<p>Tolerance to dietary antigens is critical for avoiding deleterious type 2 immune responses resulting in food allergy (FA) and anaphylaxis<sup><CitationRef CitationID="CR1">1</CitationRef>,<CitationRef CitationID="CR2">2</CitationRef></sup>. However, the mechanisms resulting in both the maintenance and failure of tolerance to food antigens are poorly understood. Here we demonstrate that the goblet-cell-derived resistin-like molecule β (RELMβ)<sup><CitationRef CitationID="CR3">3</CitationRef>,<CitationRef CitationID="CR4">4</CitationRef></sup> is a critical regulator of oral tolerance. RELMβ is abundant in the sera of both patients with FA and mouse models of FA. Deletion of RELMβ protects mice from FA&#xa0;and the development of food-antigen-specific IgE and anaphylaxis. RELMβ disrupts food tolerance through the modulation of the gut microbiome and depletion of indole-metabolite-producing <i>Lactobacilli</i> and <i>Alistipes</i>. Tolerance is maintained by the local production of indole derivatives driving FA protective RORγt<sup>+</sup> regulatory T (T<sub>reg</sub>) cells<sup><CitationRef CitationID="CR5">5</CitationRef></sup> through activation of the aryl hydrocarbon receptor. RELMβ antagonism in the peri-weaning period restores oral tolerance and protects genetically prone offspring from developing FA later in life. Together, we show that RELMβ mediates a gut immune–epithelial circuit regulating tolerance to food antigens—a novel&#xa0;mode of innate control of adaptive immunity through microbiome editing—and identify targetable candidates in this circuit for prevention and treatment of FA.</p>

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RELMβ sets the threshold for microbiome-dependent oral tolerance

  • Emmanuel Stephen-Victor,
  • Gavin A. Kuziel,
  • Monica Martinez-Blanco,
  • Bat-Erdene Jugder,
  • Mehdi Benamar,
  • Ziwei Wang,
  • Qian Chen,
  • Gabriel L. Lozano,
  • Azza Abdel-Gadir,
  • Ye Cui,
  • Jason Fong,
  • Elisa Saint-Denis,
  • Iris Chang,
  • Kari C. Nadeau,
  • Wanda Phipatanakul,
  • Angela Zhang,
  • Farida Abi Farraj,
  • Faye Holder-Niles,
  • Daniel Zeve,
  • David T. Breault,
  • Klaus Schmitz-Abe,
  • Rima Rachid,
  • Elena Crestani,
  • Seth Rakoff-Nahoum,
  • Talal A. Chatila

摘要

Tolerance to dietary antigens is critical for avoiding deleterious type 2 immune responses resulting in food allergy (FA) and anaphylaxis1,2. However, the mechanisms resulting in both the maintenance and failure of tolerance to food antigens are poorly understood. Here we demonstrate that the goblet-cell-derived resistin-like molecule β (RELMβ)3,4 is a critical regulator of oral tolerance. RELMβ is abundant in the sera of both patients with FA and mouse models of FA. Deletion of RELMβ protects mice from FA and the development of food-antigen-specific IgE and anaphylaxis. RELMβ disrupts food tolerance through the modulation of the gut microbiome and depletion of indole-metabolite-producing Lactobacilli and Alistipes. Tolerance is maintained by the local production of indole derivatives driving FA protective RORγt+ regulatory T (Treg) cells5 through activation of the aryl hydrocarbon receptor. RELMβ antagonism in the peri-weaning period restores oral tolerance and protects genetically prone offspring from developing FA later in life. Together, we show that RELMβ mediates a gut immune–epithelial circuit regulating tolerance to food antigens—a novel mode of innate control of adaptive immunity through microbiome editing—and identify targetable candidates in this circuit for prevention and treatment of FA.