LRH-1 mitigates intestinal inflammatory disease by maintaining epithelial homeostasis and cell survival.

LRH-1 mitigates intestinal inflammatory disease by maintaining epithelial homeostasis and cell survival.
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DOI:
10.1038/s41467-018-06137-w
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发表时间:
2018-10-10
影响因子:
16.6
通讯作者:
Ingraham HA
Ingraham HA
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Bayrer JR;Wang H;Nattiv R;Suzawa M;Escusa HS;Fletterick RJ;Klein OD;Moore DD;Ingraham HA

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上皮功能障碍和隐窝破坏是炎症性肠病(IBD)的定义特征。然而,目前缺乏靶向上皮功能障碍的IBD疗法。核受体LRH-1(NR 5A 2)在肠上皮中表达,并被认为有助于上皮更新。在这里,我们表明LRH-1维持肠上皮健康,并防止炎症损伤。敲除小鼠肠类器官中的LRH-1减少Notch信号传导,增加隐窝细胞死亡,扭曲上皮的细胞组成,并削弱上皮屏障。人LRH-1(hLRH-1)拯救上皮完整性,并且当过表达时,减轻鼠和人肠道类器官(包括源自IBD患者的那些)中的炎性损伤。最后,hLRH-1大大降低了T细胞介导的小鼠结肠炎的疾病严重程度。结合配体缺陷型hLRH-1突变体对TNFα损伤的保护作用的失败,这些发现提供了令人信服的证据,表明hLRH-1介导上皮稳态,是肠道疾病的一个有吸引力的靶点。炎症性肠病的特征在于上皮功能障碍。在这里,作者表明,核受体LRH-1的丢失通过改变小鼠肠道类器官中的Notch信号传导导致上皮破坏,并且LRH-1过表达改善了小鼠模型中的免疫介导的结肠炎。
Epithelial dysfunction and crypt destruction are defining features of inflammatory bowel disease (IBD). However, current IBD therapies targeting epithelial dysfunction are lacking. The nuclear receptor LRH-1 (NR5A2) is expressed in intestinal epithelium and thought to contribute to epithelial renewal. Here we show that LRH-1 maintains intestinal epithelial health and protects against inflammatory damage. Knocking out LRH-1 in murine intestinal organoids reduces Notch signaling, increases crypt cell death, distorts the cellular composition of the epithelium, and weakens the epithelial barrier. Human LRH-1 (hLRH-1) rescues epithelial integrity and when overexpressed, mitigates inflammatory damage in murine and human intestinal organoids, including those derived from IBD patients. Finally, hLRH-1 greatly reduces disease severity in T-cell-mediated murine colitis. Together with the failure of a ligand-incompetent hLRH-1 mutant to protect against TNFα-damage, these findings provide compelling evidence that hLRH-1 mediates epithelial homeostasis and is an attractive target for intestinal disease. Inflammatory bowel disease is characterised by epithelial dysfunction. Here the authors show that loss of the nuclear receptor LRH-1 leads to epithelial disruption by altering Notch signaling in mouse intestinal organoids, and that LRH-1 overexpression ameliorates immune-mediated colitis in a mouse model.
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