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Loss of NKCC1 Activates the NLRP3 Inflammasome in Intestinal Epithelia NKCC1缺失激活肠上皮NLRP3炎性体。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101681
Rainelli B. Koumangoye, Mohammed Z. Ferdaus, Xenia Davis, Julia K. Bohannon, Eric Delpire

Background & Aims

Potassium and chloride efflux have been reported to regulate nucleotide-binding oligomerization domain, leucine-rich repeat, and pyrin domain-containing protein 3 (NLRP3) inflammasome activation. Aberrant activation of NLRP3 inflammasome causes autoimmune and chronic inflammatory diseases. The Na+-K+-2Cl- cotransporter (NKCC1) maintains the intracellular concentrations of sodium, potassium, and chloride. Here we ask whether NKCC1 modulates NLRP3 inflammasome activation.

Methods

Mice with intestinal epithelial-specific deletion of NKCC1, CRISPR-Cas9 NKCC1-deleted Caco-2 and HT-29 cells, and human fibroblasts expressing mutant NKCC1 were used to evaluate NLRP3 inflammasome activation.

Results

We found that deletion of NKCC1 in established intestinal epithelial cells (IECs) in culture causes increased pyroptosis and interleukin (IL)-1β and IL-18 secretion upon NLRP3 inflammasome activation. Similarly, organoids derived from mice with conditional NKCC1 knockout in IECs also exhibit increased IL-1β secretion when stimulated with adenosine triphosphate (ATP). Moreover, fibroblasts from a patient with NKCC1 mutant also showed increased pyroptosis and IL-1β and IL-18 secretion. Loss of NKCC1 sensitizes IECs to changes in intracellular concentration of K+ and decreases the threshold required for NLRP3 inflammasome activation. Finally, we showed that NKCC1ΔIEC mice have increased infiltration of innate immune cells in the colon mucosa and peritoneal cavity.

Conclusions

NKCC1 functions as a negative regulator of NLRP3 inflammasome activation and this may explain why patients of loss-of-function mutations in NKCC1 are susceptible to inflammatory diseases.
背景:钾和氯的外排已被报道调节NLRP3炎性体的激活。NLRP3炎性小体的异常激活导致自身免疫性和慢性炎症性疾病。Na+- k +- 2cl -共转运体(NKCC1)维持细胞内钠、钾和氯化物的浓度。在这里,我们询问NKCC1是否调节NLRP3炎性体的激活。方法:采用肠上皮特异性缺失NKCC1的小鼠、CRISPR-Cas9缺失NKCC1的caco2和HT-29细胞以及表达突变型NKCC1的人成纤维细胞来评估NLRP3炎性体的激活。结果:我们发现在培养的小肠上皮细胞中缺失NKCC1导致NLRP3炎性体激活后的焦亡、IL-1β和IL-18分泌增加。同样,在肠上皮细胞(IECs)中NKCC1条件敲除小鼠的类器官在ATP刺激下也表现出IL-1β分泌增加。此外,NKCC1突变患者的成纤维细胞也显示出焦亡,IL-1β和IL-18分泌增加。NKCC1的缺失使IECs对细胞内K+浓度的变化敏感,并降低NLRP3炎性体激活所需的阈值。最后,我们发现NKCC1ΔIEC小鼠在结肠黏膜和腹膜腔中增加了先天免疫细胞的浸润。结论:NKCC1作为NLRP3炎性小体激活的负调节因子,这可能解释了为什么NKCC1功能缺失突变的患者易患炎性疾病。
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引用次数: 0
Inhibition of Adipocyte Lipolysis Reduces Liver Injury in a Mouse Model of Ischemia Reperfusion Injury 抑制脂肪细胞脂解可减轻小鼠缺血再灌注损伤模型中的肝损伤。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101679
Kim H.H. Liss , Samantha Goldman , Mai He , Trevor M. Shew , Daniel Ferguson , Brian N. Finck

