De Santis S, Kunde D, Galleggiante V, Liso M, Scandiffio L, Serino G, Pinto A, Campiglia P, Sorrentino R, Cavalcanti E, Santino A, Caruso M L, Eri R, Chieppa M
National Institute of Gastroenterology 'S. de Bellis', Research Hospital, Castellana Grotte, Bari 70013, Italy.
Institute of Sciences of Food Production C.N.R., Unit of Lecce, via Monteroni, Lecce 73100, Italy.
Cell Death Dis. 2017 Aug 10;8(8):e2993. doi: 10.1038/cddis.2017.397.
Inflammatory bowel disease (Crohn's disease (CD) and ulcerative colitis (UC)) is a multifactorial disease resulting from immune dysregulation in the gut. The underlying colitis is characterized by high levels of inflammatory cytokines, including TNFα. Biological intervention for IBD patients using anti-TNFα antibodies is often an effective therapeutic solution. However, TNFα neutralization fails to induce remission in a subgroup of IBD patients, primarily in UC patients. There is a dearth of suitable animal models representing TNFα non-responders. Here we have combined one of the best UC models currently available, namely Winnie and the TNFαKO mouse to generate a TNFα-deficient Winnie to study early onset colitis. The induced TNFα deficiency with underlying colitis does not influence general health (viability and body weight) or clinical parameters (colon weight, colon length and histological colitis) when compared with the Winnie genotype alone. The molecular characterization resulted in identification of Il1β as the major elevated cytokine during early phases of colitis. Further, in vitro functional assay using bone marrow-derived dendritic cells confirmed IL-1β as the major cytokine released in the absence of TNFα. This study has generated a successful model of colitis that remains TNFα non-responsive and has demonstrated that IL-1β expression is a major pathway for the progression of colitis in this system. These data also suggest that IL-1β can be a potential target for clinical intervention of UC patients who fail to respond to TNFα neutralization.
炎症性肠病(克罗恩病(CD)和溃疡性结肠炎(UC))是一种由肠道免疫失调引起的多因素疾病。潜在的结肠炎的特征是高水平的炎症细胞因子,包括肿瘤坏死因子α(TNFα)。使用抗TNFα抗体对炎症性肠病患者进行生物干预通常是一种有效的治疗方法。然而,TNFα中和未能在一部分炎症性肠病患者中诱导缓解,主要是在溃疡性结肠炎患者中。缺乏代表TNFα无反应者的合适动物模型。在这里,我们将目前可用的最佳溃疡性结肠炎模型之一,即Winnie小鼠与TNFα基因敲除(KO)小鼠相结合,生成了TNFα缺陷的Winnie小鼠,以研究早发性结肠炎。与单独的Winnie基因型相比,诱导的TNFα缺乏与潜在的结肠炎并不影响总体健康(生存能力和体重)或临床参数(结肠重量、结肠长度和组织学结肠炎)。分子特征鉴定结果表明,白细胞介素1β(Il1β)是结肠炎早期主要升高的细胞因子。此外,使用骨髓来源的树突状细胞进行的体外功能测定证实,白细胞介素-1β(IL-1β)是在没有TNFα的情况下释放的主要细胞因子。这项研究成功建立了一种对TNFα无反应的结肠炎模型,并证明IL-1β表达是该系统中结肠炎进展的主要途径。这些数据还表明,IL-1β可能是对TNFα中和无反应的溃疡性结肠炎患者临床干预的潜在靶点。