Open Access

Milk: an exosomal microRNA transmitter promoting thymic regulatory T cell maturation preventing the development of atopy?

Journal of Translational Medicine201412:43

https://doi.org/10.1186/1479-5876-12-43

Received: 7 December 2013

Accepted: 11 February 2014

Published: 12 February 2014

Abstract

Epidemiological evidence confirmed that raw cow’s milk consumption in the first year of life protects against the development of atopic diseases and increases the number of regulatory T-cells (Tregs). However, milk’s atopy-protective mode of action remains elusive.

This review supported by translational research proposes that milk-derived microRNAs (miRs) may represent the missing candidates that promote long-term lineage commitment of Tregs downregulating IL-4/Th2-mediated atopic sensitization and effector immune responses. Milk transfers exosomal miRs including the ancient miR-155, which is important for the development of the immune system and controls pivotal target genes involved in the regulation of FoxP3 expression, IL-4 signaling, immunoglobulin class switching to IgE and FcϵRI expression. Boiling of milk abolishes milk’s exosomal miR-mediated bioactivity. Infant formula in comparison to human breast- or cow’s milk is deficient in bioactive exosomal miRs that may impair FoxP3 expression. The boost of milk-mediated miR may induce pivotal immunoregulatory and epigenetic modifications required for long-term thymic Treg lineage commitment explaining the atopy-protective effect of raw cow’s milk consumption.

The presented concept offers a new option for the prevention of atopic diseases by the addition of physiological amounts of miR-155-enriched exosomes to infant formula for mothers incapable of breastfeeding.

Keywords

Atopy preventionDNA demethylationExosomeFoxP3MicroRNAMilkMiR-155Regulatory T cell

Introduction

Children who grow up on traditional farms are protected from atopic diseases [1]. Early-life consumption of unboiled cow’s milk has been identified as the most protective factor for the development of atopy [210]. Farm milk exposure has been associated with increased numbers of CD4+CD25+FoxP3+ regulatory T cells (Tregs), lower atopic sensitization and asthma in 4.5-year-old children [11]. Treg cell numbers are negatively associated with asthma and perennial IgE levels [11]. However, potential effectors of milk, which stimulate the development of Tregs remain elusive. This review provides translational evidence that milk-derived exosomal microRNAs may be the potential stimuli for thymic Treg maturation and raw milk-mediated atopy prevention.

Atopic diseases are associated with reduced Treg numbers

Atopic allergy is a Th2 cell-mediated disease that involves the formation of specific IgE antibodies against innocuous environmental substances. Both naturally occurring thymus-derived and inducible Tregs of the periphery prevent allergy development via suppression of Th2 cells [1214]. Decreased FoxP3+ Treg numbers have been detected in atopic mothers at the 34th week of gestation, in cord blood in association with high IgE levels, in sputum, nasal secretions and blood of atopic patients pointing to the pivotal role of FoxP3+ Tregs in the immunopathogenesis of atopy [1518].

Scurfy is an X-linked recessive severe murine autoimmune disease resulting from a Foxp3 mutant [18]. The human analog is the immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome associated with eczema and increased IgE levels caused by impaired function of Tregs due to mutated FOXP3[19]. In the X-linked immunodeficiency disorder Wiskott-Aldrich syndrome (WAS) the mutated WAS protein (WASP) plays the key role in impaired Treg suppressor function [20, 21]. WASP knockout mice display decreased numbers of Treg cells in both the thymus and peripheral lymphoid organs [22]. Tregs control the severity of anaphylaxis [23], contribute to the resolution of Der p1-induced allergic airway inflammation [24], and inhibit allergen-specific effector cells important for the successful outcome in allergen-specific immunotherapy [25]. Thus, Tregs are central players in the pathogenesis and treatment of atopy [26, 27].

Thymic maturation of natural regulatory T cells

The vast majority of Tregs is generated in the thymic medulla at the CD4+ single-positive stage of thymocyte development [28, 29]. Tregs highly express FoxP3, the master regulator for Treg cell differentiation and function [3032]. Whereas naturally occurring Tregs are educated in the thymus, inducible Tregs can be generated in the periphery [26, 3341]. FoxP3+ T cells are detectable in the periphery 3 days after birth during the period of colostrum feeding [26]. Hassall’s corpuscles in the thymic medulla secrete thymic stromal lymphopoietin (TSLP) that activates CD11c+ dendritic cells (DCs), which induce Foxp3 expression in immature CD4+CD8-CD25- thymocytes [42, 43]. Crucial for FoxP3 induction are early signals from the T cell receptor (TCR), interleukin-2 (IL-2), transforming growth factor-β (TGF-β), and Notch1 [44, 45] (Figure 1).
Figure 1

Potential mechanisms of milk exosome miR-155-mediated FoxP3 expression in Tregs. TCR activation upregulates CD25 and subsequent IL-2/STAT5 signaling, which cooperatively with TGFβ-activated SMAD5 stimulate the FOXP3 promoter. MiR-155 attenuates the expression of SOCS1, the inhibitor of STAT5, thus amplifying IL-2/STAT5-mediated FoxP3 expression. FoxP3 activates the bic promoter enhancing the synthesis of miR-155, which suppresses mRNAs of GATA3 and IL-4, pivotal transcription factors of Th2-mediated IgE-driven atopic immune responses.

Role of microRNAs in thymic FoxP3+ Treg cell maturation

MicroRNAs (miRs) are fundamental regulators of posttranscriptional programs that play a role in maturation and differentiation of Tregs in the thymus [4649]. Substantial evidence underlines that miR-155 is required for the development of the Treg lineage [47]. MiR-155-deficient mice have reduced numbers of Tregs both in the thymus and periphery [47]. FoxP3, which is highly expressed in Tregs, binds to the promoter of bic, the gene encoding miR-155 [40, 50, 51]. TCR and Notch signaling upregulates the IL-2R α-chain (CD25), rendering thymocytes receptive to subsequent cytokine signals that foster their development into fully functional FoxP3+ Tregs [5254]. IL-2 is capable of transducing signals in CD4+FoxP3+ Tregs as determined by STAT5 phosphorylation [54]. Deletion of miR-155 results in limited IL-2/STAT5 signaling and reduced Treg numbers [55]. Remarkably, miR-155 enhances FoxP3 expression by targeting suppressor of cytokine signaling 1 (SOCS1), an important negative regulator of IL-2R/STAT5 signaling (Figure 1). MiR-146a targets STAT1 and regulates Treg-mediated suppression function and maintains Treg identity [48]. Deletion of miR-146a in Tregs causes a severe autoimmune phenotype akin to Dicer knockout animals, characterized by increased numbers of poorly functional FoxP3+ Tregs in the periphery [56]. MiR-21 is highly expressed in Tregs and positively regulates FOXP3[57]. MiRs are processed in the cytoplasm by the ribonuclease Dicer. Conditional knockout of Dicer in CD4+ cells results in depletion of thymic Tregs and suppressed TGF-β-mediated induction of Foxp3 in naïve CD4+ cells associated with increased IL-4 levels [50]. Dicer knockout mice as well as mice with conditional knockout of Dicer in FoxP3+ cells develop severe autoimmune diseases [58, 59]. In the later model, FoxP3 expression is unstable and Treg revert to an effector phenotype producing IL-4 and IFN-γ. Notably, miR-155 negatively regulates mRNA levels of GATA-3 and IL-4 [60]. It is well known that GATA-3 promotes Th2 responses [61]. In miR-155 null mice increased Th2 cell differentiation has been reported [62, 63].

Exosomal microRNAs in immune cell communication

Valadi et al. [64] were the first who demonstrated that exosome-mediated transfer of mRNAs and microRNAs is a novel mechanism of genetic exchange between cells. Secreted miRs represent a newly recognized layer of gene regulation and intercellular communication [6567]. MiRs bind through partial sequence homology to the 3′-untranslated region of target mRNAs and cause either translational block or mRNA degradation [68]. Exosomal miRs, enclosed by membranous microvesicles, play a pivotal role for horizontal miR transfer [69]. Raposo et al.[70] provided first evidence for exosome-mediated immune cell communication. Unidirectional transfer of miR-loaded exosomes from T cells to antigen-presenting cells has recently been confirmed [71]. For immune cell-cell interactions exosome transport exchanging genetic messages over distances has been demonstrated [72, 73]. In the human thymic medulla miR-transporting exosomes that may provide genetic signals required for Treg formation have recently been characterized [74].

Milk-derived exosomal miRs: boosters for thymic Treg maturation?

