean +/- SEM, n = 9; P = .0002). Electron microscopy showed E coli HM605 surviving and probably replicating within macrophage vesicles. Mannan (1 mg/mL) inhibited the respiratory burst in neutrophils and monocytes (both P = .002) and bacterial killing within MDM (P < .001). E coli survival was increased within macrophages from TLR4(-/-) (126% +/- 3.5% survival at 2 hours) and MyD88(-/-) (134.8% +/- 6.5%) mice compared with wild-type mice (both P < .0001). Mannan had no additional effect, showing that TLR4 and MyD88 are involved in bacterial killing by macrophages and its inhibition by mannan. Putative CD-associated micro-organisms were screened for the ASCA mannan epitope by Galanthus nivalis lectin (GNA) blotting. ASCA epitope was expressed by Candida albicans and Mycobacterium paratuberculosis but not by Mycobacterium tuberculosis or E coli. Supernatants from M paratuberculosis culture inhibited killing of E coli HM605 by adherent human monocytes and murine macrophages. The inhibitory activity was removed by GNA-affinity chromatography.
Conclusions:
Suppression of mucosal phagocyte function by microbial mannans, possibly of Mycobacterial origin, may contribute to CD pathogenesis.
Insights
Microbial mannans, like those from Mycobacterium, may impair phagocyte function, potentially contributing to Crohn's disease (CD) pathogenesis. This study shows mannans inhibit bacterial killing by immune cells, suggesting a link to CD.
Area of Science:
- Immunology
- Microbiology
- Gastroenterology
Background:
- Crohn's disease (CD) shares features with inherited phagocyte disorders.
- Circulating antibodies against yeast mannan (ASCA) are linked to CD.
- Mannans may impair phagocyte function, a hypothesis explored in this study.
Purpose of the Study:
- To investigate the effects of Saccharomyces cerevisiae mannan on human phagocyte function.
- To determine if microbial mannans contribute to Crohn's disease pathogenesis.
Main Methods:
- Assessed effects of S. cerevisiae mannan on human neutrophils, monocytes, and macrophages.
- Utilized electron microscopy to observe bacterial survival within macrophages.
- Screened microorganisms for the ASCA mannan epitope using GNA blotting.
- Investigated the role of TLR4 and MyD88 in macrophage bacterial killing.
Main Results:
- Mannan significantly increased Escherichia coli survival within human monocytes and inhibited neutrophil and monocyte respiratory burst.
- Mannan impaired bacterial killing in human monocyte-derived macrophages.
- TLR4 and MyD88 pathways are involved in macrophage bacterial killing and its inhibition by mannan.
- The ASCA mannan epitope was found on Candida albicans and Mycobacterium paratuberculosis, but not M. tuberculosis or E. coli.
- Mycobacterium paratuberculosis culture supernatants inhibited bacterial killing by human and murine macrophages.
Conclusions:
- Suppression of mucosal phagocyte function by microbial mannans, potentially from Mycobacteria, may contribute to Crohn's disease pathogenesis.
- These findings suggest a novel mechanism linking microbial components to inflammatory bowel disease.
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