Nod2-mediated recognition of the microbiota is critical for mucosal adjuvant activity of cholera toxin

Nat Med. 2016 May;22(5):524-30. doi: 10.1038/nm.4075. Epub 2016 Apr 11.

Abstract

Cholera toxin (CT) is a potent adjuvant for inducing mucosal immune responses. However, the mechanism by which CT induces adjuvant activity remains unclear. Here we show that the microbiota is critical for inducing antigen-specific IgG production after intranasal immunization. After mucosal vaccination with CT, both antibiotic-treated and germ-free (GF) mice had reduced amounts of antigen-specific IgG, smaller recall-stimulated cytokine responses, impaired follicular helper T (TFH) cell responses and reduced numbers of plasma cells. Recognition of symbiotic bacteria via the nucleotide-binding oligomerization domain containing 2 (Nod2) sensor in cells that express the integrin CD11c (encoded by Itgax) was required for the adjuvanticity of CT. Reconstitution of GF mice with a Nod2 agonist or monocolonization with Staphylococcus sciuri, which has high Nod2-stimulatory activity, was sufficient to promote robust CT adjuvant activity, whereas bacteria with low Nod2-stimulatory activity did not. Mechanistically, CT enhanced Nod2-mediated cytokine production in dendritic cells via intracellular cyclic AMP. These results show a role for the microbiota and the intracellular receptor Nod2 in promoting the mucosal adjuvant activity of CT.

MeSH terms

  • Acetylmuramyl-Alanyl-Isoglutamine / pharmacology
  • Adjuvants, Immunologic / pharmacology*
  • Animals
  • Anti-Bacterial Agents / pharmacology
  • CD11c Antigen / metabolism
  • Cholera Toxin / pharmacology*
  • Cyclic AMP / immunology
  • Cytokines / immunology
  • Dendritic Cells / immunology
  • Enzyme-Linked Immunospot Assay
  • Flow Cytometry
  • Germ-Free Life / immunology*
  • Immunity, Mucosal / drug effects*
  • Immunity, Mucosal / immunology
  • Mice
  • Mice, Knockout
  • Microbiota / drug effects*
  • Microbiota / immunology
  • Mucous Membrane / immunology
  • Nasal Mucosa / immunology
  • Nod2 Signaling Adaptor Protein / agonists
  • Nod2 Signaling Adaptor Protein / drug effects*
  • Nod2 Signaling Adaptor Protein / immunology
  • Real-Time Polymerase Chain Reaction
  • Spleen / cytology
  • Staphylococcal Infections / immunology*
  • Staphylococcus

Substances

  • Adjuvants, Immunologic
  • Anti-Bacterial Agents
  • CD11c Antigen
  • Cytokines
  • Nod2 Signaling Adaptor Protein
  • Nod2 protein, mouse
  • Acetylmuramyl-Alanyl-Isoglutamine
  • Cholera Toxin
  • Cyclic AMP