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Published on: January 22, 2020
Immunostimulatory oligonucleotides inhibit colonic proinflammatory cytokine production in ulcerative colitis
Daniel Rachmilewitz1, Fanny Karmeli, Shimon Shteingart
1Department of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel. tamid@netvision.net.il
Background:
We previously showed that Toll-like receptor-9 (TLR-9) ligands ameliorate experimental colitis. In this study, we evaluated the effect of TLR-9 ligands on the generation of proinflammatory cytokines by human colonic mucosa.
Materials And Methods:
Colonoscopic biopsies were obtained from patients with active ulcerative colitis (UC) and from normal subjects. The tissue was organ cultured for 24 hours in the presence or absence of different types of immunostimulatory (ISS) (CpG)-oligonucleotides (ODNs). Tumor necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta) levels in the medium were determined by enzyme-linked immunosorbent assay.
Results:
In active UC, hTNF-alpha and hIL-lbeta generation by inflamed colonic mucosa is 7- and 3-fold higher, respectively, than their generation by normal mucosa. Class B CpG ODNs inhibited colonic TNF-alpha and IL-1beta generation by 50%, whereas class A or C ODNs had a partial or no effect, respectively. A novel class of ODNs that is based on multiple TCG repeats was as effective as class B ODNs. This inhibition resulted from the transcriptional suppression of IL-1beta that occurred within the first 2 hours after ISS-ODN incubation. The addition of chloroquine abolished the inhibitory effects of ISS-ODNs on colonic TNF-alpha and IL-1beta generation.
Conclusions:
Only certain classes of ISS-ODNs inhibit the enhanced TNF-alpha and IL-1beta generated ex vivo by inflamed colonic mucosa of patients with UC. The effect of ISS-ODNs is mediated by triggering of TLR-9. These results suggest a potential therapeutic value for ISS-ODNs in UC.
Insights
Certain Toll-like receptor-9 (TLR-9) ligands, specifically class B CpG oligonucleotides (ODNs), significantly reduce proinflammatory cytokine production in ulcerative colitis (UC) models, suggesting therapeutic potential.
Area of Science:
- Immunology
- Gastroenterology
- Molecular Biology
Background:
- Toll-like receptor-9 (TLR-9) ligands have previously demonstrated efficacy in ameliorating experimental colitis.
- This study investigates the impact of TLR-9 ligands on the production of proinflammatory cytokines in human colonic mucosa.
Purpose of the Study:
- To evaluate the effect of various immunostimulatory (ISS) CpG oligonucleotides (ODNs) on the generation of tumor necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta) by human colonic mucosa from patients with ulcerative colitis (UC).
Main Methods:
- Colonoscopic biopsies were obtained from active UC patients and normal subjects.
- Tissues were organ cultured and treated with different classes of ISS CpG ODNs.
- TNF-alpha and IL-1beta levels were quantified using enzyme-linked immunosorbent assay.
Main Results:
- Inflamed colonic mucosa in active UC produced significantly higher levels of TNF-alpha and IL-1beta compared to normal mucosa.
- Class B CpG ODNs inhibited TNF-alpha and IL-1beta generation by 50%, while other classes had minimal or no effect.
- Inhibition was linked to transcriptional suppression of IL-1beta within 2 hours, and chloroquine abolished this effect.
Conclusions:
- Specific ISS-ODN classes, particularly class B, can inhibit elevated TNF-alpha and IL-1beta production in inflamed human colonic mucosa.
- The therapeutic effects of ISS-ODNs are mediated through TLR-9 activation.
- These findings highlight the potential therapeutic utility of ISS-ODNs for managing ulcerative colitis.
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