Retinoic acid deficiency reprograms lamina propria dendritic cells to drive inflammation and tumor growth in spontaneous intestinal neoplasia

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Abstract/Contents

Abstract
In the Adenomatous Polyposis Coli Multiple intestinal neoplasia (APCMin/+) mouse model of Familial Adenomatous Polyposis (FAP), T helper 17 (Th17) cells mediate tumor-promoting intestinal inflammation, but the underlying cause of inflammation is unknown. We find that in contrast to wild type lamina propria dendritic cells (LPDCs), which maintain intestinal tolerance by inducing TReg formation, APCMin/+ LPDCs instead induce Th17 formation. The reprogramming of LPDCs is due to a local deficit of the vitamin A metabolite, retinoic acid (RA), which results from insufficient synthesis and excessive breakdown of RA by gut associated Raldh and CYP enzymes, respectively. Exposure of APCMin/+ LPDCs to RA in vitro neutralizes their inflammatory phenotype. Treatment of mice with Liarozole, a CYP inhibitor, restores intestinal RA, eliminates Th17 inflammation and markedly reduces adenoma formation, whereas a vitamin A-deficient diet exacerbates disease. Elevated IL-17 and dysregulated vitamin A metabolism were also observed in FAP adenomas, suggesting that the same mechanism responsible for tumor-promoting intestinal inflammation in APCMin/+ mice applies to humans.

Description

Type of resource text
Form electronic; electronic resource; remote
Extent 1 online resource.
Publication date 2011
Issuance monographic
Language English

Creators/Contributors

Associated with Leong, Hwei Xian
Associated with Stanford University, Program in Immunology.
Primary advisor Engleman, Edgar G
Thesis advisor Engleman, Edgar G
Thesis advisor Butcher, Eugene
Thesis advisor Contag, Christopher H
Thesis advisor Negrin, Robert S
Advisor Butcher, Eugene
Advisor Contag, Christopher H
Advisor Negrin, Robert S

Subjects

Genre Theses

Bibliographic information

Statement of responsibility Hwei Xian Leong.
Note Submitted to the Program in Immunology.
Thesis Thesis (Ph. D.)--Stanford University, 2012.
Location electronic resource

Access conditions

Copyright
© 2011 by Hwei Xian Leong
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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