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Published in: Molecular and Cellular Pediatrics 1/2015

Open Access 01-12-2015 | Minireview

GM-CSF and the role of myeloid regulatory cells in the pathogenesis and treatment of Crohn’s disease

Author: Jan Däbritz

Published in: Molecular and Cellular Pediatrics | Issue 1/2015

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Abstract

Background

Intestinal monocytes/macrophages sustain the intestinal immune homeostasis and might be an attractive therapeutic target for the management of inflammatory bowel disease (IBD). Granulocyte macrophage colony-stimulating factor (GM-CSF) exerts beneficial effects on intestinal inflammation and promotes signal transducer and activator of transcription 3 (STAT3)-mediated expansion of myeloid-derived suppressor cells (MDSCs). However, the full action mechanism of GM-CSF, and especially whether monocytes mediate its therapeutic effects in vivo, had not been previously elucidated.

Conclusions

This review article summarizes recent developments in the immunology of mucosal diseases and describes new aspects of the role of myeloid regulatory cells in IBD and the function of GM-CSF in maintaining the intestinal immune homeostasis in Crohn’s disease (CD). This review article highlights the exploration of stimulating in addition to suppressive therapies for patients with IBD and underpins that myeloid regulatory cells might become a promising novel cell-based therapeutic option.
Literature
14.
go back to reference Däbritz J, Weinhage T, Varga G, Wirth T, Walscheid K, Brockhausen A, Schwarzmaier D, Bruckner M, Ross M, Bettenworth D, Roth J, Ehrchen JM, Foell D (2015) Reprogramming of monocytes by GM-CSF contributes to regulatory immune functions during intestinal inflammation. J Immunol 194(5):2424–2438. doi:10.4049/jimmunol.1401482 CrossRefPubMed Däbritz J, Weinhage T, Varga G, Wirth T, Walscheid K, Brockhausen A, Schwarzmaier D, Bruckner M, Ross M, Bettenworth D, Roth J, Ehrchen JM, Foell D (2015) Reprogramming of monocytes by GM-CSF contributes to regulatory immune functions during intestinal inflammation. J Immunol 194(5):2424–2438. doi:10.​4049/​jimmunol.​1401482 CrossRefPubMed
16.
go back to reference Weinhage T, Däbritz J, Brockhausen A, Wirth T, Brückner M, Belz M, Foell D, Varga G (2015) Granulocyte macrophage colony-stimulating factor-activated CD39+/CD73+ murine monocytes modulate intestinal inflammation via induction of regulatory T cells. Cell Mol Gastroenterol Hepatol 1(4):433–449. doi:10.1016/j.jcmgh.2015.04.005 CrossRef Weinhage T, Däbritz J, Brockhausen A, Wirth T, Brückner M, Belz M, Foell D, Varga G (2015) Granulocyte macrophage colony-stimulating factor-activated CD39+/CD73+ murine monocytes modulate intestinal inflammation via induction of regulatory T cells. Cell Mol Gastroenterol Hepatol 1(4):433–449. doi:10.​1016/​j.​jcmgh.​2015.​04.​005 CrossRef
17.
go back to reference Samson CM, Jurickova I, Molden E, Schreiner W, Colliver J, Bonkowski E, Han X, Trapnell BC, Denson LA (2011) Granulocyte-macrophage colony stimulating factor blockade promotes ccr9(+) lymphocyte expansion in Nod2 deficient mice. Inflamm Bowel Dis 17(12):2443–2455. doi:10.1002/ibd.21672 PubMedCentralCrossRefPubMed Samson CM, Jurickova I, Molden E, Schreiner W, Colliver J, Bonkowski E, Han X, Trapnell BC, Denson LA (2011) Granulocyte-macrophage colony stimulating factor blockade promotes ccr9(+) lymphocyte expansion in Nod2 deficient mice. Inflamm Bowel Dis 17(12):2443–2455. doi:10.​1002/​ibd.​21672 PubMedCentralCrossRefPubMed
