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The Journal of Clinical Investigation
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The Journal of Clinical Investigation
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Microbial signals, MyD88, and lymphotoxin drive TNF-independent intestinal epithelial tissue damage

Authors: Iulia Rusu; Elvira Mennillo; Jared L. Bain; Zhongmei Li; Xiaofei Sun; Kimberly M. Ly; Yenny Y. Rosli; +13 Authors

Microbial signals, MyD88, and lymphotoxin drive TNF-independent intestinal epithelial tissue damage

Abstract

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.

Country
United States
Keywords

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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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    15
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
15
Top 10%
Average
Top 10%
Green
gold