2004
DOI: 10.1016/j.immuni.2004.06.018
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A Direct Role for NKG2D/MICA Interaction in Villous Atrophy during Celiac Disease

Abstract: MICA molecules interact with the NKG2D-activating receptor on human NK and CD8 T cells. We investigated the participation of the MICA/NKG2D pathway in the destruction of intestinal epithelium by intraepithelial T lymphocytes (IEL) in Celiac disease and its premalignant complication, refractory sprue. We show that MICA is strongly expressed at epithelial cell surface in patients with active disease and is induced by gliadin or its p31-49 derived peptide upon in vitro challenge, an effect relayed by IL-15. This … Show more

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Cited by 653 publications
(342 citation statements)
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“…On the other hand, MICA and MICB are aberrantly expressed in autoimmune diseases, such as rheumatoid arthritis or celiac disease and they play an important role in their pathogenesis [68,69]. In accordance with this, we have reported the association of atypical forms of celiac disease with MICB*008 [24].…”
Section: Discussionsupporting
confidence: 79%
“…On the other hand, MICA and MICB are aberrantly expressed in autoimmune diseases, such as rheumatoid arthritis or celiac disease and they play an important role in their pathogenesis [68,69]. In accordance with this, we have reported the association of atypical forms of celiac disease with MICB*008 [24].…”
Section: Discussionsupporting
confidence: 79%
“…Intestinal intraepithelial lymphocytes are typically increased in florid celiac disease and particularly TCRγδ T cells are overrepresented in the affected small intestinal epithelium. The interaction of the activating receptor NKG2D on a subset of small intestinal TCRγδ T cells with the cognate NKG2D ligand on enterocytes, i.e., the class Ib molecules MICA/B, can induce cytotoxic effector functions in subsets of TCRγδ T cells and CD8 TCRαβ T cells, thus, contributing to the characteristic villous atrophy in patients with florid celiac disease [78,79]. In addition to these lymphocytemediated effects, a disease-exacerbating role has been also ascribed to macrophages in response to the enhanced presence of gliadin in the small intestinal mucosa: Gliadin-derived peptides reportedly directly stimulated peritoneal macrophages for an enhanced secretion of cytokines including TNF and the monocyte recruiting chemokine CCL5 [80].…”
Section: Celiac Diseasementioning
confidence: 99%
“…Epithelial IL-15 is an important factor in CD pathogenesis (43,44) and is currently the sole cytokine proposed to contribute to the selective expansion of malignant Lin − IELs in RCDII (6,16). We now show that in the absence of IL-15, CD4 + T-cell cytokines TNF, IL-2, and IL-21 are also able to drive the expansion of nonmalignant and malignant Lin − IEL.…”
Section: Discussionmentioning
confidence: 63%