PT - JOURNAL ARTICLE AU - Danne, Camille AU - Michaudel, Chloé AU - Skerniskyte, Jurate AU - Planchais, Julien AU - Magniez, Aurélie AU - Agus, Allison AU - Michel, Marie-Laure AU - Lamas, Bruno AU - Da Costa, Gregory AU - Spatz, Madeleine AU - Oeuvray, Cyriane AU - Galbert, Chloé AU - Poirier, Maxime AU - Wang, Yazhou AU - Lapière, Alexia AU - Rolhion, Nathalie AU - Ledent, Tatiana AU - Pionneau, Cédric AU - Chardonnet, Solenne AU - Bellvert, Floriant AU - Cahoreau, Edern AU - Rocher, Amandine AU - Arguello, Rafael Rose AU - Peyssonnaux, Carole AU - Louis, Sabine AU - Richard, Mathias L AU - Langella, Philippe AU - El-Benna, Jamel AU - Marteyn, Benoit AU - Sokol, Harry TI - CARD9 in neutrophils protects from colitis and controls mitochondrial metabolism and cell survival AID - 10.1136/gutjnl-2022-326917 DP - 2023 Jun 01 TA - Gut PG - 1081--1092 VI - 72 IP - 6 4099 - http://gut.bmj.com/content/72/6/1081.short 4100 - http://gut.bmj.com/content/72/6/1081.full SO - Gut2023 Jun 01; 72 AB - Objectives Inflammatory bowel disease (IBD) results from a combination of genetic predisposition, dysbiosis of the gut microbiota and environmental factors, leading to alterations in the gastrointestinal immune response and chronic inflammation. Caspase recruitment domain 9 (Card9), one of the IBD susceptibility genes, has been shown to protect against intestinal inflammation and fungal infection. However, the cell types and mechanisms involved in the CARD9 protective role against inflammation remain unknown.Design We used dextran sulfate sodium (DSS)-induced and adoptive transfer colitis models in total and conditional CARD9 knock-out mice to uncover which cell types play a role in the CARD9 protective phenotype. The impact of Card9 deletion on neutrophil function was assessed by an in vivo model of fungal infection and various functional assays, including endpoint dilution assay, apoptosis assay by flow cytometry, proteomics and real-time bioenergetic profile analysis (Seahorse).Results Lymphocytes are not intrinsically involved in the CARD9 protective role against colitis. CARD9 expression in neutrophils, but not in epithelial or CD11c+cells, protects against DSS-induced colitis. In the absence of CARD9, mitochondrial dysfunction increases mitochondrial reactive oxygen species production leading to the premature death of neutrophilsthrough apoptosis, especially in oxidative environment. The decreased functional neutrophils in tissues might explain the impaired containment of fungi and increased susceptibility to intestinal inflammation.Conclusion These results provide new insight into the role of CARD9 in neutrophil mitochondrial function and its involvement in intestinal inflammation, paving the way for new therapeutic strategies targeting neutrophils.All data relevant to the study are included in the article or uploaded as online supplemental information.