Microbiota-dependent proteolysis of gluten subverts diet-mediated protection against type 1 diabetes

Research output: Contribution to journalJournal articleResearchpeer-review

  • Matthew C. Funsten
  • Leonid A. Yurkovetskiy
  • Andrey Kuznetsov
  • Derek Reiman
  • Hansen, Camilla Hartmann Friis
  • Katharine I. Senter
  • Jean Lee
  • Jeremy Ratiu
  • Shiva Dahal-Koirala
  • Dionysios A. Antonopoulos
  • Gary M. Dunny
  • Ludvig M. Sollid
  • David Serreze
  • Aly A. Khan
  • Alexander V. Chervonsky

Diet and commensals can affect the development of autoimmune diseases like type 1 diabetes (T1D). However, whether dietary interventions are microbe-mediated was unclear. We found that a diet based on hydrolyzed casein (HC) as a protein source protects non-obese diabetic (NOD) mice in conventional and germ-free (GF) conditions via improvement in the physiology of insulin-producing cells to reduce autoimmune activation. The addition of gluten (a cereal protein complex associated with celiac disease) facilitates autoimmunity dependent on microbial proteolysis of gluten: T1D develops in GF animals monocolonized with Enterococcus faecalis harboring secreted gluten-digesting proteases but not in mice colonized with protease deficient bacteria. Gluten digestion by E. faecalis generates T cell-activating peptides and promotes innate immunity by enhancing macrophage reactivity to lipopolysaccharide (LPS). Gnotobiotic NOD Toll4-negative mice monocolonized with E. faecalis on an HC + gluten diet are resistant to T1D. These findings provide insights into strategies to develop dietary interventions to help protect humans against autoimmunity.

Original languageEnglish
JournalCell Host and Microbe
Volume31
Issue number2
Pages (from-to)213-227.e9
ISSN1931-3128
DOIs
Publication statusPublished - 2023

Bibliographical note

Publisher Copyright:
© 2022 Elsevier Inc.

    Research areas

  • celiac disease, diet and autoimmunity, insulin secretion regulation, microbial proteolysis of gluten, microbiota and autoimmunity, type 1 diabetes

ID: 337601068