Epithelial TNF Receptor Signaling Promotes Mucosal Repair in Inflammatory Bowel Disease.

Epithelial TNF Receptor Signaling Promotes Mucosal Repair in Inflammatory Bowel Disease.
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上皮TNF受体信号传导促进炎症性肠病的粘膜修复。

DOI:
10.4049/jimmunol.1601066
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发表时间:
2017-09-01
期刊:
Journal of immunology (Baltimore, Md. : 1950)
影响因子:
--
通讯作者:
Barrett TA
Barrett TA
中科院分区:
其他
文献类型:
--
作者:
Bradford EM;Ryu SH;Singh AP;Lee G;Goretsky T;Sinh P;Williams DB;Cloud AL;Gounaris E;Patel V;Lamping OF;Lynch EB;Moyer MP;De Plaen IG;Shealy DJ;Yang GY;Barrett TA

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嵌合抗 TNF 单克隆抗体对克罗恩病 (CD) 患者产生的显着治疗反应证明了 TNF 在炎症性肠病 (IBD) 中发挥着不可或缺的作用。然而,用依那西普(一种结合可溶性 TNF 的诱饵受体)治疗 CD 患者并不能改善疾病。为了探讨这种差异,我们在 CD 患者、人类细胞和临床前小鼠模型中探讨了 TNF 信号传导对 Wnt/β-连环蛋白介导的肠干细胞和祖细胞 (ISC/PC) 扩增的作用。我们假设 TNF 对肠上皮细胞 (IEC) 对损伤的反应发挥有益作用。在 CD 患者中,ISC/PC Wnt/β-连环蛋白信号传导与炎症状态相关。当用抗 CD3 mAb 刺激时,TNF 缺陷 (Tnf−/−) 小鼠表现出细胞凋亡增加、IEC 增殖减少和 Wnt 信号传导减少。骨髓嵌合体 (BMC) 小鼠揭示粘膜修复依赖于 BM 衍生细胞产生的 TNF 和抗辐射 IEC 表达的 TNFR。给予慢性 DSS 结肠炎的 WT-> Tnfr1/2−/− BMC 小鼠表现出溃疡愈合延迟、粘膜炎症增加和 Wnt/β-连环蛋白信号传导受损,这与上皮 TNFR 信号传导参与粘膜愈合的假设一致。通过对小鼠小肠和类结肠培养物中 TNF 诱导的 Wnt/β-连环蛋白靶基因表达以及在未转化的人 NCM460 细胞 (TOPFlash) 和小鼠 (TOP-GAL) 中 TNF 诱导的 β-连环蛋白激活的研究,证明了 TNF 对干细胞的直接影响。这些数据共同支持了以下假设:TNF 在 IBD 溃疡愈合过程中增强 Wnt/β-连环蛋白信号传导方面发挥有益作用。这些新发现将为临床医生和治疗化学家在努力为 IBD 患者开发新疗法时提供信息。
TNF plays an integral role in inflammatory bowel disease (IBD) as evidenced by the dramatic therapeutic responses in Crohn’s disease (CD) patients induced by chimeric anti-TNF mAbs. However, treatment of CD patients with etanercept, a decoy receptor that binds soluble TNF, fails to improve disease. To explore this discrepancy, we interrogated the role of TNF signaling on Wnt/β-catenin-mediated intestinal stem and progenitor cell (ISC/PC) expansion in CD patients, human cells, and preclinical mouse models. We hypothesized that TNF exerts beneficial effects on intestinal epithelial cell (IEC) responses to injury. In CD patients, ISC/PC Wnt/β-catenin signaling correlates with inflammation status. TNF-deficient (Tnf−/−) mice exhibited increased apoptosis, less IEC proliferation, and less Wnt signaling when stimulated with anti-CD3 mAb. Bone marrow chimera (BMC) mice revealed that mucosal repair depended on TNF production by BM-derived cells and TNFR expression by radioresistant IEC. WT-> Tnfr1/2−/− BMC mice given chronic DSS colitis exhibited delayed ulcer healing, more mucosal inflammation, and impaired Wnt/β-catenin signaling, consistent with the hypothesis that epithelial TNFR signaling participates in mucosal healing. The direct effect of TNF on stem cells was demonstrated by studies of TNF-induced Wnt/β-catenin target gene expression in murine enteroids and colonoid cultures and TNF-induced β-catenin activation in non-transformed human NCM460 cells (TOPFlash) and mice (TOP-GAL). Together these data support the hypothesis that TNF plays a beneficial role in enhancing Wnt/β-catenin signaling during ulcer healing in IBD. These novel findings will inform clinicians and therapeutic chemists alike as they strive to develop novel therapies for IBD patients.
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