Mucosal-associated invariant T cells augment immunopathology in chronic Helicobacter pylori infection (#202)
Mucosal-associated invariant T (MAIT) cells produce inflammatory cytokines (IL-17, IFNγ, TNF), and cytotoxic granzymes in response to by-products of microbial riboflavin (vitamin B2) synthesis. Although MAIT cells are protective against some pathogens, we reasoned that they might contribute to pathology in chronic bacterial infection. MAIT cells could be detected in human gastric tissue using MR1-tetramers. By immunofluorescent staining we observed MAIT cells in proximity to Helicobacter pylori bacilli in gastric tissue from three individuals. In order to determine whether MAIT cells contribute to chronic inflammation and gastritis following Helicobacter infection, we examined the MAIT cell response in a mouse H. pylori SS1 infection model. Following infection, MAIT cells accumulated to high numbers in the gastric mucosa of both MAIT TCR transgenic mice and wild-type C57BL/6 mice with pre-boosted MAIT cells, as well as a proportion of wild-type mice that had no pre-boosting. Gastric MAIT cells possessed an effector memory Tc1/Tc17 phenotype, and were associated with accelerated gastritis characterised by augmented recruitment of neutrophils, macrophages, dendritic cells, eosinophils and non-MAIT T cells. These changes were accompanied by marked gastric atrophy. Interestingly, one long-term infected MAIT TCR transgenic mouse developed gastric lymphoma. Thus, we demonstrate a pathogenic role for MAIT cells in Helicobacter-associated inflammation, revealing a broader potential role for MAIT cell-driven immunopathology in chronic bacterial infection.