Recently, we have suggested that milk is an endocrine signaling system that promotes mTORC1 signaling by transfer of essential branched-chain amino acids and exosomal regulatory miRs to the milk recipient [75]. Zhang et al. [76] published that diet-derived plant MIR168a reaches the plasma compartment of human subjects and affects LDLRAP1 metabolism in the liver [76]. However, Dickinson et al. [77] were unable to detect plant miRs after feeding in mice. Breast milk in comparison to all other body fluids contains the highest amounts of total RNAs [78]. Bovine and human milk contain substantial amounts of exosomal miRs that may be transferred to the infant to promote immune regulatory functions [7981]. MiR-containing exosomes of 30-100 nm diameter have been identified in human breast milk, cow’s milk, bovine whey and colostrum [8385]. Exosomes from bovine colostrum and mature milk are able to deliver miRs into cultured cells thereby increasing cytoplasmic miR levels [85]. Although not proven yet, several investigators regard milk-derived miRs as important effectors for the development of the infant’s immune system and proposed that milk’s miRs may reach the infant’s circulation and organ systems [81, 8587]. Admyre et al.[82] demonstrated that incubation of human PBMCs with isolated human milk exosomes increased the number of CD4+CD25+FoxP3+ Tregs in a dose-dependent manner. Human and bovine milk contain significant amounts of those immune regulatory miRs (miR-155, miR-146a, miR-21) that play a known role in thymic Treg differentiation [80, 81, 85, 87]. Bovine colostrum in comparison to mature milk contains the highest amounts of miR-155 and miR-21 [80, 81]. Substantial exosomal miR-155 content has been detected in bovine whey [81]. The lipid bilayer of milk exosomes protects their miR-cargo against harsh degrading conditions like low acidic pH of 1-2 and RNase-mediated degradation [81, 86]. Boiling of milk, however, results in complete miR degradation [87]. Raw cow’s milk contains the highest amounts of bioactive miRs, whereas pasteurized milk contains lower levels and milk powder used for infant formula production only exhibits trace amounts of detectable RNAs [80, 81].

Milk exosome CD81: an exosomal antigen required for thymocyte maturation?

The increased intestinal permeability during the postnatal period may support milk exosome traffic into the infant’s blood circulation. Intestinal cells release exosomes of 30-90 nm in diameter from their apical and basolateral sides [87]. Milk exosomes are specifically characterized for the presence of CD81, CD63 and Hsc70 and the absence of calnexin [83]. The tetraspanins CD81 and CD63 are also present on intestinal cell-derived exosomes [88] and circulating exosomes in human plasma [89]. Blood is regarded as a physiological fluid for exosome circulation in the body supporting exosome traffic for cell-cell and organ-organ communications [67, 7173, 90]. Importantly, exosomes have been observed in murine and human thymus [74, 91]. Milk exosomes and thymic exosomes are of comparable size and contain TSG101, CD81, CD63 and milk fat globulin (MFG)-8 [74, 83, 9193]. A monoclonal antibody against CD81 blocked the appearance of αβ T cells in fetal murine thymic organ cultures. In reaggregation cultures with CD81-transfected fibroblasts, CD4-CD8- thymocytes differentiated into CD4+CD8+ T cells. Thus, interaction between immature thymocytes and CD81 is required for the transition of thymocytes from the CD4-CD8- to the CD4+CD8+ stage [93]. CD81 of thymic stromal cells but also milk exosome-derived CD81 may play a role in CD81-mediated thymocyte development.

Milk- and thymus-derived exosomes promote Treg maturation

MiR-155 exhibits highest expression in colostrum and is still a predominant exosomal miR of bovine whey [84, 85]. MiR-155, miR-146a and miR-21 are components of human plasma [86, 94, 95]. Human and bovine milk exosomes are taken up by macrophages and thereafter increase cellular miR levels [85, 92]. Notably, isolated human breast milk exosomes incubated with human PBMCs increase CD4+CD25+FoxP3+ Treg numbers [82]. Intriguingly, murine thymic exosomes induce the conversion of CD4+CD25- thymic T cells into CD4+CD25+FoxP3+ Tregs in a dose-dependent manner [91]. Thus, both human breast milk exosomes and thymic exosomes are able to induce CD4+CD25+FoxP3+ Tregs [82, 91]. We thus propose that milk may function as a miR messenger system boosting thymic Treg cell maturation by transfer of milk-derived exosomes donating miRs required for appropriate thymic Treg maturation by the evolutionarily conserved process of breastfeeding. Notably, phylogenetic studies demonstrate that miR-155 is conserved across species [96]. There is a high homology between human (hsa-mir-155) and bovine miR-155 (bta-mir-155) (http://www.mirbase.org).

MiR-mediated FOXP3 demethylation

Farm milk exposure increases the numbers of demethylated CD4+CD25+FoxP3+ Tregs [11]. Stable expression of Foxp3 in Tregs depends on DNA demethylation at the Treg-specific demethylated region (TSDR), a conserved, CpG-rich region within the FOXP3 locus [97]. Binding of the transcription factor Ets-1 to the demethylated Foxp3 gene stabilizes Foxp3 expression in Tregs [98] (Figure 2). Atopic individuals express lower numbers of demethylated FoxP3+ Tregs [99]. DNA methylation is often associated with inhibition of transcriptional activity and plays a fundamental role during development and genomic imprinting [100]. Milk, the “starter cocktail” of postnatal mammalian life, may function as an epigenetic regulator for thymic Treg maturation. There are two potential mechanisms of DNA demethylation: 1) passive demethylation through inhibition of DNA methyltransferases (DNMTs) and 2) active demethylation mediated by ten-eleven-translocation (TET) 2 and 3 [100]. TET2 binding to CpG-rich regions requires the interaction of TET2 with the protein IDAX (also known as CXXC4) [101]. Intriguingly, the CXXC DNA-binding domains can bind unmethylated DNA and recruit TET2 via IDAX [102]. Both DNMT1 and DNMT3b are associated with the Foxp3 locus in CD4+ cells [103]. Methylation of CpG residues represses Foxp3 expression, whereas complete demethylation is required for stable Foxp3 expression [103]. There is increasing evidence that miRs modify the regulatory network of TET2 expression [104]. MiR-21 indirectly down-regulates DNMT1 by targeting ras guanyl nucleotide-releasing protein 1 (RASGRP1). MiR-148a, a highly expressed miR-species in colostrum and mature milk [80, 81, 87], directly targets DNMT1 expression [105]. MiR-29b, another miR species of milk [81], contributes to DNA hypomethylation of CD4+ T cells in systemic lupus erythematosus indirectly targeting DNMT1 [106]. Milk-miR-mediated hypomethylation of CpG-regions of the TSDR FOXP3 locus may thus promote the final step of active TSDR demethylation. In fact, IDAX-mediated TET2 binding results in complete and permanent FOXP3 demethylation. TSDR demethylation occurs during the CD4-single positive stage of thymocytes and the presence of 5-hydroxymethylcytosine (5-hmC), a product of TET-mediated 5mC hydroxylation, within the TSDR region and the induction of TET2/3 during Treg maturation points to active TET-mediated demethylation of FOXP3 TSDR [97]. We thus speculate that the immunoregulative miR network of milk may induce lineage-specific epigenetic modifications of FOXP3 required for long-term Treg lineage stability and atopy prevention.
Figure 2

Proposed mode of action of milk miR-mediated demethylation of FOXP3 . Milk-derived miR-29b, -21, and -148a may reduce the expression of DNMTs resulting in TSDR hypomethylation required for IDAX binding, which finally attracts TET2 to the TSDR resulting in complete TSDR demethylation, important for permanent FOXP3 stabilization.

MiR-155 and atopy-related target genes

MiR-155 inhibits suppressor of cytokine signaling 1 (SOCS1) [60]. SOCS1 is a negative regulator of phosphorylated STAT5. TCR, IL-2 and TGF-β1 are pivotal signals for Treg differentiation associated with phosphorylation of STAT5 and SMAD5, which enhance FoxP3 expression. MiR-155-mediated suppression of SOCS1 augments FoxP3 expression promoting further miR-155 synthesis [47] (Figure 1).

The transcription factor c-Maf promotes IL-4 expression and is induced during normal precursor cell differentiation along the Th2 lineage [107, 108]. c-Maf binds to the c-Maf response element in the proximal IL-4 promoter (Figure 3A). Importantly, c-Maf is a target of miR-155 [62, 109]. In accordance, CD4+ cells transfected with anti-miR-155 expressed higher levels of GATA-3 and IL-4 [60]. Thus, miR-155-mediated c-Maf suppression promotes FoxP3+ Treg activity and impairs IL-4/Th2 cell-mediated atopic immune deviations (Figure 3B).
Figure 3

Impact of miR-155 on immune regulating transcription factors. A) atopic immune deviations in the absence of miR-155 and B) non-atopic development of the immune system due to appropriate miR-155 signaling.

