Oral administration of a recombinant cholera toxin B subunit promotes mucosal healing in the colon

Mucosal Immunol. 2017 Jul;10(4):887-900. doi: 10.1038/mi.2016.95. Epub 2016 Nov 2.

Abstract

Cholera toxin B subunit (CTB) is a component of a licensed oral cholera vaccine. However, CTB has pleiotropic immunomodulatory effects whose impacts on the gut are not fully understood. Here, we found that oral administration in mice of a plant-made recombinant CTB (CTBp) significantly increased several immune cell populations in the colon lamina propria. Global gene expression analysis revealed that CTBp had more pronounced impacts on the colon than the small intestine, with significant activation of TGFβ-mediated pathways in the colon epithelium. The clinical relevance of CTBp-induced impacts on colonic mucosa was examined. In a human colon epithelial model using Caco2 cells, CTBp, but not the non-GM1-binding mutant G33D-CTBp, induced TGFβ-mediated wound healing. In a dextran sodium sulfate (DSS) acute colitis mouse model, oral administration of CTBp protected against colon mucosal damage as manifested by mitigated body weight loss, decreased histopathological scores, and blunted escalation of inflammatory cytokine levels while inducing wound healing-related genes. Furthermore, biweekly oral administration of CTBp significantly reduced disease severity and tumorigenesis in the azoxymethane/DSS model of ulcerative colitis and colon cancer. Altogether, these results demonstrate CTBp's ability to enhance mucosal healing in the colon, highlighting its potential application in ulcerative colitis therapy besides cholera vaccination.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Azoxymethane
  • Caco-2 Cells
  • Cholera / immunology*
  • Cholera / prevention & control
  • Cholera Toxin / immunology*
  • Cholera Vaccines / immunology*
  • Colitis, Ulcerative / chemically induced
  • Colitis, Ulcerative / complications
  • Colitis, Ulcerative / immunology*
  • Colon / pathology*
  • Colonic Neoplasms / etiology
  • Colonic Neoplasms / immunology*
  • Colonic Neoplasms / prevention & control
  • Dextran Sulfate
  • Disease Models, Animal
  • Female
  • Humans
  • Mice
  • Mice, Inbred C57BL
  • Mucous Membrane / immunology*
  • Signal Transduction
  • Transforming Growth Factor beta / metabolism
  • Wound Healing

Substances

  • Cholera Vaccines
  • Transforming Growth Factor beta
  • Cholera Toxin
  • Dextran Sulfate
  • Azoxymethane