Background & Aims

Hepatic ischemia reperfusion injury (IRI) is unavoidable in most liver operations and is associated with poor patient and graft outcomes in the setting of liver transplantation. However, there are no pharmacological interventions available for treatment of IRI. Prior work has demonstrated that liver IRI leads to hepatic lipid accumulation, suggesting that increased adipocyte lipolytic rates may contribute to hepatic steatosis. Inhibition of adipose triglyceride lipase (ATGL), the rate-limiting enzyme involved in triglyceride hydrolysis, may be beneficial in cardiac injury and alcoholic liver disease, but its role in liver IRI has not been investigated. Our objective was to assess the effects of inhibition of adipose tissue lipolysis in the setting of liver IRI.

Methods

Wild-type mice were treated with Atglistatin, a small molecule inhibitor of ATGL, prior to IRI. Mice with hepatocyte- or adipocyte-specific deletion of Pnpla2, the gene encoding ATGL, were generated and subjected to a mouse model of IRI. Mouse hepatocytes were cultured with fatty acids in an in vitro model of IRI.

Results

We demonstrated that experimental IRI was associated with increased adipocyte lipolysis. Pharmacological and genetic inhibition of adipocyte lipolysis reduced plasma and hepatic free fatty acids and decreased circulating transaminases and liver inflammation following hepatic IRI. Furthermore, exogenous fatty acids were sufficient to increase cell death and the expression of inflammatory cytokines in in vitro IRI.

Conclusions

These data suggest that targeting adipocyte lipolysis may represent a novel therapeutic approach in the prevention of hepatic IRI, which could improve patient and graft outcomes following liver transplantation.
背景和目的:肝脏缺血再灌注损伤(IRI)在大多数肝脏手术中是不可避免的,并且与肝移植患者和移植物预后差有关。然而,目前还没有治疗IRI的药物干预措施。先前的研究表明,肝脏IRI导致肝脏脂质积累,这表明脂肪细胞脂质分解率的增加可能导致肝脏脂肪变性。脂肪甘油三酯脂肪酶(ATGL)是参与甘油三酯水解的限速酶,抑制ATGL可能对心脏损伤和酒精性肝病有益,但其在肝脏IRI中的作用尚未被研究。我们的目的是评估在肝脏IRI的情况下抑制脂肪组织脂解的效果。方法:野生型小鼠在IRI前用Atglistatin(一种ATGL小分子抑制剂)治疗。产生肝细胞或脂肪细胞特异性缺失Pnpla2(编码ATGL的基因)的小鼠,并进行小鼠IRI模型。用脂肪酸培养小鼠肝细胞,建立体外IRI模型。结果:我们证明了实验性IRI与脂肪细胞脂解增加有关。脂肪细胞脂解的药理学和遗传学抑制降低了血浆和肝脏游离脂肪酸,减少了肝脏IRI后的循环转氨酶和肝脏炎症。此外,外源性脂肪酸足以增加体外IRI中细胞死亡和炎症细胞因子的表达。结论:这些数据表明,靶向脂肪细胞脂解可能是预防肝脏IRI的一种新的治疗方法,可以改善肝移植后患者和移植物的预后。
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引用次数: 0
A New Model of Gastric Pre-neoplasia Induced by Aberrant ADAR1-mediated Double-stranded RNA Signaling 异常adar1介导的双链RNA信号通路诱导胃前期瘤变的新模型。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101673
Angela M. Halstead , Chinye Nwokolo , Stella Hoft , Jinsheng Yu , Lifei Zhu , Brendan Tuley , Nancy Vargas , RuiRui Liu , Francisco Ramirez Victorino , Simrin Phatak , Wandy Beatty , Chun-Kan Chen , Richard DiPaolo , Paul Cliften , Tarin M. Bigley , José B. Sáenz

Background & Aims

Recent evidence suggests that endogenously derived double-stranded RNA (dsRNA) impacts multiple cellular processes, although its role in epithelial injury remains understudied. We previously identified the response to dsRNA as the most upregulated pathway across 2 distinct murine models of spasmolytic polypeptide-expressing metaplasia (SPEM), a critical pre-neoplastic transition in the progression to gastric cancer. The aim of this study was to define how dysregulation of the dsRNA response within gastric epithelium impacts gastric pre-neoplasia.