The lipid phosphatase SHIP1 (Src homology-2 domain-containing inositol 5-phosphatase 1) plays an increasing role for immune regulation [110, 111]. Myeloid-specific ablation of SHIP leads to the expansion of Treg cell numbers, confirming the role of SHIP in the control of Treg numbers [112]. Notably, SHIP1 mRNA is a primary target miR-155 [113].

The transcription factor PU.1 is a direct target of miR-155 and is involved in the regulation of immunoglobulin (Ig) class-switch of plasma cells [114]. Ig heavy chain class switching to IgE is directed by IL-4 and IL-13 by inducing transcription from the IgE germline promoter [115]. IL-4-induced IgE germline gene transcription represents an early step during IgE isotype switch differentiation and is orchestrated by the coordinated action of the transcription factors STAT6, PU.1, NF-κB, and C/EBP on the promoter region of the IgE germline gene [115117]. MiR-155-mediated suppression of PU.1 and c-Maf may thus attenuate IL-4-induced IgE synthesis. Notably, PU.1 cooperatively with GATA-1 transactivates the α-chain of the high affinity receptor of IgE (FcϵRI) [118]. FcϵRI plays an important role in IgE-mediated atopic sensitization as well as in IgE-mediated atopic immune reactions.

Cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) is a surface molecule of activated T cells and a negative regulator of T-cell activation. The mean percentage of T cells expressing CTLA-4 in patients with atopic dermatitis was higher than in the control group [119]. miR-155 was identified as a direct target of CTLA-4 [120]. CTLA-4 has been shown in mice to control Foxp3+ regulatory T cell function [121].

Increased maternal LPS-exposure during farming enhances miR-155 release

Pregnancy in a farm environment reduces the infant’s risk of atopic diseases [19]. TLR-mediated innate response pathways are believed to attenuate allergic Th2-driven immune responses [122]. Blood cells of infants of farming-exposed mothers exhibit upregulated expression of TLR2 and TLR4 [123, 124]. MiRs are fine-tuners of TLR signaling and play a crucial role in endotoxin tolerance [125, 126]. Enhanced exposure of lipopolysaccharides (LPS) in the farm environment may result in stronger LPS-mediated TLR4 activation in monocyte/macrophages and DCs that increase expression of miR-155, miR-146a, and miR-21, crucial regulatory miRs involved in thymic Treg maturation [127133]. Notably, activated macrophages release exosomes that can activate and recruit immune cells [134].

Placental trophoblasts, which form the interface between the maternal environment and the fetus, on stimulation secrete miR-loaded exosomes [135]. Low dose injection of LPS induces miR-155 and pre-eclampsia-like symptoms in the rat and elevated placental miR-155 in pre-eclampsia patients [136]. A time-and dose-dependent accumulation of miR-155 following LPS stimulation has been observed in human trophoblast cells [136]. LPS-stimulated placenta-derived exosomal miR-release may modify fetal immune regulation [137]. Thus, enhanced prenatal LPS-induction of miR-155 may explain the higher Treg numbers in umbilicial cord blood of newborn infants of farming exposed mothers [138]. LPS-mediated miR-155-expression with subsequent SOCS1 inhibition could result in robust TLR4/JAK-STAT signaling further amplifying LPS-induced miR-155 responses [139, 140].

Bioactive exosomal miR-155 in raw cow’s milk

Feeding raw, unpasteurized cow´s milk in the first year of life exerts atopy-preventive effects, increases the number and function of FoxP3+ Tregs and decreases IgE plasma levels [19]. Boiling of milk degrades bioactive miRs in cow’s milk [87]. Especially the whey protein fraction of milk has been implicated to mediate the atopy-protective effect of raw farm milk [3, 8]. Noteworthy, miR-155 and miR-146a have not been detected in the lipid fraction of human breast milk [141]. MiR-155 is expressed in highest amounts in colostrum and is a substantial component of the whey fraction of mature bovine milk [80, 81, 85]. Exosome membrane integrity is essential for the uptake of milk miRs into cultured cells [85]. The boiling process may disrupt the lipid bilayer of milk exosomes exposing their miR content to RNase-mediated degradation.

Breastfeeding of non-atopic versus atopic mothers and Treg maturation

A history of breastfeeding is associated with a reduction of the risk of asthma and atopic dermatitis [142]. Apparently, after termination of placenta-mediated signaling towards the thymus, the immunoregulatory program featured by the mammary gland may tune final miR-dependent events for the proper development of the infant’s immune system. We speculate that atopic mothers who exhibit lower numbers of FoxP3+ Tregs and who may accordingly express lower levels of FoxP3-stimulated miR-155 may provide deficient amounts of breast milk miR-155 to their infants. This may explain why atopic mothers transmit atopic diseases more frequently than atopic fathers [143145].

Artificial formula feeding and Treg maturation

Breastfeeding compared to artificial formula feeding exerts atopy-preventive effects [142, 146, 147]. Formula production is based on bovine milk protein powder, which in comparison to raw cow’s milk only contains minimal amounts of RNA [81]. Extensively hydrolyzed formula made for “atopy prevention” exhibits the lowest miR levels compared to standard formula [81, 148]. According to the American Academy of Pediatrics Committee on Nutrition and Section on Allergy and Immunology, there is only “modest evidence” that the onset of atopic disease may be delayed or prevented by feeding hydrolyzed formulas compared with standard formula [146].

Conclusion

Exosomal cargo transfer plays an increasing role for intercellular communication [149, 150]. Accumulating translational evidence sheds a new light on the potential role of milk as a transmitter of exosome-derived immune regulatory miRs for thymic Treg maturation. Milk miRs may promote the two-step selection process turning self-reactive thymocytes into stable Treg cells. TCR stimulated IL-2/STAT5 signaling may be enhanced by milk miR-155-mediated SOCS1 suppression, which augments upregulation of FoxP3. FoxP3 promotes miR-155 expression further enhancing this feed forward regulatory circuit. In a second step FoxP3 expression may be stabilized by milk-miR-mediated hypomethylation of the TSDR region of FOXP3. This hypomethylation may allow IDAX binding, which finally attracts TET2 promoting active demethylation stabilizing FoxP3 maturation and long-term Treg lineage commitment.

Furthermore, functionally active FoxP3 Treg cells suppress the development of Th2 cell-dependent immune responses. Milk miR-155 may impair atopic sensitization by suppression of c-Maf/SHIP1-mediated IL-4 synthesis, PU.1-mediated Ig class switch to IgE as well as PU.1-driven FcϵRI α-chain synthesis. Thus, the milk miR system may not only augment thymic Treg maturation but may apparently prevent Th2-mediated atopic sensitization and atopic effector responses. Boiling of milk obviously destroys the miR-signaling system of milk, whereas LPS-mediated miR-155 release from stimulated maternal macrophages and trophoblast cells as well as fresh cow’s milk-mediated miR-155 transfer may promote thymic Tregs maturation explaining synergistic atopy-preventive effects of perinatal farm exposure (Figure 4). Milk appears to function as an evolutionarily highly conserved miR-dependent epigenetic modifyer imprinting appropriate changes required for long-term thymic FoxP3-mediated Treg differentiation. Milk-derived exosomes in synergy with thymic exosomes may play the essential role for stable maturation of CD4+CD25+FoxP3+ Tregs, which themselves following TCR activation produce CD73-containing exosome-like structures that mediate their suppressive activity [151].
Figure 4

Perinatal scenario of milk-and LPS-induced miR-155-exosome-signaling promoting thymic Treg maturation. Fetuses and infants raised in an active farming environment are exposed to abundant sources of LPS and raw cow’s milk that either stimulate or provide miR-155 compared to infants raised under civic conditions and artificial formula feeding.

