Bile acid metabolites control TH17 and Treg cell differentiation, 2019, Hang et al

Andy

Retired committee member
In mice.
Bile acids are abundant in the mammalian gut, where they undergo bacteria-mediated transformation to generate a large pool of bioactive molecules. Although bile acids are known to affect host metabolism, cancer progression and innate immunity, it is unknown whether they affect adaptive immune cells such as T helper cells that express IL-17a (TH17 cells) or regulatory T cells (Treg cells).

Here we screen a library of bile acid metabolites and identify two distinct derivatives of lithocholic acid (LCA), 3-oxoLCA and isoalloLCA, as T cell regulators in mice. 3-OxoLCA inhibited the differentiation of TH17 cells by directly binding to the key transcription factor retinoid-related orphan receptor-γt (RORγt) and isoalloLCA increased the differentiation of Treg cells through the production of mitochondrial reactive oxygen species (mitoROS), which led to increased expression of FOXP3. The isoalloLCA-mediated enhancement of Treg cell differentiation required an intronic Foxp3 enhancer, the conserved noncoding sequence (CNS) 3; this represents a mode of action distinct from that of previously identified metabolites that increase Treg cell differentiation, which require CNS1.

The administration of 3-oxoLCA and isoalloLCA to mice reduced TH17 cell differentiation and increased Treg cell differentiation, respectively, in the intestinal lamina propria. Our data suggest mechanisms through which bile acid metabolites control host immune responses, by directly modulating the balance of TH17 and Treg cells.
Paywall, https://www.nature.com/articles/s41586-019-1785-z
Sci hub, https://sci-hub.se/10.1038/s41586-019-1785-z
 
cc @wigglethemouse @Perrier

From the paper @Andy linked above :



However, recent studies have begun to reveal the antiinflammatory roles of bile acids, particularly in the innate immune system by suppressing NF-κB-dependent signalling pathways46,47 and by inhibiting NLRP3-dependent inflammasome activities



I wonder if this is all connected : Bile acids dysregulation -> NLRP3 activation , CD8 memory cells, DRP1 Mito fission / fusion , Lactate metabolism, Fatty acids oxidation, tryptophan metabolism. All of these concepts we have seen can be found in the following paper :



fimmu-09-01605-g001.jpg






Title : Diverse Roles of Mitochondria in Immune Responses: Novel Insights Into Immuno-Metabolism


https://www.frontiersin.org/articles/10.3389/fimmu.2018.01605/full
 
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Given the paper found by @Andy, i went through my emails and found the e-mail i sent to Derya Unutmaz regarding Bile Acids dysregulation. Derya replied that he is looking at the work of Dr. Mark Sundrud on Bile acids metabolism. With a bit of searching i found the following paper :


https://www.nature.com/articles/s41385-019-0162-4


From the paper we see the following figure :

41385_2019_162_Fig3_HTML.png



Observe the bottom left corner where the immunomodulatory microbial metabolites are mentioned but more importantly Indole derivatives which rings a bell on what Ron Davis said about ME patients not having sufficent levels of "Indole propionate". The paper also discusses TH17 regulation.


 
Bile acids also affect C Difficile ( daughter has high toxin levels of both C Diff A and B but within (low) normal range on total bile acids)
https://www.cell.com/cell-chemical-biology/fulltext/S2451-9456(18)30335-0

https://www.nature.com/articles/s41522-019-0087-4
eta second ref

The problem is that apart from the level of bile acids, we have to look at the composition of them. Both Naviaux and Hanson found issues in the composition of Bile acids in ME patients. We will have to replicate these findings in a larger cohort.
 
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