Methods

We specifically deleted ADAR1, a central regulator of dsRNA signaling, from gastric parietal cells (Adar1ΔPC). Adar1ΔPC and age-matched controls stomachs were histologically, transcriptionally, and immunologically profiled. The source of dsRNA in Adar1ΔPC gastric epithelium was assessed by dsRNA immunoprecipitation and immuno-electron microscopy. Finally, to define the contributions of interferon (IFN) signaling, Adar1ΔPC;Ifnar1-/- and Adar1ΔPC;Ifnlr1-/- mice, defective in type I and type III IFN signaling, respectively, were characterized.

Results

Adar1ΔPC mice spontaneously developed SPEM and gastric dysplasia, in the absence of exogenous injury. Our phenotype depended on Mavs, a key dsRNA signaling hub, implying that our model of gastric pre-neoplasia was specific to dsRNA signaling. Further characterization of this pre-neoplastic environment by single-cell RNA sequencing and flow cytometry noted a chronic and sustained transcriptional upregulation of the dsRNA response throughout gastric epithelium that was independent of adaptive immunity and that depended on both type I and type III IFN signaling. Finally, we identified an enrichment of mitochondrial dsRNA within the gastric epithelium of Adar1ΔPC stomachs.

Conclusions

Our new genetic model implicates ADAR1-mediated dsRNA signaling in gastric pre-neoplasia.
背景/目的:最近的证据表明,内源性双链RNA (dsRNA)影响多种细胞过程,尽管其在上皮损伤中的作用仍未得到充分研究。我们之前发现,在两种不同的小鼠spasmolytic多肽表达化生(SPEM)模型中,对dsRNA的反应是最上调的途径,SPEM是胃癌进展过程中关键的肿瘤前转变。本研究的目的是确定胃上皮内dsRNA反应的失调如何影响胃癌前病变。方法:我们从胃壁细胞特异性地删除ADAR1, dsRNA信号的中心调节因子(Adar1ΔPC)。Adar1ΔPC和年龄匹配的对照胃进行组织学、转录和免疫学分析。采用dsRNA免疫沉淀法和免疫电镜法检测Adar1ΔPC胃上皮dsRNA的来源。最后,为了定义IFN信号的贡献,Adar1ΔPC;Ifnar1 - / - Adar1Δ电脑;分别对I型和III型IFN信号缺陷的Ifnlr1-/-小鼠进行了表征。结果:Adar1ΔPC小鼠在没有外源性损伤的情况下自发发生SPEM和胃发育不良。我们的表型依赖于Mavs,一个关键的dsRNA信号中枢,这意味着我们的胃前瘤变模型对dsRNA信号传导具有特异性。通过单细胞RNA测序和流式细胞术进一步表征这种肿瘤前环境,发现整个胃上皮的dsRNA反应存在慢性和持续的转录上调,这种上调不依赖于适应性免疫,并依赖于I型和III型IFN信号。最后,我们在Adar1ΔPC胃上皮内发现了线粒体dsRNA (mt-dsRNA)的富集。结论:我们的新遗传模型暗示了adar1介导的dsRNA信号在胃癌前病变中的作用。
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引用次数: 0
The Glutamine Metabolic Switch Influences the Response of Neonatal Intestinal Macrophages to Breast Milk 谷氨酰胺代谢开关影响新生儿肠巨噬细胞对母乳的反应。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101683
Xu Han , Yutong Hou , Taoying Chen , Zhenyu Jia , Fuqiang Yuan , Mingxin Wang , Yinling Su , Ru Yan , Xiaolei Wang , Weilai Jin , Yahui Zhou , Yun Li , Le Zhang

Background & Aims

Breast milk contains abundant glutamine and glutamate, yet their roles in neonatal gut health remain controversial. We aimed to investigate how these amino acids influence neonatal enteritis and the underlying mechanisms.

