Mass cytometry reveals systemic and local immune signatures that distinguish inflammatory bowel diseases

Inflammatory bowel disease (IBD) includes Crohn’s disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations, which determine patients’ disease phenotype. Current understanding of phenotype determinants is limited, despite increasing prevalence and hea...

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Published inNature communications Vol. 10; no. 1; pp. 2686 - 14
Main Authors Rubin, Samuel J. S., Bai, Lawrence, Haileselassie, Yeneneh, Garay, Gotzone, Yun, Chohee, Becker, Laren, Streett, Sarah E., Sinha, Sidhartha R., Habtezion, Aida
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 19.06.2019
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ISSN2041-1723
2041-1723
DOI10.1038/s41467-019-10387-7

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Abstract Inflammatory bowel disease (IBD) includes Crohn’s disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations, which determine patients’ disease phenotype. Current understanding of phenotype determinants is limited, despite increasing prevalence and healthcare costs. Diagnosis and monitoring of disease requires invasive procedures, such as endoscopy and tissue biopsy. Here we report signatures of heterogeneity between disease diagnoses and phenotypes. Using mass cytometry, we analyze leukocyte subsets, characterize their function(s), and examine gut-homing molecule expression in blood and intestinal tissue from healthy and/or IBD subjects. Some signatures persist in IBD despite remission, and many signatures are highly represented by leukocytes that express gut trafficking molecules. Moreover, distinct systemic and local immune signatures suggest patterns of cell localization in disease. Our findings highlight the importance of gut tropic leukocytes in circulation and reveal that blood-based immune signatures differentiate clinically relevant subsets of IBD. Distinguishing clinical subtypes of IBD is critical for optimal treatments, outcome prediction, and better understanding of disease pathogenesis. Here the authors phenotype blood and intestinal immune cells by mass cytometry and identify signatures associated with distinct disease states.
AbstractList Inflammatory bowel disease (IBD) includes Crohn’s disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations, which determine patients’ disease phenotype. Current understanding of phenotype determinants is limited, despite increasing prevalence and healthcare costs. Diagnosis and monitoring of disease requires invasive procedures, such as endoscopy and tissue biopsy. Here we report signatures of heterogeneity between disease diagnoses and phenotypes. Using mass cytometry, we analyze leukocyte subsets, characterize their function(s), and examine gut-homing molecule expression in blood and intestinal tissue from healthy and/or IBD subjects. Some signatures persist in IBD despite remission, and many signatures are highly represented by leukocytes that express gut trafficking molecules. Moreover, distinct systemic and local immune signatures suggest patterns of cell localization in disease. Our findings highlight the importance of gut tropic leukocytes in circulation and reveal that blood-based immune signatures differentiate clinically relevant subsets of IBD. Distinguishing clinical subtypes of IBD is critical for optimal treatments, outcome prediction, and better understanding of disease pathogenesis. Here the authors phenotype blood and intestinal immune cells by mass cytometry and identify signatures associated with distinct disease states.
Distinguishing clinical subtypes of IBD is critical for optimal treatments, outcome prediction, and better understanding of disease pathogenesis. Here the authors phenotype blood and intestinal immune cells by mass cytometry and identify signatures associated with distinct disease states.
Inflammatory bowel disease (IBD) includes Crohn's disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations, which determine patients' disease phenotype. Current understanding of phenotype determinants is limited, despite increasing prevalence and healthcare costs. Diagnosis and monitoring of disease requires invasive procedures, such as endoscopy and tissue biopsy. Here we report signatures of heterogeneity between disease diagnoses and phenotypes. Using mass cytometry, we analyze leukocyte subsets, characterize their function(s), and examine gut-homing molecule expression in blood and intestinal tissue from healthy and/or IBD subjects. Some signatures persist in IBD despite remission, and many signatures are highly represented by leukocytes that express gut trafficking molecules. Moreover, distinct systemic and local immune signatures suggest patterns of cell localization in disease. Our findings highlight the importance of gut tropic leukocytes in circulation and reveal that blood-based immune signatures differentiate clinically relevant subsets of IBD.
