Enrichment of the lung microbiome with oral taxa is associated with lung inflammation of a Th17 phenotype

Microaspiration is a common phenomenon in healthy subjects, but its frequency is increased in chronic inflammatory airway diseases, and its role in inflammatory and immune phenotypes is unclear. We have previously demonstrated that acellular bronchoalveolar lavage samples from half of the healthy pe...

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Published inNature microbiology Vol. 1; no. 5; p. 16031
Main Authors Segal, Leopoldo N., Clemente, Jose C., Tsay, Jun-Chieh J., Koralov, Sergei B., Keller, Brian C., Wu, Benjamin G., Li, Yonghua, Shen, Nan, Ghedin, Elodie, Morris, Alison, Diaz, Phillip, Huang, Laurence, Wikoff, William R., Ubeda, Carles, Artacho, Alejandro, Rom, William N., Sterman, Daniel H., Collman, Ronald G., Blaser, Martin J., Weiden, Michael D.
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 04.04.2016
Nature Publishing Group
Subjects
Online AccessGet full text
ISSN2058-5276
2058-5276
DOI10.1038/nmicrobiol.2016.31

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Abstract Microaspiration is a common phenomenon in healthy subjects, but its frequency is increased in chronic inflammatory airway diseases, and its role in inflammatory and immune phenotypes is unclear. We have previously demonstrated that acellular bronchoalveolar lavage samples from half of the healthy people examined are enriched with oral taxa (here called pneumotype SPT ) and this finding is associated with increased numbers of lymphocytes and neutrophils in bronchoalveolar lavage. Here, we have characterized the inflammatory phenotype using a multi-omic approach. By evaluating both upper airway and acellular bronchoalveolar lavage samples from 49 subjects from three cohorts without known pulmonary disease, we observed that pneumotype SPT was associated with a distinct metabolic profile, enhanced expression of inflammatory cytokines, a pro-inflammatory phenotype characterized by elevated Th-17 lymphocytes and, conversely, a blunted alveolar macrophage TLR4 response. The cellular immune responses observed in the lower airways of humans with pneumotype SPT indicate a role for the aspiration-derived microbiota in regulating the basal inflammatory status at the pulmonary mucosal surface. Enrichment of oral microbiota in the bronchoalveolar lavage of apparently healthy people is associated with a pro-inflammatory phenotype, suggesting that aspiration-derived microbiota play a role in regulating basal inflammatory status.
AbstractList Microaspiration is a common phenomenon in healthy subjects, but its frequency is increased in chronic inflammatory airway diseases, and its role in inflammatory and immune phenotypes is unclear. We have previously demonstrated that acellular bronchoalveolar lavage samples from half of the healthy people examined are enriched with oral taxa (here called pneumotypeSPT) and this finding is associated with increased numbers of lymphocytes and neutrophils in bronchoalveolar lavage. Here, we have characterized the inflammatory phenotype using a multi-omic approach. By evaluating both upper airway and acellular bronchoalveolar lavage samples from 49 subjects from three cohorts without known pulmonary disease, we observed that pneumotypeSPT was associated with a distinct metabolic profile, enhanced expression of inflammatory cytokines, a pro-inflammatory phenotype characterized by elevated Th-17 lymphocytes and, conversely, a blunted alveolar macrophage TLR4 response. The cellular immune responses observed in the lower airways of humans with pneumotypeSPT indicate a role for the aspiration-derived microbiota in regulating the basal inflammatory status at the pulmonary mucosal surface.
Microaspiration is a common phenomenon in healthy subjects, but its frequency is increased in chronic inflammatory airway diseases, and its role in inflammatory and immune phenotypes is unclear. We have previously demonstrated that acellular bronchoalveolar lavage samples from half of the healthy people examined are enriched with oral taxa (here called pneumotype SPT ) and this finding is associated with increased numbers of lymphocytes and neutrophils in bronchoalveolar lavage. Here, we have characterized the inflammatory phenotype using a multi-omic approach. By evaluating both upper airway and acellular bronchoalveolar lavage samples from 49 subjects from three cohorts without known pulmonary disease, we observed that pneumotype SPT was associated with a distinct metabolic profile, enhanced expression of inflammatory cytokines, a pro-inflammatory phenotype characterized by elevated Th-17 lymphocytes and, conversely, a blunted alveolar macrophage TLR4 response. The cellular immune responses observed in the lower airways of humans with pneumotype SPT indicate a role for the aspiration-derived microbiota in regulating the basal inflammatory status at the pulmonary mucosal surface. Enrichment of oral microbiota in the bronchoalveolar lavage of apparently healthy people is associated with a pro-inflammatory phenotype, suggesting that aspiration-derived microbiota play a role in regulating basal inflammatory status.
