Sangdoo Kim1, Hyunju Kim1, Yeong Shin Yim2, Soyoung Ha1, Koji Atarashi3, Tze Guan Tan4, Randy S Longman5, Kenya Honda3, Dan R Littman6,7, Gloria B Choi2, Jun R Huh1. 1. Division of Infectious Diseases and Immunology and Program in Innate Immunity, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA. 2. The McGovern Institute for Brain Research, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA. 3. Department of Microbiology and Immunology, Keio University School of Medicine, Tokyo 160-8582, Japan. 4. Department of Microbiology and Immunobiology, Harvard Medical School, Boston, Massachusetts 02115, USA. 5. The Jill Roberts Institute for Research in IBD, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, New York 10021, USA. 6. The Kimmel Center for Biology and Medicine of the Skirball Institute, New York University School of Medicine, New York, New York 10016, USA. 7. Howard Hughes Medical Institute, New York, New York 10016, USA.
Abstract
Maternal immune activation (MIA) contributes to behavioural abnormalities associated with neurodevelopmental disorders in both primate and rodent offspring. In humans, epidemiological studies suggest that exposure of fetuses to maternal inflammation increases the likelihood of developing autism spectrum disorder. In pregnant mice, interleukin-17a (IL-17a) produced by T helper 17 (TH17) cells (CD4+ T helper effector cells involved in multiple inflammatory conditions) induces behavioural and cortical abnormalities in the offspring exposed to MIA. However, it is unclear whether other maternal factors are required to promote MIA-associated phenotypes. Moreover, the underlying mechanisms by which MIA leads to T cell activation with increased IL-17a in the maternal circulation are not well understood. Here we show that MIA phenotypes in offspring require maternal intestinal bacteria that promote TH17 cell differentiation. Pregnant mice that had been colonized with mouse commensal segmented filamentous bacteria or human commensal bacteria that induce intestinal TH17 cells were more likely to produce offspring with MIA-associated abnormalities. We also show that small intestine dendritic cells from pregnant, but not from non-pregnant, females secrete IL-1β, IL-23 and IL-6 and stimulate T cells to produce IL-17a upon exposure to MIA. Overall, our data suggest that defined gut commensal bacteria with a propensity to induce TH17 cells may increase the risk of neurodevelopmental disorders in the offspring of pregnant mothers undergoing immune system activation owing to infections or autoinflammatory syndromes.
Maternal immune activation (MIA) contributes to behavioural abnormalities associated with neurodevelopmental disorders in both primate and rodent offspring. In humans, epidemiological studies suggest that exposure of fetuses to maternal inflammation increases the likelihood of developing autism spectrum disorder. In pregnant mice, interleukin-17a (IL-17a) produced by T helper 17 (TH17) cells (CD4+ T helper effector cells involved in multiple inflammatory conditions) induces behavioural and cortical abnormalities in the offspring exposed to MIA. However, it is unclear whether other maternal factors are required to promote MIA-associated phenotypes. Moreover, the underlying mechanisms by which MIA leads to T cell activation with increased IL-17a in the maternal circulation are not well understood. Here we show that MIA phenotypes in offspring require maternal intestinal bacteria that promote TH17 cell differentiation. Pregnant mice that had been colonized with mouse commensal segmented filamentous bacteria or human commensal bacteria that induce intestinal TH17 cells were more likely to produce offspring with MIA-associated abnormalities. We also show that small intestine dendritic cells from pregnant, but not from non-pregnant, females secrete IL-1β, IL-23 and IL-6 and stimulate T cells to produce IL-17a upon exposure to MIA. Overall, our data suggest that defined gut commensal bacteria with a propensity to induce TH17 cells may increase the risk of neurodevelopmental disorders in the offspring of pregnant mothers undergoing immune system activation owing to infections or autoinflammatory syndromes.
In mouse models of MIA, offspring born to pregnant dams exposed to viral
infection or injected with a synthetic double-stranded RNA (polyinosinic:polycytidylic
acid, poly(I:C)), which mimics viral infection, exhibit abnormal behavioral phenotypes,
including reduced sociability, increased repetitive behaviors, and abnormal
communication[3,4]. Because commensal microbiota influences immune
responses to pathogenic microbes, we wished to determine if it affects the
mother’s likelihood of producing offspring with MIA-associated phenotypes.As previously reported[8-10], pups from mothers injected with
poly(I:C) at embryonic day 12.5 (E12.5) emit more ultrasonic vocalization (USV) calls
than those from PBS-injected mothers (Fig. 1a).
Unlike other behavioral phenotypes that are often more strongly manifested in male than
in female offspring, USV calls were enhanced in both sexes among MIA offspring (Extended Data Fig. 1a). In addition, fetal exposure
to MIA led to other behavioral abnormalities including enhanced repetitive behaviors
(increased marble burying), increased anxiety (decreased time spent in the center of an
open field arena) and social interaction deficits (decreased interaction with a social
stimulus) in adult male offspring (Fig. 1b-d).
These behavioral phenotypes did not emerge from changes in activity or arousal levels as
the total investigation time and the total distance traveled during the sociability test
remained comparable (Extended Data Fig. 1b and c).
To investigate whether maternal commensal bacteria influence MIA-associated behaviors,
we treated C57BL/6 wildtype (WT) mice from our vivarium with the broad spectrum
antibioticvancomycin prior to phosphate-buffered saline (PBS) or poly(I:C)
administration (Extended Data Fig. 1d).
Interestingly, pre-treating poly(I:C)-injected mothers with vancomycin prevented
development of all four behavioral abnormalities in MIA offspring (Fig. 1a-d).
Figure 1
Maternal bacteria promote abnormal behaviors associated with
neurodevelopmental disorders in MIA offspring
a, Ultrasonic vocalization (USV) index
(n=28/34 (vehicle;PBS/poly(I:C));
n=26/30 (vancomycin;PBS/poly(I:C)); 5-6 independent
experiments). b-d, Marble-burying index (b) time spent
in the center of an open field (c), % interaction
(d) in the sociability test of adult offspring described in
(a) (n=13/15 (vehicle;PBS/poly(I:C));
n=12/16 (vancomycin;PBS/poly(I:C)); 3-4 independent
experiments). e, Representative images of adult offspring brains
from PBS-/poly(I:C)-injected mothers treated with vehicle/vancomycin. Arrows
indicate cortical patch. Scale bar,100 μm
(n=3/4 (PBS;vehicle/vancomycin);
n=5/4 (poly(I:C);vehicle/vancomycin); 2 independent
experiments). f, Maternal plasma concentrations of IL-17a 48 hrs
after PBS/poly(I:C) administration into dams at E12.5 (n=6/group; 3
independent experiments). *p<0.05,
**p<0.01,
***p<0.001,
****p<0.0001 as
calculated by one-way (a-c) and two-way
(d) ANOVA with Tukey post-hoc tests and Student’s
t-test (f). N.S., not significant. Graphs indicate mean
+/− s.e.m.
Extended Data Figure 1
Maternal vancomycin-treatment prevented induction of behavioral
abnormalities in MIA offspring
a, USV index (n=27/29
(PBS;male/female); n=28/21 (Poly(I:C);male/female);
6 independent experiments). b-c, Total investigation time
(b) and total distance traveled (c) during the
sociability test (n=13/15 (vehicle;PBS/poly(I:C));
n=12/16 (vancomycin;PBS/poly(I:C)); 3-4
independent experiments). d, Schematic of the experimental
design. e-f, Quantification of SATB2+ cells
(e) in the cortex divided into ten equal bins representing
different depths of the cortex or of the cortical patch size
(f) in the primary somatosensory cortex (S1)
(n=3/4 (PBS;vehicle/vancomycin);
n=3/4 (poly(I:C);vehicle/vancomycin); 2
independent experiments). g, Flow cytometry of
CD4+ T cells (gated on
TCR-β+CD4+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected at E14.5 from the ilea of poly(I:C)-treated mice with/without
vancomycin treatment; Representative FACS plot from 3 independent
experiments. h, qPCR analysis measuring relative SFB levels in
B6 mice before/after vancomycin treatments
(n=4-5/group). i, Representative SEM
images of epithelial surfaces in the ilea of the vehicle-/vancomycin-treated
mice from 2 independent experiments. Scale bars, 30 μm.
