Ileitis-associated tertiary lymphoid organs arise at lymphatic valves and impede mesenteric lymph flow in response to tumor necrosis factor.

Ileitis-associated tertiary lymphoid organs arise at lymphatic valves and impede mesenteric lymph flow in response to tumor necrosis factor.
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DOI:
10.1016/j.immuni.2021.10.003
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发表时间:
2021-12-14
期刊:
影响因子:
32.4
通讯作者:
Randolph GJ
Randolph GJ
中科院分区:
医学1区
文献类型:
--
作者:
Czepielewski RS;Erlich EC;Onufer EJ;Young S;Saunders BT;Han YH;Wohltmann M;Wang PL;Kim KW;Kumar S;Hsieh CS;Scallan JP;Yang Y;Zinselmeyer BH;Davis MJ;Randolph GJ

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Lymphangitis and the formation of tertiary lymphoid organs (TLOs) in the mesentery are features of Crohn’s disease. Here we examined the genesis of these TLOs and their impact on disease progression. Whole-mount and intravital imaging of the ileum and ileum-draining collecting lymphatic vessels (CLVs) draining to mesenteric lymph nodes from TNFΔARE mice, a model of ileitis, revealed TLOs formation at valves of CLVs. TLOs obstructed cellular and molecular outflow from the gut, and were sites of lymph leakage and backflow. TNF neutralization begun at early stages of TLO formation restored lymph transport. However, robustly developed, chronic TLOs resisted regression and restoration of flow after TNF neutralization. TNF stimulation of cultured lymphatic endothelial cells reprogrammed responses to oscillatory shear stress, preventing induction of valve-associated genes. Disrupted transport of immune cells driven by loss of valve integrity and TLOs formation may contribute to the pathology of Crohn’s disease. Lymphangitis and the formation of mesenteric tertiary lymphoid organs (TLOs) are features of Crohn’s disease. Czepielewski et al. find that the cytokine TNF drives loss of valve integrity and TLO formation, thereby disrupting lymphatic transport in a model of Crohn’s like-ileitis. The resulting impairment of immune cell transport may contribute to the pathology of Crohn’s disease.
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