Obviously, atopic individuals are “Treg weaklings” exhibiting lower numbers and function of FoxP3 Tregs compared to non-atopic subjects. Breast milk of atopic mothers may thus provide less FoxP3-induced miR-155 explaining the increased maternal transmission of atopic diseases compared to the lower paternal atopy transmission. Accumulating evidence supports our concept that milk’s exosomal miR system may represent “the missing candidate” inducing the atopy-preventive effects of raw cow’s milk consumption (Table 1). Deviations of miR processing and miR-regulated transcriptional activity may play a future role for a deeper understanding of the immunopathogenesis and treatment of atopic diseases. Future prevention of atopic diseases might be possible by addition of appropriate miR-155-enriched exosomes to artificial infant formula.
Table 1

Translational evidence for milk-microRNA-mediated thymic Treg maturation

Potential function of milk microRNA

Comment

References

Milk contains abundant miRs

From all body fluids human milk contains the highest amounts of RNAs and miRs

[7882, 8487, 92]

Milk contains miR-155, miR-146a, and miR-21

MiR-155, miR-146a and miR-21 are crucial miRs involved in Treg maturation and function

[7981, 84, 85, 87]

The majority of milk’s miRs are transported in exosomes

Exosomes transfer genetic information for cell-cell communications over short and long distances

[81, 82, 8487, 92]

MiR-155 is a component of colostrum and bovine whey and is found to be transported in exosomes

MiR-155 is an ancient highly conserved miR involved in immune regulation

[84, 85]

Milk exosomes are resistant against RNase-degradation and acidic conditions (pH1-2)

Milk exosomes may survive the acidic environment of the stomach. Boiling of milk destroys the biological activity of milk miRs

[80, 81, 86]

Mir-155, miR-146a and miR-21 are components of human blood plasma

Milk miR-containing exosomes may be transported in circulation and may reach the thymus

[94, 95]

Bovine colostrum and bovine milk and human breast milk exosomes containing miRs are taken up by cells and increase cytoplasmic miR levels

Milk-derived miRs may be taken up by exosome endocytosis in recipient cells. Physical destruction of exosomal lipid bilayer structure abolishes cellular miR uptake

[82, 85, 92]

Exosomal transfer is a known mechanism of communication between immune cells

Macrophages, B-cell, T cells and thymocytes communicate via exosome transfer

[7073, 91]

Human breast milk exosomes when added to PBMCs induce FoxP3+ Tregs

Breast milk miR-155 may induce the expression of FoxP3+ by inhibiting SOCS1 signaling

[82]

Exosomes have been detected in the murine and human thymus

Milk-derived exosomes may augment Treg cell maturation in the thymus

[74, 91]

Murine thymic exosomes when added to thymus CD4+CD25- T cells induce CD4+CD25+FoxP3+ Treg cells

Milk-derived exosomes may promote Treg cell formation of developing thymocytes within the human thymic medulla

[74, 91]

MiR-21 and miR-29b inhibit DNMT1 expression in T cells

Milk miR-21 and miR-29b may promote stable expression of demethylated FoxP3 and thus lineage commitment of thymic Treg cells

[105, 106]

Abbreviations

CD63: 

Melanoma-associated antigen MLA1

CD73: 

Ecto-5-nucleotide enzyme

CD81: 

Target of antiproliferative antibody (TAPA1)

DC: 

Dentritic cell

Der p1: 

Dermatophagoides pteronyssinus

DNMT: 

DNA methyltransferase

FcϵRI: 

IgE high affinity receptor

FCER1A: 

Fc fragment of IgE, high affinity I, receptor for, alpha subunit

FoxP3: 

Forkhead box P3 (scurfin)

5-hmc: 

5-Hydroxymethylcytosine (5-hmC)

IDAX: 

Inhibitor of DVL/axin complex (CXXC4)

Ig: 

Immunoglobulin

IgE: 

Immunoglobulin E

IGHE: 

Immunoglobulin heavy epsilon chain

IL: 

Interleukin

IPEX: 

Immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome

LC: 

Langerhans cell

LDLRAP1: 

Low density lipoprotein receptor adaptor protein 1

LPS: 

Lipopolysaccharide

MFG-8: 

Milk fat globulin-8

5mC: 

5-Methylcytosine

miR: 

Micro ribonucleic acid

NIC: 

Notch intracellular domain

PBMC: 

Peripheral blood mononuclear cell

SHIP1: 

Src homology-2 domain-containing inositol 5-phosphatase 1

SMAD: 

Mothers against decapentaplegic

SOCS1: 

Suppressor of cytokine signaling 1

STAT: 

Signal transducer and activator of transcription

TCR: 

T cell receptor

TET: 

Ten-eleven-translocation

TGF: 

Transforming growth factor

TLR: 

Toll-like receptor

Treg: 

Regulatory T cell

TSDR: 

Treg-specific demethylated region

TSG101: 

Tumor susceptibility gene 101

TSLP: 

Thymic stromal lymphopoietin

WAS: 

Wiskott-Aldrich syndrome

WASP: 

WAS protein.

Declarations

Authors’ Affiliations

(1)
Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück
(2)
Institute for Clinical Chemistry and Laboratory Medicine, University Hospital Regensburg, University of Regensburg