19.
20.
go back to reference Gaudreau S, Guindi C, Menard M, Besin G, Dupuis G, Amrani A (2007) Granulocyte-macrophage colony-stimulating factor prevents diabetes development in NOD mice by inducing tolerogenic dendritic cells that sustain the suppressive function of CD4+CD25+ regulatory T cells. J Immunol 179(6):3638–3647CrossRefPubMed Gaudreau S, Guindi C, Menard M, Besin G, Dupuis G, Amrani A (2007) Granulocyte-macrophage colony-stimulating factor prevents diabetes development in NOD mice by inducing tolerogenic dendritic cells that sustain the suppressive function of CD4+CD25+ regulatory T cells. J Immunol 179(6):3638–3647CrossRefPubMed
21.
go back to reference Dykes DM, Towbin AJ, Bonkowski E, Chalk C, Bezold R, Lake K, Kim MO, Heubi JE, Trapnell BC, Podberesky DJ, Denson LA (2013) Increased prevalence of luminal narrowing and stricturing identified by enterography in pediatric Crohn’s disease patients with elevated granulocyte-macrophage colony stimulating factor autoantibodies. Inflamm Bowel Dis 19(10):2146–2154. doi:10.1097/MIB.0b013e31829706e0 PubMedCentralCrossRefPubMed Dykes DM, Towbin AJ, Bonkowski E, Chalk C, Bezold R, Lake K, Kim MO, Heubi JE, Trapnell BC, Podberesky DJ, Denson LA (2013) Increased prevalence of luminal narrowing and stricturing identified by enterography in pediatric Crohn’s disease patients with elevated granulocyte-macrophage colony stimulating factor autoantibodies. Inflamm Bowel Dis 19(10):2146–2154. doi:10.​1097/​MIB.​0b013e31829706e0​ PubMedCentralCrossRefPubMed
22.
go back to reference Gathungu G, Kim MO, Ferguson JP, Sharma Y, Zhang W, Ng SM, Bonkowski E, Ning K, Simms LA, Croft AR, Stempak JM, Walker N, Huang N, Xiao Y, Silverberg MS, Trapnell B, Cho JH, Radford-Smith GL, Denson LA (2013) Granulocyte-macrophage colony-stimulating factor autoantibodies: a marker of aggressive Crohn’s disease. Inflamm Bowel Dis 19(8):1671–1680. doi:10.1097/MIB.0b013e318281f506 PubMedCentralPubMed Gathungu G, Kim MO, Ferguson JP, Sharma Y, Zhang W, Ng SM, Bonkowski E, Ning K, Simms LA, Croft AR, Stempak JM, Walker N, Huang N, Xiao Y, Silverberg MS, Trapnell B, Cho JH, Radford-Smith GL, Denson LA (2013) Granulocyte-macrophage colony-stimulating factor autoantibodies: a marker of aggressive Crohn’s disease. Inflamm Bowel Dis 19(8):1671–1680. doi:10.​1097/​MIB.​0b013e318281f506​ PubMedCentralPubMed
23.
go back to reference Han X, Uchida K, Jurickova I, Koch D, Willson T, Samson C, Bonkowski E, Trauernicht A, Kim MO, Tomer G, Dubinsky M, Plevy S, Kugathsan S, Trapnell BC, Denson LA (2009) Granulocyte-macrophage colony-stimulating factor autoantibodies in murine ileitis and progressive ileal Crohn’s disease. Gastroenterology 136(4):1261–1271. doi:10.1053/j.gastro.2008.12.046, e1261-1263CrossRefPubMed Han X, Uchida K, Jurickova I, Koch D, Willson T, Samson C, Bonkowski E, Trauernicht A, Kim MO, Tomer G, Dubinsky M, Plevy S, Kugathsan S, Trapnell BC, Denson LA (2009) Granulocyte-macrophage colony-stimulating factor autoantibodies in murine ileitis and progressive ileal Crohn’s disease. Gastroenterology 136(4):1261–1271. doi:10.​1053/​j.​gastro.​2008.​12.​046, e1261-1263CrossRefPubMed
