Department of Gastroenterology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Shanxi Province Key Laboratory of Oral Diseases Prevention and New Materials, Shanxi Medical University School and Hospital of Stomatology, Taiyuan, Shanxi, China.
Am J Physiol Gastrointest Liver Physiol. 2021 May 1;320(5):G837-G846. doi: 10.1152/ajpgi.00061.2021. Epub 2021 Mar 24.
Vitamin D/vitamin D receptor (VDR) signaling is reported to have a protective effect on the onset or progression of inflammatory bowel diseases (IBD), and hypoxia-inducible factor 1α (HIF-1α) activation is demonstrated to be closely associated with chemical-induced colitis. However, the association between vitamin D/VDR signaling and HIF-1α on IBD development remains a mystery. Here, we showed that HIF-1α expression was largely increased in the colonic epithelial cells of diseased tissues from patients with ulcerative colitis (UC). Consistently, HIF-1α activation was also improved in colonic epithelial cells upon TNFα treatment in a NF-κB pathway-dependent manner. HIF-1α inhibitors treatments ameliorated 2,4,6-trinitrobenzenesulfonic acid (TNBS)- or dextran sulfate sodium (DSS)-induced colitis in animal models. In cell or colitis animal models, vitamin D/VDR signaling suppressed HIF-1α overexpression in colonic epithelial cells via regulating NF-κB pathway, resulting in the inhibition of IFNγ and IL-1β overproductions in these cells. Collectively, these data suggest that vitamin D/VDR signaling relieves colitis development in animal models, at least in part, by suppressing HIF-1α expression in colonic epithelial cells. This study demonstrates vitamin D/VDR signaling inhibits colitis by suppressing HIF-1α activation in colonic epithelial cells. Since the effect of vitamin D/VDR signaling is only apparent on patients who seem to be vitamin D deficient, the benefits of vitamin D supplementation in patients who are not vitamin D deficient need to be proven.
维生素 D/维生素 D 受体 (VDR) 信号被报道对炎症性肠病 (IBD) 的发病或进展具有保护作用,并且缺氧诱导因子 1α (HIF-1α) 的激活被证明与化学诱导的结肠炎密切相关。然而,维生素 D/VDR 信号与 HIF-1α 之间在 IBD 发展中的关联仍然是一个谜。在这里,我们表明,HIF-1α 的表达在溃疡性结肠炎 (UC) 患者的病变组织的结肠上皮细胞中大量增加。一致地,HIF-1α 的激活也在 TNFα 处理后通过 NF-κB 途径依赖性方式在结肠上皮细胞中得到改善。HIF-1α 抑制剂处理改善了动物模型中的 2,4,6-三硝基苯磺酸 (TNBS) 或葡聚糖硫酸钠 (DSS) 诱导的结肠炎。在细胞或结肠炎动物模型中,维生素 D/VDR 信号通过调节 NF-κB 途径抑制结肠上皮细胞中 HIF-1α 的过表达,导致这些细胞中 IFNγ 和 IL-1β 的过度产生受到抑制。总之,这些数据表明,维生素 D/VDR 信号通过抑制结肠上皮细胞中的 HIF-1α 表达来减轻动物模型中的结肠炎发展,至少部分如此。这项研究表明,维生素 D/VDR 信号通过抑制结肠上皮细胞中的 HIF-1α 激活来抑制结肠炎。由于维生素 D/VDR 信号的作用仅在似乎缺乏维生素 D 的患者中明显,因此需要证明维生素 D 补充对不缺乏维生素 D 的患者的益处。
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