1 1061 179 CLINICAL REMISSION OF SIGHT-THREATENING NON-INFECTIOUS UVEITIS IS CHARACTERIZED BY AN UPREGULATION OF PERIPHERAL T-REGULATORY CELL POLARIZED TOWARDS T-BET AND TIGIT. BACKGROUND: NON-INFECTIOUS UVEITIS CAN CAUSE CHRONIC RELAPSING AND REMITTING OCULAR INFLAMMATION, WHICH MAY REQUIRE HIGH DOSE SYSTEMIC IMMUNOSUPPRESSION TO PREVENT SEVERE SIGHT LOSS. IT HAS BEEN CLASSICALLY DESCRIBED AS AN AUTOIMMUNE DISEASE, MEDIATED BY PRO-INFLAMMATORY TH1 AND TH17 T-CELL SUBSETS. STUDIES SUGGEST THAT NATURAL IMMUNOSUPPRESSIVE CD4(+)CD25(+)FOXP3(+) T-REGULATORY CELLS (TREGS) ARE INVOLVED IN RESOLUTION OF INFLAMMATION AND MAY BE INVOLVED IN THE MAINTENANCE OF CLINICAL REMISSION. OBJECTIVE: TO INVESTIGATE WHETHER THERE IS A PERIPHERAL BLOOD IMMUNOREGULATORY PHENOTYPE ASSOCIATED WITH CLINICAL REMISSION OF SIGHT-THREATENING NON-INFECTIOUS UVEITIS BY COMPARING PERIPHERAL BLOOD LEVELS OF TREG, TH1, AND TH17, AND ASSOCIATED DNA METHYLATION AND CYTOKINE LEVELS IN PATIENTS WITH ACTIVE UVEITIC DISEASE, CONTROL SUBJECTS AND PATIENTS (WITH PREVIOUSLY ACTIVE DISEASE) IN CLINICAL REMISSION INDUCED BY IMMUNOSUPPRESSIVE DRUGS. METHODS: ISOLATED PERIPHERAL BLOOD MONONUCLEAR CELLS (PBMC) FROM PERIPHERAL BLOOD SAMPLES FROM PROSPECTIVELY RECRUITED SUBJECTS WERE ANALYZED BY FLOW CYTOMETRY FOR CD3, CD4, FOXP3, TIGIT, T-BET, AND RELATED ORPHAN RECEPTOR GAMMAT. EPIGENETIC DNA METHYLATION LEVELS OF FOXP3 TREG-SPECIFIC DEMETHYLATED REGION (TSDR), FOXP3 PROMOTER, TBX21, RORC2, AND TIGIT LOCI WERE DETERMINED IN CRYOPRESERVED PBMC USING A NEXT-GENERATION SEQUENCING APPROACH. RELATED CYTOKINES WERE MEASURED IN BLOOD SERA. FUNCTIONAL SUPPRESSIVE CAPACITY OF TREG WAS ASSESSED USING T-CELL PROLIFERATION ASSAYS. RESULTS: FIFTY PATIENTS WITH UVEITIS (INTERMEDIATE, POSTERIOR, AND PANUVEITIS) AND 10 CONTROL SUBJECTS WERE RECRUITED. THE FREQUENCY OF CD4(+)CD25(+)FOXP3(+) TREG, TIGIT(+) TREG, AND T-BET(+) TREG AND THE RATIO OF TREG TO TH1 WERE SIGNIFICANTLY HIGHER IN REMISSION PATIENTS COMPARED WITH PATIENTS WITH ACTIVE UVEITIC DISEASE; AND TIGIT(+) TREGS WERE A SIGNIFICANT PREDICTOR OF CLINICAL REMISSION. TREG FROM PATIENTS IN CLINICAL REMISSION DEMONSTRATED A HIGH LEVEL OF IN VITRO SUPPRESSIVE FUNCTION COMPARED WITH TREG FROM CONTROL SUBJECTS AND FROM PATIENTS WITH UNTREATED ACTIVE DISEASE. PBMC FROM PATIENTS IN CLINICAL REMISSION HAD SIGNIFICANTLY LOWER METHYLATION LEVELS AT THE FOXP3 TSDR, FOXP3 PROMOTER, AND TIGIT LOCI AND HIGHER LEVELS AT RORC LOCI THAN THOSE WITH ACTIVE DISEASE. CLINICAL REMISSION WAS ALSO ASSOCIATED WITH SIGNIFICANTLY HIGHER SERUM LEVELS OF TRANSFORMING GROWTH FACTOR BETA AND IL-10, WHICH POSITIVELY CORRELATED WITH TREG LEVELS, AND LOWER SERUM LEVELS OF IFNGAMMA, IL-17A, AND IL-22 COMPARED WITH PATIENTS WITH ACTIVE DISEASE. CONCLUSION: CLINICAL REMISSION OF SIGHT-THREATENING NON-INFECTIOUS UVEITIS HAS AN IMMUNOREGULATORY PHENOTYPE CHARACTERIZED BY UPREGULATION OF PERIPHERAL TREG, POLARIZED TOWARD T-BET AND TIGIT. THESE FINDINGS MAY ASSIST WITH INDIVIDUALIZED THERAPY OF UVEITIS, BY INFORMING WHETHER DRUG THERAPY HAS INDUCED PHENOTYPICALLY STABLE TREG ASSOCIATED WITH LONG-TERM CLINICAL REMISSION. 