Article
作者: Pasic, Srdjan ; Villa, Anna ; Yilmaz, Melis ; Riley, Deanna ; Smith, Grace ; Corsino, Cristina ; Lim, Ai Ing ; Lionakis, Michail S. ; Oguz, Cihan ; Dimitrova, Dimana ; Segre, Julia A. ; Belkaid, Yasmine ; Pala, Francesca ; Licciardi, Francesco ; Delmonte, Ottavia M. ; Freeman, Alexandra F. ; Bohrnsen, Eric ; Brigatti, Karlla W. ; Holland, Steven M. ; Alva-Lozada, Guisela ; Subramanian, Poorani ; Brett, Ana ; Potts, David E. ; Kimzey, Cole D. ; Pittaluga, Stefania ; Vujkovic-Cvijin, Ivan ; Bergerson, Jenna R.E. ; Daley, Stephen R. ; Ale, Hanadys ; Sharapova, Svetlana O. ; Marseglia, Gian Luigi ; Burns, Andrew S. ; Ward, Brant R. ; Strauss, Kevin A. ; Fontana, Elena ; Dos Santos Dias, Lucas ; Poskitt, Laura E. ; Ott de Bruin, Lisa ; Fink, Danielle ; Kuhns, Douglas B. ; Schwarz, Benjamin ; Dasso, Joseph F. ; Kong, Heidi H. ; Bosticardo, Marita ; Dutmer, Cullen M. ; Castagnoli, Riccardo ; Walter, Jolan E. ; Notarangelo, Luigi D. ; Oikonomou, Vasileios ; Angelova, Angelina ; Kenney, Heather
Partial RAG deficiency (pRD) can manifest with systemic and tissue-specific immune dysregulation, with inflammatory bowel disease (IBD) in 15% of the patients. We aimed at identifying the immunopathological and microbial signatures associated with IBD in patients with pRD and in a mouse model of pRD (Rag1w/w) with spontaneous development of colitis. pRD patients with IBD and Rag1w/w mice showed a systemic and colonic Th1/Th17 inflammatory signature. Restriction of fecal microbial diversity, abundance of pathogenic bacteria, and depletion of microbial species producing short-chain fatty acid were observed, which were associated with impaired induction of lamina propria peripheral Treg cells in Rag1w/w mice. The use of vedolizumab in Rag1w/w mice and of ustekinumab in a pRD patient were ineffective. Antibiotics ameliorated gut inflammation in Rag1w/w mice, but only bone marrow transplantation (BMT) rescued the immunopathological and microbial signatures. Our findings shed new light in the pathophysiology of gut inflammation in pRD and establish a curative role for BMT to resolve the disease phenotype.