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<mods:namePart>Frick, Julia-Stefanie (Prof. Dr.)</mods:namePart>
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<mods:namePart>Steimle, Alexander</mods:namePart>
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<mods:dateAccessioned encoding="iso8601">2017-05-11T12:12:31Z</mods:dateAccessioned>
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<mods:abstract>The gut is considered to be the biggest immunological organ in mammals and the composition of the&#xd;
intestinal microbiota is therefore assumed to have widespread effects on the immune system of its&#xd;
host. During past years, more and more insights were gained concerning the correlation of intestinal&#xd;
microbiota composition and onset and progress of various autoimmune diseases, i.e. Inflammatory&#xd;
Bowel Diseases (IBD). Nevertheless, insights in defined molecular mechanisms underlying these&#xd;
observations are rare. However, a deeper knowledge of these mechanisms is necessary for proper&#xd;
drug development for gut-associated and immune system-related pathologies. With this work,&#xd;
knowledge gaps concerning molecular events of the interplay between commensal gut bacteria and&#xd;
the host immune system shall be closed. In this context, we focused on how different intestinal&#xd;
commensals, symbionts and pathobionts, differentially influence the host immune system.&#xd;
Briefly summarized, B. vulgatus mpk, a Gram negative model symbiont of the intestinal microbiota,&#xd;
was able to prevent from induction of intestinal inflammation in a mouse model for experimental&#xd;
colitis. This effect was not restricted to prevention, as even already established colonic inflammation&#xd;
was reduced by oral administration of this bacterium, resulting in complete healing of damaged&#xd;
colonic tissue. Furthermore, isolated lipopolysaccharide from B. vulgatus mpk, providing a unique&#xd;
core oligosaccharide structure, was able to mimic both observed bacteria-mediated therapeutic&#xd;
effects. Additionally and for the first time, a symbiotic commensal such as B. vulgatus mpk was&#xd;
demonstrated to prevent from cathepsin S activity upregulation in host dendritic cells by a regulation&#xd;
mechanism involving the endogenous protein cystatin C. Cathepsin S activity regulation is a decisive&#xd;
criterion for the prevention of pathological CD4+ T cell mediated immune responses. Since many&#xd;
autoimmune diseases were already demonstrated to be associated with cathepsin S activity&#xd;
dysregulation, our observation might explain why and how the microbiota composition influences&#xd;
the progress of autoimmune diseases in various mouse models. We furthermore showed that&#xd;
cathepsin S activity regulation in dendritic cells is part of DC semi-maturation. Semi-mature DCs&#xd;
provide a a tolerant and tolerogenic phenotype contributing to (re-)establishment of intestinal&#xd;
homeostasis and prevention of pathological inflammation.&#xd;
Taken together, we hereby offer novel therapeutic approaches for the treatment of inflammatory&#xd;
bowel disease in specific and autoimmune diseases in general. First, lipopolysaccharides of symbiotic&#xd;
commensals might act as therapeutic agents and insights gained from the structural analysis of&#xd;
B. vulgatus mpk LPS might help to chemically design novel inflammation-silencing drugs. Second,&#xd;
B. vulgatus mpk was shown to prevent from pathological cathepsin S activitiy increase, making this&#xd;
bacterium an attractive alternative to chemical cathepsin S inhibitors which are widely considered to&#xd;
be promising drugs for the treatment of autoimmune diseases.</mods:abstract>
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<mods:title>How intestinal commensals affect the immune system and the outcome of inflammatory disorders: novel molecular insights</mods:title>
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<mods:genre>PhDThesis</mods:genre>
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