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Mucosal Invariant T cells are Diminished in Very Early-Onset Inflammatory Bowel Disease.


ABSTRACT:

Objectives

Very early-onset inflammatory bowel disease (VEO-IBD) arises in children less than 6 years old, a critical time for immunologic development and maturation of the intestinal microbiome. Non-conventional lymphocytes, defined here as mucosal-associated invariant T cells and innate lymphocytes, require microbial products for either development or expansion, aspects that could be altered in very early-onset inflammatory bowel disease. Our objective was to define conventional leukocyte and non-conventional lymphocyte populations in controls and patients using multiparameter flow cytometry to test the hypothesis that their frequencies would be altered in a chronic inflammatory state associated with significant dysbiosis.

Methods

Multiparameter flow cytometry was used in a control cohort of 105 subjects to define age-effects, not previously comprehensively examined for these cell types in humans. Differences were defined between 263 unique age-matched patients with VEO-IBD and 105 controls using Student t-test. Subjects were divided into two age groups at the time of sampling to control for age-related changes in immune composition.

Results

Intermediate monocytes were consistently decreased in patients with VEO-IBD compared to controls. Mucosal-associated invariant T cells were significantly lower in patients with long-standing disease. Levels were less than half of those seen in the age-matched control cohort. The innate lymphoid cells type 2 population was expanded in the youngest patients.

Conclusion

Mucosal-associated invariant T cells are diminished years after presentation with inflammatory bowel disease. This durable effect of early life intestinal inflammation may have long-term consequences. Diminished mucosal-associated invariant T cells could impact host defense of intestinal infections.

SUBMITTER: Dou Y 

PROVIDER: S-EPMC8713142 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Mucosal Invariant T cells are Diminished in Very Early-Onset Inflammatory Bowel Disease.

Dou Ying Y   Maurer Kelly K   Conrad Maire M   Patel Trusha T   Shraim Rawan R   Sullivan Kathleen E KE   Kelsen Judith J  

Journal of pediatric gastroenterology and nutrition 20211001 4


<h4>Objectives</h4>Very early-onset inflammatory bowel disease (VEO-IBD) arises in children less than 6 years old, a critical time for immunologic development and maturation of the intestinal microbiome. Non-conventional lymphocytes, defined here as mucosal-associated invariant T cells and innate lymphocytes, require microbial products for either development or expansion, aspects that could be altered in very early-onset inflammatory bowel disease. Our objective was to define conventional leukoc  ...[more]

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