Inflammatory bowel disease (IBD) includes Crohn's disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations, which determine patients' disease phenotype. Current understanding of phenotype determinants is limited, despite increasing prevalence and healthcare costs. Diagnosis and monitoring of disease requires invasive procedures, such as endoscopy and tissue biopsy. Here we report signatures of heterogeneity between disease diagnoses and phenotypes. Using mass cytometry, we analyze leukocyte subsets, characterize their function(s), and examine gut-homing molecule expression in blood and intestinal tissue from healthy and/or IBD subjects. Some signatures persist in IBD despite remission, and many signatures are highly represented by leukocytes that express gut trafficking molecules. Moreover, distinct systemic and local immune signatures suggest patterns of cell localization in disease. Our findings highlight the importance of gut tropic leukocytes in circulation and reveal that blood-based immune signatures differentiate clinically relevant subsets of IBD.Inflammatory bowel disease (IBD) includes Crohn's disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations, which determine patients' disease phenotype. Current understanding of phenotype determinants is limited, despite increasing prevalence and healthcare costs. Diagnosis and monitoring of disease requires invasive procedures, such as endoscopy and tissue biopsy. Here we report signatures of heterogeneity between disease diagnoses and phenotypes. Using mass cytometry, we analyze leukocyte subsets, characterize their function(s), and examine gut-homing molecule expression in blood and intestinal tissue from healthy and/or IBD subjects. Some signatures persist in IBD despite remission, and many signatures are highly represented by leukocytes that express gut trafficking molecules. Moreover, distinct systemic and local immune signatures suggest patterns of cell localization in disease. Our findings highlight the importance of gut tropic leukocytes in circulation and reveal that blood-based immune signatures differentiate clinically relevant subsets of IBD.
ArticleNumber 2686
Author Yun, Chohee
Rubin, Samuel J. S.
Sinha, Sidhartha R.
Bai, Lawrence
Habtezion, Aida
Becker, Laren
Streett, Sarah E.
Haileselassie, Yeneneh
Garay, Gotzone
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MorrisonRWDe JongKAMeasurement of population diversityArtif. Evol.20022310314110.1007/3-540-46033-0_3
McGovernVJGoulstonSJCrohn’s disease of the colonGut196891641761:STN:280:DyaF1c3nvFentQ%3D%3D10.1136/gut.9.2.164
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JacksonSMCD45RO enriches for activated, highly mutated human germinal center B cellsBlood2007110391739251:CAS:528:DC%2BD2sXhtl2qsb7I10.1182/blood-2007-05-087767
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MoirSEvidence for HIV-associated B cell exhaustion in a dysfunctional memory B cell compartment in HIV-infected viremic individualsJ. Exp. Med2008205179718051:CAS:528:DC%2BD1cXpsFOjs7s%3D10.1084/jem.20072683
GalvezJRole of Th17 cells in the pathogenesis of human IBDISRN Inflamm.2014201492846110.1155/2014/928461
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PickertGSTAT3 links IL-22 signaling in intestinal epithelial cells to mucosal wound healingJ. Exp. Med2009206146514721:CAS:528:DC%2BD1MXos1eis7Y%3D10.1084/jem.20082683
BingXLinlangLKeyanCDecreased Breg/Th17 Ratio Improved the Prognosis of Patients with Ulcerative ColitisCan. J. Gastroenterol. Hepatol.20182018576084910.1155/2018/5760849
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NguyenLPRole and species-specific expression of colon T cell homing receptor GPR15 in colitisNat. Immunol.2015162072131:CAS:528:DC%2BC2cXitFKltL%2FM10.1038/ni.3079