Methods

We used a neonatal rat necrotizing enterocolitis (NEC) model to test the effects of glutamine and glutamate given either before disease onset or during NEC progression. Previously published human neonatal NEC single-cell RNA psequencing (scRNA-seq) data were reanalyzed to assess immune cell composition and pathway activity. Bone marrow-derived macrophages (BMDMs) were used to examine inflammatory responses in vitro. Flow cytometry and transcriptomics were applied to analyze metabolic reprogramming of ileal macrophages.

Results

Glutamine and glutamate prevented NEC when administered prophylactically but worsened disease when given during NEC progression. scRNA-seq revealed enrichment of macrophages with activated inflammatory pathways in NEC ileum. In vitro, pretreatment with glutamine or glutamate reduced lipopolysaccharide-induced cytokine expression in BMDMs, whereas administration after stimulation had no benefit. In vivo, glutamine pretreatment decreased CD45+F4/80+CD11b/c+TNFα+ macrophages, whereas treatment during NEC increased this subset. Integrated analyses showed NEC upregulated glutaminase (GLS) and downregulated glutamate dehydrogenase (GLUD1) in ileal macrophages. Pretreatment with glutamine or glutamate restored GLUD1 expression, favoring α-ketoglutarate (α-KG) rather than succinate metabolism. Supplementation with α-KG reversed glutamine-induced macrophage activation during NEC, whereas succinate abolished the protective effect of glutamine pretreatment.