*p<0.05,
**p<0.01,
***p<0.001,
****p<0.0001 as
calculated by two-way (a,e) and one-way
(b,c,f) ANOVA with Tukey post-hoc
tests. N.D., not determined; N.S., not significant. Graphs indicate mean
+/− s.e.m.
We previously showed that MIA offspring exhibit cortical patches devoid of
cortical layer-specific markers, such as SATB2[8], and these cortical patches resemble lesions described in brains
of ASDpatients[11,12]. These cortical patches are predominantly
localized in the area encompassing the dysgranular zone of the primary somatosensory
cortex (S1DZ) and are closely associated with the MIA-associated behavioral
abnormalities (Yim et al., co-submitted manuscript). Unlike the adult offspring derived
from poly(I:C)-injected dams, the offspring of poly(I:C)-injected mothers pre-treated
with vancomycin failed to develop cortical patches (Fig.
1e and Extended Data Fig. 1e, f).
Vancomycin treatment of poly(I:C)-injected pregnant dams led to a decrease in the
proportion of Th17 cells in the small intestine with a concomitant reduction in the
levels of IL-17a in the maternal plasma, compared to those of the control group (Fig. 1f and Extended
Data Fig. 1g). These data indicate that the presence in pregnant mice of
commensal bacteria sensitive to vancomycin is crucial for the induction of
MIA-associated behavioral and brain abnormalities in the offspring. Furthermore, the
presence of such bacteria is associated with increased proportion of Th17 cells in the
small intestines and high levels of IL-17a in the plasma of poly(I:C)-treated pregnant
dams.Among commensal bacteria in laboratory mice, SFB is susceptible to
vancomycin[13] and contributes
disproportionately to Th17 cell biogenesis in the small intestine[14]. Indeed, qPCR analyses of mouse fecal samples
showed that intestinal colonization by SFB is severely reduced upon vancomycin treatment
(Extended Data Fig. 1h). We also performed
scanning electron microscopy (SEM) to visualize SFB, which is associated with intestinal
epithelial cells (IEC)[14]. Whereas
plenty of SFB were found attached to the ileal mucosa of the PBS-treated dams,
IEC-associated SFB were not detected in the vancomycin-treated dams (Extended Data Fig. 1i). We therefore next investigated if the
presence of SFB in pregnant mice correlated with the MIA-associated behavioral
phenotypes in offspring. C57BL/6 mice from Taconic Biosciences (Tac) have abundant Th17
cells in their small intestine due to the presence of SFB; in contrast, C57BL/6 mice
from Jackson Laboratories (Jax), which lack SFB, have few intestinal Th17
cells[13,14]. Unlike offspring from poly(I:C)-injected Tac
mothers, those from poly(I:C)-injected Jax mothers failed to show any of the
MIA-associated behavioral phenotypes (Fig. 2a-d
and Extended Data Fig. 2a, b). Poly(I:C)-treated
Tac versus Jax mothers had litters of similar size and the pups had similar weights
(Extended Data Fig. 2c, d). Sizes of the
cortical patches observed in the offspring of poly(I:C)-injected Tac mothers were highly
correlated with the severity of the MIA-associated behavioral abnormalities (Yim et al.,
co-submitted manuscript). Consistent with this finding, MIA offspring from the
SFB-deficient Jax mothers injected with poly(I:C) had no cortical abnormalities, as
assessed by SATB2 staining (Fig. 2e and Extended Data Fig. 2e, f). Unlike in Tac mice, Jax
mothers injected with poly(I:C) did not show systemic increases in IL-17a in the plasma
(Fig. 2f). However, poly(I:C) injection of
both Tac and Jax animals resulted in the robust induction of TNF-α and
IFN-β, compared to PBS control mice (Extended Data
Fig. 2g).
Figure 2
SFB in the pregnant mothers promotes abnormal behaviors in MIA
offspring
a, USV index (n=59/125 (Tac;PBS/poly(I:C));
n=51/50 (Jax;PBS/poly(I:C));
n=55/81 (Co-housed Jax;PBS/poly(I:C));
n=55/89 (SFB-gavaged Jax;PBS/poly(I:C)); 9-11
independent experiments). b-d, Marble burying index
(b), time spent in the center of an open field (c),
and % interaction (d) in the sociability assay of adult
offspring described in (a) (n=32/50
(Tac;PBS/poly(I:C)); n=29/27 (Jax;PBS/poly(I:C));
n=29/29 (Co-housed Jax;PBS/poly(I:C));
n=33/30 (SFB-gavaged Jax;PBS/poly(I:C)); 7-8
independent experiments). e, Representative images of adult
offspring brains from PBS-/poly(I:C)-injected mothers. Arrows indicate cortical
patches. Scale bar, 100 μm (n=3/3
(PBS;Tac/Jax); n=3/3 (PBS;co-housed Jax/SFB-gavaged
Jax); n=4/3 (poly(I:C);Tac/Jax);
n=3/3 (poly(I:C);co-housed Jax/SFB-gavaged Jax)).
f, Maternal plasma concentrations of IL-17a 48 hrs after
administration of PBS/poly(I:C) into dams at E12.5
(n=6/group; 2 independent experiments).
***p<0.001,
****p<0.0001 as
calculated by one-way (a-c) and two-way
(d) ANOVA with Tukey post-hoc tests and Student’s
t-test (f). N.S., not significant. Graphs indicate mean
+/− s.e.m.
Extended Data Figure 2
MIA in SFB-absent Jax mothers does not induce changes in the total
activity of the adult offspring, properties of the litter and maternal
cytokine production
a-b, Total investigation time (a) and
total distance traveled (b) during the sociability test.
c, Litter size upon weaning
(n=59/125 (Tac;PBS/poly(I:C));
n=51/50 (Jax;PBS/poly(I:C));
n=55/81 (Co-housed Jax;PBS/poly(I:C));
n=55/89 (SFB-gavaged Jax;PBS/poly(I:C)).
d, Weight of male offspring from the groups described in
(c) (n=32/50 (Tac;PBS/poly(I:C));
n=29/27 (Jax;PBS/poly(I:C));
n=29/29 (Co-housed Jax;PBS/poly(I:C));
n=33/30 (SFB-gavaged Jax;PBS/poly(I:C)). Data
in a, b, and d are from 7-8
independent experiments. e-f, Quantification of
SATB2+ cells (e) in the cortex divided
into ten equal bins representing different depth and of patch size
(f) in the S1 (n=4 (Tac;PBS);
n=3/3/4/3 (Tac/Jax/Co-housed Jax/SFB-gavaged
Jax;poly(I:C)). g, Maternal plasma concentrations of
TNF-α and IFN-β at 3 hrs after PBS/poly(I:C) injection into
Tac/Jax dams at E12.5; n=4/group.
*p<0.05,
**p<0.01,
***p<0.001 as
calculated by two-way (e) and one-way ANOVA
(a-d,g,f) with Tukey post-hoc tests and Student’s
t-test (g). N.D., not determined. Graphs indicate mean
+/− s.e.m.
Offspring of poly(I:C)-injected Jax mothers that had been either co-housed with
Tac mice or gavaged with a fecal slurry from SFB mono-colonized mice (Extended Data Fig. 3a) displayed MIA-associated behavioral and
cortical abnormalities (Fig. 2a-e). These
MIA-associated phenotypes in the offspring from both the co-housed as well as
SFB-gavaged Jax mothers were accompanied by increased proportion of gut-residing Th17
cells, consistent with the presence of SFB in the small intestine of these mice (Extended Data Fig. 3b-d). Accordingly, the co-housed
and SFB-gavaged Jax mothers exhibited increased levels of plasma IL-17a following
poly(I:C) injections (Fig. 2f). Thus, the presence
or absence of a single commensal bacterial species SFB in the intestines of pregnant
mothers influences long-lasting behavioral and neurodevelopmental outcomes in the
offspring exposed to MIA.
Extended Data Figure 3
SFB colonization leads to increased levels of gut Th17 cells in Jax
pregnant mice
a, Schematic of the experimental design.
b. Flow cytometry of CD4+ T cells (gated
on TCR-β+CD4+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected at E14.5 from the ilea of poly(I:C)-treated Tac/Jax/co-housed
Jax/SFB-gavaged Jax mothers. c, Representative SEM images of
epithelial surfaces in the ilea of Tac/Jax/co-housed Jax/SFB-gavaged Jax
mothers. Scale bars, 30 μm. Data representative of 3
(b) and 2 (c) independent experiments.
d, qPCR analysis for SFB levels in the fecal samples of the
groups described in (a) (n=4-5/group).
