T cells of the small intestine, including Th17 cells, are critically involved in host protection from microbial infection, and also contribute to the pathogenesis of small bowel inflammatory disorders. Accumulating evidence suggests that mesenteric lymph nodes (MLNs) play important roles in gut-tropic T-cell generation, although it is still unclear ifTaken together, the present study highlights the important role of MLNs in contributing to the pathogenesis of small intestine inflammation.
Keywords: Effector memory CD4 + T cells r Mesenteric lymph nodes r Small intestinal inflammation r Th17 cellsAdditional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionThe small intestinal tissues are rich in effector memory T (T EM ) cells, which consist of functionally heterogeneous populations.Correspondence: Prof. Naoto Ishii e-mail: ishiin@med.tohoku.ac.jp A subpopulation of intestinal T cells induces pathogen-specific immunity, while another inhibits inappropriate immune reactions to harmless commensal and self-Ags. The interplay of these two T-cell populations maintains intestinal homeostasis [1,2], and any disruption of this balance by either excessive activation [3][4][5] or impaired suppression [6][7][8][9][10] Eur. J. Immunol. 2016. 46: 1119-1131 diseases and Celiac diseases requires a detailed understanding of how individual T-cell population becomes pathogenic, migrates to the small intestine, and exerts pathogenicity under inflammatory conditions. Th17 cells, characterized by IL-17A and IL-17F cytokine production [11], are abundant in the intestinal lamina propria [12] and are required to protect mucosal tissue from pathogenic infection [13][14][15]. In addition, certain Th17 populations contribute to the pathogenesis and exacerbation of several inflammatory and autoimmune diseases [12,[15][16][17][18][19]. Thus, to better understand the pathogenesis of small intestinal inflammatory disorders, it is important to clarify the mechanisms of intestinal Th17 cell generation.T cells homing to the small intestine are generated in mesenteric lymph nodes (MLNs) and Peyer's patches (PPs) [20]. In these organs, naïve T (T N ) cells, which primarily reside in the secondary lymphoid tissues [21], are primed and equipped with gut-homing receptors, such as α 4 β 7 integrin, to allow their differentiation into gut-tropic T EM cells upon Ag stimulation [22]. Besides, MLNs are also critically involved in the generation of gut-tropic Th17 cells from CD4 + T N cells [23,24], suggesting the possibility that MLNs or PPs might potentially contribute to not only non-inflammatory but also pathogenic T-cell generation in the small intestine. However, it is still unclear whether MLNs or PPs play a role in the pathogenesis of T-cell-mediated small intestinal inflammation, involving the generation of inflammatory Th17 cells, and how these two organs play their distinct roles in the inflammation.In this study, we examined the roles of MLNs and PPs on T-cell-mediated small intes...