Inflamed Ulcerative Colitis Regions Associated With MRGPRX2-Mediated Mast Cell Degranulation and Cell Activation

Ernie Chen1, Ling-Shiang Chuang1, Mamta Giri1

  • 1The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York; Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York.

Gastroenterology
|January 9, 2021
PubMed
Abstract

Insights

Mast cells and MRGPRX2 are key in ulcerative colitis (UC) inflammation. A protective genetic variant of MRGPRX2 reduces mast cell activation, offering a potential therapeutic target for UC.

Area of Science:

  • Gastroenterology
  • Immunology
  • Genetics

Background:

  • Mast cells are implicated in murine colonic inflammation, but their role in human ulcerative colitis (UC) remains unclear.
  • The identification of MRGPRX2 (human orthologue of mrgprb2) as a mediator of IgE-independent mast cell activation is a significant advance.
  • Understanding mast cell activation mechanisms and MRGPRX2's role in human UC is crucial.

Purpose of the Study:

  • To define the mechanisms of mast cell activation in human UC.
  • To investigate the role of MRGPRX2 in UC pathogenesis.
  • To identify potential therapeutic targets for UC.

Main Methods:

  • Colon tissues from UC patients were analyzed using bulk and single-cell RNA sequencing.
  • Lamina propria cells were isolated for MRGPRX2 activation studies.
  • Genetic association studies of GPCR single-nucleotide polymorphisms were performed in an Ashkenazi Jewish UC cohort, with MRGPRX2 variants functionally validated in cell lines.

Main Results:

  • Mast cell mediators and adrenomedullin are upregulated in inflamed UC tissues.
  • MRGPRX2 stimulation in inflamed UC leads to carboxypeptidase secretion.
  • A UC-protective MRGPRX2 variant (Asn62Ser) enhances beta-arrestin recruitment and alters downstream signaling, while adrenomedullin is expressed by activated fibroblasts and epithelial cells.

Conclusions:

  • Inflamed UC tissues exhibit MRGPRX2-mediated mast cell activation.
  • A UC-protective genetic variant of MRGPRX2 is associated with decreased mast cell activation.
  • These findings highlight specific cellular pathways in UC and identify MRGPRX2 as a potential therapeutic target.

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