****p<0.0001 as
calculated by one-way (d) ANOVA with Tukey post-hoc test.
Graphs indicate mean +/− s.e.m.
We next investigated if maternal exposure to poly(I:C)-induced inflammation or
maternal colonization with SFB influence MIA-associated behaviors in offspring after
birth. We performed cross-fostering experiments by switching newborns between PBS- and
poly(I:C)-treated Tac mothers or between SFB-positive Tac and SFB-negative Jax mothers
(Extended Data Fig. 4a and 5a). Whereas offspring derived from poly(I:C)-injected mothers, but
reared by PBS-injected mothers, exhibited behavioral abnormalities, those from
PBS-injected mothers that were reared by poly(I:C) mothers exhibited normal behaviors
(Extended Data Fig. 4b-g). Likewise, offspring
derived from poly(I:C)-injected Tac mothers, but reared by Jax mice, exhibited
behavioral abnormalities, whereas those derived from poly(I:C)-injected Jax mothers and
reared by Tac mothers displayed normal behaviors (Extended
Data Fig. 5b-g). These data indicate that the presence of SFB in the small
intestine of mothers as well as the immunological effects of poly(I:C) are critical
during pregnancy, not during post-natal nursing, for licensing MIA-induced behavioral
abnormalities in offspring.
Extended Data Figure 4
Poly(I:C)-induced inflammation during pregnancy, not after giving birth,
is critical in inducing MIA-associated behavioral abnormalities in
offspring
a, Schematic of the experimental design for
cross-fostering experiments. b, USV index
(n=21/20 (PBS dams;PBS/poly(I:C) pups);
n=22/15 (poly(I:C) dams;PBS/poly(I:C) pups);
2-4 independent experiments). c-g Marble-burying index
(c), time spent in the center of an open field
(d), and % interaction (e), total
investigation time (f), and total distance traveled
(g) during the sociability test
(n=9/14 (PBS dams;PBS/poly(I:C) pups);
n=12/10 (poly(I:C) dams;PBS/poly(I:C) pups); 2
independent experiments). **p<0.01,
****p <0.0001
as calculated by one-way (b-d,f-g) and two-way (e)
ANOVA with Tukey post-hoc tests. N.S., not significant. Graphs indicate mean
+/− s.e.m.
Extended Data Figure 5
Composition of maternal gut microbiota during pregnancy, not after giving
birth, is critical in inducing MIA-associated behavioral abnormalities in
offspring
a, Schematic of the experimental design for
cross-fostering experiments. b, USV index
(n=9/36 (Tac pups with Jax dams;PBS/poly(I:C));
n=10/24 (Jax pups with Tac dams;PBS/poly(I:C));
2-4 independent experiments). c-g, Marble-burying index
(c), time spent in the center of an open field
(d), and % interaction (e), total
investigation time (f), and total distance traveled
(g) during the sociability test
(n=7/22 (Tac pups with Jax dams;PBS/poly(I:C));
n=7/21 (Jax pups with Tac dams;PBS/poly(I:C));
2 independent experiments). *p<0.05,
**p<0.01,
***p<0.001,
****p <0.0001
as calculated by one-way (b-d,f-g) and two-way (e)
ANOVA with Tukey post-hoc tests. Graphs indicate mean +/−
s.e.m.
MIA leads to an increase in plasma IL-17a levels in pregnant mice as early as
12-24 h following E12.5 poly(I:C) injection[8]. Such a rapid increase strongly suggested that pre-existing Th17
cells, rather than de novo differentiating Th17 cells, are the major
source for IL-17a in pregnant mice exposed to inflammation. As Th17 cells are most
abundant in the small intestine lamina propria, we next investigated whether poly(I:C)
stimulates IL-17a production via gut-residing Th17 cells. In poly(I:C)-treated pregnant
mice, T cells isolated from lamina propria, but not spleen or mesenteric lymph node,
expressed high levels of IL-17a and had increased RORγt expression as compared
to cells from PBS-treated mice (Extended Fig.
6a-f). Consistent with these observations, ileum-associated mononuclear cells,
isolated from poly(I:C)-injected Tac pregnant mice and further stimulated in
vitro with poly(I:C), produced higher levels of IL-17a compared to those
from PBS-treated Tac mice (Extended Data Fig. 6g
and Fig. 3a). In contrast, mononuclear cells from
poly(I:C)-treated Jax mice secreted only small amounts of IL-17a (Fig. 3a). Introduction of SFB into Jax mice either by
co-housing them with Tac mice or by gavaging them with an SFB-containing fecal slurry
was sufficient to enable ileum-associated mononuclear cells to produce high levels of
IL-17a (Fig. 3a). To examine which cells are
involved in the poly(I:C) response, we separately isolated CD4+ as
well as non-CD4+ cells from PBS- and poly(I:C)-treated pregnant Tac
mice and co-cultured the isolated cells from each experimental group. The
non-CD4+ fraction derived from the poly(I:C)-, but not from the
PBS-treated mothers, promoted IL-17a production when added to cultures containing
CD4+ cells from either PBS- or poly(I:C)- treated pregnant mice
(Extended Data Fig. 6h). We next tested if
poly(I:C)-primed CD11c+ DC cells were capable of supporting
CD4+ T cells to produce IL-17a. Adding CD11c+
cells derived from poly(I:C)-, but not from PBS-treated, pregnant mice to ex
vivo cultures containing ileal CD4+ T cells that were
isolated from either PBS- or poly(I:C)-treated pregnant Tac mice led to robust
expression of IL-17a (Fig. 3b). In contrast,
neither splenicCD4+ T cells of poly(I:C)-injected pregnant Tac mice
nor ileal CD4+ T cells of poly(I:C)-injected pregnant Jax mice
produced IL-17a even with the help of CD11c+ cells (Fig. 3b). Thus, both CD4+ T cells present
in the small intestines of Tac mice and poly(I:C)-activated CD11c+
cells are required for robust IL-17a induction. Among the multiple phenotypes of
gut-residing DCs,
CD103+CD11b+CD11c+ cells
were robust inducers of IL-17a when co-cultured with ileal CD4+ T
cells (Extended Data Fig. 6i), consistent with
previous reports[15,16].
Extended Data Figure 6
CD11c+ cells stimulate gut-Th17 cells to produce high
levels of IL-17a ex vivo
a-f, Flow cytometry of CD4+ T cells
(gated on TCR-β+CD4+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected at E14.5 from the gut ilea, spleens, and mesenteric lymph nodes
(mLN) of PBS-/poly(I:C)-treated mice (n=5/group
(a, c, e); n=3/group (b, d,
f)). MFI denotes mean fluorescence intensity. g-i,,
Supernatant concentrations of IL-17a from mononuclear cells of the ilea in
poly(I:C)-treated Tac dams (g)
(n=3/group), from co-cultures of
CD4+ and non-CD4+ cells of the
ilea in PBS-/poly(I:C)-treated Tac dams (h)
(n=3/group), or from co-cultures of
CD4+ and
CD103−CD11b+/CD103+CD11b+/CD103+CD11b−
(gated on MHCII+CD11c+) cells of the
ilea in poly(I:C)-treated dams (i)
(n=7/group). All cultures were isolated at E14.5
and stimulated ex vivo with poly(I:C) for 18hrs
(g-h) or for 48hrs (i). Data are pooled from 2
(g-h) or 3 (i) independent experiments.
j. USV index (n=16/17
(poly(I:C);WT/TLR3 KO); 2 independent experiments). k,
Supernatant concentrations of IL-6, IL-1β, and IL-23 from cultures
of CD11c+ isolated at E14.5 from the ilea of
poly(I:C)-treated non-pregnant/pregnant mice
(n=5/group; 3 independent experiments).
*p<0.05,
**p<0.01,
***p<0.001 and
****p<0.0001 as
calculated by Student’s t-test (a-f,j,k)
and one-way ANOVA (g-i) with Tukey post-hoc tests.
N.S., not significant. Graphs indicate mean +/− s.e.m.
