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Publication : TNF hampers intestinal tissue repair in colitis by restricting IL-22 bioavailability.

First Author  Ninnemann J Year  2022
Journal  Mucosal Immunol Volume  15
Issue  4 Pages  698-716
PubMed ID  35383266 Mgi Jnum  J:339579
Mgi Id  MGI:7430877 Doi  10.1038/s41385-022-00506-x
Citation  Ninnemann J, et al. (2022) TNF hampers intestinal tissue repair in colitis by restricting IL-22 bioavailability. Mucosal Immunol 15(4):698-716
abstractText  Successful treatment of chronic inflammatory diseases integrates both the cessation of inflammation and the induction of adequate tissue repair processes. Strikingly, targeting a single proinflammatory cytokine, tumor necrosis factor (TNF), induces both processes in a relevant cohort of inflammatory bowel disease (IBD) patients. However, the molecular mechanisms underlying intestinal repair following TNF blockade during IBD remain elusive. Using a novel humanized model of experimental colitis, we demonstrate that TNF interfered with the tissue repair program via induction of a soluble natural antagonist of IL-22 (IL-22Ra2; IL-22BP) in the colon and abrogated IL-22/STAT3-mediated mucosal repair during colitis. Furthermore, membrane-bound TNF expressed by T cells perpetuated colonic inflammation, while soluble TNF produced by epithelial cells (IECs) induced IL-22BP expression in colonic dendritic cells (DCs) and dampened IL-22-driven restitution of colonic epithelial functions. Finally, TNF induced IL-22BP expression in human monocyte-derived DCs and levels of IL22-BP correlated with TNF in sera of IBD patients. Thus, our data can explain how anti-TNF therapy induces mucosal healing by increasing IL-22 availability and implicates new therapeutic opportunities for IBD.
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