2018 2 1446 32 DIGESTED CINNAMON (CINNAMOMUM VERUM J. PRESL) BARK EXTRACT MODULATES CLAUDIN-2 GENE EXPRESSION AND PROTEIN LEVELS UNDER TNFALPHA/IL-1BETA INFLAMMATORY STIMULUS. EPIGENETIC CHANGES, HOST-GUT MICROBIOTA INTERACTIONS, AND ENVIRONMENTAL FACTORS CONTRIBUTE TO INFLAMMATORY BOWEL DISEASE (IBD) ONSET AND PROGRESSION. A HEALTHY LIFESTYLE MAY HELP TO SLOW DOWN THE CHRONIC OR REMITTING/RELAPSING INTESTINAL TRACT INFLAMMATION CHARACTERISTIC OF IBD. IN THIS SCENARIO, THE EMPLOYMENT OF A NUTRITIONAL STRATEGY TO PREVENT THE ONSET OR SUPPLEMENT DISEASE THERAPIES INCLUDED FUNCTIONAL FOOD CONSUMPTION. ITS FORMULATION CONSISTS OF THE ADDITION OF A PHYTOEXTRACT ENRICHED IN BIOACTIVE MOLECULES. A GOOD CANDIDATE AS AN INGREDIENT IS THE CINNAMON VERUM AQUEOUS EXTRACT. INDEED, THIS EXTRACT, SUBJECTED TO A PROCESS OF GASTROINTESTINAL DIGESTION SIMULATION (INFOGEST), EXHIBITS BENEFICIAL ANTIOXIDANT AND ANTI-INFLAMMATORY PROPERTIES IN AN IN VITRO MODEL OF THE INFLAMED INTESTINAL BARRIER. HERE, WE DEEPEN THE STUDY OF THE MECHANISMS RELATED TO THE EFFECT OF DIGESTED CINNAMON EXTRACT PRE-TREATMENT, SHOWING A CORRELATION BETWEEN TRANSEPITHELIAL ELECTRICAL RESISTANCE (TEER) DECREMENT AND ALTERATIONS IN CLAUDIN-2 EXPRESSION UNDER TUMOR NECROSIS FACTOR-ALPHA/INTERLEUKIN-1BETA (TNF-ALPHA/IL-1) BETA CYTOKINE ADMINISTRATION. OUR RESULTS SHOW THAT PRE-TREATMENT WITH CINNAMON EXTRACT PREVENTS TEER LOSS BY CLAUDIN-2 PROTEIN LEVEL REGULATION, INFLUENCING BOTH GENE TRANSCRIPTION AND AUTOPHAGY-MEDIATED DEGRADATION. HENCE, CINNAMON POLYPHENOLS AND THEIR METABOLITES PROBABLY WORK AS MEDIATORS IN GENE REGULATION AND RECEPTOR/PATHWAY ACTIVATION, LEADING TO AN ADAPTIVE RESPONSE AGAINST RENEWED INSULTS. 2023 3 1527 31 DNA METHYLATION CHANGES IN LUNG IMMUNE CELLS ARE ASSOCIATED WITH GRANULOMATOUS LUNG DISEASE. EPIGENETIC MARKS ARE LIKELY TO EXPLAIN VARIABILITY OF RESPONSE TO ANTIGEN IN GRANULOMATOUS LUNG DISEASE. THE OBJECTIVE OF THIS STUDY WAS TO IDENTIFY DNA METHYLATION AND GENE EXPRESSION CHANGES ASSOCIATED WITH CHRONIC BERYLLIUM DISEASE (CBD) AND SARCOIDOSIS IN LUNG CELLS OBTAINED BY BAL. BAL CELLS FROM CBD (N = 8), BERYLLIUM-SENSITIZED (N = 8), SARCOIDOSIS (N = 8), AND ADDITIONAL PROGRESSIVE SARCOIDOSIS (N = 9) AND REMITTING (N = 15) SARCOIDOSIS WERE PROFILED ON THE ILLUMINA 450K METHYLATION AND AFFYMETRIX/AGILENT GENE EXPRESSION MICROARRAYS. STATISTICAL ANALYSES WERE PERFORMED TO IDENTIFY DNA METHYLATION AND GENE EXPRESSION CHANGES ASSOCIATED WITH CBD, SARCOIDOSIS, AND DISEASE PROGRESSION IN SARCOIDOSIS. DNA METHYLATION ARRAY FINDINGS WERE VALIDATED BY PYROSEQUENCING. WE IDENTIFIED 52,860 SIGNIFICANT (P < 0.005 AND Q < 0.05) CPGS ASSOCIATED WITH CBD; 2,726 CPGS NEAR 1,944 UNIQUE GENES HAVE GREATER THAN 25% METHYLATION CHANGE. A TOTAL OF 69% OF DIFFERENTIALLY METHYLATED GENES ARE