References

  1. Von Mutius E, Vercelli D: Farm living: effects on childhood asthma and allergy. Nat Rev Immunol. 2010, 10: 861-868.PubMedGoogle Scholar
  2. Perkin MR, Strachan DP: Which aspects of the farming lifestyle explain the inverse association with childhood allergy?. J Allergy Clin Immunol. 2006, 117: 1374-1381.PubMedGoogle Scholar
  3. Loss G, Apprich S, Waser M, Kneifel W, Genuneit J, Büchele G: The protective effect of farm milk consumption on childhood asthma and atopy: the GABRIELA study. J Allergy Clin Immmunol. 2011, 128: 766-773.Google Scholar
  4. Braun-Fahrländer C, von Mutius E: Can farm milk consumption prevent allergic diseases?. Clin Exp Allergy. 2011, 41: 29-35.PubMedGoogle Scholar
  5. Illi S, Depner M, Genuneit J, Horak E, Loss G, Strunz-Lehner C: Protection from childhood asthma and allergy in Alpine farm environments – the GABRIEL Advanced Studies. J Allergy Clin Immunol. 2012, 129: 1470-1477.PubMedGoogle Scholar
  6. Loss G, Bitter S, Wohlgensinger J, Frei R, Roduit C, Genuneit J: Prenatal and early-life exposures alter expression of innate immunity genes: the PASTURE cohort study. J Allergy Clin Immunol. 2012, 130: 523-530.PubMedGoogle Scholar
  7. von Mutius E: Maternal farm exposure/ingestion of unpasteurized cow’s milk and allergic disease. Current Opin Gastroenterol. 2012, 28: 570-576.Google Scholar
  8. Wlasiuk G, Vercelli D: The farm effect, or: when, what and how a farming environment protects from asthma and allergic disease. Curr Opin Allergy Clin Immunol. 2012, 12: 461-466.PubMedGoogle Scholar
  9. Lluis A, Schaub B: Lessons from the farm environment. Curr Opin Allergy Clin Immunol. 2012, 12: 158-163.PubMedGoogle Scholar
  10. Sozanska B, Pearce N, Dudek K, Cullinan P: Consumption of unpasteurized milk and its effects on atopy and asthma in children and adult inhabitants in rural Poland. Allergy. 2013, 68: 644-650.PubMedGoogle Scholar
  11. Lluis A, Depner M, Gaugler B, Saas P, Casaca VI, Raedler D: Increased regulatory T-cell numbers are associated with farm milk exposure and lower atopic sensitization and asthma in childhood. J Allergy Clin Immunol. 2013, August 28 [Epub ahead of print]Google Scholar
  12. Palomares O, Yaman G, Azkur A, Akkoc T, Akdis M, Akdis CA: Role of Treg in immune regulation of allergic diseases. Eur J Immunol. 2010, 40: 1232-1240.PubMedGoogle Scholar
  13. Ostroukhova M, Ray A: CD25+ T cells and regulation of allergen-induced responses. Curr Allergy Asthma Rep. 2005, 5: 35-41.PubMedGoogle Scholar
  14. Fujita H, Meyer N, Akdis M, Akdis CA: Mechanisms of immune tolerance to allergens. Chem Immunol Allergy. 2012, 96: 30-38.PubMedGoogle Scholar
  15. Kawayama T, Matsunaga K, Kaku Y, Yamaguchi K, Kinoshita T, O’Byrne PM: Decreased CTLA4(+) and FoxP3(+)CD25(high)CD4(+) cells in induced sputum from patients with mild atopic asthma. Allergol Int. 2013, 62: 203-213.PubMedGoogle Scholar
  16. Stelmaszczyk-Emmel A, Zawadzka-Krajewska A, Szypowska A, Kulus M, Demkow U: Frequency and activation of CD4 + CD25 FoxP3+ regulatory T cells in peripheral blood from children with atopic allergy. Int Arch Allergy Immunol. 2013, 162: 16-24.PubMedGoogle Scholar
  17. Hinz D, Simon JC, Maier-Simon C, Milkova L, Röder S, Sack U: Reduced maternal regulatory T cell numbers and increased T helper type 2 cytokine production are associated with elevated levels of immunoglobulin E in cord blood. Clin Exp Allergy. 2010, 40: 419-426.PubMedGoogle Scholar
  18. Brunkow ME, Jeffery EW, Hjerrild KA, Paeper B, Clark LB, Yasayko SA: Disruption of a new forkhead/winged-helix protein, scurfin, results in the fatal lymphoproliferative disorder of the scurfy mouse. Nat Genet. 2001, 27: 68-73.PubMedGoogle Scholar
  19. Barzaghi F, Passerini L, Bacchetta R: Immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome: a paradigm of immunodeficiency with autoimmunity. Front Immunol. 2012, 3: 211-PubMed CentralPubMedGoogle Scholar
  20. Humblet-Baron S, Sather B, Anover S, Becker-Herman S, Kasprowicz DJ, Khim S: Wiskott-Aldrich syndrome protein is required for regulatory T cell homeostasis. J Clin Invest. 2007, 117: 407-418.PubMed CentralPubMedGoogle Scholar
  21. Marangoni F, Trifari S, Scaramuzza S, Panaroni C, Martino S, Notarangelo LD: WASP regulates suppressor activity of human and murine CD4(+)CD25(+)FoxP3(+) natural regulator T cells. J Exp Med. 2007, 204: 369-380.PubMed CentralPubMedGoogle Scholar
  22. Maillard MH, Cotta-de-Almeida V, Takeshima F, Nguyen DD, Michetti P, Nagler C: The Wiskott-Aldrich syndrome protein is required for the function of CD4(+)CD25(+)FoxP3(+) regulatory T cells. J Exp Med. 2007, 204: 381-391.PubMed CentralPubMedGoogle Scholar
  23. Kanjarawi R, Dy M, Bardel E, Sparwasser T, Dubois B, Mecheri S: Regulatory CD4 + FoxP3+ T cells control the severity of anaphylaxis. PLoS One. 2013, 8: e69183-PubMed CentralPubMedGoogle Scholar
  24. Leech MD, Benson RA, De Vries A, Fitch PM, Howie SE: Resolution of Der p1-induced allergic airway inflammation is dependent on CD4 + CD25 + FoxP3+ regulatory cells. J Immunol. 2007, 179: 7050-7058.PubMedGoogle Scholar
  25. Akdis CA, Akdis M: Mechanisms and treatment of allergic disease in the big picture of regulatory T cells. J Allergy Clin Immunol. 2009, 123: 735-746.PubMedGoogle Scholar
  26. Sakaguchi S, Miyara M, Costantino CM, Hafler DA: FOXP3+ regulatory T cells in the human immune system. Nat Rev Immunol. 2010, 10: 490-500.PubMedGoogle Scholar
  27. Paik Y, Dahl M, Fang D, Calhoun K: Update: the role of FoxO3 in allergic disease. Curr Opin Otolaryngol Head Neck Surg. 2008, 16: 275-279.PubMedGoogle Scholar
  28. Hsieh CS, Lee HM, Lio WC: Selection of regulatory T cells in the thymus. Nat Rev Immunol. 2012, 12: 157-167.PubMedGoogle Scholar
  29. Fontenot JD, Rasmussen JP, Williams LM, Dooley JL, Farr AG, Rudensky AY: Regulatory T cell lineage specification by the forkhead transcription factor foxp3. Immunity. 2005, 22: 329-341.PubMedGoogle Scholar
  30. Buckner JH, Ziegler SF: Functional analysis of FOXP3. Ann N Y Acad Sci. 2008, 1143: 151-169.PubMedGoogle Scholar
  31. Hori S, Nomura T, Sakaguchi S: Control of regulatory T cell development by the transcription factor Foxp3. Science. 2003, 299: 1057-1061.PubMedGoogle Scholar
  32. Yagi H, Nomura T, Nakamura K, Yamazaki S, Kitawaki T, Hori S: Crucial role of FOXP3 in the development and function of human CD25 + CD4+ regulatory T cells. Int Immunol. 2004, 16: 1643-1656.PubMedGoogle Scholar
  33. Ziegler SF: FOXP3: of mice and men. Annu Rev Immunol. 2006, 24: 209-226.PubMedGoogle Scholar
  34. Lee HM, Bautista JL, Hsieh CS: Thymic and peripheral differentiation of regulatory T cells. Adv Immunol. 2011, 112: 25-71.PubMedGoogle Scholar
  35. Bilate AM, Lafaille JJ: Induced CD4 + Foxp3+ regulatory T cells in immune tolerance. Annu Rev Immunol. 2012, 30: 733-758.PubMedGoogle Scholar
  36. Baecher-Allan C, Viglietta V, Hafler DA: Human CD4 + CD25+ regulatory T cells. Semin Immunol. 2004, 16: 89-98.PubMedGoogle Scholar
  37. Hori S, Sakaguchi S: Foxp3: a critical regulator of the development and function of regulatory T cells. Microbes Infect. 2004, 6: 745-751.PubMedGoogle Scholar
  38. Zhang L, Zhao Y: The regulation of Foxp3 expression in regulatory CD4(+)CD25(+)Tcells: multiple pathways on the road. J Cell Physiol. 2007, 211: 590-597.PubMedGoogle Scholar
  39. Campbell DJ, Ziegler SF: FOXP3 modifies the phenotypic and functional properties of regulatory T cells. Nat Rev Immunol. 2007, 7: 305-310.PubMedGoogle Scholar
  40. Marson A, Kretschmer K, Frampton GM, Jacobsen ES, Polansky JK, MacIsaac KD: Foxp3 occupancy and regulation of key target genes during T-cell stimulation. Nature. 2007, 445: 931-935.PubMed CentralPubMedGoogle Scholar