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BilsboroughJTarganSRSnapperSBTherapeutic Targets in Inflammatory Bowel Disease: Current and FutureAm. J. Gastroenterol. Suppl
W Reinisch (10387_CR46) 2015; 64
BG Feagan (10387_CR49) 2013; 369
WA Haynes (10387_CR60) 2017; 22
TL Hedrick (10387_CR33) 2013; 26
W Wang (10387_CR39) 2000; 275
A Kessel (10387_CR53) 2012; 11
M Dobre (10387_CR15) 2017; 58
HH Van Acker (10387_CR21) 2017; 8
MS Silverberg (10387_CR8) 2005; 19
C Gasche (10387_CR6) 2000; 6
S Moir (10387_CR29) 2008; 205
V van Unen (10387_CR51) 2016; 44
LP Nguyen (10387_CR18) 2015; 16
S Danese (10387_CR47) 2015; 64
Z Vadasz (10387_CR54) 2013; 587
SC Bendall (10387_CR14) 2012; 33
W Hueber (10387_CR48) 2012; 61
FA Frizelle (10387_CR32) 1997; 12
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CW Lees (10387_CR52) 2011; 60
BR Yacyshyn (10387_CR43) 1993; 34
C Wei (10387_CR28) 2007; 178
SM Jackson (10387_CR56) 2007; 110
JF Fecteau (10387_CR26) 2006; 177
N Samusik (10387_CR58) 2016; 13
J Marsal (10387_CR5) 2012; 272
C Abraham (10387_CR2) 2009; 361
PM Nguyen (10387_CR44) 2015; 35
A Habtezion (10387_CR13) 2016; 150
CE Egwuagu (10387_CR36) 2009; 47
YQ Qiao (10387_CR24) 2013; 20
VJ McGovern (10387_CR11) 1968; 9
P Bekker (10387_CR41) 2015; 2015
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J Bilsborough (10387_CR3) 2016; 3
PJ Trivedi (10387_CR40) 2016; 68
AN Ananthakrishnan (10387_CR4) 2015; 12
X Wang (10387_CR35) 2017; 25
SJ Fleischer (10387_CR27) 2014; 66
J Galvez (10387_CR37) 2014; 2014
AM Newman (10387_CR59) 2015; 12
RK Yantiss (10387_CR10) 2006; 48
K Muroi (10387_CR20) 1998; 22
YC Wu (10387_CR25) 2011; 2
SA Islam (10387_CR12) 2012; 18
OL Rojas (10387_CR30) 2008; 380
MC Jaimes (10387_CR38) 2004; 78
SV Kim (10387_CR17) 2013; 340
WJ Sandborn (10387_CR50) 2013; 369
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B Safar (10387_CR7) 2007; 20
DA Rao (10387_CR34) 2017; 542
X Bing (10387_CR55) 2018; 2018
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S Brand (10387_CR22) 2009; 58
RW Morrison (10387_CR19) 2002; 2310
G Pickert (10387_CR45) 2009; 206
S Mills (10387_CR31) 2007; 20
J Satsangi (10387_CR9) 2006; 55
BR Yacyshyn (10387_CR42) 1995; 108
References_xml – reference: LeesCWBarrettJCParkesMSatsangiJNew IBD genetics: common pathways with other diseasesGut201160173917531:CAS:528:DC%2BC38XmsFCktw%3D%3D10.1136/gut.2009.199679
– reference: BingXLinlangLKeyanCDecreased Breg/Th17 Ratio Improved the Prognosis of Patients with Ulcerative ColitisCan. J. Gastroenterol. Hepatol.20182018576084910.1155/2018/5760849
– reference: YacyshynBRMeddingsJBCD45RO expression on circulating CD19+ B cells in Crohn’s disease correlates with intestinal permeabilityGastroenterology19951081321371:STN:280:DyaK2M7gsVKhtQ%3D%3D10.1016/0016-5085(95)90017-9
– reference: Fernandez, R. & Maecker, H. Cytokine-stimulated phosphoflow of PBMC Using CyTOF mass cytometry. Bio Protoc5, e1496 (2015).
– reference: GalvezJRole of Th17 cells in the pathogenesis of human IBDISRN Inflamm.2014201492846110.1155/2014/928461
– reference: WangXCyclic AMP-responsive element-binding protein (CREB) is critical in autoimmunity by promoting Th17 but inhibiting Treg cell differentiationEBioMedicine20172516517410.1016/j.ebiom.2017.10.010
– reference: MorrisonRWDe JongKAMeasurement of population diversityArtif. Evol.20022310314110.1007/3-540-46033-0_3
– reference: ReinischWAnrukinzumab, an anti-interleukin 13 monoclonal antibody, in active UC: efficacy and safety from a phase IIa randomised multicentre studyGut2015648949001:CAS:528:DC%2BC2MXhsVCgtrvI10.1136/gutjnl-2014-308337
– reference: RojasOLNarvaezCFGreenbergHBAngelJFrancoMACharacterization of rotavirus specific B cells and their relation with serological memoryVirology20083802342421:CAS:528:DC%2BD1cXht1egtbfN10.1016/j.virol.2008.08.004