24.
go back to reference Jurickova I, Collins MH, Chalk C, Seese A, Bezold R, Lake K, von Allmen D, Frischer JS, Falcone RA, Trapnell BC, Denson LA (2013) Paediatric Crohn disease patients with stricturing behaviour exhibit ileal granulocyte-macrophage colony-stimulating factor (GM-CSF) autoantibody production and reduced neutrophil bacterial killing and GM-CSF bioactivity. Clin Exp Immunol 172(3):455–465. doi:10.1111/cei.12076 PubMedCentralCrossRefPubMed Jurickova I, Collins MH, Chalk C, Seese A, Bezold R, Lake K, von Allmen D, Frischer JS, Falcone RA, Trapnell BC, Denson LA (2013) Paediatric Crohn disease patients with stricturing behaviour exhibit ileal granulocyte-macrophage colony-stimulating factor (GM-CSF) autoantibody production and reduced neutrophil bacterial killing and GM-CSF bioactivity. Clin Exp Immunol 172(3):455–465. doi:10.​1111/​cei.​12076 PubMedCentralCrossRefPubMed
25.
27.
go back to reference Nylund CM, D’Mello S, Kim MO, Bonkowski E, Dabritz J, Foell D, Meddings J, Trapnell BC, Denson LA (2011) Granulocyte macrophage-colony-stimulating factor autoantibodies and increased intestinal permeability in Crohn disease. J Pediatr Gastroenterol Nutr 52(5):542–548. doi:10.1097/MPG.0b013e3181fe2d93 CrossRefPubMed Nylund CM, D’Mello S, Kim MO, Bonkowski E, Dabritz J, Foell D, Meddings J, Trapnell BC, Denson LA (2011) Granulocyte macrophage-colony-stimulating factor autoantibodies and increased intestinal permeability in Crohn disease. J Pediatr Gastroenterol Nutr 52(5):542–548. doi:10.​1097/​MPG.​0b013e3181fe2d93​ CrossRefPubMed
28.
go back to reference Uchida K, Beck DC, Yamamoto T, Berclaz PY, Abe S, Staudt MK, Carey BC, Filippi MD, Wert SE, Denson LA, Puchalski JT, Hauck DM, Trapnell BC (2007) GM-CSF autoantibodies and neutrophil dysfunction in pulmonary alveolar proteinosis. N Engl J Med 356(6):567–579. doi:10.1056/NEJMoa062505 CrossRefPubMed Uchida K, Beck DC, Yamamoto T, Berclaz PY, Abe S, Staudt MK, Carey BC, Filippi MD, Wert SE, Denson LA, Puchalski JT, Hauck DM, Trapnell BC (2007) GM-CSF autoantibodies and neutrophil dysfunction in pulmonary alveolar proteinosis. N Engl J Med 356(6):567–579. doi:10.​1056/​NEJMoa062505 CrossRefPubMed
29.
go back to reference Uchida K, Nakata K, Carey B, Chalk C, Suzuki T, Sakagami T, Koch DE, Stevens C, Inoue Y, Yamada Y, Trapnell BC (2014) Standardized serum GM-CSF autoantibody testing for the routine clinical diagnosis of autoimmune pulmonary alveolar proteinosis. J Immunol Methods 402(1–2):57–70. doi:10.1016/j.jim.2013.11.011 CrossRefPubMed Uchida K, Nakata K, Carey B, Chalk C, Suzuki T, Sakagami T, Koch DE, Stevens C, Inoue Y, Yamada Y, Trapnell BC (2014) Standardized serum GM-CSF autoantibody testing for the routine clinical diagnosis of autoimmune pulmonary alveolar proteinosis. J Immunol Methods 402(1–2):57–70. doi:10.​1016/​j.​jim.​2013.​11.​011 CrossRefPubMed
30.
