The composition of T cell subtypes in duodenal biopsies are altered in coeliac disease patients

PLoS One. 2017 Feb 6;12(2):e0170270. doi: 10.1371/journal.pone.0170270. eCollection 2017.

Abstract

One of the hallmarks of Celiac disease (CD) is intraepithelial lymphocytosis in the small intestine. Until now, investigations to characterize the T cell subpopulations within the epithelial layer have not discriminated between the heterodimeric co-receptor molecule, CD8αβ, and the possibly immunoregulatory CD8αα homodimer molecule. Besides TCRαβ+ CD4+ cells, no other phenotypes have been shown to be gluten-reactive. Using flow cytometry on lymphocytes from duodenal biopsies, we determined that the number of B cells (CD3- CD19+) and the number of CD3+ CD4- CD8- double-negative (DN) T cells were elevated 6-7 fold in children with CD. We next isolated and quantified intraepithelial lymphocytes (IELs) from biopsies obtained from patients (both children and adults) with CD, potential CD and non-CD controls. Flow cytometric analysis of the duodenal T cell subpopulations was performed including the markers TCRαβ, TCRγδ, CD4, CD8α and CD8β. Proportions of γδ T cells and CD8αβ+ cells among IELs were increased in CD patients, whereas proportions of CD4+ CD8αα+ and CD4+ single-positive T cells were decreased. Additionally, two gluten-reactive T cell lines (TCLs) derived from CD biopsies were analyzed for changes in proportions of T cell subsets before and after gluten stimulation. In a proliferation assay, dividing cells were tracked with carboxyfluorescein succinimidyl ester (CFSE), and both αβ and γδ T cells proliferated in response to gluten. Changes in duodenal T cell subpopulations in potential CD patients followed the same pattern as for CD patients, but with less pronounced effect.

MeSH terms

  • Adolescent
  • Adult
  • B-Lymphocytes / immunology
  • B-Lymphocytes / metabolism
  • Biomarkers
  • Biopsy
  • Case-Control Studies
  • Celiac Disease / immunology*
  • Celiac Disease / metabolism
  • Celiac Disease / pathology*
  • Child
  • Duodenum / immunology*
  • Duodenum / metabolism
  • Duodenum / pathology*
  • Female
  • Glutens / immunology
  • Humans
  • Immunophenotyping
  • Intestinal Mucosa / immunology
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / pathology
  • Lymphocyte Count
  • Male
  • Middle Aged
  • Phenotype
  • Receptors, Antigen, T-Cell, gamma-delta / metabolism
  • T-Lymphocyte Subsets / immunology*
  • T-Lymphocyte Subsets / metabolism
  • Young Adult

Substances

  • Biomarkers
  • Receptors, Antigen, T-Cell, gamma-delta
  • Glutens

Grants and funding

This project was funded by The Danish Council for Strategic Research, Programme Commission on Health, Food and Welfare (contract no. 0603-00199B), and by a grant from Odense University Hospital Research Council. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.