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Publication : Cysteinyl leukotrienes and acetylcholine are biliary tuft cell cotransmitters.

First Author  Keshavarz M Year  2022
Journal  Sci Immunol Volume  7
Issue  69 Pages  eabf6734
PubMed ID  35245090 Mgi Jnum  J:359511
Mgi Id  MGI:7787284 Doi  10.1126/sciimmunol.abf6734
Citation  Keshavarz M, et al. (2022) Cysteinyl leukotrienes and acetylcholine are biliary tuft cell cotransmitters. Sci Immunol 7(69):eabf6734
abstractText  The gallbladder stores bile between meals and empties into the duodenum upon demand and is thereby exposed to the intestinal microbiome. This exposure raises the need for antimicrobial factors, among them, mucins produced by cholangiocytes, the dominant epithelial cell type in the gallbladder. The role of the much less frequent biliary tuft cells is still unknown. We here show that propionate, a major metabolite of intestinal bacteria, activates tuft cells via the short-chain free fatty acid receptor 2 and downstream signaling involving the cation channel transient receptor potential cation channel subfamily M member 5. This results in corelease of acetylcholine and cysteinyl leukotrienes from tuft cells and evokes synergistic paracrine effects upon the epithelium and the gallbladder smooth muscle, respectively. Acetylcholine triggers mucin release from cholangiocytes, an epithelial defense mechanism, through the muscarinic acetylcholine receptor M3. Cysteinyl leukotrienes cause gallbladder contraction through their cognate receptor CysLTR1, prompting emptying and closing. Our results establish gallbladder tuft cells as sensors of the microbial metabolite propionate, initiating dichotomous innate defense mechanisms through simultaneous release of acetylcholine and cysteinyl leukotrienes.
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