– reference: DaneseSTralokinumab for moderate-to-severe UC: a randomised, double-blind, placebo-controlled, phase IIa studyGut2015642432491:CAS:528:DC%2BC2MXjsleksb0%3D10.1136/gutjnl-2014-308004
– reference: BendallSCNolanGPRoedererMChattopadhyayPKA deep profiler’s guide to cytometryTrends Immunol.2012333233321:CAS:528:DC%2BC38XkvFajt70%3D10.1016/j.it.2012.02.010
– reference: JaimesMCMaturation and trafficking markers on rotavirus-specific B cells during acute infection and convalescence in childrenJ. Virol.20047810967109761:CAS:528:DC%2BD2cXotlKjurc%3D10.1128/JVI.78.20.10967-10976.2004
– reference: MoirSEvidence for HIV-associated B cell exhaustion in a dysfunctional memory B cell compartment in HIV-infected viremic individualsJ. Exp. Med2008205179718051:CAS:528:DC%2BD1cXpsFOjs7s%3D10.1084/jem.20072683
– reference: GascheCA simple classification of Crohn’s disease: report of the Working Party for the World Congresses of Gastroenterology, Vienna 1998Inflamm. Bowel Dis.200068151:STN:280:DC%2BD3c7msF2ksw%3D%3D10.1097/00054725-200002000-00002
– reference: AbrahamCChoJHInflammatory bowel diseaseN. Engl. J. Med2009361206620781:CAS:528:DC%2BD1MXhsVequ7bE10.1056/NEJMra0804647
– reference: WangWIdentification of a novel chemokine (CCL28), which binds CCR10 (GPR2)J. Biol. Chem.200027522313223231:CAS:528:DC%2BD3cXlt1ehu7c%3D10.1074/jbc.M001461200
– reference: SatsangiJSilverbergMSVermeireSColombelJFThe Montreal classification of inflammatory bowel disease: controversies, consensus, and implicationsGut2006557497531:STN:280:DC%2BD283mvVWrsw%3D%3D10.1136/gut.2005.082909
– reference: McGovernVJGoulstonSJCrohn’s disease of the colonGut196891641761:STN:280:DyaF1c3nvFentQ%3D%3D10.1136/gut.9.2.164
– reference: van UnenVMass cytometry of the human mucosal immune system identifies tissue- and disease-associated immune subsetsImmunity2016441227123910.1016/j.immuni.2016.04.014
– reference: SandbornWJVedolizumab as induction and maintenance therapy for Crohn’s diseaseN. Engl. J. Med20133697117211:CAS:528:DC%2BC3sXhtlCrsrbO10.1056/NEJMoa1215739
– reference: WuYCKiplingDDunn-WaltersDKThe relationship between CD27 negative and positive B cell populations in human peripheral bloodFront Immunol.201128110.3389/fimmu.2011.00081
– reference: BrandSCrohn’s disease: Th1, Th17 or both? The change of a paradigm: new immunological and genetic insights implicate Th17 cells in the pathogenesis of Crohn’s diseaseGut200958115211671:CAS:528:DC%2BD1MXhtFOjt7fM10.1136/gut.2008.163667
– reference: BilsboroughJTarganSRSnapperSBTherapeutic Targets in Inflammatory Bowel Disease: Current and FutureAm. J. Gastroenterol. Suppl.2016327371:CAS:528:DC%2BC28XitVegtLzF10.1038/ajgsup.2016.18
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– reference: NguyenLPRole and species-specific expression of colon T cell homing receptor GPR15 in colitisNat. Immunol.2015162072131:CAS:528:DC%2BC2cXitFKltL%2FM10.1038/ni.3079
– reference: TrivediPJIntestinal CCL25 expression is increased in colitis and correlates with inflammatory activityJ. Autoimmun.201668981041:CAS:528:DC%2BC28XitlSnur0%3D10.1016/j.jaut.2016.01.001
– reference: FecteauJFCoteGNeronSA new memory CD27-IgG+ B cell population in peripheral blood expressing VH genes with low frequency of somatic mutationJ. Immunol.2006177372837361:CAS:528:DC%2BD28XptlOgsrk%3D10.4049/jimmunol.177.6.3728
– reference: MarsalJAgaceWWTargeting T-cell migration in inflammatory bowel diseaseJ. Intern Med20122724114291:CAS:528:DC%2BC38XhsFCjs7jM10.1111/j.1365-2796.2012.02588.x
– reference: SamusikNGoodZSpitzerMHDavisKLNolanGPAutomated mapping of phenotype space with single-cell dataNat. Methods2016134934961:CAS:528:DC%2BC28XnvFOksLw%3D10.1038/nmeth.3863
– reference: KimSVGPR15-mediated homing controls immune homeostasis in the large intestine mucosaScience2013340145614591:CAS:528:DC%2BC3sXpsFKltL8%3D10.1126/science.12370132013Sci...340.1456K