  41. Fontenot JD, Dooley JL, Farr AG, Rudensky AY: Developmental regulation of Foxp3 expression during ontogeny. J Exp Med. 2005, 202: 901-906.PubMed CentralPubMedGoogle Scholar
  42. Watanabe N, Wang YH, Lee HK, Ito T, Wang YH, Cao W: Hassall’s corpuscles instruct dendritic cells to induce CD4 + CD25+ regulatory T cells in human thymus. Nature. 2005, 436: 1181-1185.PubMedGoogle Scholar
  43. Jiang Q, Su H, Knudsen G, Helms W, Su L: Delayed functional maturation of natural regulatory T cells in the medulla of postnatal thymus: role of TSLP. BMC Immunol. 2006, 7: 6-PubMed CentralPubMedGoogle Scholar
  44. Fontenot JD, Gavin MA, Rudensky AY: FoxP3 programs the development and function of CD4 + CD25+ regulatory T cells. Nat Immunol. 2003, 4: 330-336.PubMedGoogle Scholar
  45. Del Papa B, Sportoletti P, Cecchini D, Rosati E, Balucani C, Balsdoni S: Notch1 modulates mesenchymal stem cells mediated regulatory T-cell induction. Eur J Immunol. 2013, 43: 182-187.PubMedGoogle Scholar
  46. Xiao C, Rajewsky K: MicroRNA control in the immune system: basic principles. Cell. 2009, 136: 26-36.PubMedGoogle Scholar
  47. Kohlhaas S, Garden OA, Scudamore C, Turner M, Okkenhaug K, Vigorito E: Cutting edge: the FoxP3 target miR-155 contributes to the development of regulatory T cells. J Immunol. 2009, 182: 2578-2582.PubMedGoogle Scholar
  48. Josefowicz SZ, Lu LF, Rudensky AY: Regulatory T cells: menchanisms of differentiation and function. Annu Rev Immunol. 2012, 30: 531-564.PubMedGoogle Scholar
  49. Povoleri GA, Scotta C, Nova-Lamperti EA, John S, Lombardi G, Afzali B: Thymic versus induced regulatory T cells – who regulates the regulators?. Front Immunol. 2013, 4: 169-PubMed CentralPubMedGoogle Scholar
  50. Cobb BS, Hertweck A, Smith J, O’Connor E, Graf D, Cook T: A role for Dicer in immune regulation. J Exp Med. 2006, 203: 2519-2527.PubMed CentralPubMedGoogle Scholar
  51. Zheng Y, Josefowicz SZ, Kas A, Chu TT, Gavin MA, Rudensky AY: Genome-wide analysis of FoxP3 target genes in developing and mature regulatory T cells. Nature. 2007, 445: 936-940.PubMedGoogle Scholar
  52. Lio CW, Hsieh CS: A two-step process for thymic regulatory T cell development. Immunity. 2008, 28: 100-111.PubMed CentralPubMedGoogle Scholar
  53. Burchill MA, Yang J, Vang KB, Moon JJ, Chu HH, Lio CW: Linked T cell receptor and cytokine signaling govern the development of the regulatory T cell repertoire. Immunity. 2008, 28: 112-121.PubMed CentralPubMedGoogle Scholar
  54. Vang KB, Yang J, Mahmud SA, Burchill MA, Vegoe AL, Farrar MA: IL-2, -7, and -15 but not stromal lymphopoetin, redundantly govern CD4 + FoxP3+ regulatory T cell development. J Immunol. 2008, 181: 3285-3290.PubMed CentralPubMedGoogle Scholar
  55. Lu LF, Thai TH, Calado D, Chaudhry A, Kubo M, Tanaka K: Foxp3-dependent microRNA155 confers competitive fitness to regulatory T cells by targeting SOCS1 protein. Immunity. 2009, 30: 80-91.PubMed CentralPubMedGoogle Scholar
  56. Lu LF, Boldin MP, Chaudhry A, Lin LL, Taganov KD, Hanada T: Function of miR-146a in controlling Treg cell-mediated regulation of Th1 responses. Cell. 2010, 142: 914-929.PubMed CentralPubMedGoogle Scholar
  57. Rouas R, Fayyad-Kazan H, El Zein N, Lewalle P, Rothé F, Simion A: Human natural Treg microRNA signature: role of microRNA-31 and microRNA-21 in FOXP3 expression. Eur J Immunol. 2009, 39: 1608-1618.PubMedGoogle Scholar
  58. Liston A, Lu LF, O’Carroll D, Tarakhovsky A, Rudensky AY: Dicer-dependent microRNA pathway safeguards regulatory T cell function. J Exp Med. 2008, 205: 1993-2004.PubMed CentralPubMedGoogle Scholar
  59. Zhou X, Jeker LT, Fife BT, Thu S, Anderson MS, McManus MT: Selective miRNA disruption in T reg cells leads to uncontrolled autoimmunity. J Exp Med. 2008, 205: 1983-1991.PubMed CentralPubMedGoogle Scholar
  60. Yao R, Ma YL, Liang W, Li HH, Ma ZJ, Yu X: MicroRNA-155 modulates Treg and Th17 cells differentiation and Th17 cell function by targeting SOCS1. PloS One. 2012, 7: e46082-PubMed CentralPubMedGoogle Scholar
  61. Zhu J, Yamane H, Cote-Sierra J, Guo L, Paul WE: GATA-3 promotes Th2 responses through three different mechanisms: induction of Th2 cytokine production, selective growth of Th2 cells and inhibition of Th1 cell-specific factors. Cell Res. 2006, 16: 3-10.PubMedGoogle Scholar
  62. Rodriguez A, Vigorito E, Clare S, Warren MV, Couttet P, Soond DR: Requirement of bic/microRNA-155 for normal immune function. Science. 2007, 316: 608-611.PubMed CentralPubMedGoogle Scholar
  63. Thai TH, Calado DP, Casola S, Ansel KM, Xiao C, Xue Y: Regulation of the germinal center response by microRNA-155. Science. 2007, 316: 604-608.PubMedGoogle Scholar
  64. Valadi H, Ekstöm K, Bossios A, Sjöstrand M, Lee JJ, Lötvall JO: Exosome-mediated transfer of mRNA and microRNAs is novel mechanism of genetic exchange between cells. Nat Cell Biol. 2007, 9: 654-659.PubMedGoogle Scholar
  65. Liang H, Huang L, Cao J, Zen K, Chen X, Zhang CY: Regulation of mammalian gene expression by exogeneous microRNAs. Wiley Interdiscip Rev RNA. 2012, 3: 733-742.PubMedGoogle Scholar
  66. Chen X, Liang H, Zhang J, Zen K, Thang CY: Secreted microRNAs: a new form of intercellular communication. Trends Cell Biol. 2012, 22: 125-132.PubMedGoogle Scholar
  67. Ludwig AK, Giebel B: Exosomes: small vesicles participating in intercellular communication. Int J Biochem Cell Biol. 2012, 44: 11-15.PubMedGoogle Scholar
  68. Ambros V: The functions of animal microRNAs. Nature. 2004, 431: 350-355.PubMedGoogle Scholar
  69. Chen X, Liang H, Zhang J, Zen K, Zhang CY: Horizontal transfer of microRNAs: molecular mechansism and clinical applications. Protein Cell. 2012, 3: 28-37.PubMedGoogle Scholar
  70. Raposo G, Nijman HW, Stoorvogel W, Liejendecker R, Harding CV, Melief CJ: B lymphocytes secrete antigen-presenting vesicles. J Exp Med. 1996, 183: 1161-1172.PubMedGoogle Scholar
  71. Mittelbrunn M, Guitiérrez-Vásquez C, Villarroya-Beltri C, González S, Sánchez-Cabo F, González MA: Unidirectional transfer of microRNA-loaded exosomes from T cells to antigen-presenting cells. Nat Commun. 2011, 2: 282-PubMed CentralPubMedGoogle Scholar
  72. Mittelbrunn M, Sanchez-Madrid F: Intercellular communication: diverse structures for exchange of genetic information. Nat Rev Mol Cell Biol. 2012, 13: 328-335.PubMed CentralPubMedGoogle Scholar
  73. Gutiérrez-Vázquez C, Villarroya-Beltri C, Mittelbrunn M, Sánchez-Madrid F: Transfer of extracellular vesicles during immune cell-cell interactions. Immunol Rev. 2013, 251: 125-142.PubMed CentralPubMedGoogle Scholar
  74. Skogberg G, Gudmundsdottir J, van der Post S, Dandström K, Bruhn S, Benson M: Characterization of human thymic exosomes. PLoS One. 2013, 8: e67554-PubMed CentralPubMedGoogle Scholar
  75. Melnik BC, John SM, Schmitz G: Milk is not just food but most likely a genetic transfection system activating mTORC1 signaling for postnatal growth. Nutr J. 2013, 12: 103-PubMed CentralPubMedGoogle Scholar
  76. Zhang L, Hou D, Chen X, Li D, Zhu L, Zhang Y: Exogenous plant MIR168a specifically targets mammalian LDLRAP1: evidence of cross-kingdom regulation by microRNA. Cell Res. 2012, 22: 107-126.PubMed CentralPubMedGoogle Scholar
  77. Dickinson B, Zhang Y, Petrick JS, Heck G, Ivashuta S, Marshall WS: Lack of detectable oral bioavailability of plant microRNAs after feeding in mice. Nat Biotechnol. 2013, 31: 965-967.PubMedGoogle Scholar
  78. Weber JA, Baxter DH, Zhang S, Huang DY, Huang KH, Lee MJ: The microRNA spectrum in 12 body fluids. Clin Chem. 2010, 56: 1733-1741.PubMedGoogle Scholar