Figure 3
SFB-specific T cells are the major IL-17a producer in pregnant mothers
treated with poly(I:C)
a-e,g, Supernatant concentrations of IL-17a from ex
vivo cultured mononuclear cells of ilea in PBS/poly(I:C)-treated
dams (a) (n=4-5/group), from co-culture of
CD4+ and CD11c+ of ilea in
PBS/poly(I:C)-treated Tac/Jax mice (b)
(n=4/group), from co-cultures of
CD4+ and CD11c+ of ilea in
poly(I:C)-treated WT/TLR3 KO mice (c)
(n=4-6/group), from co-cultures of
GFP+CD4+/GFP−CD4+
and CD11c+ from ilea of poly(I:C)-treated
il17agfp mice (d)
(n=8/group), from sorted
GFP+/GFP−CD4+ cells
(e) (n=6/group), or from co-cultures
of CD4+ and CD11c+ (g)
(n=4/group). CD4Sp indicates
spleen-derived CD4+ T cells. All cultures were isolated at
E14.5 and stimulated with poly(I:C) for 18hrs (a-c,g) or for 48hrs
(d-e). f, Maternal plasma concentrations of IL-17a
48 hrs after administration of PBS/poly(I:C) into non-pregnant females or dams
at E12.5 (n=4/5 (non-pregnant females;PBS/poly(I:C));
n=4/5 (pregnant females;PBS/poly(I:C))). All data
pooled from 2 independent experiments.
**p<0.01,
****p
< 0.0001 as calculated by one-way (a-f) ANOVA with
Tukey post-hoc tests and Student’s t-test (g); N.D., not
determined. N.S., not significant. Graphs indicate mean +/−
s.e.m.
Because poly(I:C) activates Toll-like receptor 3 (TLR3)[17], we investigated if this receptor is involved in
stimulation of IL-17a production. Whereas CD4+ T cells, regardless of
their tlr3 genotype, produced IL-17a when mixed with WT
CD11c+ cells, they failed to do so when co-cultured with
TLR3-deficient CD11c+ DCs (Fig.
3c). In addition, poly(I:C) injection to TLR3 KO pregnant mice failed to
induce MIA-associated USV phenotypes in offspring (Extended Data Fig. 6j). These data suggest that MIA-associated phenotypes
require functional TLR3 expression on gut CD11c+ DC.Inflammatory cytokines such as IL-1β/IL-6/IL-23 enhance Th17 cell
function and differentiation[18].
Consistent with this notion, co-cultures of sorted CD4+ and
CD11c+ DCs that were isolated from the ilea of poly(I:C)-treated
gravid Tac mice and incubated with IL-1β/IL-6/IL-23 blocking antibodies failed
to produce IL-17a, even when supplemented with poly(I:C) (Fig. 3d). In contrast, GFP+ Th17 cells, but not
GFP− non-Th17 cells, sorted from the ilea of IL-17a-GFP reporter
mice, produced high levels of IL-17a in the presence of exogenous
IL-1β/IL-6/IL-23, even in the absence of poly(I:C)-treated
CD11c+ cells (Fig. 3e).
Collectively, these data indicate that poly(I:C) treatment leads to the activation of
gut-residing CD103+CD11b+CD11c+
cells, which stimulate poised Th17 cells to produce IL-17a through secretion of
IL-1β/IL-6/IL-23.Intriguingly, we noted that poly(I:C) injection of non-pregnant females failed
to increase the levels of plasma IL-17a (Fig. 3f).
Co-culture of ileal CD4+ and CD11c+ cells isolated
from poly(I:C)-treated pregnant females, but not from poly(I:C)-treated non-pregnant
females, resulted in secretion of IL-17a ex vivo (Fig 3g). Consistent with these findings, gut
CD11c+ DCs isolated from poly(I:C)-treated pregnant females, but
not from poly(I:C)-treated non-pregnant females, produced increased levels of
IL-1β/IL-6/IL-23 (Extended Data Fig. 6k).
In sum, these data collectively suggest that Th17 cell-inducing gut bacteria, a
pro-inflammatory stimulus and pregnancy are all required for the systemic increase of
IL-17a in maternal plasma, which promotes MIA-associated behavioral and
neurodevelopmental abnormalities in offspring.We next investigated whether commensal-antigen specific Th17 cells in pregnant
mothers are sufficient to induce MIA-associated phenotypes in the offspring.
Congenically marked naïve CD45.1+CD4+ T
cells from mice expressing a transgenic T cell receptor (TCR) specific for a SFB-encoded
antigen (7B8 Tg)[19] were adoptively
transferred into SFB-colonized CD45.2+ recipient mice lacking
αβ T cells (TCRα KO) or deficient for IL-17a production (IL-17a
KO) (Extended Data Fig. 7a). In line with our
previous findings that Th17 cells are critical mediators of MIA[8], offspring derived from poly(I:C)-injected
TCRα KO mothers crossed with B6 WT fathers failed to exhibit MIA-induced
behavioral phenotypes. On the other hand, offspring from TCRα KO pregnant
mothers that had received naïve 7B8 CD4+ T cells exhibited
MIA-associated behavioral phenotypes even in the absence of exposure to
poly(I:C)-induced inflammation (Extended Data Fig.
7b). We subsequently tested if IL-17a produced by the SFB antigen-specificCD4+ T cells was sufficient to induce MIA phenotypes in offspring
by transferring these cells into IL-17a KO females[20]. Unlike the offspring from the poly(I:C)-treated IL-17a KO
mothers that had been crossed with B6 WT fathers, offspring of poly(I:C)-injected IL-17a
KO mothers that had received 7B8 CD4+ T cells displayed all four
MIA-associated behavioral abnormalities (Extended Data
Fig. 7c). In addition, offspring from 7B8 CD4+ T cell
recipient females exhibited the cortical phenotype (Extended Data Fig. 7d-h). Induction of the MIA behavioral phenotypes was
accompanied by an increase in IL-17a in the maternal plasma (Extended Data Fig. 7i, j) and increased IL-17a production from
SFB-specificdonorCD45.1+ T cells, but not from
CD45.2+ T cells of IL-17a KO recipient mice (Extended Data Fig. 7k). Therefore, these results indicate that
microbiota-specific gut Th17 cells present in pregnant mice are sufficient to produce
abnormal behavioral and neurodevelopmental phenotypes in the offspring when accompanied
by strong signaling for IL-17a production in the mother.
Extended Data Figure 7
SFB-specific 7B8 Tg CD4+ T cells produce IL-17a upon
transfer to MIA-exposed pregnant mothers
a, Schematic of the experimental design.
b-c, Both TCRα KO and IL-17a KO females, with or
without adoptive transfers of 7B8 Tg-derived CD4+ T
cells, were crossed with B6 WT males to produce heterozygous WT offspring.
USV index (n=16/30 (TCRα KO; poly(I:C)/7B8
Tg T cell transfer); n=23/23 (IL-17a
KO;poly(I:C)/7B8 Tg T cell transfer), marble burying index, time spent in
the center of an open field, and % interaction and total distance
traveled during the sociability test of TCRα KO (b) or
IL-17a KO (c) offspring (n=12/15
(TCRα KO; poly(I:C)/7B8 Tg T cell transfer);
n=12/14 (IL-17a KO;poly(I:C)/7B8 Tg T cell
transfer). Data pooled from 2-3 independent experiments.
d-e, Representative SATB2 staining in the
cortex of the animals prepared as in (a). Arrows indicate
cortical patches. Scale bar, 100 μm. f-g,
Quantification of SATB2+ cells
(n=7/6 (TCRα KO;poly(I:C)/7B8 Tg T cell
transfer); n=6/7 (IL-17a KO;poly(I:C)/7B8 Tg T cell
transfer). h, Cortical patch size
(n=5/5 (TCRα KO;poly(I:C)/7B8 Tg T cell
transfer); n=4/4 (IL-17a KO;poly(I:C)/7B8 Tg T cell
transfer). i-j, IL-17a concentrations in maternal plasma
collected at E14.5. k, Flow cytometry of ileal
CD4+ T cells (gated on
CD4+TCR-β+) stained
intracellularly for IL-17a. Mononuclear cells were collected from small
intestines of poly(I:C)-treated IL-17a KO mothers transferred with 7B8 Tg
CD4+ T cells. CD45.1+ cells refer
to donor cells and CD45.2+ to recipient cells.
*p<0.05,
**p<0.01,
***p<0.001,
****p<0.0001 as
calculated by Student’s t-test (b-c,h-j) and one-way
(f-g) ANOVA with Sidak post-hoc tests. Graphs indicate mean
+/− s.e.m.
