Divergent T follicular helper cell requirement for IgA and IgE production to peanut during allergic sensitization

Research output: Contribution to journalArticle

Abstract

Immunoglobulin A (IgA) is the dominant antibody isotype in the gut and has been shown to regulate microbiota. Mucosal IgA is also widely believed to prevent food allergens from penetrating the gut lining. Even though recent work has elucidated how bacteria-reactive IgA is induced, little is known about how IgA to food antigens is regulated. Although IgA is presumed to be induced in a healthy gut at steady state via dietary exposure, our data do not support this premise. We found that daily food exposure only induced low-level, cross-reactive IgA in a minority of mice. In contrast, induction of significant levels of peanut-specific IgA strictly required a mucosal adjuvant. Although induction of peanut-specific IgA required T cells and CD40L, it was T follicular helper (TFH) cell, germinal center, and T follicular regulatory (TFR) cell-independent. In contrast, IgG1 and IgE production to peanut required TFH cells. These data suggest an alternative paradigm in which the cellular mechanism of IgA production to food antigens is distinct from IgE and IgG1. We developed an equivalent assay to study this process in stool samples from healthy, nonallergic humans, which revealed substantial levels of peanut-specific IgA that were stable over time. Similar to mice, patients with loss of CD40L function had impaired titers of gut peanut-specific IgA. This work challenges two widely believed but untested paradigms about antibody production to dietary antigens: (i) the steady state/tolerogenic response to food antigens includes IgA production and (ii) TFH cells drive food-specific gut IgA.

Details

Authors
  • Biyan Zhang
  • Elise Liu
  • Jake A Gertie
  • Julie Joseph
  • Lan Xu
  • Elisha Y Pinker
  • Daniel A Waizman
  • Jason Catanzaro
  • Kedir Hussen Hamza
  • Katharina Lahl
  • Uthaman Gowthaman
  • Stephanie C Eisenbarth
Organisations
External organisations
  • Yale University
  • Columbia University
  • Technical University of Denmark
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Respiratory Medicine and Allergy
Original languageEnglish
Article numbereaay2754
JournalScience Immunology
Volume5
Issue number47
Publication statusPublished - 2020 May 8
Publication categoryResearch
Peer-reviewedYes

Bibliographic note

Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.