Conclusions

Glutamine and glutamate exert dual, context-dependent effects in neonatal enteritis by modulating macrophage glutamine metabolism. These findings provide mechanistic insight and suggest a basis for personalized glutamine supplementation strategies in neonatal gut disorders.
背景与目的:母乳中含有丰富的谷氨酰胺和谷氨酸,但它们在新生儿肠道健康中的作用仍然存在争议。我们的目的是研究这些氨基酸如何影响新生儿肠炎和潜在的机制。方法:我们使用新生大鼠坏死性小肠结肠炎(NEC)模型来测试谷氨酰胺和谷氨酸在疾病发作前或NEC进展期间给予的影响。重新分析先前发表的人类新生儿NEC scRNA-seq数据,以评估免疫细胞组成和途径活性。骨髓源性巨噬细胞(bmmdms)用于体外检测炎症反应。应用流式细胞术和转录组学分析回肠巨噬细胞的代谢重编程。结果:谷氨酰胺和谷氨酸可预防NEC的发生,但在NEC进展过程中使病情恶化。scRNA-seq显示,NEC回肠中巨噬细胞富集,炎症通路活化。在体外实验中,谷氨酰胺或谷氨酸预处理可降低脂多糖诱导的BMDMs细胞因子表达,而刺激后给药则没有任何益处。在体内,谷氨酰胺预处理降低了CD45+F4/80+CD11b/c+TNFα+巨噬细胞,而NEC期间的治疗增加了这一亚群。综合分析显示,NEC上调了回肠巨噬细胞的谷氨酰胺酶(GLS),下调了谷氨酸脱氢酶(GLUD1)。谷氨酰胺或谷氨酸预处理恢复GLUD1表达,有利于α-酮戊二酸(α-KG)而不是琥珀酸代谢。补充α-KG可逆转NEC期间谷氨酰胺诱导的巨噬细胞活化,而琥珀酸可消除谷氨酰胺预处理的保护作用。结论:谷氨酰胺和谷氨酸通过调节巨噬细胞谷氨酰胺代谢在新生儿肠炎中发挥双重作用。这些发现提供了机制的见解,并为新生儿肠道疾病的个性化谷氨酰胺补充策略提供了基础。
{"title":"The Glutamine Metabolic Switch Influences the Response of Neonatal Intestinal Macrophages to Breast Milk","authors":"Xu Han ,&nbsp;Yutong Hou ,&nbsp;Taoying Chen ,&nbsp;Zhenyu Jia ,&nbsp;Fuqiang Yuan ,&nbsp;Mingxin Wang ,&nbsp;Yinling Su ,&nbsp;Ru Yan ,&nbsp;Xiaolei Wang ,&nbsp;Weilai Jin ,&nbsp;Yahui Zhou ,&nbsp;Yun Li ,&nbsp;Le Zhang","doi":"10.1016/j.jcmgh.2025.101683","DOIUrl":"10.1016/j.jcmgh.2025.101683","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><div>Breast milk contains abundant glutamine and glutamate, yet their roles in neonatal gut health remain controversial. We aimed to investigate how these amino acids influence neonatal enteritis and the underlying mechanisms.</div></div><div><h3>Methods</h3><div>We used a neonatal rat necrotizing enterocolitis (NEC) model to test the effects of glutamine and glutamate given either before disease onset or during NEC progression. Previously published human neonatal NEC single-cell RNA psequencing (scRNA-seq) data were reanalyzed to assess immune cell composition and pathway activity. Bone marrow-derived macrophages (BMDMs) were used to examine inflammatory responses in vitro. Flow cytometry and transcriptomics were applied to analyze metabolic reprogramming of ileal macrophages.</div></div><div><h3>Results</h3><div>Glutamine and glutamate prevented NEC when administered prophylactically but worsened disease when given during NEC progression. scRNA-seq revealed enrichment of macrophages with activated inflammatory pathways in NEC ileum. In vitro, pretreatment with glutamine or glutamate reduced lipopolysaccharide-induced cytokine expression in BMDMs, whereas administration after stimulation had no benefit. In vivo, glutamine pretreatment decreased CD45<sup>+</sup>F4/80<sup>+</sup>CD11b/c<sup>+</sup>TNFα<sup>+</sup> macrophages, whereas treatment during NEC increased this subset. Integrated analyses showed NEC upregulated glutaminase (GLS) and downregulated glutamate dehydrogenase (GLUD1) in ileal macrophages. Pretreatment with glutamine or glutamate restored GLUD1 expression, favoring α-ketoglutarate (α-KG) rather than succinate metabolism. Supplementation with α-KG reversed glutamine-induced macrophage activation during NEC, whereas succinate abolished the protective effect of glutamine pretreatment.</div></div><div><h3>Conclusions</h3><div>Glutamine and glutamate exert dual, context-dependent effects in neonatal enteritis by modulating macrophage glutamine metabolism. These findings provide mechanistic insight and suggest a basis for personalized glutamine supplementation strategies in neonatal gut disorders.</div></div>","PeriodicalId":55974,"journal":{"name":"Cellular and Molecular Gastroenterology and Hepatology","volume":"20 3","pages":"Article 101683"},"PeriodicalIF":7.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anesthetic Agents as Modulators of Antitumor Immunity: Repurposing Etomidate for Hepatocellular Carcinoma Therapy 麻醉药物作为抗肿瘤免疫的调节剂:依托咪酯用于肝细胞癌治疗。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101650
Hanchao Lin, Qiongzhu Dong
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引用次数: 0
When Liver Slices Meet Single-cell Technology 当肝脏切片与单细胞技术相遇。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101661
Mi Jeong Heo, Kang Ho Kim
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引用次数: 0
In Vivo Determinants of Hepatitis C Virus Adaptation and Escape From Neutralizing Antibody AR5A 中和抗体AR5A对丙型肝炎病毒适应和逃逸的体内决定因素
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2026-01-01 DOI: 10.1016/j.jcmgh.2025.101684
Rodrigo Velázquez-Moctezuma , Rani Burm , Lieven Verhoye , Laura Collignon , Kenn Holmbeck , Erick Giang , Mansun Law , Jens Bukh , Philip Meuleman , Jannick Prentoe

Background & Aims

Mechanisms of hepatitis C virus (HCV) adaptation and escape from broadly neutralizing antibodies (bNAbs) have been primarily studied in vitro. Here, we used a previously developed in vivo adapted J6/JFH1A876P virus and the highly bNAb sensitive hypervariable region 1 (HVR1) deleted variant, J6/JFH1A876P,ΔHVR1, to study adaptation and bNAb AR5A escape in the HCV-permissive human-liver chimeric mouse model.

