Cutting edge: Crohn's disease-associated Nod2 mutation limits production of proinflammatory cytokines to protect the host from Enterococcus faecalis-induced lethality

J Immunol. 2011 Sep 15;187(6):2849-52. doi: 10.4049/jimmunol.1001854. Epub 2011 Aug 17.

Abstract

Nucleotide-binding oligomerization domain 2 (Nod2) mutations including L1007fsinsC are associated with the development of Crohn's disease (CD). These CD-associated Nod2 mutations are common in healthy white populations, suggesting that they may confer some protective function, but experimental evidence is lacking. Using a mouse strain that expresses Nod2(2939iCstop), the equivalent of the L1007fsinsC mutation, we found that macrophages homozygous for Nod2(2939iCstop) are impaired in the recognition of muramyl dipeptide and Enterococcus faecalis, a commensal bacterium that is a common cause of sepsis-associated lethality in humans. Notably, Nod2 deficiency and homozygocity for Nod2(2939iCstop) were associated with reduced production of TNF-α and IL-6 and lethality after systemic infection with E. faecalis despite normal bacteria loads. Consistently, inhibition of TNF-α signaling protected wild-type mice from E. faecalis-induced lethality. These results suggest that the same Nod2 mutation can increase the susceptibility to CD, but also protect the host from systemic infection by a common enteric bacterium.

Publication types

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

MeSH terms

  • Animals
  • Crohn Disease / genetics*
  • Crohn Disease / immunology
  • Cytokines / biosynthesis
  • Cytokines / immunology
  • Enterococcus faecalis / immunology*
  • Gene Knock-In Techniques
  • Gram-Positive Bacterial Infections / genetics*
  • Gram-Positive Bacterial Infections / immunology
  • Immunoblotting
  • Inflammation / genetics
  • Inflammation / immunology
  • Macrophages / immunology*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mice, Mutant Strains
  • Mutation*
  • Nod2 Signaling Adaptor Protein / genetics*
  • Nod2 Signaling Adaptor Protein / immunology
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • Cytokines
  • Nod2 Signaling Adaptor Protein
  • Nod2 protein, mouse