Review Article

Autoimmunity and the Gut

Figure 2

The composition of the intestinal microbiota is involved in the regulation of immune homeostasis. (a) Signals from different components of the microbiota (different colored arrows) regulate different branches of mucosal T cell response (corresponding color immune cells) in the lamina propria. (b) Changes in the composition of commensal bacteria, for example, the introduction of segmented filamentous bacteria (SFB), effect a change in the immune homeostasis, in this case, increasing the signals mediating induction of Th17 cells (purple arrows). This changes the immunological fitness of the individual. In the case of SFB, the increased production of Th17 cell effector cytokines, for example, IL-17 and IL-22, and the consecutive increase in antimicrobial peptide production from epithelial cells (red circles) increase the ability of the host to fight off intestinal infections. However, this increase in proinflammatory cytokines may also render the host more susceptible to chronic autoimmune inflammation. In this way, differences in the composition of the commensal bacteria in the gut may account for differences in individual response in the face of similar environmental challenges. (Adapted from: Ivanov I, Littman D. Segmented filamentous bacteria take the stage. Mucosal Immunology, 3(3):209-12, 2010.).
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