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2014 ; 111
(43
): E4658-67
Nephropedia Template TP
Roulis M
; Nikolaou C
; Kotsaki E
; Kaffe E
; Karagianni N
; Koliaraki V
; Salpea K
; Ragoussis J
; Aidinis V
; Martini E
; Becker C
; Herschman HR
; Vetrano S
; Danese S
; Kollias G
Proc Natl Acad Sci U S A
2014[Oct]; 111
(43
): E4658-67
PMID25316791
show ga
Tumor progression locus-2 (Tpl2) kinase is a major inflammatory mediator in
immune cell types recently found to be genetically associated with inflammatory
bowel diseases (IBDs). Here we show that Tpl2 may exert a dominant homeostatic
rather than inflammatory function in the intestine mediated specifically by
subepithelial intestinal myofibroblasts (IMFs). Mice with complete or
IMF-specific Tpl2 ablation are highly susceptible to epithelial injury-induced
colitis showing impaired compensatory proliferation in crypts and extensive
ulcerations without significant changes in inflammatory responses. Following
epithelial injury, IMFs sense innate or inflammatory signals and activate, via
Tpl2, the cyclooxygenase-2 (Cox-2)-prostaglandin E2 (PGE2) pathway, which we show
here to be essential for the epithelial homeostatic response. Exogenous PGE2
administration rescues mice with complete or IMF-specific Tpl2 ablation from
defects in crypt function and susceptibility to colitis. We also show that Tpl2
expression is decreased in IMFs isolated from the inflamed ileum of IBD patients
indicating that Tpl2 function in IMFs may be highly relevant to human disease.
The IMF-mediated mechanism we propose also involves the IBD-associated genes
IL1R1, MAPK1, and the PGE2 receptor-encoding PTGER4. Our results establish a
previously unidentified myofibroblast-specific innate pathway that regulates
intestinal homeostasis and may underlie IBD susceptibility in humans.