Department of Gastroenterology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Pathology and Pathophysiology, and Department of Gastroenterology at Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Cell Mol Immunol. 2023 Feb;20(2):119-130. doi: 10.1038/s41423-022-00955-1. Epub 2022 Dec 5.
Mannose is a naturally occurring sugar widely consumed in the daily diet; however, mechanistic insights into how mannose metabolism affects intestinal inflammation remain lacking. Herein, we reported that mannose supplementation ameliorated colitis development and promoted colitis recovery. Macrophage-secreted inflammatory cytokines, particularly TNF-α, induced pathological endoplasmic reticulum stress (ERS) in intestinal epithelial cells (IECs), which was prevented by mannose via normalization of protein N-glycosylation. By preserving epithelial integrity, mannose reduced the inflammatory activation of colonic macrophages. On the other hand, mannose directly suppressed macrophage TNF-α production translationally by reducing the glyceraldehyde 3-phosphate level, thus promoting GAPDH binding to TNF-α mRNA. Additionally, we found dysregulated mannose metabolism in the colonic mucosa of patients with inflammatory bowel disease. Finally, we revealed that activating PMM2 activity with epalrestat, a clinically approved drug for the treatment of diabetic neuropathy, elicited further sensitization to the therapeutic effect of mannose. Therefore, mannose metabolism prevents TNF-α-mediated pathogenic crosstalk between IECs and intestinal macrophages, thereby normalizing aberrant immunometabolism in the gut.
甘露糖是一种在日常饮食中广泛摄入的天然存在的糖;然而,甘露糖代谢如何影响肠道炎症的机制仍不清楚。在此,我们报道了甘露糖补充可以改善结肠炎的发展并促进结肠炎的恢复。巨噬细胞分泌的炎症细胞因子,特别是 TNF-α,诱导肠道上皮细胞(IECs)发生病理性内质网应激(ERS),甘露糖通过蛋白质 N-糖基化的正常化来预防这种情况。甘露糖通过维持上皮细胞的完整性,减少了结肠巨噬细胞的炎症激活。另一方面,甘露糖通过降低甘油醛 3-磷酸水平直接抑制巨噬细胞 TNF-α的翻译产生,从而促进 GAPDH 与 TNF-α mRNA 的结合。此外,我们发现炎症性肠病患者的结肠黏膜中存在失调的甘露糖代谢。最后,我们揭示了用 epalrestat(一种用于治疗糖尿病性神经病的临床批准药物)激活 PMM2 活性可进一步增强对甘露糖治疗效果的敏感性。因此,甘露糖代谢可防止 TNF-α介导的 IECs 和肠道巨噬细胞之间的致病串扰,从而使肠道中异常的免疫代谢正常化。