Microaspiration is a common phenomenon in healthy subjects, but its frequency is increased in chronic inflammatory airway diseases, and its role in inflammatory and immune phenotypes is unclear. We have previously demonstrated that acellular bronchoalveolar lavage samples from half of the healthy people examined are enriched with oral taxa (here called pneumotypeSPT) and this finding is associated with increased numbers of lymphocytes and neutrophils in bronchoalveolar lavage. Here, we have characterized the inflammatory phenotype using a multi-omic approach. By evaluating both upper airway and acellular bronchoalveolar lavage samples from 49 subjects from three cohorts without known pulmonary disease, we observed that pneumotypeSPT was associated with a distinct metabolic profile, enhanced expression of inflammatory cytokines, a pro-inflammatory phenotype characterized by elevated Th-17 lymphocytes and, conversely, a blunted alveolar macrophage TLR4 response. The cellular immune responses observed in the lower airways of humans with pneumotypeSPT indicate a role for the aspiration-derived microbiota in regulating the basal inflammatory status at the pulmonary mucosal surface.Microaspiration is a common phenomenon in healthy subjects, but its frequency is increased in chronic inflammatory airway diseases, and its role in inflammatory and immune phenotypes is unclear. We have previously demonstrated that acellular bronchoalveolar lavage samples from half of the healthy people examined are enriched with oral taxa (here called pneumotypeSPT) and this finding is associated with increased numbers of lymphocytes and neutrophils in bronchoalveolar lavage. Here, we have characterized the inflammatory phenotype using a multi-omic approach. By evaluating both upper airway and acellular bronchoalveolar lavage samples from 49 subjects from three cohorts without known pulmonary disease, we observed that pneumotypeSPT was associated with a distinct metabolic profile, enhanced expression of inflammatory cytokines, a pro-inflammatory phenotype characterized by elevated Th-17 lymphocytes and, conversely, a blunted alveolar macrophage TLR4 response. The cellular immune responses observed in the lower airways of humans with pneumotypeSPT indicate a role for the aspiration-derived microbiota in regulating the basal inflammatory status at the pulmonary mucosal surface.
ArticleNumber 16031
Author Sterman, Daniel H.
Koralov, Sergei B.
Ghedin, Elodie
Keller, Brian C.
Wikoff, William R.
Artacho, Alejandro
Collman, Ronald G.
Morris, Alison
Tsay, Jun-Chieh J.
Huang, Laurence
Weiden, Michael D.
Blaser, Martin J.
Li, Yonghua
Rom, William N.
Clemente, Jose C.
Wu, Benjamin G.
Ubeda, Carles
Shen, Nan
Diaz, Phillip
Segal, Leopoldo N.
AuthorAffiliation 10 Department of Molecular and Cellular Biology & Genome Center, University of California, Davis, California, USA
12 Department of Medicine and Microbiology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
5 Department of Pathology, New York University School of Medicine, New York, New York, USA
8 Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh, Pennsylvania, USA
9 Department of Medicine, University of California San Francisco, San Francisco, California, USA
7 Department of Biology, Center for Genomics & Systems Biology, College of Global Public Health, New York University, New York, New York, USA
2 Department of Medicine, New York University School of Medicine, New York, New York, USA
11 Center for Public Health Research, FISABIO, Valencia, Spain
3 Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, USA
4 Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, USA
6 D
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– name: 6 Division of Pulmonary and Critical Care Medicine, The Ohio State University, Columbus, Ohio, USA
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– name: 3 Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, USA
– name: 11 Center for Public Health Research, FISABIO, Valencia, Spain
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  surname: Ghedin
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  organization: Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh, Pennsylvania
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  organization: Division of Pulmonary and Critical Care Medicine, The Ohio State University, Columbus, Ohio
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/27572644$$D View this record in MEDLINE/PubMed
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  day: 4
PublicationDecade 2010
PublicationPlace London
PublicationPlace_xml – name: London
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PublicationTitle Nature microbiology
PublicationTitleAbbrev Nat Microbiol
PublicationTitleAlternate Nat Microbiol
PublicationYear 2016
Publisher Nature Publishing Group UK
Nature Publishing Group
Publisher_xml – name: Nature Publishing Group UK
– name: Nature Publishing Group
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Snippet Microaspiration is a common phenomenon in healthy subjects, but its frequency is increased in chronic inflammatory airway diseases, and its role in...
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SubjectTerms 631/326/2565/2134
692/308/575
692/4017
Alveoli
Bronchoalveolar Lavage Fluid - cytology
Bronchoalveolar Lavage Fluid - microbiology
Bronchus
Cytokines
Genotype & phenotype
Helper cells
Humans
Immune response
Immune response (cell-mediated)
Infectious Diseases
Leukocytes (neutrophilic)
Life Sciences
Lung diseases
Lymphocytes
Lymphocytes T
Macrophages
Medical Microbiology
Microbiology
Microbiomes
Microbiota
Mucosa
Parasitology
Phenotypes
Pneumonia - microbiology
Pneumonia - pathology
Respiratory Aspiration - complications
Respiratory tract diseases
Th17 Cells - immunology
TLR4 protein
Toll-like receptors
Virology
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Title Enrichment of the lung microbiome with oral taxa is associated with lung inflammation of a Th17 phenotype
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