@article{349bebe71d1f4bba9c921ab9beae9142,
title = "Intestinal epithelial cells down-regulate macrophage tumor necrosis factor-alpha secretion: A mechanism for immune homeostasis in the gut-associated lymphoid tissue",
abstract = "Background. The gut lumen contains more than 106 organisms per gram of luminal contents. The mechanisms that limit the response of macrophages in the lamina propria to these microbial antigens are unknown, although an intrinsic defect in this mechanism may contribute to the development of inflammatory bowel disease. Intestinal epithelial cells (IEC) may play an important role in mediating tonic down-regulation of local immune cell activation. The purpose of this study was to discern whether IEC might modulate macrophage activation in response to a variety of microbial stimuli. Methods. Thioglycollate-elicited murine peritoneal macrophages were activated by endotoxin, zymosan, Escherichia coli, and Candida albicans in the presence or absence of IEC from the rat intestinal epithelial cell line IEC-6. Macrophage tumor necrosis factor-α (TNF-α) secretion was determined by enzyme-linked immunosorbent assay. Results. Lipopolysaccharide or zymosan-activated macrophages in coculture with IEC secreted significantly less TNF-α than macrophages cultured alone. The inhibitory effect of the IEC was dependent on their activation by lipopolysaccharide. Interleukin-1α production was not affected. IEC-mediated suppression of macrophage TNF-α secretion was reversed by indomethacin but not by neutralizing antibody to TGF-β. Conclusions. Lipopolysaccharide-activated IEC down-regulate macrophage TNF-α secretion in response to microbial stimuli through a prostanoid-mediated mechanism. IEC may mediate tonic down-regulation of immune cell activation in the gut-associated lymphoid tissue and may thereby regulate local and systemic inflammatory responses.",
author = "Nathens, {Avery B.} and Rotstein, {Ori D.} and Dackiw, {Alan P B} and Marshall, {John C.}",
note = "Funding Information: THE GASTROINTESTINALT RACTFH OUSES a dense microbial flora in intimate proximity to an extensive network of immune cells within the gut-associated lymphoid tissues (GALT). The distal small bowel has more than 106 gram-negative enteric organisms and 30 pg lipopolysaccharide per gram of luminal contents. 1 Despite this antigen-rich environment, activation of inflammatory cells is not exhibited in the absence of disease. The normal Supported by grants from the Physicians ServicesI ncorporated Foundation and the Medical Research Council of Canada. Presented at the Fifty-sixthA nnual Meeting of the Society of University Surgeons, Denver, Colo., Feb. 9-11, 1995. Reprint requests: John Marshall, MD, Eaton North %234, Toronto General Hospital, 200 Elizabeth St., Toronto, Ontario, Canada M5G 2C4. aRecipient of the Lederle Fellowshipi n Surgical Infectious Diseases. Copyright 9 1995 by Mosby-YearB ook, Inc. 0039-6060/95/$3.00 + 0 11/6/64932 mechanisms limiting the response of the GALT to gut microbial antigens are unknown. However, several recent studies have shown a state of chronic intestinal infammation after targeted deletion of the genes for transforming growth factor-J3 (TGF-\[3)2 and interleukin-10 (IL-10).3 These mediators have previously been shown to down-regulate macrophage activation to a variety of stimuli, particularly lipopolysaccharide, 4 suggesting that tonic down-regulation of inflammatory cells plays an important role in mediating immune homeostasis in the GALT. Intestinal epithelial cells (IECs) form a barrier between luminal gut flora and the underlying local immune system and are thought principally to act as absorptive cells. However, constitutive and inducible expression of major histocompatibility complex class II antigens and an ability to present antigen implicate these cells as potential regulators of immune reactivity within the GALT. 9",
year = "1995",
month = aug,
doi = "10.1016/S0039-6060(05)80343-5",
language = "English (US)",
volume = "118",
pages = "343--351",
journal = "Surgery (United States)",
issn = "0039-6060",
publisher = "Mosby Inc.",
number = "2",
}