Lastly, we investigated if gut-residing bacteria isolated from humans could also
promote MIA-associated phenotypes in mice. Administration of a mix of twenty different
commensal bacteria isolated from human fecal samples was previously shown to induce Th17
cells in the large intestines of mice[21]. We orally gavaged Jax mothers with a mix of these twenty human
bacterial strains twice, on E3.5 and E10.5, followed by a poly(I:C) injection at E12.5
(Extended Data Fig. 8a). Introduction of the
twenty strains led to stable colonization of 2-10 commensal bacteria (Supplementaty Table 1) and, as
previously shown[21], to an increased
percentage of Th17 cells in the colons of the recipient mice (Extended Data Fig. 8b). Unlike in the SFB-colonized Jax mice,
we could not detect SFB in the ilea of the recipient mice (Extended Data Fig. 8c). Importantly, poly(I:C) injection of the human
bacteria-gavaged Jax mice induced high levels of IL-17a in the maternal plasma and
MIA-associated abnormal behavioral and nerurodevelopmental phenotypes in the offspring
(Fig. 4 and Extended Data Fig. 8d-g). These MIA-associated phenotypes were not observed
if the mothers were pre-treated with IL-17a blocking antibody (Fig. 4 and Extended Data Fig.
8d-g).
Extended Data Figure 8
A mix of twenty human commensals induces colonic Th17 cell
differentiation in SFB-absent Jax mice
a, Schematic of the experimental design.
b, Flow cytometry of CD4+ T cells (gated on
CD4+TCR-β+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected from colons of poly(I:C)-treated Jax mothers with/without human
bacteria-gavage. c, Representative SEM images of epithelial
surfaces in the ilea from 2 independent experiments. d-e, Total
interaction time (d), and total distance traveled
(e) during the sociability test of adult offspring
described in (a) (n=23/22/13 for
vehicle-gavaged only/human bacteria-gavaged+isotype control
antibody/human bacteria-gavaged+anti-IL-17a antibody; 4 independent
experiments). f-g, Quantification of SATB2+
cells (n=5/group) and cortical patch size
(n=7/6/5 (poly(I:C);vehicle-treated Jax/human
bacteria-gavaged Jax with isotype control antibody/human bacteria-gavaged
Jax with anti-IL-17a antibody). *p<0.05 as
calculated by one-way (d, e, g) and two-way (f)
ANOVA with Tukey post-hoc test. Graphs indicate mean +/−
s.e.m.
Figure 4
Human commensal bacteria inducing gut Th17 cells promote abnormal behavioral
phenotypes in MIA offspring
a, USV index (n=38/32/27 for
vehicle-gavaged only/human bacteria-gavaged+isotype control
antibody/human bacteria-gavaged+anti-IL-17a antibody; 6 independent
experiments). b-d, Marble burying index (b), time
spent in the center of an open-field (c), and % interaction
(d) (n=23/22/13 for vehicle-gavaged
only/human bacteria-gavaged+isotype control antibody/human
bacteria-gavaged+anti-IL-17a antibody; 4 independent experiments).
e, Representative SATB2 staining in the cortex of the offspring
derived from vehicle/human bacteria-gavaged Jax dams. Arrows indicate cortical
patches. Scale bar, 100μm, f. Maternal plasma
concentrations of IL-17a at E14.5 (n=7-14/group; 2
independent experiments). *p<0.05,
****p<0.0001 as
calculated by one-way (a-c, f) or two-way (d) ANOVA
with Tukey post-hoc tests. Graphs indicate mean +/− s.e.m.
There have been several recent reports of individual human commensal bacteria
that promote differentiation of intestinal Th17 cells[22,23].
Unlike offspring from Jax mothers colonized with L. monocytogenes or
B. fragilis, in which there is no induction of Th17 cells,
offspring of mice colonized with Th17 cell-inducing B. adolescentis or
an adherent E. coli isolate, CD-SpA 2A, emitted enhanced USV calls
(Extended Data Fig. 9a-c). The presence of
MIA-associated behavioral phenotype in offspring correlated with increased IL-17a in the
plasma of poly(I:C)-injected mothers (Extended Data Fig.
9d). On the other hand, pregnant mice gavaged with L.
monocytogenes had increased IFN-γ production (Extended Data Fig. 9e). None of these human bacteria gavaged
mothers were colonized with SFB (Extended Data Fig.
9f). Thus, intestinal Th17 cell induction by individual human commensal
bacteria contributes to the development of MIA-associated abnormality in mouse
offspring.
Extended Data Figure 9
The IL-17a pathway promotes abnormal behavioral phenotypes in MIA
offspring born to mice colonized with human commensal bacteria
a, Schematic representation of the experimental design.
b, Quantification of bacterial colonization levels through
colony forming unit (CFU) counts or qPCR analyses. c, USV index
(n=13/12/28/16/17/14
(poly(I:C);vehicle/SFB/Listeria
monocytogenes/Bacteroides
fragilis/Bifidobacterium adolescentis/CD-SpA
2A). d-e, Maternal plasma concentrations of
IL-17a/IFN-γ at E14.5 (n=4/4/3/6/3
(poly(I:C);vehicle/Listeria
monocytogenes/Bacteroides fragilis/Bifidobacterium
adolescentis/CD-SpA 2A). f, qPCR analysis
measuring relative SFB levels in Jax mice gavaged with various bacteria;
from two independent experiments. *p<0.05,
****p<0.0001 as
calculated by one-way (c-f) ANOVA with Tukey
post-hoc tests and Student’s t-test (b). N.D., not
determined. N.S., not significant. Graphs indicate mean +/−
s.e.m.
Accumulating evidence suggests that the gut commensal microbiota have roles in
autoimmune diseases and cancer[24-26]. Moreover, intricate relationships
exists between the bacterial community in the gastrointestinal tract and the central
nervous system[27-29]. Our findings extend the potential role of the
microbiota in influencing the mother’s risk of having offspring with
neurodevelopmental disorders. Women with gut microbial communities that promote
excessive Th17 cell differentiation may therefore be more likely to bear autisticchildren in the event of pathological inflammation during pregnancy. A better
understanding of the role of the maternal microbiota and pregnancy-associated changes in
gut-residing immune cells may provide opportunities to reduce the risk of
inflammation-induced neurodevelopmental disorders.
Methods
Animals
All experiments were performed according to Guide for the Care and Use
of Laboratory Animals and were approved by the National Institutes of Health and
the Committee and Animal Care at University of Massachusetts Medical School.
C57BL/6, tcra
KO, tlr3
KO, il17agfp and SFB-specific TCR Tg
(7B8) mice were purchased from Taconic biosciences and Jackson Laboratory. To
induce MIA phenotypes, SFB were introduced into mice purchased from Jackson
laboratory. Il17aKO mice were described
elsewhere[20].
Maternal Immune Activation
Mice were mated overnight and females were checked daily for the
presence of seminal plugs, noted as embryonic day 0.5. On E12.5, pregnant female
mice were weighed and injected with a single dose (20mg/kg; i.p.) of poly(I:C)
(Sigma Aldrich) or PBS vehicle. Each dam was returned to its cage and left
undisturbed until the birth of its litter. All pups remained with the mother
until weaning on postnatal day 21-28 (P21-P28), at which time mice were group
housed at a maximum of 5 per cage with same-sex littermates.
Co-housing, SFB-gavaged and antibiotics-gavaged mice
For co-housing experiments, age-matched SFB-absent mice (from Jackson
Laboratory) were co-housed with SFB-present mice (from Taconic Biosciences) in
sterilized cages for two weeks at a ratio of 2:3, with unrestricted access to
food and water. For SFB-gavaging experiments, four fecal pellets of SFB
mono-colonized mice (provided by Dan Littman) were dissolved in 20 ml sterile
PBS and filtered though a 100 μm cell strainer. 200 μl of fecal
suspensions were gavaged via oral route to 4 week-old female Jackson mice.
Control mice were gavaged with PBS. The SFB colonization was tested on day 7
following co-housing or SFB-gavaging. For ablation of intestinal bacteria,
Taconic-derived female mice were orally gavaged with vancomycin hydrochloride
(Fisher) (2.5 mg/kg) every two days, starting 7 days prior to breeding. Mouse
fecal pellets were collected and stored at −80 °C before and
after vancomycin treatments.
