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Microbiota-dependent indole production stimulates the development of collagen-induced arthritis in mice
Brenda J. Seymour, … , Sean P. Colgan, Kristine A. Kuhn
Brenda J. Seymour, … , Sean P. Colgan, Kristine A. Kuhn
Published December 19, 2023
Citation Information: J Clin Invest. 2024;134(4):e167671. https://doi.org/10.1172/JCI167671.
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Research Article Autoimmunity

Microbiota-dependent indole production stimulates the development of collagen-induced arthritis in mice

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Abstract

Altered tryptophan catabolism has been identified in inflammatory diseases like rheumatoid arthritis (RA) and spondyloarthritis (SpA), but the causal mechanisms linking tryptophan metabolites to disease are unknown. Using the collagen-induced arthritis (CIA) model, we identified alterations in tryptophan metabolism, and specifically indole, that correlated with disease. We demonstrated that both bacteria and dietary tryptophan were required for disease and that indole supplementation was sufficient to induce disease in their absence. When mice with CIA on a low-tryptophan diet were supplemented with indole, we observed significant increases in serum IL-6, TNF, and IL-1β; splenic RORγt+CD4+ T cells and ex vivo collagen-stimulated IL-17 production; and a pattern of anti-collagen antibody isotype switching and glycosylation that corresponded with increased complement fixation. IL-23 neutralization reduced disease severity in indole-induced CIA. Finally, exposure of human colonic lymphocytes to indole increased the expression of genes involved in IL-17 signaling and plasma cell activation. Altogether, we propose a mechanism by which intestinal dysbiosis during inflammatory arthritis results in altered tryptophan catabolism, leading to indole stimulation of arthritis development. Blockade of indole generation may present a unique therapeutic pathway for RA and SpA.

Authors

Brenda J. Seymour, Brandon Trent, Brendan E. Allen, Adam J. Berlinberg, Jimmy Tangchittsumran, Widian K. Jubair, Meagan E. Chriswell, Sucai Liu, Alfredo Ornelas, Andrew Stahly, Erica E. Alexeev, Alexander S. Dowdell, Sunny L. Sneed, Sabrina Fechtner, Jennifer M. Kofonow, Charles E. Robertson, Stephanie M. Dillon, Cara C. Wilson, Robert M. Anthony, Daniel N. Frank, Sean P. Colgan, Kristine A. Kuhn

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Figure 2

Indole is required for CIA.

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Indole is required for CIA.
(A) CIA was induced in 6-week-old male DBA/1...
(A) CIA was induced in 6-week-old male DBA/1 mice. On days 21–35, mice were treated with antibiotics with or without 0.1 mg/mL indole in the drinking water, and arthritis scores were assessed every other day. n = 10 (Abx+Indole); n = 7 (CIA+Abx). (B) Six-week-old male DBA/1 mice were fed a TL or TS diet starting on day –1 and through the duration of the experiment. Following induction of CIA, mice were treated with indole (200 μL of a 10 mM solution) or vehicle control (0.33% methanol) by oral gavage every other day starting on day 0. Arthritis scores were assessed every other day from days 21–35. n = 39 (TL+Vehicle), n = 24 (TL+Indole), and n = 25 (TS+Vehicle), pooled from 5 independent experiments. Red asterisks: TL+Indole versus TL+Vehicle; black asterisks: TS+Vehicle versus TL+Vehicle. TS+Vehicle versus TL+Indole was not statistically significant. (C) The sum of the inflammation, pannus, and bone erosion score of H&E-stained paws is plotted as the total histology score (maximum score of 15). n = 10–20, pooled from 2 independent experiments. (D) Schematic of Trp breakdown into indole by bacterial Tryptophanase A and Trp synthesis from indole by bacterial Tryptophan synthase. (E) HPLC analysis of Trp in cecal contents from mice with CIA at day 35, plotted as the AUC, normalized to the weight (mg) of the cecal contents. n = 5–10, from 1 experiment. (F) Six-week-old male germ-free DBA/1 mice were colonized with E. coli BW25113 mutants (ΔtnaA or ΔBcsQ) with 108 CFU by oral gavage on day –7 before CIA induction. n = 7 per group. (G) HPLC analysis of indole in cecal contents from CIA mice colonized with either ΔtnaA or ΔBcsQ at CIA day 35. Indole levels were plotted a the AUC per milligram of cecal content weight. Data are reported as the mean ± SEM. *P < 0.05, **P < <0.01, ***P < 0.001, and ****P < 0.0001, by 2-way ANOVA with Bonferroni’s correction for multiple comparisons (A, B, and F), 1-way ANOVA with Bonferroni’s correction for multiple comparisons (C and E), and unpaired 2-tailed Student’s t test (G).

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