Division of Gastroenterology and Hepatology, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
UIC Cancer Center, University of Illinois at Chicago, Chicago, IL, USA.
J Crohns Colitis. 2021 Oct 7;15(10):1720-1736. doi: 10.1093/ecco-jcc/jjab044.
Dysfunction of the vitamin D receptor [VDR] contributes to the aetiology of IBD by regulating autophagy, immune response, and mucosal permeability. VDR directly controls the paracellular tight junction protein Claudin-2. Claudin-2 and Claudin-15 are unique in maintaining paracellular permeability. Interestingly, claudin-15 mRNA was downregulated in patients with ulcerative colitis. However, the exact mechanism of Claudin-15 regulation in colitis is still unknown. Here, we investigated the protective role of VDR against intestinal inflammation via upregulating Claudin-15.
We analysed the correlation of Claudin-15 with the reduction of VDR in human colitis. We generated intestinal epithelial overexpression of VDR [O-VDR] mice to study the gain of function of VDR in colitis. Intestinal epithelial VDR knockout [VDR∆IEC] mice were used for the loss of function study. Colonoids and SKCO15 cells were used as in vitro models.
Reduced Claudin-15 was significantly correlated with decreased VDR along the colonic epithelium of human IBD. O-VDR mice showed decreased susceptibility to chemically and bacterially induced colitis and marked increased Claudin-15 expression [both mRNA and protein] in the colon. Correspondingly, colonic Claudin-15 was reduced in VDR∆IEC mice, which were susceptible to colitis. Overexpression of intestinal epithelial VDR and vitamin D treatment resulted in a significantly increased Claudin-15. ChIP assays identified the direct binding of VDR to the claudin-15 promoter, suggesting that claudin-15 is a target gene of VDR.
We demonstrated the mechanism of VDR upregulation of Claudin-15 to protect against colitis. This might enlighten the mechanism of barrier dysfunction in IBD and potential therapeutic strategies to inhibit inflammation.
维生素 D 受体(VDR)功能障碍通过调节自噬、免疫反应和黏膜通透性参与 IBD 的发病机制。VDR 可直接调控细胞旁紧密连接蛋白 Claudin-2。Claudin-2 和 Claudin-15 是维持细胞旁通透性的独特蛋白。有趣的是,溃疡性结肠炎患者 Claudin-15 的 mRNA 表达下调。然而,Claudin-15 在结肠炎中的调节的确切机制仍不清楚。在这里,我们通过上调 Claudin-15 来研究 VDR 对肠道炎症的保护作用。
我们分析了 Claudin-15 与人类结肠炎中 VDR 减少的相关性。我们构建了肠道上皮细胞过表达 VDR(O-VDR)的小鼠模型以研究 VDR 在结肠炎中的功能获得作用。肠道上皮细胞 VDR 敲除(VDR∆IEC)小鼠用于功能丧失研究。结肠类器官和 SKCO15 细胞被用作体外模型。
Claudin-15 的减少与人类 IBD 结肠上皮中 VDR 的减少显著相关。O-VDR 小鼠对化学和细菌诱导的结肠炎的易感性降低,并且 Claudin-15 的表达[mRNA 和蛋白]在结肠中显著增加。相应地,VDR∆IEC 小鼠的 Claudin-15 减少,其易患结肠炎。肠道上皮细胞 VDR 的过表达和维生素 D 治疗导致 Claudin-15 显著增加。ChIP 测定鉴定了 VDR 对 Claudin-15 启动子的直接结合,表明 Claudin-15 是 VDR 的靶基因。
我们证明了 VDR 上调 Claudin-15 以保护免受结肠炎的机制。这可能阐明了 IBD 中屏障功能障碍的机制和潜在的抑制炎症的治疗策略。