The intestinal mucosal surface is continuously exposed to microbial communities and intestinal homeostasis is dependent on host barrier function and the establishment and persistence of well- regulated immune responses. Innate immune cells play critical roles in the maintenance of mucosal homeostasis by establishing immune tolerance. A recent study identified an inflammatory bowel disease (IBD) causal sub-network of genes (IL10, ARC, NOD2, HCK, WAS, NCKAP1L), which were highly enriched in bone-marrow derived macrophages and predicted to have a role in anti-inflammatory macrophage function. Wiskott-Aldrich syndrome protein (WAS) was one of the genes identified within this sub-network, along with HCK, a protein that interacts with Wiskott-Aldrich syndrome protein (WASP). Moreover, up to 10% of Wiskott-Aldrich syndrome patients develop IBD. We have shown that WASP-deficiency in mice, when limited to innate immune cells, is sufficient to render normal wild-type CD4+ T cells colitogenic with associated defects in tolerogenic dendritic cell (DC) subsets. While WASP may have regulatory functions in DCs, most exciting is our preliminary data presented within this proposal showing that WASP-deficiency is associated with marked abnormalities in anti-inflammatory macrophage differentiation and function. We found that WASP-deficiency is associated with defects in generation of tolerogenic macrophage in both mice and humans leading to aberrant pro-inflammatory cytokine secretion. Another integral part of the innate immune system involved in maintaining mucosal homeostasis is group 3 innate lymphoid cells (ILC3). These cells secrete IL-17 and IL-22, which are important for barrier integrity and have also been shown to regulate intestinal tolerogenic DC and M? populations, and CD4+ T cell responses to commensal bacteria. We found that in the absence of WASP, ILC3 function is aberrant. Therefore, We hypothesize that WASP-mediated regulation of anti- inflammatory M? and ILC3 function is critical for the maintenance of intestinal homeostasis. To test this we will first delineate the 1) intrinsic role of WASP in regulating anti-inflammatory M? function and define the mechanism of immune tolerance; second, we will uncover the 2) intrinsic role of WASP in ILC3 and their associated regulation of intestinal homeostasis; and finally we 3) investigate the role of WASP in anti-inflammatory M? and ILC3 development/function in humans.

Public Health Relevance

Regulatory or tolerogenic function of various innate immune cells in the intestinal mucosal is critical for controlling the host immune responses to the microbial community and other luminal antigens. Wiskott-Aldrich syndrome protein (WASP) is predicted to have a role in the generation of tolerogenic macrophages and we found that lack of WASP in innate immune cells increases IBD susceptibility. WASP-deficiency in patient's leads to the development of Wiskott-Aldrich syndrome (WAS), a rare X- linked immunodeficiency characterized by recurrent infections, eczema, thrombocytopenia, and inflammatory bowel disease. In this study we will investigate the role of WASP in regulating the function of various innate immune cell populations using cell-specific targeting (i.e., macrophages, dendritic cells, and innate lymphoid cells) and the knowledge gathered from this proposal will be of great significance for strategizing new therapeutic interventions aimed at controlling innate immune cell responses to restore tolerance and induce remission in patients with IBD. 1

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01DK109026-03
Application #
9473769
Study Section
Kidney, Urologic and Hematologic Diseases D Subcommittee (DDK)
Program Officer
Saslowsky, David E
Project Start
2016-05-01
Project End
2021-04-30
Budget Start
2018-05-01
Budget End
2019-04-30
Support Year
3
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Boston Children's Hospital
Department
Type
DUNS #
076593722
City
Boston
State
MA
Country
United States
Zip Code
Biswas, Amlan; Shouval, Dror S; Griffith, Alexandra et al. (2018) WASP-mediated regulation of anti-inflammatory macrophages is IL-10 dependent and is critical for intestinal homeostasis. Nat Commun 9:1779
Redhu, Naresh S; Bakthavatchalu, Vasudevan; Conaway, Evan A et al. (2017) Macrophage dysfunction initiates colitis during weaning of infant mice lacking the interleukin-10 receptor. Elife 6:
Shouval, Dror S; Konnikova, Liza; Griffith, Alexandra E et al. (2017) Enhanced TH17 Responses in Patients with IL10 Receptor Deficiency and Infantile-onset IBD. Inflamm Bowel Dis 23:1950-1961
Shouval, Dror S; Biswas, Amlan; Kang, Yu Hui et al. (2016) Interleukin 1? Mediates Intestinal Inflammation in Mice and Patients With Interleukin 10 Receptor Deficiency. Gastroenterology 151:1100-1104