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Updated: May 21, 2026

Evaluating Therapeutic Interventions in the SHIP-deficient Mouse Model of Crohn Disease-like Ileitis and Fibrosis
Published on: October 14, 2025
Defective IL-1A expression in patients with Crohn's disease is related to attenuated MAP3K4 signaling
C T M van der Pouw Kraan1, J M Baggen, A A van Bodegraven
1VU University Medical Center, Dept. of Molecular Cell Biology & Immunology, Amsterdam, The Netherlands. t.vanderpouwkraan@vumc.nl
Abstract:
Crohn's disease (CD) is characterized by an aberrant immune response to bacterial products stimulating TLR, in genetically susceptible hosts. Next to mutations in the TLR signaling molecule NOD2, several other immune response- and autophagy-genes contribute to CD. Since only 10-20% of cases can be explained by a NOD2 defect, we searched for additional TLR-related disease-causing factors. We analyzed the LPS response of peripheral blood mononuclear cells from 23 CD patients in remission, compared to 16 controls in a time course experiment. Individuals with any of the three major contributing NOD2 mutations were excluded. Overall, the LPS-responsive gene transcript levels, determined by low density arrays, were significantly lower in CD patients. In particular IL-1A expression was severely reduced in CD patients (ninefold reduction, p=0.001). Quantification of several important TLR4 signal transducers and cytokines identified MAP3K4 as a candidate signaling molecule with reduced expression in CD patients, which might explain the low IL-1A expression. Silencing of MAP3K4 by lentiviral shRNA transduction indeed showed that the expression of IL-1A was specifically dependent on this kinase. Furthermore, the expression of GSK3β, an inhibitor of MAP3K4, was increased in CD patients. In conclusion, we identified a novel TLR signaling defect in CD patients involving MAP3K4 and IL-1A. This confirms the hypothesis that CD patients, despite their massive intestinal inflammation, suffer from a relative immune deficiency in TLR-mediated cytokine production.
Insights
Crohn's disease patients show reduced immune responses to bacterial triggers. A novel defect in Toll-like receptor (TLR) signaling involving MAP3K4 and IL-1A suggests a relative immune deficiency in these patients.
Area of Science:
- Immunology
- Gastroenterology
- Genetics
Background:
- Crohn's disease (CD) involves aberrant immune responses to bacterial products via Toll-like receptors (TLRs) in susceptible individuals.
- While NOD2 mutations explain some CD cases, other immune and autophagy genes also contribute.
- The search for additional TLR-related factors is crucial due to the limited explanation by NOD2 defects.
Purpose of the Study:
- To identify novel TLR-related disease-causing factors in Crohn's disease.
- To investigate the LPS response in CD patients lacking major NOD2 mutations.
- To elucidate the role of specific signaling molecules and cytokines in CD pathogenesis.
Main Methods:
- Analysis of lipopolysaccharide (LPS) response in peripheral blood mononuclear cells (PBMCs) from CD patients and controls using low-density arrays.
- Exclusion of CD patients with major NOD2 mutations.
- Quantification of TLR4 signal transducers and cytokines, including MAP3K4 and IL-1A.
- Silencing of MAP3K4 using lentiviral shRNA to assess IL-1A dependency.
- Measurement of GSK3β expression.
Main Results:
- CD patients exhibited significantly lower LPS-responsive gene transcript levels compared to controls.
- Interleukin-1 Alpha (IL-1A) expression was markedly reduced (ninefold) in CD patients (p=0.001).
- MAP3K4 expression was reduced in CD patients, correlating with low IL-1A levels, and IL-1A expression was dependent on MAP3K4.
- Increased expression of GSK3β, a MAP3K4 inhibitor, was observed in CD patients.
Conclusions:
- A novel Toll-like receptor signaling defect involving MAP3K4 and IL-1A was identified in Crohn's disease.
- This defect contributes to a relative immune deficiency in TLR-mediated cytokine production in CD patients.
- Findings support the hypothesis of impaired immune responses despite significant intestinal inflammation in CD.
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