  79. Hata T, Murakami K, Nakatani H, Yamamoto Y, Matsuda T, Aoki N: Isolation of bovine milk-derived microvesicles carrying mRNAs and microRNAs. Biochem Biophys Res Commun. 2010, 396: 528-533.PubMedGoogle Scholar
  80. Chen X, Gao C, Li H, Huang L, Sun Q, Dong Y: Identification and characterization of microRNAs in raw milk during different periods of lactation, commercial fluid, and powdered milk products. Cell Res. 2010, 20: 1128-1137.PubMedGoogle Scholar
  81. Izumi H, Kosaka N, Shimizu T, Sekine K, Ochiya T, Takase M: Bovine milk contains microRNA and messenger RNA that are stable under degradative conditions. J Dairy Sci. 2012, 95: 4831-4841.PubMedGoogle Scholar
  82. Admyre C, Johansson SM, Qazi KR, Filén JJ, Lahesmaa R, Norman M: Exosomes with immune modulatory features are present in human breast milk. J Immunol. 2007, 179: 1969-1978.PubMedGoogle Scholar
  83. Reinhardt TA, Lippolis JD, Nonnecke BJ, Sacco RE: Bovine milk exosome proteome. J Proteomics. 2012, 75: 1486-1492.PubMedGoogle Scholar
  84. Izumi H, Kosaka N, Shimizu T, Sekine K, Ochiya T, Takase M: Purification of RNA from milk whey. Methods Mol Biol. 2013, 1024: 191-201.PubMedGoogle Scholar
  85. Sun Q, Chen X, Yu J, Zen K, Zhang CY, Li L: Immune modulatory function of abundant immune-related microRNAs in microvesicles from bovine colostrum. Protein Cell. 2013, 4: 197-210.PubMedGoogle Scholar
  86. Kosaka N, Izumi H, Sekine K, Ochiya T: microRNA as a new immune-regulatory agent in breast milk. Silence. 2010, 1: 7-PubMed CentralPubMedGoogle Scholar
  87. Zhou Q, Li M, Wang X, Li Q, Wang T, Zhu Q: Immune-related microRNAs are abundant in breast milk exosomes. Int J Biol Sci. 2012, 8: 118-123.PubMed CentralPubMedGoogle Scholar
  88. van Niel G, Raposo G, Candalh C, Boussac M, Hershberg R, Cerf-Benussan N: Intestinal epithelial cells secrete exosome-like vesicles. Gastroenterology. 2001, 121: 337-349.PubMedGoogle Scholar
  89. Caby MP, Lankar D, Vincendeau-Scherrer C, Raposo G, Bonnerot C: Exosomal-like vesicles are present in human blood plasma. Int Immunol. 2005, 17: 879-887.PubMedGoogle Scholar
  90. Corrado C, Raimondo S, Chiesi A, Ciccia F, De Leo G, Alessandro R: Exosomes as intercellular signaling organelles involved in health and disease: basic science and clinical applications. Int J Mol Sci. 2013, 14: 5338-5366.PubMed CentralPubMedGoogle Scholar
  91. Wang GJ, Liu Y, Qin A, Shah SV, Deng ZB, Xiang X: Thymus exosomes-like particles induce regulatory T cells. J Immunol. 2008, 181: 5242-5248.PubMed CentralPubMedGoogle Scholar
  92. Lässer C, Alikhani VS, Ekström K, Eldh M, Pareds PT, Bossios A: Human saliva, plasma and breast milk exosomes contain RNA: uptake by macrophages. J Transl Med. 2011, 9: 9-PubMed CentralPubMedGoogle Scholar
  93. Boismenu R, Rhein M, Fischer WH, Havran WL: A role for CD81 in early T cell development. Science. 1996, 271: 198-200.PubMedGoogle Scholar
  94. Hulsmans M, Holvoet P: MicroRNA-containing microvesicles regulating inflammation in association with atherosclerotic disease. Cardiovasc Res. 2013, 100: 7-18.PubMedGoogle Scholar
  95. Olivieri F, Spazzafumo L, Santini GLazzarini R, Albertini MC, Rippo MR: Age-related differences in the expression of circulating microRNAs: miR-21 a new circulating marker of inflammaging. Mech Ageing Dev. 2012, 133: 675-685.PubMedGoogle Scholar
  96. Tam W: Identification and characterization of human BIC, a gene on chromosome 21 that encodes a noncoding RNA. Gene. 2001, 274: 157-167.PubMedGoogle Scholar
  97. Toker A, Engelbert D, Garg G, Polansky JK, Floess S, Miyao T: Active demethylation of the Foxp3 locus leads to the generation of stable regulatory T cells within the thymus. J Immunol. 2013, 190: 3180-3188.PubMedGoogle Scholar
  98. Polansky JK, Schreiber L, Thelemann C, Ludwig L, Krüger M, Baumgrass R: Methylation matters: binding of Ets-1 to the demethylated Foxp3 gene contributes to the stabilization of FoxP3 expression in regulatory T cells. J Mol Med (Berl). 2010, 88: 1029-1040.Google Scholar
  99. Hinz D, Bauer M, Röder S, Olek S, Huehn J, Sack U, LINA study group: Cord blood Tregs with stable FOXP3 expression are influenced by prenatal environment and associated with atopic dermatitis at the age of one year. Allergy. 2012, 67: 380-389.PubMedGoogle Scholar
  100. Koh KP, Rao A: DNA methylation and methylcytosine oxidation in cell fate decisions. Curr Opin Cell Biol. 2013, 25: 152-161.PubMed CentralPubMedGoogle Scholar
  101. Ko M, Bandukwala HS, Chavez L, Aijö T, Pastor WA, Segal MF: Modulation of TET2 expression and 5-methylcytosine oxidation by the CXXC domain protein IDAX. Nature. 2013, 497: 122-126.PubMed CentralPubMedGoogle Scholar
  102. Dunican DD, Pennings S, Meeha RR: The CXXC-TET bridge–mind the methylation gap!. Cell Res. 2013, 23: 973-974.PubMed CentralPubMedGoogle Scholar
  103. Lal G, Bromberg JS: Epigenetic mechanisms of regulation of Foxp3 expression. Blood. 2009, 114: 3727-3735.PubMed CentralPubMedGoogle Scholar
  104. Cheng J, Guo S, Chen S, Mastriano SJ, Liu C, D’Alessio AC: An extensive network of TET2-targeting microRNAs regulates malignant hematopoiesis. Cell Rep. 2013, 5: 471-481.PubMedGoogle Scholar
  105. Pan W, Zhu S, Yuan M, Cui H, Wang L, Luo X: MicroRNA-21 and microRNA-148a contribute to DNA hypomethylation in Lupus CD4+ T cells by directly and indirectly targeting DNA methyltransferase 1. J Immunol. 2010, 184: 6773-6781.PubMedGoogle Scholar
  106. Qin H, Zhu X, Liang J, Wu J, Yang Y, Wang S: MicroRNA-29b contributes to DNA hypomethylation of CD4+ T cells in systemic lupus erythematodes by indirectly targeting DNA methyltransferase 1. J Dermatol Sci. 2013, 69: 61-67.PubMedGoogle Scholar
  107. Ho IC, Hodge MR, Rooney JW, Glimcher LH: The proto-oncogene c-maf is responsible for tissue-specific expression of interleukin-4. Cell. 1996, 85: 973-983.PubMedGoogle Scholar
  108. Kim JI, Ho IC, Grusby MJ, Glimcher LH: The transcription factor c-Maf controls the production of interleukin-4 but not other Th2 cytokines. Immunity. 1999, 10: 745-751.PubMedGoogle Scholar
  109. Vigorito E, Kohlhaas S, Lu D, Leyland R: miR-155: an ancient regulator of the immune system. Immunol Rev. 2013, 253: 146-157.PubMedGoogle Scholar
  110. Corey SJ, Mehta HM, Stein PL: Two SHIPs passing in the middle of the immune system. Eur J Immunol. 2012, 42: 1681-1684.PubMedGoogle Scholar
  111. Srivastava N, Sudan R, Kerr WG: Role of inositol poly-phosphatases and their targets in T cell biology. Front Immunol. 2013, 4: 288-PubMed CentralPubMedGoogle Scholar
  112. Collazo MM, Paraiso KH, Park MY, Hazen AL, Kerr WG: Lineage extrinsic and intrinsic control of immunoregulatory cell numbers by SHIP. Eur J Immunol. 2012, 42: 1785-1795.PubMedGoogle Scholar
  113. O’Connell RM, Chaudhuri AA, Rao DS, Baltimore D: Inositol phosphatase SHIP1 is a primary target of miR-155. Proc Natl Acad Sci U S A. 2009, 106: 7113-7118.PubMed CentralPubMedGoogle Scholar
  114. Vigorioto E, Perks KL, Abreu-Goodger C, Bunting S, Xiang Z, Kohlhaas S: microRNA-155 regulates the generation of immunoglobulin class-switched plasma cells. Immunity. 2007, 27: 847-859.Google Scholar
  115. Stütz AM, Woisetschläger M: Functional synergism of STAT6 with either NF-kappaB or PU.1 to mediate IL-4-induced activation of the IgE germline gene transcription. J Immunol. 1999, 163: 4383-4391.PubMedGoogle Scholar
  116. Stütz AM, Hoeck J, Natt F, Cuenoud B, Woisetschläger M: Inhibition of interleukin-4- and CD40-induced IgE germline gene promoter activity by 2′-aminoethoxy-modified triplex-forming oligonucleotides. J Biol Chem. 2001, 276: 11759-11765.PubMedGoogle Scholar
