Sphingosine-1-Phosphate Signaling and Metabolism Gene Signature in Pediatric Inflammatory Bowel Disease: A

Jung H Suh1, Émilie Degagné1, Elizabeth E Gleghorn1

  • 1UCSF Benioff Children's Hospital Oakland, Oakland, Califorina, USA.

Insights

Pediatric inflammatory bowel disease (IBD) patients show increased sphingosine-1-phosphate (S1P) related gene expression and sphingolipids in gut tissue, correlating with active disease. These markers normalize with remission, suggesting potential for monitoring therapy response.

Area of Science:

  • Gastroenterology
  • Immunology
  • Molecular Biology

Background:

  • Inflammatory bowel disease (IBD) is a growing concern in pediatric populations.
  • Current IBD therapies target sphingosine-1-phosphate (S1P) receptors, but S1P metabolism and signaling in pediatric IBD are not well understood.
  • Characterizing S1P-related gene expression and sphingolipid profiles in pediatric IBD is crucial for developing targeted therapies.

Purpose of the Study:

  • To investigate gene expression of proteins involved in sphingosine-1-phosphate (S1P) metabolism and signaling.
  • To analyze sphingolipid levels in pediatric IBD patients.
  • To correlate S1P-related gene expression and sphingolipid profiles with disease activity.

Main Methods:

  • Recruitment of pediatric IBD patients and controls across four sites.
  • Clinical scoring using PUCAI or PCDAI, and collection of colon biopsies during endoscopy.
  • Quantitative real-time PCR (qRT-PCR) for gene expression and liquid chromatography-tandem mass spectrometry (LC-MS/MS) for sphingolipid analysis in plasma and gut tissue.

Main Results:

  • Significant upregulation of S1P synthesis (SPHK1, SPHK2), degradation (SGPL1), and signaling (S1PR1, S1PR2, S1PR4) genes in colon biopsies of IBD patients with moderate/severe symptoms compared to controls or those in remission.
  • Elevated tissue levels of ceramide, dihydroceramide, and ceramide-1-phosphate (C1P) in pediatric IBD patients.
  • Correlation between elevated S1P-related gene expression in colon tissue and active disease, with normalization in remission.

Conclusions:

  • A distinct gene expression signature for S1P metabolism and signaling is associated with active pediatric IBD.
  • High levels of pro-apoptotic and pro-inflammatory sphingolipids are present in the gut tissue of symptomatic pediatric IBD patients.
  • Combined analysis of sphingolipid profiles and S1P-related gene signature may aid in monitoring therapeutic response in pediatric IBD.
Abstract

Related Concept Videos

Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
1.2K
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
1.1K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
607
Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
696
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
816
Combinatorial Gene Control02:33

Combinatorial Gene Control

Combinatorial gene control is the synergistic action of several transcriptional factors to regulate the expression of a single gene. The absence of one or more of these factors may lead to a significant difference in the level of gene expression or repression.
The expression of more than 30,000 genes is controlled by approximately 2000-3000 transcription factors. This is possible because a single transcription factor can recognize more than one regulatory sequence. The specificity in gene...
9.7K