Human commensal bacteria-gavaged mice
Twenty human-associated Th17-inducing bacterial strains were isolated
from fecal samples of a patient with ulcerative colitis[21]. Fifteen strains (1A9, 1F8, 1D2, 1F7,
1D4, 2D9, 2E3, 2E1, 1D10, 1E3, 2H6, 2G4, 2G11, 1B11 and 1C2) were grown on
Reinforced Clostridial Agar (Oxoid), two strains (1C12, 1E11) were on GAM Agar
(Nissui), two strains (1D1, 2F7) were on Schaedler Agar (BD), and one strain
(2H11) was on Tryptic Soy Agar (BD). Two days after plating, microbes were
scraped from agar plates, suspended in 5 ml of 20% glycerol in PBS, and
mixed with equal number of live bacteria (approximately final concentrations of
5 × 108 CFU/ml of each strain). The mixture of twenty
bacterial strains were stored at −80°C until use. Pregnant Jax
mice were inoculated twice by oral gavages at E3.5 and E10.5, with 200-300
μl of bacterial suspension. For the IL-17 cytokine blockade experiment,
monoclonal IL-17a blocking antibody (clone 50104; R&D) or isotype
control antibody (IgG2a, clone 54447; R&D) were administered 8 h before
maternal immune activation via i.p. route (300 μg/animal). For
colonization with B. Fragilis, B. Adolescentis
and adherent E. coli CD-SpA 2A, pregnant Jax mice were
inoculated three times by oral gavages at E4.5, E6.5 and E8.5 with 200
μl of bacteria suspension. (approximately final concentrations of 1
× 109 CFU/ml of each strain). Bacterial stocks were prepared
as previously described[22,23].
Listeria-gavaged mice
Listeria monocytogenes[19] was cultured in BHI broth media (Sigma,
Cat no 35286 cfu). Pregnant Jax mice were inoculated three times by oral gavages
at E4.5, E6.5 and E8.5 with 200 μl of bacteria suspension (approximately
final concentrations of 2×109 CFU/ml). Colonization levels
were determined by collecting mouse fecal samples at E12.5, re-suspending them
with PBS and subsequently plating on BHI agar.
Cross-fostering
The day on which pups were born was considered P0. Pups were
cross-fostered sometime between P0 and P1. Whole litters were removed from the
original mothers. Pups were gently mixed with the bedding of the new cage. Pups
were then introduced to the new cage with a foster mother. Pups from PBS- and
poly(I:C)-treated Taconic mothers were cross-fostered to poly(I:C)- and
PBS-treated Taconic mothers, respectively. Additionally, pups from Taconic- and
Jax-derived mothers were cross-fostered to a Jax- and Taconic- derived dam,
respectively.
Behavioral assays
All behavioral testing were carried out according to the previously
established behavioral schemes[8]
with minor modifications. Blinding was done for all the behavioral experiments
except for the experiments with human bacteria.
Ultrasonic vocalizations
On P9, both male and female offspring mice were removed from the
nest and habituated to the testing room for 30 min. After the habituation
period, mouse pups were placed in a clean 15cm glass Pyrex high wall dish.
Ultrasonic vocalizations (USVs) were detected for 3 min using an
UltraSoundGateCM16/CMPA microphone (AviSoft) in the sound attenuation
chamber under stable temperature and light control, and recorded with SAS
Prolab software (AviSoft). USVs were measured between 33-125kHz using
Ultravox software (Noldus information Technology, USA). Due to the
unreliability of automated USV scoring, all pup USV calls were counted
manually and plotted on the y-axis. Since both male and female pups of
poly(I:C)-injected mothers emitted comparable levels of USVs (Extended Data Fig. 1a), we did not separately
analyze male versus female USV phenotypes. Both sexes were used for the
experiments.
Three-Chamber social approach
8–12-week-old male mice were tested for social behavior
using the three-chamber social approach paradigm. Experimental mice were
habituated for 1 h in separate clean holding cages and then introduced into
a three-chamber arena with only empty object-containment cages (circular
metallic cages, Stoelting Neuroscience) for a total 10-min acclimation phase
in two 5 min sessions. The following day the mice were placed in the center
chamber (without access to the left and right social test areas) and allowed
to explore the center area for 5 min. After this exploration period,
barriers to adjacent chambers were removed, allowing mice to explore the
left and right arenas, which contained a social object (unfamiliar C57BL/6
male mouse) in one chamber and an inanimate object (black rubber stopper) in
the other chamber. Experimental mice were given 10 min to explore both
chambers and measured for approach behavior as interaction time (i.e.
sniffing, approach) with targets in each chamber (within 2 cm). Sessions
were video-recorded and object exploration time and total distance moved
were analyzed using the Noldus tracking system. % interaction was
calculated as the percentage of time spent investigating the social stimulus
out of the total exploration time of both objects (Supplementary Table 2) and
plotted on the y-axis. Arenas and contents were thoroughly cleaned between
testing sessions. Multiple social targets from different home cages were
used for testing to prevent potential odorant confounds from target home
cages.
Marble burying test
Male mice were placed in a testing arena (arena size: 40× 20
cm2, bedding depth: 3 cm) containing 20 glass marbles, which
were laid out in four rows of five marbles equidistant from one another. At
the end of a 15 min exploration period, mice were gently removed from the
testing cages and the number of marbles buried was recorded. A marble
burying index was scored as 1 for marbles covered >50% by
bedding, 0.5 for ~50% covered, or 0 for anything less.
Percentage of buried marbles is plotted on the y-axis.
Open field test
Mice underwent a 15-min exploration period in the testing arena
(arena size: 50×50 cm2). Sessions were video-recorded and
analyzed for time spent in the center (center size: 25×25
cm2) using EthoVision Noldus tracking system (Noldus,
Netherlands). Time spent in the center of an open field is plotted on the
y-axis.
Immunohistochemistry
Adult male mice were perfused and fixed with 4% paraformaldehyde
in PBS for overnight at 4 °C. The brains were removed and sectioned at
50 μm thickness with a Leica VT100S vibratome (Leica, USA). Slices were
permeabilized with blocking solution containing 0.4% Triton X-100,
2% goat serum, and 1% BSA in PBS for 1 h at room temperature,
and then incubated with anti-SATB2 (special AT-rich sequence-binding protein 2)
(ab51502, Abcam) antibodies for overnight at 4°C. The following day,
slices were incubated with fluorescently conjugated secondary antibodies
(Invitrogen, USA) for 1 h at room temperature, and mounted in vectashield
mounting medium with DAPI (Vector Laboratories). Images of stained brain slices
were acquired using confocal microscope (LSM710. Carl Zeiss) with a 20X
objective lens. The cortical malformation images were analyzed using Image J
software. The images were cropped to have S1 cortical patches in the center.
Analysis of cortical patches
Cortical patches were identified as cortical regions devoid of SATB2
expression. The size of the cortical patches in the S1 was calculated using Zen
software (Carl Zeiss). The cortical region was divided into 10 equal laminar
blocks representing different depths of the cortex. SATB2 positive cells were
quantified manually.
Scanning electron microscopy (SEM)
Terminal ileum tissues from mice (12-14 weeks old) were cut open and
fixed with 2.5 % glutaraldehyde in 0.1M cacodylate buffer (pH 7.4) for
overnight and processed for standard SEM at EM center, University of
Massachusetts Medical School. All samples were taken on a Hitachi S-4800 Type II
Field Emission Scanning Electron Microscope.
16S rRNA quantitative PCR analysis
Bacterial genomic DNA was isolated from the fecal pellets of mice with
phenol-chloroform extraction. qPCR was performed to quantify relative abundance
of SFB, human commensal bacteria or total bacteria using group specific 16S rDNA
primers (Supplementaty Table
3). Undetected qPCR values from non-colonized samples were replaced
with a Ct value of 40 for the purpose of comparision.
Lamina propria mononuclear cell preparation
For mononuclear cell isolations, both mesenteric fat tissues and
Peyer’s patches were carefully removed from intestinal tissues. Terminal
ileal or colonic tissues were incubated in 5 mM EDTA in PBS containing 1 mM DTT
at 37°C on a shaker (200 rpm) for 20 min. Tissues were washed one more
time. Tissues were then further digested for 30 min at 37 °C in RPMI
containing 10% fetal bovine serum, 1.0 mg/ml Collagenase D (Roche) and
100 μg/ml DNase I (Sigma). Digested tissues were then filtered using a
100 μm cell strainer and incubated for additional 10 min at
37°C. Mononuclear cells were isolated from an interphase of percoll
gradients (40:80 gradient).