  117. Gauchat JF, Lebman DA, Coffman RL, Gascan H, de Vries JE: Stucture and expression of germline epsilon transcripts in human B cells induced by interleukin 4 to switch to IgE production. J Exp Med. 1990, 172: 463-473.PubMedGoogle Scholar
  118. Nishiyama C: Molecular mechanism of allergy-related gene regulation and hematopoietic cell development by transcription factors. Biosci Biotechnol Biochem. 2006, 70: 1-9.PubMedGoogle Scholar
  119. Choi SY, Sohn MH, Kwon BC, Kim KE: CTLA-4 expression in T cell of patients with atopic dermatitis. Pediatr Allergy Immunol. 2005, 16: 422-427.PubMedGoogle Scholar
  120. Sonkoly E, Janson P, Majuri ML, Savinko T, Fyhrquist N, Eidsmo L: MiR-155 is overexpressed in patients with atopic dermatitis and modulates T-cell proliferative responses by targeting cytotoxic T lymphocyte-associated antigen 4. J Allergy Clin Immunol. 2010, 126: 581-589.PubMedGoogle Scholar
  121. Wing K, Onishi Y, Prieto-Martin P, Yamaguchi T, Miyara M, Fehervari Z: CTLA-4 control over Foxp3+ regulatory T cell function. Science. 2008, 322: 271-275.PubMedGoogle Scholar
  122. Prescott SL: Effects of early cigarette smoke exposure on early immune development and respiratory diseases. Paediatr Respir Rev. 2008, 9: 3-10.PubMedGoogle Scholar
  123. Lauener R, Birchler T, Adamski J, Braun-Fahrländer C, Bufe A, Herz U: Expression of CD14 and Toll-like receptor 2 in farmers and non-farmers’ children. Lancet. 2002, 360: 465-466.PubMedGoogle Scholar
  124. Ege MJ, Bieli C, Frei R, van Strien RT, Riedler J, Ublagger E: Prenatal farm exposure is related to the expression of receptors of the innate immunity and to atopic sensitization in schoo-age children. J Allergy Clin Immunol. 2006, 117: 817-823.PubMedGoogle Scholar
  125. O’Neill LA, Sheedy FJ, McCoy CE: MicroRNAs: the fine-tuners of Toll-like receptor signalling. Nat Rev Immunol. 2011, 11: 163-175.PubMedGoogle Scholar
  126. Nahid MA, Satoh M, Chan EK: MicroRNA in TLR signaling and endotoxin tolerance. Cell Mol Immunol. 2011, 8: 388-403.PubMed CentralPubMedGoogle Scholar
  127. O’Connell RM, Taganov KD, Boldin MP, Chneg G, Baltimore D: MicroRNA-155 is induced during the macrophage inflammatory response. Proc Natl Acad Sci U S A. 2007, 104: 1604-1609.PubMed CentralPubMedGoogle Scholar
  128. Tili E, Michaille JJ, Cimino A, Costinean S, Dumitru CD, Adair B: Modulation of miR-155 and miR-125b levels following lipopolysaccharide/TNF-alpha stimulation and their possible roles in regulating the response to endotoxin shock. J Immunol. 2007, 179: 5082-5089.PubMedGoogle Scholar
  129. McCoy CE, Sheedy FJ, Qualls JE, Doyle SL, Quinn SR, Murray PJ: IL-10 inhibits miR-155 induction by toll-like receptors. J Biol Chem. 2010, 285: 20492-20498.PubMed CentralPubMedGoogle Scholar
  130. Taganov KD, Boldin MP, Chang KJ, Baltimore D: NF-kappaB-dependent induction of microRNA miR-146, an inhibitor targeted to signaling proteins of innate immune responses. Proc Natl Acad Sci U S A. 2006, 103: 12481-12486.PubMed CentralPubMedGoogle Scholar
  131. Sheedy FJ, Palsson-McDermott E, Hennessy EJ, Martin C, O’Leary JJ, Ruan Q: Negative regulation of TLR4 via targeting of the proinflammatory tumor suppressor PDCD4 by the microRNA miR-21. Nat Immunol. 2010, 11: 141-147.PubMedGoogle Scholar
  132. Worm J, Stenvang J, Petri A, Frederiksen KS, Obad S, Elmén J: Silencing of microRNA-155 in mice during acute inflammatory response leads to derepression of c/ebp beta and down-regulation of G-CSF. Nucleic Acid Res. 2009, 37: 5784-5792.PubMed CentralPubMedGoogle Scholar
  133. Ceppi M, Peireira PM, Dunand-Sauthier I, Barras E, Reith W, Santos MA: MicroRNA-155 modulates the interleukin-1 signaling pathway in activated human monocyte-derived dendritic cells. Proc Natl Acad Sci U S A. 2009, 106: 2735-2740.PubMed CentralPubMedGoogle Scholar
  134. Singh PP, Smith VL, Karakousis PC, Schorey JS: Exosomes isolated from mycobacteria-infected mice or cultured macrophages can recruit and activate immune cells in vitro and in vivo. J Immunol. 2012, 189: 777-785.PubMed CentralPubMedGoogle Scholar
  135. Delorme-Axford E, Donker RB, Mouillet JF, Chu T, Bayer A, Quyang Y: Human placental trophoblasts confer viral resistance to recipient cells. Proc Natl Acad Sci U S A. 2013, 110: 12048-12053.PubMed CentralPubMedGoogle Scholar
  136. Dai Y, Diao Z, Sun H, Li R, Qiu Z, Hu Y: MicroRNA-155 is involved in the remodeling of the human-trophoblast-derived HTR-8/SVneo cells induced by lipopolysaccharides. Hum Reprod. 2011, 26: 1882-1891.PubMedGoogle Scholar
  137. Bullerdiek J, Flor I: Exosome-delivered microRNAs of “chromosome 19 microRNA cluster” as immunomodulators in pregnancy and tumorigenesis. Mol Cytogenet. 2012, 5: 27-PubMed CentralPubMedGoogle Scholar
  138. Schaub B, Liu J, Höppler S, Schleich I, Huehn J, Olek S: Maternal farm exposure modulates neonatal immune mechansims through regulatory T cells. J Allergy Clin Immunol. 2009, 123: 774-782.PubMedGoogle Scholar
  139. Nakagawa R, Naka T, Tsutsui H, Fujimotot M, Kimura A, Abe T: SOCS-1 participates in negative regulation of LPS responses. Immunity. 2002, 17: 677-687.PubMedGoogle Scholar
  140. Kinjyo I, Hanada T, Inagaki-Ohara K, Mori H, Aki D, Ohishi M: SOCS1/JAB is a negative regulator of LPS-induced macrophage activation. Immunity. 2002, 17: 583-591.PubMedGoogle Scholar
  141. Munch EM, Harris AA, Mohammad M, Benham AL, Pejerrey SM, Showalter L: Transcriptome profiling of microRNA by next-gen deep sequencing reveals known and novel species in the lipid fraction of human breast milk. PLoS One. 2013, 8: e50564-PubMed CentralPubMedGoogle Scholar
  142. Ip S, Chung M, Raman G, Chew P, Magula N, De Vine D: Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep). 2007, 153: 1-186.Google Scholar
  143. Diepgen TL, Blettner M: Analysis of familial aggregation of atopic eczema and other diseases by odds ratio regression models. J Invest Dermatol. 1996, 106: 977-981.PubMedGoogle Scholar
  144. Dold S, Wjst M, von Mutius E, Reitmeir P, Stiepel E: Genetic risk for asthma, allergic rhinitis, and atopic dermatitis. Arch Dis Child. 1992, 67: 1018-1022.PubMed CentralPubMedGoogle Scholar
  145. Ruiz RG, Kemeny DM, Price JF: Higher risk of infantile atopic dermatitis from maternal atopy than from paternal atopy. Clin Exp Allergy. 1992, 22: 762-766.PubMedGoogle Scholar
  146. Greer FR, Sicherer SH, Burks W, American Academy of Pediatrics Committee on Nutrition and Section on Allergy and Immunology: Effects of early nutritional interventions on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas. Pediatrics. 2008, 121: 183-191.PubMedGoogle Scholar
  147. Lee SY, Kang MJ, Kwon JW, Parks KS, Hong SJ: Breast feeding might have protective effects on atopy in children with the CD14C-159CT/CC genotype. Allergy Asthma Immunol Res. 2013, 5: 239-241.PubMed CentralPubMedGoogle Scholar
  148. Simpson RJ, Lim JW, Moritz RL, Mathivanan S: Exosomes: proteomic insights and diagnostic potential. Expert Rev Proteomics. 2009, 6: 267-283.PubMedGoogle Scholar
  149. Choi DS, Kim DK, Kim YK, Gho YS: Proteomics, transcriptomics and lipidomics of exosomes and ectosomes. Proteomics. 2013, 13: 1554-1571.PubMedGoogle Scholar
  150. Kosaka N, Yoshioka Y, Hagiwara K, Tominaga N, Katsuda T, Ochiya T: Trash or treasure: extracellular microRNAs and cell-to-cell communication. Front Genet. 2013, 4: 173-PubMed CentralPubMedGoogle Scholar
  151. Smyth LM, Ratnasothy K, Tsang JY, Boardman D, Warley A, Lechler R: CD73 expression on extracellular vesicles derived from CD4 + CD25 + FoxP3+ T cells contributes to their regulatory function. Eur J Immunol. 2013, 43: 2430-2440.PubMedGoogle Scholar

Copyright

© Melnik et al.; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Advertisement