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Event: 2255
Key Event Title
Innate immune response, activation
Short name
Biological Context
Level of Biological Organization |
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Cellular |
Cell term
Organ term
Organ term |
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small intestine |
Key Event Components
Process | Object | Action |
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immune system process | occurrence |
Key Event Overview
AOPs Including This Key Event
AOP Name | Role of event in AOP | Point of Contact | Author Status | OECD Status |
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Gluten-driven immune activation leading to celiac disease | KeyEvent | Antonio Fernandez Dumont (send email) | Under development: Not open for comment. Do not cite |
Taxonomic Applicability
Term | Scientific Term | Evidence | Link |
---|---|---|---|
human | Homo sapiens | High | NCBI |
Life Stages
Life stage | Evidence |
---|---|
All life stages |
Sex Applicability
Term | Evidence |
---|---|
Unspecific | High |
Key Event Description
An adaptive T and B cell response is only initiated after innate immune activation. While the exact nature of the agent causing innate immune activation remains unknown, it could involve exposure to viruses or bacteria, particularly when this occurs in the gastrointestinal tract, or exposure to environmental factors, such as gluten.
Certain infections may induce inflammation that promotes the activation of self-reactive B cells. Preexposure to IL-15, a cytokine upregulated in inflammatory and infectious conditions (Meresse et al., 2006; Fehniger et al., 2001), plays a key role in this process. IL-15 activates NK cells and intraepithelial lymphocytes (IELs) (CD8+ T cells), which become cytotoxic, damaging epithelial cells in the intestine. This epithelial damage allows gluten peptides to cross into the lamina propria, further perpetuating the immune response and inflammation. Nilsen et al. (1998) hypothesized that a Th1-like profile, characterized by predominantly high levels of IFNγ, results from various types of intestinal immune responses. This was recently observed in studies following intestinal astrovirus infection (Molberg et al., 1998) and in cases of cow’s milk-sensitive enteropathy. Additionally, infections can cause molecular mimicry, where pathogen-derived antigens resemble self-antigens. This can trigger an immune response that cross-reacts with the body’s own tissue, contributing to the development of autoimmune conditions such as celiac disease (Petersen et al., 2020).
How It Is Measured or Detected
Measured by biomarkers or functional tests. The assessment would focus on immune cell activation, cytokine production and pathogen recognition. Methods could include, flow cytometry, microscopy and staining, ELISA, RT-PC, oxidative burst assays, Toll-like receptor simuation assays.
Domain of Applicability
Homo sapiens
References
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Fehniger, T.A., and M.A. Caligiuri. (2001). Interleukin 15: biology and relevance to human disease. Blood. 97:14–32.
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Meresse B, Curran SA, Ciszewski C, Orbelyan G, Setty M, Bhagat G, Lee L, Tretiakova M, Semrad C, Kistner E, Winchester RJ, Braud V, Lanier LL, Geraghty DE, Green PH, Guandalini S, Jabri B. (2006). Reprogramming of CTLs into natural killer-like cells in celiac disease. J Exp Med. 203:1343-1355.
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Molberg Ø, Nilsen EM, Sollid LM, Scott H, Brandtzaeg P, Thorsby E, Lundin KEA. (1998). CD41 T-cells with specific reactivity against astrovirus isolated from normal human small intestine. Gastroenterology 114:115–122.
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Nilsen EM, Jahnsen FL, Lundin KE, Johansen FE, Fausa O, Sollid LM, Jahnsen J, Scott H, Brandtzaeg P. (1998). Gluten induces an intestinal cytokine response strongly dominated by interferon gamma in patients with celiac disease. Gastroenterology. 115:551-563.
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Petersen J, Ciacchi L, Tran MT, Loh KL, Kooy-Winkelaar Y, Croft NP, Hardy MY, Chen Z, McCluskey J, Anderson RP, Purcell AW, Tye-Din JA, Koning F, Reid HH, Rossjohn J. (2020). T cell receptor cross-reactivity between gliadin and bacterial peptides in celiac disease. Nat Struct Mol Biol. Jan;27(1):49-61. doi: 10.1038/s41594-019-0353-4.