GZMA suppressed GPX4-mediated ferroptosis to improve intestinal mucosal barrier function in inflammatory bowel

Rongwei Niu1,2, Jiaoli Lan3,4, Danxia Liang5

  • 1The First Affiliated Hospital of Jinan University, Jinan University, Guangzhou, China.

Insights

Granzyme A (GZMA) enhances intestinal barrier function by promoting epithelial cell differentiation and inhibiting ferroptosis. This finding offers a potential therapeutic strategy for inflammatory bowel disease (IBD).

Area of Science:

  • Immunology
  • Gastroenterology
  • Cell Biology

Background:

  • Decreased colonic CD8+CD39+ T cells and granzyme A (GZMA) are observed in pediatric-onset colitis and inflammatory bowel disease (IBD).
  • Impaired intestinal barrier function is a hallmark of IBD.
  • The specific role of GZMA in regulating intestinal barrier function was previously unknown.

Purpose of the Study:

  • To investigate the influence of GZMA on intestinal epithelial barrier function.
  • To elucidate the underlying molecular mechanisms by which GZMA modulates barrier integrity.
  • To evaluate the therapeutic potential of GZMA in a colitis model.

Main Methods:

  • In vivo and in vitro assays including Western blotting, qPCR, immunofluorescence, and intestinal organoid cultures.
  • Permeability assays to assess barrier function.
  • Molecular techniques such as luciferase assays, immunoprecipitation, and subcellular fractionation to identify mechanisms.

Main Results:

  • GZMA, secreted by CD8+CD39+ T cells, enhances intestinal epithelial barrier function by upregulating Occludin (OCLN) and Zonula Occludens-1 (ZO-1) expression.
  • This effect is mediated by enhanced CDX2-driven cell differentiation, which is linked to glutathione peroxidase 4 (GPX4)-induced ferroptosis inhibition.
  • GZMA inhibits PDE4B, activating the cAMP/PKA/CREB pathway, leading to increased CREB nuclear translocation and GPX4 transactivity, ultimately alleviating DSS-induced colitis.

Conclusions:

  • GZMA plays a crucial role in promoting intestinal epithelial cell differentiation and improving barrier function.
  • Targeting GZMA presents a promising therapeutic avenue for patients suffering from IBD.
  • The findings reveal a novel mechanism involving GZMA in maintaining intestinal homeostasis.
Abstract