Flow cytometry
Mononuclear cells were incubated with or without 50 ng/ml phorbol
myristate acetate (PMA) (Sigma) and 500 ng/ml ionomycin (Sigma) in the presence
of GolgiStop (BD) in complete T cell media at 37°Cfor 5 h.
Intracellular cytokine staining was performed according to the
manufacturer’s protocol. Cells were stained with Pacific Blue-conjugated
anti-CD4 (RM-5), PerCP-Cy5.5-conjugated anti-CD8a (53-6.7), APC-Cy7-conjugated
anti-TCRβ (H57-597), FITC-conjugated anti-CD62L (MEL-14), APC-conjugated
anti-CD44 (IM7), PE-conjugated-CD25 (PC61.5), PerCP-Cy5.5-conjugated-CD19
(eBio1D3), APC-conjugated anti-CD45.1 (A20), FITC-conjugated anti-CD45.2 (104),
Pacific Blue-conjugated anti-CD11c (N418), FITC conjugated-anti-CD11b (M1/70),
PerCP-Cy5.5-conjugated-anti-CD103 (2E7) (eBioscience), Biotin-conjugated
Vβ14 (14-2) (BD phamigen) and PE-Cy7-conjugated-Streptavidin (Thermo
Fisher Scientific). Cells were further stained intracellularly with
APC-conjugated anti-RORγ (B2D) (eBioscience) and PE-Cy7-conjugated
anti-IL-17a (eBio17B7) (eBioscience) using Foxp3 staining/permeabilization
buffer (eBioscience). Flow cytometric analysis was performed on an LSRII (BD
Biosciences). All data were re-analyzed using FlowJo (Tree Star).
Adoptive transfer
Spleen and lymph nodes from 7B8 Tgmice were collected and
disassociated. Red blood cells were lysed using ACK lysis buffer (Lonza).
Naïve CD4+ T cells (CD62Lhi
CD44lo TCRvβ14+
CD4+ CD19−) from
CD45.1+ 7B8 Tgmice were sorted on a BD FACS Aria II.
Sorted 5×104 cells were transferred into congenicCD45.2
recipient mice by tail vein injection.
Cell Sorting
Mononuclear cells were isolated at E14.5 from small intestines of
poly(I:C)-treated pregnant Il-17agfp or B6 mice.
GFP+ and GFP− T cells, gated on
CD8− CD19−
TCRβ+CD4+, were sorted with a
FACSAria (BD biosciences). DCs were stained with antibodies and sorted based on
their surface expression of CD103 and CD11b (gated on CD4−
CD8− CD19− MHCII+
CD11c+).
Ex vivo mononuclear cell culture
Mononuclear cells isolated from ilea of either PBS- or poly(I:C)-treated
mice on E14.5 were cultured in vitro with poly(I:C) (2.5
μg/ml). CD4+ or CD11c+ cells were
positively selected using microbeads (Miltenyi). For co-culture assay,
CD4+ cells (1.5 – 3.5 × 104
cells/mL) were cultured with CD11c+ cells (7.5 – 16
× 104 cells/ml) at 1:5 ratio in each well.
CD4+ and CD11c+ cells were incubated
for 24-48 h with IgG antibody (20 ng/ml) or with anti-IL-1β antibody (20
ng/ml), anti-IL-6 antibody (20 ng/ml) and anti-IL-23p19 antibody (20 ng/ml)
(R&D System) with or without poly(I:C) stimulation (2.5 μg/ml)
(Sigma). CD4+ cells were cultured with recombinant
IL-1β (10ng/ml), IL-6 (5ng/ml) and IL-23 (5ng/ml) (R&D System).
All cells were cultured in T cell media: RPMI 1640 (Invitrogen) supplemented
with 10% (v/v) heat-inactivated FBS (Hyclone) and 50 U
penicillin-streptomycin (Invitrogen). Cell culture supernatant was used for
ELISA analyses.
ELISA
IL-17a, TNF-α, IFN-β, IL-1β and IL-23 levels
were measured according to the manufacturer’s protocol (BioLegend). IL-6
and IFN-γ levels were measured according to the manufacturer’s
protocol (eBioscience).
Statistics
Statistical analyses were performed using GraphPad Prism. ANOVAs were
followed by Tukey or Sidak tests. All data are represented as mean
+/− SEM. Sample sizes were determined based on similarly
conducted studies[8]. When
conducting behavioral assays, cages were pseudo-randomly assigned for tests.
Detailed statistical analyses for behavioral assays are listed below.
Data availability statement
Source data are available in the Supplementary information. All other data are available
from the corresponding author upon reasonable request.
Maternal vancomycin-treatment prevented induction of behavioral
abnormalities in MIA offspring
a, USV index (n=27/29
(PBS;male/female); n=28/21 (Poly(I:C);male/female);
6 independent experiments). b-c, Total investigation time
(b) and total distance traveled (c) during the
sociability test (n=13/15 (vehicle;PBS/poly(I:C));
n=12/16 (vancomycin;PBS/poly(I:C)); 3-4
independent experiments). d, Schematic of the experimental
design. e-f, Quantification of SATB2+ cells
(e) in the cortex divided into ten equal bins representing
different depths of the cortex or of the cortical patch size
(f) in the primary somatosensory cortex (S1)
(n=3/4 (PBS;vehicle/vancomycin);
n=3/4 (poly(I:C);vehicle/vancomycin); 2
independent experiments). g, Flow cytometry of
CD4+ T cells (gated on
TCR-β+CD4+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected at E14.5 from the ilea of poly(I:C)-treated mice with/without
vancomycin treatment; Representative FACS plot from 3 independent
experiments. h, qPCR analysis measuring relative SFB levels in
B6 mice before/after vancomycin treatments
(n=4-5/group). i, Representative SEM
images of epithelial surfaces in the ilea of the vehicle-/vancomycin-treated
mice from 2 independent experiments. Scale bars, 30 μm.
*p<0.05,
**p<0.01,
***p<0.001,
****p<0.0001 as
calculated by two-way (a,e) and one-way
(b,c,f) ANOVA with Tukey post-hoc
tests. N.D., not determined; N.S., not significant. Graphs indicate mean
+/− s.e.m.
MIA in SFB-absent Jax mothers does not induce changes in the total
activity of the adult offspring, properties of the litter and maternal
cytokine production
a-b, Total investigation time (a) and
total distance traveled (b) during the sociability test.
c, Litter size upon weaning
(n=59/125 (Tac;PBS/poly(I:C));
n=51/50 (Jax;PBS/poly(I:C));
n=55/81 (Co-housed Jax;PBS/poly(I:C));
n=55/89 (SFB-gavaged Jax;PBS/poly(I:C)).
d, Weight of male offspring from the groups described in
(c) (n=32/50 (Tac;PBS/poly(I:C));
n=29/27 (Jax;PBS/poly(I:C));
n=29/29 (Co-housed Jax;PBS/poly(I:C));
n=33/30 (SFB-gavaged Jax;PBS/poly(I:C)). Data
in a, b, and d are from 7-8
independent experiments. e-f, Quantification of
SATB2+ cells (e) in the cortex divided
into ten equal bins representing different depth and of patch size
(f) in the S1 (n=4 (Tac;PBS);
n=3/3/4/3 (Tac/Jax/Co-housed Jax/SFB-gavaged
Jax;poly(I:C)). g, Maternal plasma concentrations of
TNF-α and IFN-β at 3 hrs after PBS/poly(I:C) injection into
Tac/Jax dams at E12.5; n=4/group.
*p<0.05,
**p<0.01,
***p<0.001 as
calculated by two-way (e) and one-way ANOVA
(a-d,g,f) with Tukey post-hoc tests and Student’s
t-test (g). N.D., not determined. Graphs indicate mean
+/− s.e.m.
SFB colonization leads to increased levels of gut Th17 cells in Jax
pregnant mice
a, Schematic of the experimental design.
b. Flow cytometry of CD4+ T cells (gated
on TCR-β+CD4+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected at E14.5 from the ilea of poly(I:C)-treated Tac/Jax/co-housed
Jax/SFB-gavaged Jax mothers. c, Representative SEM images of
epithelial surfaces in the ilea of Tac/Jax/co-housed Jax/SFB-gavaged Jax
mothers. Scale bars, 30 μm. Data representative of 3
(b) and 2 (c) independent experiments.
d, qPCR analysis for SFB levels in the fecal samples of the
groups described in (a) (n=4-5/group).
