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LRH-1 mitigates intestinal inflammatory disease by maintaining epithelial homeostasis and cell survival

Author

Listed:
  • James R. Bayrer

    (University of California San Francisco
    University of California San Francisco)

  • Hongtao Wang

    (Baylor College of Medicine)

  • Roy Nattiv

    (University of California San Francisco)

  • Miyuki Suzawa

    (University of California San Francisco)

  • Hazel S. Escusa

    (University of California San Francisco)

  • Robert J. Fletterick

    (University of California San Francisco)

  • Ophir D. Klein

    (University of California San Francisco
    University of California San Francisco)

  • David D. Moore

    (Baylor College of Medicine)

  • Holly A. Ingraham

    (University of California San Francisco)

Abstract

Epithelial dysfunction and crypt destruction are defining features of inflammatory bowel disease (IBD). However, current IBD therapies targeting epithelial dysfunction are lacking. The nuclear receptor LRH-1 (NR5A2) is expressed in intestinal epithelium and thought to contribute to epithelial renewal. Here we show that LRH-1 maintains intestinal epithelial health and protects against inflammatory damage. Knocking out LRH-1 in murine intestinal organoids reduces Notch signaling, increases crypt cell death, distorts the cellular composition of the epithelium, and weakens the epithelial barrier. Human LRH-1 (hLRH-1) rescues epithelial integrity and when overexpressed, mitigates inflammatory damage in murine and human intestinal organoids, including those derived from IBD patients. Finally, hLRH-1 greatly reduces disease severity in T-cell-mediated murine colitis. Together with the failure of a ligand-incompetent hLRH-1 mutant to protect against TNFα-damage, these findings provide compelling evidence that hLRH-1 mediates epithelial homeostasis and is an attractive target for intestinal disease.

Suggested Citation

  • James R. Bayrer & Hongtao Wang & Roy Nattiv & Miyuki Suzawa & Hazel S. Escusa & Robert J. Fletterick & Ophir D. Klein & David D. Moore & Holly A. Ingraham, 2018. "LRH-1 mitigates intestinal inflammatory disease by maintaining epithelial homeostasis and cell survival," Nature Communications, Nature, vol. 9(1), pages 1-10, December.
  • Handle: RePEc:nat:natcom:v:9:y:2018:i:1:d:10.1038_s41467-018-06137-w
    DOI: 10.1038/s41467-018-06137-w
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