Methods

In vitro identified AR5A escape substitution, L665S, was introduced into J6/JFH1A876P with or without HVR1. The infection of human liver chimeric mice with these recombinants revealed adaptive mutations, and the potential mechanism of adaptation was extensively characterized in vitro. Finally, we tested the barrier to resistance of AR5A in vivo by challenging passively immunized animals with HVR1-deleted viruses, either with or without the AR5A escape substitution, L665S.

Results

L665S was found to be an escape substitution in vivo. Furthermore, sequence analysis showed that the escape substitution L665S arose as early as 2 weeks post infection. At week 8, we also identified antibody escape substitutions as well as several potential in vivo adaptive substitutions in E2. For J6/JFH1A876P, S449P and M702L increased cell-free particle infection and broadly affected antibody sensitivity for virus with HVR1. For J6/JFH1A876P,ΔHVR1, N430D and M702L substitutions increased both cell-free particle mediated infection and cell-to-cell spread, whereas N430D also increased thermal stability at 37°C.

Conclusions

We show that L665S is an AR5A escape mutation in vivo, supporting the use of cost-effective vaccine escape studies in vitro. We also identify novel in vivo adaptive mutations and characterize their mechanism of action, thus facilitating interpretation of future HCV in vivo studies.
背景与目的:在体外对丙型肝炎病毒(HCV)适应和逃避广泛中和抗体(bNAbs)的机制进行了初步研究。在这里,我们使用先前开发的体内适应的J6/JFH1A876P病毒和高度bNAb敏感的高可变区1 (HVR1)缺失变体J6/JFH1A876P,ΔHVR1,来研究hcv -许可的人肝嵌合小鼠模型中的适应和bNAb AR5A逃逸。方法:将体外鉴定的AR5A逸出取代体L665S导入J6/JFH1A876P中,加入或不加入HVR1。这些重组体感染人肝嵌合小鼠后显示出适应性突变,其潜在的适应机制在体外得到了广泛的研究。最后,我们用hvr1缺失的病毒挑战被动免疫动物,测试了AR5A在体内的屏障抗性,无论是否含有AR5A逃逸取代物L665S。结果:在体内发现L665S为逃逸代入物。此外,序列分析显示,早在感染后2周就出现了逃避取代L665S。在第8周,我们还在E2中发现了抗体逃逸取代以及几个潜在的体内适应性取代。对于J6/JFH1A876P, S449P和M702L增加了无细胞颗粒感染,广泛影响HVR1病毒的抗体敏感性。对于J6/JFH1A876P,ΔHVR1、N430D和M702L的替代增加了无细胞颗粒介导的感染和细胞间传播,而N430D也增加了37℃下的热稳定性。结论:我们发现L665S在体内是一种AR5A逃逸突变,支持在体外进行具有成本效益的疫苗逃逸研究。我们还发现了新的体内适应性突变,并描述了它们的作用机制,从而促进了对未来HCV体内研究的解释。
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引用次数: 0
The P2X7 Receptor Promotes Intestinal Fibrosis by Modulating the Gut Microbiota and the Inflammasome. P2X7受体通过调节肠道微生物群和炎性体促进肠道纤维化。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-30 DOI: 10.1016/j.jcmgh.2025.101718
Beatriz Elias Ribeiro, Isadora Schmukler de Lima, Karen Cristina da Silva E Souza, Siane Lopes Bittencourt Rosas, Patrícia Teixeira Santana, Gilda Amaral, João Carlos Machado, Rodrigo Pereira de Oliveira, Camille Leal, Cristiane Thompson, Fabiano Thompson, Morgana Teixeira Lima Castelo-Branco, Robson Coutinho-Silva, Heitor Siffert Pereira de Souza

Background & aims: Considering the role of the P2X7 receptor in intestinal inflammation, we examined its potential involvement in fibrosis development.

