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Published on: July 26, 2017
The effect of NOD2 activation on TLR2-mediated cytokine responses is dependent on activation dose and NOD2 genotype
M E A Borm1, A A van Bodegraven, C J J Mulder
1Department of Molecular Cell Biology and Immunology, Vrije Universiteit Medical Center, Amsterdam, The Netherlands.
Abstract:
The mechanism by which mutations in NOD2 predispose to Crohn's disease (CD) is incompletely understood. In mice, NOD2 has been found to function as a negative regulator of Toll-like receptor 2 (TLR2) signaling. In contrast, studies in humans so far showed no negative regulatory interaction between NOD2 and TLR2, and in fact suggest a synergistic effect between the two. Here, we show that this interaction is dose dependent. Adding low doses of muramyl dipeptide (MDP) to TLR2 primed monocytes results in a significant increase in cytokine production, whereas adding higher doses of MDP led to a striking downregulation of the responses. This downregulation by high-dose MDP does not occur in monocytes from NOD2-deficient patients. The inhibitory role of NOD2 at high concentrations of MDP implicates a safety mechanism to prevent exaggerated antibacterial immune responses in the gut to high or perpetuating bacterial load. This regulatory mechanism is lost in NOD2-deficient CD patients.
Insights
Mutations in NOD2 increase Crohn's disease risk by disrupting immune regulation. High doses of muramyl dipeptide (MDP) normally inhibit excessive immune responses via NOD2, a function lost in Crohn's disease patients.
Area of Science:
- Immunology
- Gastroenterology
- Genetics
Background:
- NOD2 mutations are linked to Crohn's disease (CD), but the underlying mechanisms remain unclear.
- Previous studies in mice suggested NOD2 negatively regulates Toll-like receptor 2 (TLR2) signaling, while human studies indicated synergy.
- This discrepancy highlights the need to further investigate the complex interplay between NOD2 and TLR2 in human immune responses.
Purpose of the Study:
- To investigate the dose-dependent interaction between NOD2 and TLR2 signaling in human monocytes.
- To elucidate the role of NOD2 in regulating immune responses to muramyl dipeptide (MDP) in the context of TLR2 activation.
- To understand how this regulatory mechanism is affected in patients with Crohn's disease.
Main Methods:
- Human monocytes were stimulated with TLR2 agonists.
- Dose-dependent effects of muramyl dipeptide (MDP) on cytokine production were assessed.
- Responses were compared between healthy individuals and patients with NOD2-deficient Crohn's disease.
Main Results:
- Low doses of MDP enhanced TLR2-induced cytokine production.
- High doses of MDP significantly downregulated cytokine production in a NOD2-dependent manner.
- This inhibitory effect of high-dose MDP was absent in monocytes from NOD2-deficient Crohn's disease patients.
Conclusions:
- NOD2 acts as a crucial negative regulator of immune responses to high concentrations of bacterial components like MDP.
- This NOD2-mediated inhibition serves as a safety mechanism to prevent excessive inflammation in the gut.
- Loss of this regulatory function in NOD2-deficient Crohn's disease patients may contribute to chronic gut inflammation.
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