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Resistance is futile? Mucosal immune mechanisms in the context of microbial ecology and evolution
Mucosal Immunology ( IF 7.9 ) Pub Date : 2022-11-03 , DOI: 10.1038/s41385-022-00574-z
Emma Slack 1, 2 , Médéric Diard 2, 3
Affiliation  

In the beginning it was simple: we injected a protein antigen and studied the immune responses against the purified protein. This elegant toolbox uncovered thousands of mechanisms via which immune cells are activated. However, when we consider immune responses against real infectious threats, this elegant simplification misses half of the story: the infectious agents are typically evolving orders-of-magnitude faster than we are. Nowhere is this more pronounced than in the mammalian large intestine. A bacterium representing only 0.1% of the human gut microbiota will have a population size of 109 clones, each actively replicating. Moreover, the evolutionary pressure from other microbes is at least as profound as direct effects of the immune system. Therefore, to really understand intestinal immune mechanisms, we need to understand both the host response and how rapid microbial evolution alters the apparent outcome of the response. In this review we use the examples of intestinal inflammation and secretory immunoglobulin A (SIgA) to highlight what is already known (Fig. 1). Further, we will explore how these interactions can inform immunotherapy and prophylaxis. This has major implications for how we design effective mucosal vaccines against increasingly drug-resistant bacterial pathogens

The red arrows depict possible evolutionary paths of a novel colonizer along adaptive peaks in the intestinal fitness landscapes that change with the status of the host immune system. The flat surfaces represent the non-null fitness baselines (values x or y) at which a bacterium can establish at minimum carrying capacity. a In the healthy gut, metabolic competence, resistance to aggressions by competitors and predators, swift adaptation to rapid fluctuations as well as surviving acidic pH and the flow of the intestinal content, represent potent selective pressures and as many opportunities for bacteria to increase fitness by phenotypic or genetic variations. b When pathogens trigger acute inflammation, bacteria must adapt to iron starvation, killing by immune cells and antimicrobial peptides, and oxidative stress, while new metabolic opportunities emerge. c When high-affinity SIgA are produced against a bacterium, e.g., after oral vaccination, escape of SIgA by altering or losing surface epitopes becomes crucial for maximum fitness. However, escaping polyvalent SIgA responses after vaccination with “evolutionary trap” vaccines leads to evolutionary trade-offs: A fitness maximum is reached in the vaccinated host gut that represents a major disadvantage for transmission into naïve hosts (fitness diminished below x) (d).



中文翻译:


反抗是无用的?微生物生态学和进化背景下的粘膜免疫机制



一开始很简单:我们注射蛋白质抗原并研究针对纯化蛋白质的免疫反应。这个优雅的工具箱揭示了数千种免疫细胞被激活的机制。然而,当我们考虑针对真正的传染性威胁的免疫反应时,这种优雅的简化忽略了一半的故事:传染性病原体的进化速度通常比我们快几个数量级。这种现象在哺乳动物的大肠中最为明显。仅占人类肠道微生物群 0.1% 的细菌将拥有 10 9个克隆,每个克隆都在活跃复制。此外,来自其他微生物的进化压力至少与免疫系统的直接影响一样深远。因此,要真正了解肠道免疫机制,我们需要了解宿主反应以及快速微生物进化如何改变反应的明显结果。在这篇综述中,我们使用肠道炎症和分泌性免疫球蛋白 A (SIgA) 的例子来强调已知的内容(图 1)。此外,我们将探讨这些相互作用如何为免疫治疗和预防提供信息。这对于我们如何设计针对日益耐药的细菌病原体的有效粘膜疫苗具有重大影响


红色箭头描绘了新型殖民者沿着肠道适应度峰值的可能进化路径,该峰值随宿主免疫系统的状态而变化。平坦表面代表非零适应度基线(值 x 或 y),在该基线上细菌可以建立最小承载能力。 a在健康的肠道中,代谢能力、对竞争者和捕食者攻击的抵抗力、对快速波动的快速适应以及酸性 pH 值的生存和肠道内容物的流动,代表着强大的选择压力,并且为细菌提供了许多通过以下方式提高适应性的机会:表型或遗传变异。 b当病原体引发急性炎症时,细菌必须适应铁饥饿、免疫细胞和抗菌肽的杀伤以及氧化应激,同时出现新的代谢机会。 c当针对细菌产生高亲和力 SIgA 时,例如口服疫苗接种后,通过改变或丢失表面表位来逃逸 SIgA 对于最大适应性变得至关重要。然而,在接种“进化陷阱”疫苗后逃避多价 SIgA 反应会导致进化权衡:接种疫苗的宿主肠道达到了适应度最大值,这对于传播到幼稚宿主来说是一个主要缺点(适应度降低到 x 以下)( d ) 。

更新日期:2022-11-04
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