Methods: Colonic biopsies from patients with inflammatory bowel disease (IBD) were analyzed via double immunofluorescence under confocal microscopy. Colon fibroblasts were used to analyze P2X7 receptor modulation and chemotaxis. Experimental chronic colitis was induced with 3 cycles of oral dextran sodium sulfate (DSS) treatment in P2X7+/+ and P2X7-/- mice. The mice were evaluated via follow-up video endoscopy with an endoluminal ultrasound biomicroscopic (eUBM) system, histological scoring, immunohistochemistry, cytokine measurement in colon explants, gene expression analysis of P2X7 signaling targets via quantitative real-time polymerase chain reaction (qRT-PCR), and microbiome composition analysis.

Results: Colocalization studies revealed a greater density of P2X7+/alpha smooth muscle actin (α-SMA)+ cells in colon sections from patients than in those from controls, especially in patients with Crohn's disease (P < .05). Activation of the adenosine triphosphate (ATP)-P2X7 pathway in human fibroblasts increased cell migration, calcium influx, and collagen production. Video colonoscopy with the eUBM system revealed significantly more inflammation, with greater wall thickness and stiffness, in P2X7+/+ mice than in P2X7-/- and P2X7+/+ mice treated with A740003 (a P2X7-selective inhibitor). P2X7+/+ mice exhibited increased caspase-1 and NLRP3 expression, as well as nuclear factor κB (NF-κB) and extracellular signal-regulated kinase (ERK) activation, accompanied by decreased peroxisome proliferator-activated receptor gamma (PPARγ) expression. In the supernatants of colon explants, tumor necrosis factor (TNF)-α, interleukin (IL)-1β, interferon (IFN)-γ, transforming growth factor (TGF)-β, IL-10, and collagen production were increased in P2X7+/+ mice. Various microbial changes were observed in P2X7-/- and P2X7+/+ mice.

Conclusions: Regulatory mechanisms downstream of P2X7, combined with signals from a dysbiotic microbiota, activate intracellular signaling pathways and the inflammasome, leading to intestinal inflammation and promoting fibrogenesis.

背景和目的:考虑到P2X7受体在肠道炎症中的作用,我们研究了其在纤维化发展中的潜在参与。方法:采用双免疫荧光共聚焦显微镜对炎症性肠病(IBD)患者结肠活检进行分析。用结肠成纤维细胞分析P2X7受体的调节和趋化性。采用三周期口服葡聚糖硫酸钠(DSS)治疗P2X7+/+和P2X7-/-小鼠,诱导实验性慢性结肠炎。通过腔内超声生物显微镜(eUBM)系统的随访视频内窥镜、组织学评分、免疫组织化学、结肠外植体细胞因子测量、qRT-PCR分析P2X7信号靶点的基因表达以及微生物组组成分析对小鼠进行评估。结果:共定位研究显示,患者结肠切片中的P2X7+/α-SMA+细胞密度高于对照组,尤其是克罗恩病患者(p+/+-小鼠比使用A740003(一种P2X7选择性抑制剂)治疗的P2X7-/-和P2X7+/+小鼠密度更高)。P2X7+/+小鼠caspase-1和NLRP3表达增加,NF-κB和ERK活化,PPARγ表达降低。在结肠外植体上清液中,P2X7+/+小鼠的TNF-α、IL-1β、IFN-γ、TGF-β、IL-10和胶原生成均增加。在P2X7-/-和P2X7+/+小鼠中观察到各种微生物变化。结论:P2X7下游的调控机制,结合来自益生菌群的信号,激活细胞内信号通路和炎性小体,导致肠道炎症,促进纤维生成。临床试验注册:
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引用次数: 0
ΔNP63 Defines an Exocrine-committed Subset of Murine Pancreatic Progenitor Cells. ΔNP63定义了小鼠胰腺祖细胞的外分泌亚群。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-25 DOI: 10.1016/j.jcmgh.2025.101715
Katarina Coolens, Melissa Van Der Vliet, Jente Van Campenhout, Natalia Del Pozo, Alejo Torres-Cano, Catharina Olson, Jianming Xu, Heiko Lickert, Meritxell Rovira, Isabelle Houbracken, Jonathan Baldan, Francisco X Real, Francesca M Spagnoli, Ilse Rooman
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引用次数: 0
Novel Acinar Metaplastic States Uncovered in Exocrine Pancreas Disease. 外分泌胰腺疾病新发现的腺泡化生状态。
IF 7.1 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-25 DOI: 10.1016/j.jcmgh.2025.101717
Katherine J Aney, Woo-Jeong Jeong, Pal Koak, Anders W Ohman, Canh Hiep Nguyen, Brian M Wolpin, Jonathan A Nowak, Sahar Nissim