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– reference: WeiCA new population of cells lacking expression of CD27 represents a notable component of the B cell memory compartment in systemic lupus erythematosusJ. Immunol.2007178662466331:CAS:528:DC%2BD2sXksl2msLw%3D10.4049/jimmunol.178.10.6624
– reference: AnanthakrishnanANEpidemiology and risk factors for IBDNat. Rev. Gastroenterol. Hepatol.20151220521710.1038/nrgastro.2015.34
– reference: Van AckerHHCapsomidisASmitsELVan TendelooVFCD56 in the immune system: more than a marker for cytotoxicity?Front Immunol.2017889210.3389/fimmu.2017.00892
– reference: MillsSStamosMJColonic Crohn’s diseaseClin. Colon Rectal Surg.20072030931310.1055/s-2007-991030
– reference: YantissRKOdzeRDDiagnostic difficulties in inflammatory bowel disease pathologyHistopathology2006481161321:STN:280:DC%2BD28%2FitVSqtw%3D%3D10.1111/j.1365-2559.2005.02248.x
– reference: BekkerPCCR9 antagonists in the treatment of ulcerative colitisMediat. Inflamm.2015201562834010.1155/2015/628340
– reference: Molodecky, N. A. et al. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology142, 46–54 (2012).
– reference: IslamSALusterADT cell homing to epithelial barriers in allergic diseaseNat. Med2012187057151:CAS:528:DC%2BC38XmsFOqsLc%3D10.1038/nm.2760
– reference: HabtezionANguyenLPHadeibaHButcherECLeukocyte Trafficking to the Small Intestine and ColonGastroenterology20161503403541:CAS:528:DC%2BC28XhsV2jurs%3D10.1053/j.gastro.2015.10.046
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– reference: FrizelleFABurtMJReview: the surgical management of ulcerative colitisJ. Gastroenterol. Hepatol.1997126706771:STN:280:DyaK1c%2FntFahsQ%3D%3D10.1111/j.1440-1746.1997.tb00533.x
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– reference: PickertGSTAT3 links IL-22 signaling in intestinal epithelial cells to mucosal wound healingJ. Exp. Med2009206146514721:CAS:528:DC%2BD1MXos1eis7Y%3D10.1084/jem.20082683
– reference: NguyenPMPutoczkiTLErnstMSTAT3-activating cytokines: a therapeutic opportunity for inflammatory bowel disease?J. Interferon Cytokine Res2015353403501:CAS:528:DC%2BC2MXns1Ghu78%3D10.1089/jir.2014.0225
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Snippet Inflammatory bowel disease (IBD) includes Crohn’s disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations,...
Inflammatory bowel disease (IBD) includes Crohn's disease and ulcerative colitis. Each disease is characterized by a diverse set of potential manifestations,...
Distinguishing clinical subtypes of IBD is critical for optimal treatments, outcome prediction, and better understanding of disease pathogenesis. Here the...
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Adult
Aged
Biopsy
Blood
Blood circulation
Cell Separation
Colonoscopy
Crohn's disease
Cytometry
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Disease control
Endoscopy
Female
Flow Cytometry - methods
Gastrointestinal tract
Heterogeneity
Homing
Humanities and Social Sciences
Humans
Inflammatory bowel disease
Inflammatory bowel diseases
Inflammatory Bowel Diseases - blood
Inflammatory Bowel Diseases - immunology
Inflammatory Bowel Diseases - pathology
Intestinal Mucosa - immunology
Intestinal Mucosa - pathology
Intestine
Intestines - immunology
Intestines - pathology
Leukocyte migration
Leukocytes
Leukocytes - immunology
Localization
Male
Mass Spectrometry - methods
Middle Aged
multidisciplinary
Phenotypes
Remission
Science
Science (multidisciplinary)
Signatures
Symptom Flare Up
Ulcerative colitis
Young Adult
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Title Mass cytometry reveals systemic and local immune signatures that distinguish inflammatory bowel diseases
URI https://link.springer.com/article/10.1038/s41467-019-10387-7
https://www.ncbi.nlm.nih.gov/pubmed/31217423
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