Garcia Moreno Ana Sofia, Guicciardi Maria Eugenia, Wixom Alexander Q, Jessen Erik, Yang Jingchun, Ilyas Sumera I, Bianchi Jackie K, Pinto E Vairo Filippo, Lazaridis Konstantinos N, Gores Gregory J
Mayo Clinic, Rochester, MN, USA.
Res Sq. 2023 Oct 16:rs.3.rs-3406046. doi: 10.21203/rs.3.rs-3406046/v1.
The pathogenesis of primary sclerosing cholangitis (PSC) is unclear, although studies implicate IL-17A as an inflammatory mediator in this disease. However, a direct assessment of IL-17 signaling in PSC cholangiocytes is lacking. In this study we aimed to investigate the response of PSC extrahepatic cholangiocyte organoids (ECO) to IL-17A stimulation. Cholangiocytes obtained from PSC and non-PSC patients by endoscopic retrograde cholangiography (ERC) were cultured as ECO. The ECO were treated with vehicle or IL-17A and assessed by transcriptomics, secretome analysis, and genome sequencing (GS). Unsupervised clustering of all integrated scRNA-seq data identified 8 cholangiocyte clusters which did not differ between PSC and non-PSC ECO. However, PSC ECO cells demonstrated a robust response to IL-17 treatment, noted by an increased number of differentially expressed genes (DEG) by transcriptomics, and more abundant chemokine and cytokine expression and secretion. After rigorous filtering, GS identified candidate somatic variants shared among PSC ECO from unrelated individuals. However, no candidate rare variants in genes regulating the IL-17 pathway were identified, but rare variants regulating the MAPK signaling pathway were present in all PSC ECO. In conclusion, PSC and non-PSC patient derived ECO respond differently to IL-17 stimulation implicating this pathway in the pathogenesis of PSC.
原发性硬化性胆管炎(PSC)的发病机制尚不清楚,尽管研究表明白细胞介素-17A(IL-17A)是该疾病中的一种炎症介质。然而,目前缺乏对PSC胆管细胞中IL-17信号传导的直接评估。在本研究中,我们旨在研究PSC肝外胆管细胞类器官(ECO)对IL-17A刺激的反应。通过内镜逆行胆管造影(ERC)从PSC和非PSC患者获取的胆管细胞被培养成ECO。将ECO用溶媒或IL-17A处理,并通过转录组学、分泌组分析和基因组测序(GS)进行评估。对所有整合的单细胞RNA测序(scRNA-seq)数据进行无监督聚类,确定了8个胆管细胞簇,PSC和非PSC ECO之间没有差异。然而,PSC ECO细胞对IL-17处理表现出强烈反应,转录组学显示差异表达基因(DEG)数量增加,趋化因子和细胞因子的表达及分泌更为丰富。经过严格筛选,GS确定了来自无关个体的PSC ECO之间共有的候选体细胞变异。然而,未发现调节IL-17途径的基因中的候选罕见变异,但所有PSC ECO中都存在调节丝裂原活化蛋白激酶(MAPK)信号通路的罕见变异。总之,PSC和非PSC患者来源的ECO对IL-17刺激的反应不同,提示该途径参与PSC的发病机制。