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The Role of IL-13 and the IL-13Rα2 Pathway in the Pathogenesis of Experimental and Human Ulcerative Colitis

The Role of IL-13 and the IL-13Rα2 Pathway in the Pathogenesis of Experimental and Human Ulcerative Colitis

Ivan J. Fuss

Mucosal Immunity SectionLaboratory of Host DefensesNIAID, National Institutes of Health

NKT Cells and IL-13 in Experimental Colitis

Fuss et al J Clin Invest 2004Heller et al Immunity 2002

• IL-13 caused a dose-dependent decrease in electrical resistance of HT-29 epithelial cell monolayers.

• This was associated with an increase in the cellular apoptotic rate.

• Addition of IL-13 in vitro led to an increased expression of the pore-forming tight junction protein claudin-2.

IL-13 Can Effect Epithelial Cell Barrier Function

Heller et al Gastroenterology 2005

Heller et al Gastroenterology 2005

Gut Lumen

Glycolipid antigen ?

Epithelium

APCNKT

NKT

NKT

CD1Glycolipid ?

IL-13

CytokineTranscription

TGF-βTranscription

IL-13

Type IIL-4 Receptor

JAK 3JAK-1 B

OX1

IL-4

STAT 6

IL-4Rα

BOX1

P

IRS-1/2

Type IIIL-4 Receptor

Tyk 2JAK-1BOX1

IL-4

STAT 6

IL-4Rα

BOX1

P

IRS-1/2

IL-13Rα1

STAT 6

Tyk 2JAK-1BOX1

IL-4

STAT 6

IL-4Rα

BOX1

P

IRS-1/2

IL-13Rα1

IL-13

IL-13 Receptor IL-13 Receptor

IL-13Rα2

STAT 6

STAT 6

AP-1

AP-1

?

Fichtner-Feigl et al Nat Med 2006

Specificity of Action

% In

itial

Bod

y W

eigh

t Day

0

105

100

95

90

850 1 2 3 4

Days

Ethanol

Oxazolone

Oxazolone + IL-13 PE

Treatment with an IL-13 Pseudomonas Exotoxin canAmeliorate Experimental Ulcerative Colitis (Oxazolone)

CD3/CD28

CD3/CD28 + IL-13PE

0

100

200

300

400

500

600

IL-1

3 Se

cret

ion

(pg/

ml)

Treatment of Oxazolone Colitis with a IL-13 PEleads to Decreased IL-13 Secreting Cells

Crohn’s Disease

103102101100

103

102

101

100

Ulcerative Colitis

104

104

103102101100

103

102

101

100

104

104

CD161 CD161

IL-1

3Rα2

IL-1

3Rα2

Increased IL-13Rα2 Bearing NKT Cellsin PBMC of Ulcerative Colitis Patients

CD2/CD28

CD2/CD28 + IL-13PE

0

100

200

300

400

500

600

IL-1

3 Se

cret

ion

(pg/

ml)

IL-13 Secretion From an Ulcerative Colitis Patient LPMC After Treatment with IL-13 Pseudomonas Exotoxin

CD2/CD28

CD2/CD28 + IL-13PE

0

100

200

300

400

500

600

IL-1

3 Se

cret

ion

(pg/

ml)

IL-13 Secretion From an Crohn’s Disease Patient LPMC After Treatment with IL-13 Pseudomonas Exotoxin

Gut Lumen

Glycolipid antigen ?

Epithelium

APCNKT

NKT

NKT

CD1Glycolipid ?

IL-13

IL-13Rα2

Summary

Treatment of experimental ulcerative colitis with anIL-13 PE can ameliorate disease.

LPMC NKT cells from ulcerative colitis patients demonstrate an increased expression of IL-13Rα2.

Treatment of ulcerative colitis NKT cells with an IL-13 PE leads to decreased IL-13 secretion.

Therapeutic modalities that target the IL−13Rα2 pathway may be a new avenue of treatment for ulcerative colitis.

Acknowledgements

• Frank Heller• Zhiqiong Yang• Stefan Fichtner-Feigl• Bharat Joshi• Raj Puri• Peter Mannon• Warren Strober

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