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2018 ; 5
(3
): 299-318
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Activation of Myofibroblast TRPA1 by Steroids and Pirfenidone Ameliorates
Fibrosis in Experimental Crohn s Disease
#MMPMID29552620
Kurahara LH
; Hiraishi K
; Hu Y
; Koga K
; Onitsuka M
; Doi M
; Aoyagi K
; Takedatsu H
; Kojima D
; Fujihara Y
; Jian Y
; Inoue R
Cell Mol Gastroenterol Hepatol
2018[Mar]; 5
(3
): 299-318
PMID29552620
show ga
BACKGROUND & AIMS: The transient receptor potential ankyrin 1 (TRPA1) channel is
highly expressed in the intestinal lamina propria, but its contribution to gut
physiology/pathophysiology is unclear. Here, we evaluated the function of
myofibroblast TRPA1 channels in intestinal remodeling. METHODS: An intestinal
myofibroblast cell line (InMyoFibs) was stimulated by transforming growth
factor-?1 to induce in vitro fibrosis. Trpa1 knockout mice were generated
using the Clustered regularly interspaced short palindromic
repeats (CRISPR)/CRISPR-associated 9 (Cas9) system. A murine chronic colitis
model was established by weekly intrarectal trinitrobenzene sulfonic acid (TNBS)
administration. Samples from the intestines of Crohn's disease (CD) patients were
used for pathologic staining and quantitative analyses. RESULTS: In InMyoFibs,
TRPA1 showed the highest expression among TRP family members. In TNBS chronic
colitis model mice, the extents of inflammation and fibrotic changes were more
prominent in TRPA1(-/-) knockout than in wild-type mice. One-week enema
administration of prednisolone suppressed fibrotic lesions in wild-type mice, but
not in TRPA1 knockout mice. Steroids and pirfenidone induced Ca(2+) influx in
InMyoFibs, which was antagonized by the selective TRPA1 channel blocker
HC-030031. Steroids and pirfenidone counteracted transforming growth
factor-?1-induced expression of heat shock protein 47, type 1 collagen, and
?-smooth muscle actin, and reduced Smad-2 phosphorylation and myocardin
expression in InMyoFibs. In stenotic intestinal regions of CD patients, TRPA1
expression was increased significantly. TRPA1/heat shock protein 47
double-positive cells accumulated in the stenotic intestinal regions of both CD
patients and TNBS-treated mice. CONCLUSIONS: TRPA1, in addition to its
anti-inflammatory actions, may protect against intestinal fibrosis, thus being a
novel therapeutic target for highly incurable inflammatory/fibrotic disorders.