Background <p>Intestinal fibrosis is a serious complication of Crohn’s disease (CD), often resulting from chronic inflammation. However, the precise mechanisms through which inflammation induces intestinal fibrosis remain inadequately elucidated.</p> Methods <p>A comprehensive single-cell atlas of full-thickness CD, provided by Dr. Florian Rieder, was subjected to reanalysis. Our study used a DSS-induced chronic colitis model in both wild-type (WT) and <i>Areg</i><sup><i>−/−</i></sup> mice. Additionally, a CD45RB<sup>hi</sup> CD4<sup>+</sup> T cell adoptive transfer model involving WT and <i>Areg</i><sup><i>−/−</i></sup> Treg cells (Tregs) was used. The expressions of AREG in CD with or without intestinal fibrosis, Tregs and human intestinal myofibroblasts (MFs) were determined. The effect of AREG on proliferation/migration/activation in human intestinal MFs was determined.</p> Results <p>Several types of cells were differentially expressed between stricture and non-stricture CD. Among T cells, Tregs accounted for a larger proportion and were significantly increased in stenotic tissues of stricture CD. Although DSS-induced colitis was more severe in <i>Areg</i><sup><i>−/−</i></sup> mice, which developed less severe intestinal fibrosis compared with WT mice. The transfer of <i>Areg</i><sup><i>−/−</i></sup> Tregs resulted in less severe fibrosis in <i>Rag</i><sup><i>−/−</i></sup> mice than WT Tregs. Moreover, TGF-β stimulated AREG expression in Tregs and human intestinal MFs via activation of Smad3.</p> Conclusion <p>These findings demonstrated that AREG derived from Tregs and human intestinal MFs, induced by TGF-β, amplifies intestinal fibrotic reactions in experimental colitis as well as in human CD patients. Thus, the TGF-β-Smad3-AREG pathway could be a potential therapeutic target for treating fibrosis in CD.</p>

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Treg and intestinal myofibroblasts-derived Amphiregulin induced by TGF-β mediates intestinal fibrosis in Crohn’s disease

  • Lu Wang,
  • Shu Wang,
  • Junjie Lin,
  • Jiajia Li,
  • Mingyuan Wang,
  • Jiang Yu,
  • Junjian Sun,
  • Nana Tang,
  • Chunhua Jiao,
  • Jingjing Ma,
  • Xiaojing Zhao,
  • Hongjie Zhang

摘要

Background

Intestinal fibrosis is a serious complication of Crohn’s disease (CD), often resulting from chronic inflammation. However, the precise mechanisms through which inflammation induces intestinal fibrosis remain inadequately elucidated.

Methods

A comprehensive single-cell atlas of full-thickness CD, provided by Dr. Florian Rieder, was subjected to reanalysis. Our study used a DSS-induced chronic colitis model in both wild-type (WT) and Areg−/− mice. Additionally, a CD45RBhi CD4+ T cell adoptive transfer model involving WT and Areg−/− Treg cells (Tregs) was used. The expressions of AREG in CD with or without intestinal fibrosis, Tregs and human intestinal myofibroblasts (MFs) were determined. The effect of AREG on proliferation/migration/activation in human intestinal MFs was determined.

Results

Several types of cells were differentially expressed between stricture and non-stricture CD. Among T cells, Tregs accounted for a larger proportion and were significantly increased in stenotic tissues of stricture CD. Although DSS-induced colitis was more severe in Areg−/− mice, which developed less severe intestinal fibrosis compared with WT mice. The transfer of Areg−/− Tregs resulted in less severe fibrosis in Rag−/− mice than WT Tregs. Moreover, TGF-β stimulated AREG expression in Tregs and human intestinal MFs via activation of Smad3.

Conclusion

These findings demonstrated that AREG derived from Tregs and human intestinal MFs, induced by TGF-β, amplifies intestinal fibrotic reactions in experimental colitis as well as in human CD patients. Thus, the TGF-β-Smad3-AREG pathway could be a potential therapeutic target for treating fibrosis in CD.