Abstract | OBJECTIVE: Epithelial to mesenchymal transition (EMT) seems to play an important role in the pathogenesis of fistulae, a common clinical complication of Crohn's disease (CD). TGFβ and interleukin-13 (IL-13) have been correlated with the onset of EMT-associated organ fibrosis and high levels of TGFβ have been shown in transitional cells (TCs) lining CD fistula tracts. This study investigated whether IL-13 could be involved in the pathogenesis of CD-associated fistulae. DESIGN:
Protein or mRNA levels in HT29 intestinal epithelial cells (IECs) or colonic lamina propria fibroblasts ( CLPFs) were studied by western blotting or real-time PCR. CLPFs were isolated from non-inflammatory disease controls or patients with CD with or without fistulae and IL-13 levels were analysed in surgically removed fistula specimens by immunohistochemistry. RESULTS: TGFβ induced IL-13 secretion in CLPFs from patients with fistulising CD. In fistula specimens high levels of IL-13 were detected in TCs covering fistula tracts. In HT29 IEC monolayers, IL-13 induced SLUG and β6-integrin mRNA, which are associated with cell invasion. HT29 spheroids completely disintegrated when treated with TGFβ for 7 days, whereas IL-13-treated spheroids did not show morphological changes. Here, TGFβ induced mRNA expression of SNAIL1 and IL-13, whereas IL-13 elevated SLUG and β6-integrin mRNA. An anti-IL-13 antibody was able to prevent IL-13-induced SLUG expression in HT29 IECs. CONCLUSIONS: TGFβ induces IL-13 expression and an EMT-like phenotype of IECs, while IL-13 promotes the expression of genes associated with cell invasion. These findings suggest that TGFβ and IL-13 play a synergistic role in the pathogenesis of fistulae and inhibition of IL-13 might represent a novel therapeutic approach for fistula treatment.
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Authors | Michael Scharl, Sandra Frei, Theresa Pesch, Silvia Kellermeier, Joba Arikkat, Pascal Frei, Michael Fried, Achim Weber, Ekkehard Jehle, Anne Rühl, Gerhard Rogler |
Journal | Gut
(Gut)
Vol. 62
Issue 1
Pg. 63-72
(Jan 2013)
ISSN: 1468-3288 [Electronic] England |
PMID | 22287592
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Biomarkers
- Integrin beta Chains
- Interleukin-13
- SNAI1 protein, human
- Snail Family Transcription Factors
- Transcription Factors
- Transforming Growth Factor beta
- integrin beta6
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Topics |
- Adult
- Biomarkers
(metabolism)
- Blotting, Western
- Case-Control Studies
- Colitis, Ulcerative
(metabolism)
- Crohn Disease
(complications, metabolism, pathology)
- Female
- Fibroblasts
(metabolism, pathology)
- HT29 Cells
- Humans
- Integrin beta Chains
(metabolism)
- Interleukin-13
(metabolism)
- Intestinal Fistula
(etiology, metabolism, pathology)
- Intestinal Mucosa
(metabolism, pathology)
- Male
- Middle Aged
- Real-Time Polymerase Chain Reaction
- Snail Family Transcription Factors
- Transcription Factors
(metabolism)
- Transforming Growth Factor beta
(metabolism)
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