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RNF168 promotes chronic colitis through ANXA7-mediated autophagy and NLRP3-driven pyroptosis.
Honggang Wang1, Yujun Liu1, Wenliang Jiang1
1Department of General Surgery, Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou School of Clinical Medicine, Nanjing Medical University, Taizhou, People's Republic of China.
Apoptosis : an International Journal on Programmed Cell Death
|January 10, 2026
Summary
This study reveals that ELK1 upregulates RNF168, which degrades ANXA7, promoting Crohn
Area of Science:
- Gastroenterology
- Molecular Biology
- Immunology
Background:
- Crohn's disease (CD) involves inflammation and intestinal barrier disruption.
- The molecular mechanisms underlying CD progression require further elucidation.
Purpose of the Study:
- Investigate the roles of ANXA7 and RNF168 in CD.
- Elucidate the regulatory axis involving ELK1, RNF168, and ANXA7 in CD pathogenesis.
- Explore therapeutic strategies targeting this axis.
Main Methods:
- Analysis of human colon tissues from CD patients.
- In vitro studies using cell lines with ANXA7 manipulation.
- Protein interaction studies (Co-IP, mass spectrometry, ubiquitination assays).
- In vivo models including knockout mice and TNBS-induced colitis.
- Organoid cultures.
Main Results:
- ANXA7 expression is reduced in inflamed CD tissues.
- RNF168 promotes ANXA7 ubiquitination and degradation, suppressing autophagy and enhancing pyroptosis.
- ELK1 upregulates RNF168, forming a regulatory axis.
- Targeting RNF168 and ANXA7 demonstrated therapeutic potential in vivo.
Conclusions:
- A novel mechanistic model for CD progression involving ELK1-RNF168-ANXA7 axis is proposed.
- This axis drives inflammation, autophagy suppression, and pyroptosis, disrupting the intestinal barrier.
- The RNF168-ANXA7 pathway represents a potential therapeutic target for Crohn's disease.