go back to reference Däbritz J, Bonkowski E, Chalk C, Trapnell BC, Langhorst J, Denson LA, Foell D (2013) Granulocyte macrophage colony-stimulating factor auto-antibodies and disease relapse in inflammatory bowel disease. Am J Gastroenterol 108(12):1901–1910. doi:10.1038/ajg.2013.360 CrossRefPubMed Däbritz J, Bonkowski E, Chalk C, Trapnell BC, Langhorst J, Denson LA, Foell D (2013) Granulocyte macrophage colony-stimulating factor auto-antibodies and disease relapse in inflammatory bowel disease. Am J Gastroenterol 108(12):1901–1910. doi:10.​1038/​ajg.​2013.​360 CrossRefPubMed
31.
go back to reference Bonneau J, Dumestre-Perard C, Rinaudo-Gaujous M, Genin C, Sparrow M, Roblin X, Paul S (2015) Systematic review: new serological markers (anti-glycan, anti-GP2, anti-GM-CSF Ab) in the prediction of IBD patient outcomes. Autoimmun Rev 14(3):231–245. doi:10.1016/j.autrev.2014.11.004 CrossRefPubMed Bonneau J, Dumestre-Perard C, Rinaudo-Gaujous M, Genin C, Sparrow M, Roblin X, Paul S (2015) Systematic review: new serological markers (anti-glycan, anti-GP2, anti-GM-CSF Ab) in the prediction of IBD patient outcomes. Autoimmun Rev 14(3):231–245. doi:10.​1016/​j.​autrev.​2014.​11.​004 CrossRefPubMed
33.
go back to reference Däbritz J, Chalinor HV, Menheniott TR, Giraud AS, Judd LM (2013) Anti-inflammatory effects of altered gp130 STAT3 signaling and the role of myeloid-derived suppressor cells in DSS induced colitis. United European Gastroenterol J 1(1S):A121–A122. doi:10.1177/2050640613502899 Däbritz J, Chalinor HV, Menheniott TR, Giraud AS, Judd LM (2013) Anti-inflammatory effects of altered gp130 STAT3 signaling and the role of myeloid-derived suppressor cells in DSS induced colitis. United European Gastroenterol J 1(1S):A121–A122. doi:10.​1177/​2050640613502899​
35.
37.
go back to reference Haile LA, von Wasielewski R, Gamrekelashvili J, Kruger C, Bachmann O, Westendorf AM, Buer J, Liblau R, Manns MP, Korangy F, Greten TF (2008) Myeloid-derived suppressor cells in inflammatory bowel disease: a new immunoregulatory pathway. Gastroenterology 135(3):871–881. doi:10.1053/j.gastro.2008.06.032, 881 e871-875CrossRefPubMed Haile LA, von Wasielewski R, Gamrekelashvili J, Kruger C, Bachmann O, Westendorf AM, Buer J, Liblau R, Manns MP, Korangy F, Greten TF (2008) Myeloid-derived suppressor cells in inflammatory bowel disease: a new immunoregulatory pathway. Gastroenterology 135(3):871–881. doi:10.​1053/​j.​gastro.​2008.​06.​032, 881 e871-875CrossRefPubMed
38.
go back to reference Roth L, MacDonald JK, McDonald JW, Chande N (2012) Sargramostim (GM-CSF) for induction of remission in Crohn’s disease: a Cochrane Inflammatory Bowel Disease and Functional Bowel Disorders systematic review of randomized trials. Inflamm Bowel Dis 18(7):1333–1339. doi:10.1002/ibd.22973 CrossRefPubMed Roth L, MacDonald JK, McDonald JW, Chande N (2012) Sargramostim (GM-CSF) for induction of remission in Crohn’s disease: a Cochrane Inflammatory Bowel Disease and Functional Bowel Disorders systematic review of randomized trials. Inflamm Bowel Dis 18(7):1333–1339. doi:10.​1002/​ibd.​22973 CrossRefPubMed
Metadata
Title
GM-CSF and the role of myeloid regulatory cells in the pathogenesis and treatment of Crohn’s disease
Author
Jan Däbritz
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
Molecular and Cellular Pediatrics / Issue 1/2015
Electronic ISSN: 2194-7791
DOI
https://doi.org/10.1186/s40348-015-0024-4

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