Abstract
Inflammatory bowel disease (IBD) is multi-factorial chronic intestinal inflammation driven by pathogenic T cells, among which a large portion of patients are resistant to current anti-inflammatory regimes. The mechanisms underlying colitis pathogenicity and drug resistance are not fully understood. Here, we demonstrate that RORα is highly expressed in active UC patients, particularly in those non-responsive to anti-TNF treatment. Rorα deficiency in CD4+ T cells greatly reduced colitis development. Mechanistically, RORα regulated T cell infiltration in colon and inhibited T cell apoptosis. Meanwhile, genome-wide occupancy and transcriptome analysis revealed that RORα promoted mTORC1 activation. mTORC1 signaling, also hyperactivated in active UC patients, is necessary for T cell-mediated colitis. Our results thus demonstrate a crucial role of the RORα-mTORC1 axis in CD4+ T cells in promoting IBD, which may be targeted in human patients.
Keywords:
CD4(+) T cells; RORα; anti-TNF therapy; colitis; mTORC1.
Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Apoptosis
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CD4-Positive T-Lymphocytes / cytology
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CD4-Positive T-Lymphocytes / immunology*
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CD4-Positive T-Lymphocytes / metabolism
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Colitis, Ulcerative / drug therapy
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Colitis, Ulcerative / immunology
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Colitis, Ulcerative / metabolism
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Colitis, Ulcerative / pathology*
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Colon / immunology
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Colon / pathology
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Disease Models, Animal
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Drug Resistance, Neoplasm / genetics
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Female
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Humans
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Infliximab / therapeutic use
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Interleukin-17 / genetics
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Interleukin-17 / metabolism
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Mechanistic Target of Rapamycin Complex 1 / metabolism*
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Mice
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Mice, Inbred C57BL
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Mice, Knockout
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Nuclear Receptor Subfamily 1, Group F, Member 1 / deficiency
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Nuclear Receptor Subfamily 1, Group F, Member 1 / genetics
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Nuclear Receptor Subfamily 1, Group F, Member 1 / metabolism*
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Signal Transduction
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T-Box Domain Proteins / genetics
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T-Box Domain Proteins / metabolism
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T-bet Transcription Factor
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Th17 Cells / cytology
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Th17 Cells / immunology
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Th17 Cells / metabolism
Substances
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IL17A protein, human
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Interleukin-17
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Nuclear Receptor Subfamily 1, Group F, Member 1
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Rora protein, mouse
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T-Box Domain Proteins
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T-bet Transcription Factor
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Infliximab
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Mechanistic Target of Rapamycin Complex 1