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Wheat Amylase Trypsin Inhibitors as Divers of Innate Immunity in ...

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The <strong>in</strong>nate immune<br />

response to gluten<br />

gliad<strong>in</strong><br />

PAMPs<br />

Major role <strong>of</strong> pr<strong>of</strong>essional<br />

APC <br />

Is it all gluten <br />

NKG2D (CD94)<br />

TCR+<br />

MIC-A/B<br />

HLA-E E NKG2A+ TCR+<br />

→ CTL suppression<br />

Bhagat G et al, JCI 2008<br />

NK-like<br />

IL-15<br />

IL-15<br />

CTL<br />

epithelial cell kill<strong>in</strong>g,<br />

apoptosis, permeability <br />

potentiation <strong>of</strong> the adaptive<br />

immune response to gluten<br />

TCR+<br />

CD8+<br />

<strong>in</strong>terferon , perfor<strong>in</strong><br />

granzyme, F<strong>as</strong>L<br />

IL-15:<br />

• central growth<br />

factor for<br />

<strong>in</strong>traepithelial NK<br />

cells and CTL<br />

• major driv<strong>in</strong>g force<br />

<strong>of</strong> clonal T cell<br />

expansion <strong>in</strong><br />

refractory sprue &<br />

<strong>in</strong>test<strong>in</strong>al T cell<br />

lymphoma<br />

Jabri B et al, G<strong>as</strong>troenterology 2000<br />

Maiuri L et al, Lancet 2003<br />

Hue S et al, <strong>Immunity</strong> 2004<br />

Meresse B et al, <strong>Immunity</strong> 2004<br />

Rakhimova M et al, J Cl<strong>in</strong> Immunol 2008

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