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Published on: June 14, 2016
Mucin degradation by Akkermansia muciniphila promotes Alistipes-dependent tryptophan metabolism and Th17-driven
Xun Lin1, Ankita Singh1, Xindi Shan2
1Department of Microbiology and Immunology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY, United States.
Abstract:
Multiple sclerosis (MS) is an autoimmune disorder of the central nervous system associated with alterations in gut commensals, including Akkermansia muciniphila (A. muciniphila). However, its role in MS remains unclear. Here, we report elevated serum lipopolysaccharide (LPS) and anti-LPS IgG levels in patients with relapsing-remitting MS (RRMS), indicating compromised gut barrier integrity. Notably, RRMS patients also exhibited increased serum anti-A. muciniphila IgA and enhanced A. muciniphila-induced Th17 responses in peripheral blood mononuclear cells (PBMCs). Using experimental autoimmune encephalomyelitis (EAE), a mouse model of MS, we found that A. muciniphila colonization worsened EAE severity, with increased infiltration of GM-CSF+CD4+ and IL-17A+CD4+ T cells in spinal cord. Mechanistically, A. muciniphila colonization enhanced tryptophan metabolism and elevated levels of aryl hydrocarbon receptor (AhR) agonists, including indole derivatives, during EAE. Although A. muciniphila does not directly metabolize tryptophan, it promotes expansion of tryptophan-utilizing bacterium Alistipes onderdonkii (A. onderdonkii) through mucin degradation. We further demonstrate that A. onderdonkii utilizes mucin-derived metabolites, including galactose and N-acetylneuraminic acid (NANA). Importantly, dietary tryptophan restriction significantly attenuated EAE severity. Collectively, these findings reveal a cross-feeding mechanism in which A. muciniphila supports growth of A. onderdonkii, thereby enhancing microbial tryptophan metabolism and production of AhR agonists that drive Th17-mediated neuroinflammation.
Insights
Akkermansia muciniphila exacerbates multiple sclerosis (MS) by promoting gut bacteria that increase neuroinflammation via tryptophan metabolism. Restricting dietary tryptophan may reduce MS severity.
Area of Science:
- Neuroimmunology
- Microbiome Research
- Gastroenterology
Background:
- Multiple sclerosis (MS) involves gut microbiota alterations.
- The specific role of Akkermansia muciniphila (A. muciniphila) in MS pathogenesis is not fully understood.
- Gut barrier dysfunction is implicated in MS.
Purpose of the Study:
- To investigate the role of A. muciniphila in MS.
- To elucidate the mechanisms linking gut microbiota to neuroinflammation in MS.
- To explore therapeutic potential of dietary interventions.
Main Methods:
- Analysis of serum markers (LPS, anti-LPS IgG, anti-A. muciniphila IgA) in relapsing-remitting MS (RRMS) patients.
- Assessment of A. muciniphila-induced T cell responses (Th17) in peripheral blood mononuclear cells (PBMCs).
- Utilized experimental autoimmune encephalomyelitis (EAE) mouse model to study A. muciniphila colonization effects on disease severity and immune cell infiltration in the spinal cord.
- Investigated microbial metabolism pathways (tryptophan, mucin degradation) and aryl hydrocarbon receptor (AhR) agonist production.
- Evaluated the impact of dietary tryptophan restriction on EAE severity.
Main Results:
- RRMS patients showed elevated serum LPS and anti-LPS IgG, indicating gut barrier impairment.
- Increased serum anti-A. muciniphila IgA and heightened A. muciniphila-stimulated Th17 responses were observed in RRMS patients.
- A. muciniphila colonization worsened EAE severity, increasing pro-inflammatory CD4+ T cell infiltration (GM-CSF+, IL-17A+) in the spinal cord.
- A. muciniphila promoted tryptophan metabolism and AhR agonist production during EAE by supporting the growth of Alistipes onderdonkii (A. onderdonkii) via mucin degradation.
- Dietary tryptophan restriction significantly reduced EAE severity.
Conclusions:
- A. muciniphila exacerbates MS by fostering a gut environment that enhances neuroinflammation.
- A cross-feeding interaction between A. muciniphila and A. onderdonkii drives microbial tryptophan metabolism, leading to increased AhR agonist production and Th17-mediated neuroinflammation.
- Targeting microbial metabolism, specifically tryptophan pathways, presents a potential therapeutic strategy for MS.
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