Background & aims: In response to injury, pancreatic acinar cells undergo acinar-to-ductal metaplasia (ADM), marked by loss of acinar identity and acquisition of ductal features. Although ADM can resolve to support tissue repair, it may also persist and serve as a precursor to pancreatic cancer. Whether diverse pancreatic stressors drive a shared or context-specific ADM program remains unclear. We sought to comprehensively define metaplastic responses to clinically relevant exocrine pancreas diseases known to increase cancer risk.

Methods: We profiled ADM and the surrounding microenvironment across mouse models of exocrine disease-including acute, recurrent, and chronic pancreatitis, as well as in the setting of oncogenic Kras-capturing over 300,000 single cells. To enable high-quality transcriptomic profiling in enzyme-rich tissue, we leveraged FixNCut, a method that preserves RNA integrity in the exocrine pancreas. Findings were validated in human pancreas tissue using CosMx spatial transcriptomics.

Results: We identify a conserved acinar response across disease contexts that gives rise to previously unrecognized distinct metaplastic states, including a "gateway" ADM population that precedes more advanced metaplastic states marked by complete loss of acinar identity. In pancreatic intraepithelial neoplasia (PanIN) precancerous lesions, we detect classical-like and basal-like states, suggesting that pancreatic cancer subtypes are specified much earlier than previously appreciated. In Kras-mutant tissue, we identify a second wave of inflammation and the emergence of an immunosuppressive niche, coinciding with PanIN formation.

Conclusions: Our findings define a conserved program of acinar plasticity across exocrine pancreas diseases. We further link unresolved ADM to immune remodeling during precursor lesion formation and observe the emergence of pancreatic cancer subtypes in early PanIN lesions.

背景与目的:作为对损伤的反应,胰腺腺泡细胞发生腺泡到导管的化生(ADM),其特征是腺泡特征的丧失和导管特征的获得。虽然ADM可以支持组织修复,但它也可能持续存在并作为胰腺癌的前兆。不同的胰腺应激源是否驱动共享的或特定环境的ADM程序尚不清楚。我们试图全面定义已知增加癌症风险的临床相关外分泌胰腺疾病的化生反应。方法:我们在外分泌疾病(包括急性、复发性和慢性胰腺炎)的小鼠模型中,以及在捕获超过30万个单细胞的致癌kras环境中,分析了ADM和周围微环境。为了在富含酶的组织中实现高质量的转录组分析,我们利用了FixNCut,一种在外分泌胰腺中保持RNA完整性的方法。使用CosMx空间转录组学在人类胰腺组织中验证了研究结果。结果:我们确定了一种保守的腺泡反应,在疾病背景下引起以前未被识别的不同的化生状态,包括“入口”ADM人群,其在更高级的化生状态之前,标志着腺泡身份的完全丧失。在胰腺上皮内瘤变(PanIN)癌前病变中,我们检测到经典样和基底样状态,这表明胰腺癌亚型的指定比以前认识的要早得多。在kras突变组织中,我们发现了第二波炎症和免疫抑制生态位的出现,与PanIN的形成相一致。结论:我们的研究结果定义了外分泌胰腺疾病中腺泡可塑性的保守程序。我们进一步将未解决的ADM与前体病变形成过程中的免疫重塑联系起来,并观察了早期PanIN病变中胰腺癌亚型的出现。
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Cellular and Molecular Gastroenterology and Hepatology
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