Gliadin-dependent neuromuscular and epithelial secretory responses in gluten-sensitive HLA-DQ8 transgenic mice

Am J Physiol Gastrointest Liver Physiol. 2008 Jan;294(1):G217-25. doi: 10.1152/ajpgi.00225.2007. Epub 2007 Nov 15.

Abstract

Celiac disease is a gluten intolerance caused by a T-cell response against human leukocyte antigen (HLA)-DQ2 and DQ8-bound gluten peptides. Some subjects experience gastrointestinal symptoms in the absence of villous atrophy. Here we investigate the potential mechanisms of gut dysfunction in gluten-sensitive HLA-DQ8 transgenic mice. HLA-DQ8 mice were sensitized and gavaged with gliadin 3x/wk for 3 wk (G/G). Controls included 1) nonsensitized mice gavaged with rice (C); 2) gliadin-sensitized mice gavaged with rice (G/R); and 3) BSA-sensitized mice gavaged with BSA (BSA/BSA). CD3(+) intraepithelial lymphocyte, macrophage, and FOX-P3-positive cell counts were determined. Acetylcholine release, small intestinal contractility, and epithelial ion transport were measured. Gut function was investigated after gluten withdrawal and in HLA-DQ6 mice. Intestinal atrophy was not observed in G/G mice. Recruitment of intraepithelial lymphocyte, macrophages, and FOX-P3+ cells were observed in G/G, but not in C, G/R, or BSA/BSA mice. This was paralleled by increased acetylcholine release from the myenteric plexus, muscle hypercontractility, and increased active ion transport in G/G mice. Changes in muscle contractility normalized in DQ8 mice after a gluten withdrawal. HLA-DQ6 controls did not exhibit the abnormalities in gut function observed in DQ8 mice. Gluten sensitivity in HLA-DQ8 mice induces immune activation in the absence of intestinal atrophy. This is associated with cholinergic dysfunction and a prosecretory state that may lead to altered water movements and dysmotility. The results provide a mechanism by which gluten could induce gut dysfunction in patients with a genetic predisposition but without fully evolved celiac disease.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcholine / metabolism
  • Animals
  • Antibodies / blood
  • Carbachol / pharmacology
  • Celiac Disease / chemically induced
  • Celiac Disease / immunology*
  • Celiac Disease / metabolism
  • Celiac Disease / physiopathology
  • Cholinergic Agonists / pharmacology
  • Disease Models, Animal
  • Forkhead Transcription Factors / metabolism
  • Gliadin / immunology
  • HLA-DQ Antigens / genetics
  • HLA-DQ Antigens / metabolism*
  • Immunity, Innate*
  • Intestinal Mucosa / drug effects
  • Intestinal Mucosa / immunology*
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / physiopathology
  • Intestinal Secretions / metabolism*
  • Jejunum / drug effects
  • Jejunum / immunology*
  • Jejunum / innervation
  • Jejunum / metabolism
  • Jejunum / physiopathology
  • Lymphocytes / immunology
  • Macrophages / immunology
  • Membrane Potentials
  • Mice
  • Mice, Transgenic
  • Muscle Contraction
  • Neuromuscular Junction / drug effects
  • Neuromuscular Junction / immunology*
  • Neuromuscular Junction / metabolism
  • Neuromuscular Junction / physiopathology

Substances

  • Antibodies
  • Cholinergic Agonists
  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • HLA-DQ Antigens
  • HLA-DQ8 antigen
  • Carbachol
  • Gliadin
  • Acetylcholine