Microbial signals, MyD88, and lymphotoxin drive TNF-independent intestinal epithelial tissue damage
Microbial signals, MyD88, and lymphotoxin drive TNF-independent intestinal epithelial tissue damage
Anti-TNF antibodies are effective for treating patients with inflammatory bowel disease (IBD), but many patients fail to respond to anti-TNF therapy, highlighting the importance of TNF-independent disease. We previously demonstrated that acute deletion of 2 IBD susceptibility genes, A20 (Tnfaip3) and Abin-1 (Tnip1), in intestinal epithelial cells (IECs) sensitized mice to both TNF-dependent and TNF-independent death. Here we show that TNF-independent IEC death after A20 and Abin-1 deletion was rescued by germ-free derivation or deletion of MyD88, while deletion of Trif provided only partial protection. Combined deletion of Ripk3 and Casp8, which inhibits both apoptotic and necroptotic death, completely protected against death after acute deletion of A20 and Abin-1 in IECs. A20- and Abin-1-deficient IECs were sensitized to TNF-independent, TNFR1-mediated death in response to lymphotoxin α (LTα) homotrimers. Blockade of LTα in vivo reduced weight loss and improved survival when combined with partial deletion of MyD88. Biopsies of inflamed colon mucosa from patients with IBD exhibited increased LTA and IL1B expression, including a subset of patients with active colitis on anti-TNF therapy. These data show that microbial signals, MyD88, and LTα all contribute to TNF-independent intestinal injury.
- Innovative Genomics Institute United States
- Polish Academy of Sciences Poland
- University of California System United States
- Gladstone Institutes United States
- University of California, Berkeley United States
570, Immunology, 610, Crohn's Disease, Apoptosis, Mouse models, Autoimmune Disease, Medical and Health Sciences, Oral and gastrointestinal, Inflammatory bowel disease, Epithelium, Mice, 2.1 Biological and endogenous factors, Animals, Humans, Aetiology, Intestinal Mucosa, Lymphotoxin-alpha, Adaptor Proteins, Signal Transducing, Inflammatory Bowel Disease, Signal Transducing, Gastroenterology, R, Adaptor Proteins, Epithelial Cells, Inflammatory Bowel Diseases, Apoptosis survival pathways, Myeloid Differentiation Factor 88, Medicine, Tumor Necrosis Factor Inhibitors, Digestive Diseases, Research Article
570, Immunology, 610, Crohn's Disease, Apoptosis, Mouse models, Autoimmune Disease, Medical and Health Sciences, Oral and gastrointestinal, Inflammatory bowel disease, Epithelium, Mice, 2.1 Biological and endogenous factors, Animals, Humans, Aetiology, Intestinal Mucosa, Lymphotoxin-alpha, Adaptor Proteins, Signal Transducing, Inflammatory Bowel Disease, Signal Transducing, Gastroenterology, R, Adaptor Proteins, Epithelial Cells, Inflammatory Bowel Diseases, Apoptosis survival pathways, Myeloid Differentiation Factor 88, Medicine, Tumor Necrosis Factor Inhibitors, Digestive Diseases, Research Article
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