Goblet cells deliver luminal antigen to CD103+ dendritic cells in the small intestine

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Abstract
Goblet cells in the small intestine act as passages delivering small antigens to tolerance-inducing dendritic cells in the lamina propria. How the balance between tolerance and immunity is maintained is an important question in immunology, and is of particular relevance to the small intestine, where innocuous antigens from the diet and potential pathogens are encountered simultaneously. McDole et al. show that goblet cells in the epithelium of the small intestine act as conduits through which small luminal antigens can be delivered to tolerance-inducing dendritic cells in the lamina propria, a layer of connective tissue beneath the epithelium. Through this mechanism, goblet cells could play a key part in promoting intestinal immune homeostasis. The intestinal immune system is exposed to a mixture of foreign antigens from diet, commensal flora and potential pathogens. Understanding how pathogen-specific immunity is elicited while avoiding inappropriate responses to the background of innocuous antigens is essential for understanding and treating intestinal infections and inflammatory diseases. The ingestion of protein antigen can induce oral tolerance, which is mediated in part by a subset of intestinal dendritic cells (DCs) that promote the development of regulatory T cells1. The lamina propria (LP) underlies the expansive single-cell absorptive villous epithelium and contains a large population of DCs (CD11c+ CD11b+ MHCII+ cells) comprised of two predominant subsets: CD103+ CX3CR1− DCs, which promote IgA production, imprint gut homing on lymphocytes and induce the development of regulatory T cells2,3,4,5,6,7,8,9, and CD103− CX3CR1+ DCs (with features of macrophages), which promote tumour necrosis factor-α (TNF-α) production, colitis, and the development of TH17 T cells5,6,7,10. However, the mechanisms by which different intestinal LP-DC subsets capture luminal antigens in vivo remains largely unexplored. Using a minimally disruptive in vivo imaging approach we show that in the steady state, small intestine goblet cells (GCs) function as passages delivering low molecular weight soluble antigens from the intestinal lumen to underlying CD103+ LP-DCs. The preferential delivery of antigens to DCs with tolerogenic properties implies a key role for this GC function in intestinal immune homeostasis.