****p<0.0001 as
calculated by one-way (d) ANOVA with Tukey post-hoc test.
Graphs indicate mean +/− s.e.m.
Poly(I:C)-induced inflammation during pregnancy, not after giving birth,
is critical in inducing MIA-associated behavioral abnormalities in
offspring
a, Schematic of the experimental design for
cross-fostering experiments. b, USV index
(n=21/20 (PBS dams;PBS/poly(I:C) pups);
n=22/15 (poly(I:C) dams;PBS/poly(I:C) pups);
2-4 independent experiments). c-g Marble-burying index
(c), time spent in the center of an open field
(d), and % interaction (e), total
investigation time (f), and total distance traveled
(g) during the sociability test
(n=9/14 (PBS dams;PBS/poly(I:C) pups);
n=12/10 (poly(I:C) dams;PBS/poly(I:C) pups); 2
independent experiments). **p<0.01,
****p <0.0001
as calculated by one-way (b-d,f-g) and two-way (e)
ANOVA with Tukey post-hoc tests. N.S., not significant. Graphs indicate mean
+/− s.e.m.
Composition of maternal gut microbiota during pregnancy, not after giving
birth, is critical in inducing MIA-associated behavioral abnormalities in
offspring
a, Schematic of the experimental design for
cross-fostering experiments. b, USV index
(n=9/36 (Tac pups with Jax dams;PBS/poly(I:C));
n=10/24 (Jax pups with Tac dams;PBS/poly(I:C));
2-4 independent experiments). c-g, Marble-burying index
(c), time spent in the center of an open field
(d), and % interaction (e), total
investigation time (f), and total distance traveled
(g) during the sociability test
(n=7/22 (Tac pups with Jax dams;PBS/poly(I:C));
n=7/21 (Jax pups with Tac dams;PBS/poly(I:C));
2 independent experiments). *p<0.05,
**p<0.01,
***p<0.001,
****p <0.0001
as calculated by one-way (b-d,f-g) and two-way (e)
ANOVA with Tukey post-hoc tests. Graphs indicate mean +/−
s.e.m.
CD11c+ cells stimulate gut-Th17 cells to produce high
levels of IL-17a ex vivo
a-f, Flow cytometry of CD4+ T cells
(gated on TCR-β+CD4+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected at E14.5 from the gut ilea, spleens, and mesenteric lymph nodes
(mLN) of PBS-/poly(I:C)-treated mice (n=5/group
(a, c, e); n=3/group (b, d,
f)). MFI denotes mean fluorescence intensity. g-i,,
Supernatant concentrations of IL-17a from mononuclear cells of the ilea in
poly(I:C)-treated Tac dams (g)
(n=3/group), from co-cultures of
CD4+ and non-CD4+ cells of the
ilea in PBS-/poly(I:C)-treated Tac dams (h)
(n=3/group), or from co-cultures of
CD4+ and
CD103−CD11b+/CD103+CD11b+/CD103+CD11b−
(gated on MHCII+CD11c+) cells of the
ilea in poly(I:C)-treated dams (i)
(n=7/group). All cultures were isolated at E14.5
and stimulated ex vivo with poly(I:C) for 18hrs
(g-h) or for 48hrs (i). Data are pooled from 2
(g-h) or 3 (i) independent experiments.
j. USV index (n=16/17
(poly(I:C);WT/TLR3 KO); 2 independent experiments). k,
Supernatant concentrations of IL-6, IL-1β, and IL-23 from cultures
of CD11c+ isolated at E14.5 from the ilea of
poly(I:C)-treated non-pregnant/pregnant mice
(n=5/group; 3 independent experiments).
*p<0.05,
**p<0.01,
***p<0.001 and
****p<0.0001 as
calculated by Student’s t-test (a-f,j,k)
and one-way ANOVA (g-i) with Tukey post-hoc tests.
N.S., not significant. Graphs indicate mean +/− s.e.m.
SFB-specific 7B8 Tg CD4+ T cells produce IL-17a upon
transfer to MIA-exposed pregnant mothers
a, Schematic of the experimental design.
b-c, Both TCRα KO and IL-17a KO females, with or
without adoptive transfers of 7B8 Tg-derived CD4+ T
cells, were crossed with B6 WT males to produce heterozygous WT offspring.
USV index (n=16/30 (TCRα KO; poly(I:C)/7B8
Tg T cell transfer); n=23/23 (IL-17a
KO;poly(I:C)/7B8 Tg T cell transfer), marble burying index, time spent in
the center of an open field, and % interaction and total distance
traveled during the sociability test of TCRα KO (b) or
IL-17a KO (c) offspring (n=12/15
(TCRα KO; poly(I:C)/7B8 Tg T cell transfer);
n=12/14 (IL-17a KO;poly(I:C)/7B8 Tg T cell
transfer). Data pooled from 2-3 independent experiments.
d-e, Representative SATB2 staining in the
cortex of the animals prepared as in (a). Arrows indicate
cortical patches. Scale bar, 100 μm. f-g,
Quantification of SATB2+ cells
(n=7/6 (TCRα KO;poly(I:C)/7B8 Tg T cell
transfer); n=6/7 (IL-17a KO;poly(I:C)/7B8 Tg T cell
transfer). h, Cortical patch size
(n=5/5 (TCRα KO;poly(I:C)/7B8 Tg T cell
transfer); n=4/4 (IL-17a KO;poly(I:C)/7B8 Tg T cell
transfer). i-j, IL-17a concentrations in maternal plasma
collected at E14.5. k, Flow cytometry of ileal
CD4+ T cells (gated on
CD4+TCR-β+) stained
intracellularly for IL-17a. Mononuclear cells were collected from small
intestines of poly(I:C)-treated IL-17a KO mothers transferred with 7B8 TgCD4+ T cells. CD45.1+ cells refer
to donor cells and CD45.2+ to recipient cells.
*p<0.05,
**p<0.01,
***p<0.001,
****p<0.0001 as
calculated by Student’s t-test (b-c,h-j) and one-way
(f-g) ANOVA with Sidak post-hoc tests. Graphs indicate mean
+/− s.e.m.
A mix of twenty human commensals induces colonic Th17 cell
differentiation in SFB-absent Jax mice
a, Schematic of the experimental design.
b, Flow cytometry of CD4+ T cells (gated on
CD4+TCR-β+) stained
intracellularly for IL-17a and RORγt. Mononuclear cells were
collected from colons of poly(I:C)-treated Jax mothers with/without human
bacteria-gavage. c, Representative SEM images of epithelial
surfaces in the ilea from 2 independent experiments. d-e, Total
interaction time (d), and total distance traveled
(e) during the sociability test of adult offspring
described in (a) (n=23/22/13 for
vehicle-gavaged only/human bacteria-gavaged+isotype control
antibody/human bacteria-gavaged+anti-IL-17a antibody; 4 independent
experiments). f-g, Quantification of SATB2+
cells (n=5/group) and cortical patch size
(n=7/6/5 (poly(I:C);vehicle-treated Jax/human
bacteria-gavaged Jax with isotype control antibody/human bacteria-gavaged
Jax with anti-IL-17a antibody). *p<0.05 as
calculated by one-way (d, e, g) and two-way (f)
ANOVA with Tukey post-hoc test. Graphs indicate mean +/−
s.e.m.
The IL-17a pathway promotes abnormal behavioral phenotypes in MIA
offspring born to mice colonized with human commensal bacteria
a, Schematic representation of the experimental design.
b, Quantification of bacterial colonization levels through
colony forming unit (CFU) counts or qPCR analyses. c, USV index
(n=13/12/28/16/17/14
(poly(I:C);vehicle/SFB/Listeria
monocytogenes/Bacteroides
fragilis/Bifidobacterium adolescentis/CD-SpA
2A). d-e, Maternal plasma concentrations of
IL-17a/IFN-γ at E14.5 (n=4/4/3/6/3
(poly(I:C);vehicle/Listeria
monocytogenes/Bacteroides fragilis/Bifidobacterium
adolescentis/CD-SpA 2A). f, qPCR analysis
measuring relative SFB levels in Jax mice gavaged with various bacteria;
from two independent experiments. *p<0.05,
****p<0.0001 as
calculated by one-way (c-f) ANOVA with Tukey
post-hoc tests and Student’s t-test (b). N.D., not
determined. N.S., not significant. Graphs indicate mean +/−
s.e.m.
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