Targeting of the Tec Kinase ITK Drives Resolution of T Cell–Mediated Colitis and Emerges as Potential Therapeutic Option in Ulcerative Colitis
Résumé
Background & Aims: The molecular checkpoints driving T cell activation and cytokine
responses in ulcerative colitis are incompletely understood. Here, we studied the Tec
kinase ITK in ulcerative colitis and explored the link between Cyclosporine A (CsA)
function and ITK activation.
Methods: We analyzed patients with inflammatory bowel disease (n=202) and
evaluated ITK expression and activity as well as the functional effects of CsA.
Moreover, three independent murine colitis models were used to investigate the
functional role of ITK. Finally, the activity of ITK was blocked via pharmacological
inhibitors and genetically engineered mice. Readout parameters were mini-endoscopy,
histopathology, mucosal T cell apoptosis and cytokine production.
Results: We found an expansion of ITK expressing mucosal CD4+ T cells in ulcerative
colitis rather than Crohn ́s disease that correlated with disease severity. CsA
suppressed activation of ITK in cultured CD4+ T cells and calcineurin-containing
microclusters adjacent to the T cell receptor signaling complex. Functionally, the
capacity of CsA to suppress activity of experimental colitis was critically dependent on
ITK. Moreover, genetic inactivation of Itk via gene targeting or induction of allele-
sensitive Itk mutants suppressed experimental colitis in three colitis models, while
pharmacological ITK blockers could be used for treatment of established colitis and
triggered resolution of inflammation. Hereby, ITK controlled apoptosis and activation
of mucosal Th2 and Th17 lymphocytes via NFATc2 signaling pathways.
Conclusion: ITK activation was detected in ulcerative colitis and could be
downregulated in cultured T cells by CsA administration. Selective targeting of ITK
emerges as an attractive approach for treatment of chronic intestinal inflammation and
potentially ulcerative colitis by driving resolution of mucosal inflammation
Domaines
Biologie cellulaireOrigine | Fichiers produits par l'(les) auteur(s) |
---|