Propionate supplementation promotes the expansion of peripheral regulatory T-Cells in patients with end-stage renal disease. Meyer, F., Seibert, F. S., Nienen, M., Welzel, M., Beisser, D., Bauer, F., Rohn, B., Westhoff, T. H., Stervbo, U., & Babel, N. Journal of Nephrology, 33(4):817–827, Mar, 2020.
Propionate supplementation promotes the expansion of peripheral regulatory T-Cells in patients with end-stage renal disease [link]Paper  doi  abstract   bibtex   1 download  
Patients with end-stage renal disease (ESRD) suffer from a progressively increasing low-grade systemic inflammation, which is associated with higher morbidity and mortality. Regulatory T cells (Tregs) play an important role in regulation of the inflammatory process. Previously, it has been demonstrated that short-chain fatty acids reduce inflammation in the central nervous system in a murine model of multiple sclerosis through an increase in tissue infiltrating Tregs. Here, we evaluated the effect of the short-chain fatty acid propionate on the chronic inflammatory state and T-cell composition in ESRD patients. Analyzing ESRD patients and healthy blood donors before, during, and 60?days after the propionate supplementation by multiparametric flow cytometry we observed a gradual and significant expansion in the frequencies of CD25highCD127- Tregs in both groups. Phenotypic characterization suggests that polarization of naïve T cells towards Tregs is responsible for the observed expansion. In line with this, we observed a significant reduction of inflammatory marker CRP under propionate supplementation. Of interest, the observed anti-inflammatory surroundings did not affect the protective pathogen-specific immunity as demonstrated by the stable frequencies of effector/memory T cells specific for tetanus/diphtheria recall antigens. Collectively, our data suggest that dietary supplements with propionate have a beneficial effect on the elevated systemic inflammation of ESRD patients. The effect can be achieved through an expansion of circulating Tregs without affecting the protective pathogen-reactive immunity.
@Article{Meyer2020,
  author   = {Meyer, Fabian and Seibert, Felix S. and Nienen, Mikalai and Welzel, Marius and Beisser, Daniela and Bauer, Frederic and Rohn, Benjamin and Westhoff, Timm H. and Stervbo, Ulrik and Babel, Nina},
  journal  = {Journal of Nephrology},
  title    = {Propionate supplementation promotes the expansion of peripheral regulatory T-Cells in patients with end-stage renal disease},
  year     = {2020},
  issn     = {1724-6059},
  month    = {Mar},
  number   = {4},
  pages    = {817--827},
  volume   = {33},
  abstract = {Patients with end-stage renal disease (ESRD) suffer from a progressively increasing low-grade systemic inflammation, which is associated with higher morbidity and mortality. Regulatory T cells (Tregs) play an important role in regulation of the inflammatory process. Previously, it has been demonstrated that short-chain fatty acids reduce inflammation in the central nervous system in a murine model of multiple sclerosis through an increase in tissue infiltrating Tregs. Here, we evaluated the effect of the short-chain fatty acid propionate on the chronic inflammatory state and T-cell composition in ESRD patients. Analyzing ESRD patients and healthy blood donors before, during, and 60?days after the propionate supplementation by multiparametric flow cytometry we observed a gradual and significant expansion in the frequencies of CD25highCD127- Tregs in both groups. Phenotypic characterization suggests that polarization of na{\"i}ve T cells towards Tregs is responsible for the observed expansion. In line with this, we observed a significant reduction of inflammatory marker CRP under propionate supplementation. Of interest, the observed anti-inflammatory surroundings did not affect the protective pathogen-specific immunity as demonstrated by the stable frequencies of effector/memory T cells specific for tetanus/diphtheria recall antigens. Collectively, our data suggest that dietary supplements with propionate have a beneficial effect on the elevated systemic inflammation of ESRD patients. The effect can be achieved through an expansion of circulating Tregs without affecting the protective pathogen-reactive immunity.},
  doi      = {10.1007/s40620-019-00694-z},
  keywords = {paper},
  url      = {https://doi.org/10.1007/s40620-019-00694-z},
}

Downloads: 1