A Role for Folate in Microbiome-Linked Control of Autoimmunity

The microbiome exerts considerable control over immune homeostasis and influences susceptibility to autoimmune and autoinflammatory disease (AD/AID) such as inflammatory bowel disease (IBD), multiple sclerosis (MS), type 1 diabetes (T1D), psoriasis, and uveitis. In part, this is due to direct effect...

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Main Authors: Christine Mölzer, Heather M. Wilson, Lucia Kuffova, John V. Forrester
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2021/9998200
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author Christine Mölzer
Heather M. Wilson
Lucia Kuffova
John V. Forrester
author_facet Christine Mölzer
Heather M. Wilson
Lucia Kuffova
John V. Forrester
author_sort Christine Mölzer
collection DOAJ
description The microbiome exerts considerable control over immune homeostasis and influences susceptibility to autoimmune and autoinflammatory disease (AD/AID) such as inflammatory bowel disease (IBD), multiple sclerosis (MS), type 1 diabetes (T1D), psoriasis, and uveitis. In part, this is due to direct effects of the microbiome on gastrointestinal (GI) physiology and nutrient transport, but also to indirect effects on immunoregulatory controls, including induction and stabilization of T regulatory cells (Treg). Secreted bacterial metabolites such as short-chain fatty acids (SCFA) are under intense investigation as mediators of these effects. In contrast, folate (vitamin B9), an essential micronutrient, has attracted less attention, possibly because it exerts global physiological effects which are difficult to differentiate from specific effects on the immune system. Here, we review the role of folate in AD/AID with some emphasis on sight-threatening autoimmune uveitis. Since folate is required for the generation and maintenance of Treg, we propose that one mechanism for microbiome-based control of AD/AID is via folate-dependent induction of GI tract Treg, particularly colonic Treg, via anergic T cells (Tan). Hence, folate supplementation has potential prophylactic and/or therapeutic benefit in AID/AD.
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spelling doaj-art-0cb8a28ec3084732ac2060b4f1f525042025-02-03T06:46:14ZengWileyJournal of Immunology Research2314-88612314-71562021-01-01202110.1155/2021/99982009998200A Role for Folate in Microbiome-Linked Control of AutoimmunityChristine Mölzer0Heather M. Wilson1Lucia Kuffova2John V. Forrester3University of Aberdeen, Institute of Medical Sciences, Aberdeen AB25 2ZD, UKUniversity of Aberdeen, Institute of Medical Sciences, Aberdeen AB25 2ZD, UKUniversity of Aberdeen, Institute of Medical Sciences, Aberdeen AB25 2ZD, UKUniversity of Aberdeen, Institute of Medical Sciences, Aberdeen AB25 2ZD, UKThe microbiome exerts considerable control over immune homeostasis and influences susceptibility to autoimmune and autoinflammatory disease (AD/AID) such as inflammatory bowel disease (IBD), multiple sclerosis (MS), type 1 diabetes (T1D), psoriasis, and uveitis. In part, this is due to direct effects of the microbiome on gastrointestinal (GI) physiology and nutrient transport, but also to indirect effects on immunoregulatory controls, including induction and stabilization of T regulatory cells (Treg). Secreted bacterial metabolites such as short-chain fatty acids (SCFA) are under intense investigation as mediators of these effects. In contrast, folate (vitamin B9), an essential micronutrient, has attracted less attention, possibly because it exerts global physiological effects which are difficult to differentiate from specific effects on the immune system. Here, we review the role of folate in AD/AID with some emphasis on sight-threatening autoimmune uveitis. Since folate is required for the generation and maintenance of Treg, we propose that one mechanism for microbiome-based control of AD/AID is via folate-dependent induction of GI tract Treg, particularly colonic Treg, via anergic T cells (Tan). Hence, folate supplementation has potential prophylactic and/or therapeutic benefit in AID/AD.http://dx.doi.org/10.1155/2021/9998200
spellingShingle Christine Mölzer
Heather M. Wilson
Lucia Kuffova
John V. Forrester
A Role for Folate in Microbiome-Linked Control of Autoimmunity
Journal of Immunology Research
title A Role for Folate in Microbiome-Linked Control of Autoimmunity
title_full A Role for Folate in Microbiome-Linked Control of Autoimmunity
title_fullStr A Role for Folate in Microbiome-Linked Control of Autoimmunity
title_full_unstemmed A Role for Folate in Microbiome-Linked Control of Autoimmunity
title_short A Role for Folate in Microbiome-Linked Control of Autoimmunity
title_sort role for folate in microbiome linked control of autoimmunity
url http://dx.doi.org/10.1155/2021/9998200
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