SIGNIFICANTLY (Q < 0.05) DIFFERENTIALLY EXPRESSED IN CBD, WITH MANY CANONICAL INVERSE RELATIONSHIPS OF METHYLATION AND EXPRESSION IN GENES CRITICAL TO T-HELPER CELL TYPE 1 DIFFERENTIATION, CHEMOKINES AND THEIR RECEPTORS, AND OTHER GENES INVOLVED IN IMMUNITY. TESTING OF THESE CBD-ASSOCIATED CPGS IN SARCOIDOSIS REVEALS THAT METHYLATION CHANGES ONLY APPROACH SIGNIFICANCE, BUT ARE METHYLATED IN THE SAME DIRECTION, SUGGESTING SIMILARITIES BETWEEN THE TWO DISEASES WITH MORE HETEROGENEITY IN SARCOIDOSIS THAT LIMITS POWER WITH THE CURRENT SAMPLE SIZE. ANALYSIS OF PROGRESSIVE VERSUS REMITTING SARCOIDOSIS IDENTIFIED 15,215 CPGS (P < 0.005 AND Q < 0.05), BUT ONLY 801 OF THEM HAVE GREATER THAN 5% METHYLATION CHANGE, DEMONSTRATING THAT DNA METHYLATION MARKS OF DISEASE PROGRESSION CHANGES ARE MORE SUBTLE. OUR STUDY HIGHLIGHTS THE SIGNIFICANCE OF EPIGENETIC MARKS IN LUNG IMMUNE RESPONSE IN GRANULOMATOUS LUNG DISEASE. 2019 4 5864 36 SUPPRESSION OF ELF4 IN ULCERATIVE COLITIS PREDISPOSES HOST TO COLORECTAL CANCER. ULCERATIVE COLITIS (UC) IS A CHRONIC INFLAMMATORY BOWEL DISEASE, CHARACTERIZED BY RELAPSING AND REMITTING COLON MUCOSAL INFLAMMATION. FOR PATIENTS SUFFERING FROM UC, A HIGHER RISK OF COLON CANCER HAS BEEN WIDELY RECOGNIZED. HERE, WE FOUND THAT ELF4 (-/-) MICE DEVELOPED COLON TUMORS WITH 3 CYCLES OF DEXTRAN SULFATE SODIUM SALT (DSS) TREATMENT ALONE. WE FURTHER SHOWED THAT ELF4 SUPPRESSION WAS PREVALENT IN BOTH PATIENTS WITH UC AND DSS-INDUCED MICE MODELS, AND THIS SUPPRESSION WAS CAUSED BY PROMOTER REGION METHYLATION. ELF4, UPON PARYLATION BY PARP1, TRANSCRIPTIONALLY REGULATED MULTIPLE DNA DAMAGE REPAIR MACHINERY COMPONENTS. CONSISTENTLY, ELF4 DEFICIENCY LEADS TO MORE SEVERE DNA DAMAGE BOTH IN VITRO AND IN VIVO. ORAL ADMINISTRATION OF MONTMORILLONITE POWDER CAN PREVENT THE REDUCTION OF ELF4 IN DSS-INDUCED COLITIS MODELS AND LOWER THE RISK OF COLON TUMOR DEVELOPMENT DURING AZOXYMETHANE (AOM) AND DSS INDUCED COLITIS-ASSOCIATED CANCER (CAC). THESE DATA PROVIDED ADDITIONAL MECHANISM OF CAC INITIATION AND SUPPORTED THE "EPIGENETIC PRIMING MODEL OF TUMOR INITIATION". 2021 5 5049 41 PHARMACOLOGICAL INHIBITION OF RORC2 ENHANCES HUMAN TH17-TREG STABILITY AND FUNCTION. INFLAMMATORY BOWEL DISEASES (IBD) ARE CHRONIC CONDITIONS THAT RESULT FROM UNCONTROLLED INTESTINAL INFLAMMATION. PATHOGENIC TH17 CELLS, CHARACTERIZED BY PRODUCTION OF IL-17A IN THE ABSENCE OF IL-10, ARE THOUGHT TO CONTRIBUTE TO THIS INFLAMMATION, BUT IN HUMANS, ANTIBODY-MEDIATED BLOCKADE OF IL-17A IS AN INEFFECTIVE IBD THERAPY WHEREAS IL-23 BLOCKADE IS EFFECTIVE. HERE, WE INVESTIGATED THE EFFECTS OF PHARMACOLOGICAL INHIBITION OF RORC2, THE TH17 CELL LINEAGE-DEFINING TRANSCRIPTION FACTOR, ON IN VIVO-DIFFERENTIATED HUMAN TH17 CELLS AND TH17-LIKE TREGS (TH17-TREGS). BMS-336, A SMALL MOLECULE RORC2 INVERSE AGONIST, INHIBITED EXPRESSION OF RORC2-REGULATED GENES IN PERIPHERAL TH17 CELLS (CD4(+) CD25(-) CD127(+) CXCR3(-) CCR4(+) CCR6(+) ) IN A DOSE-DEPENDENT MANNER, WITH SIMILAR INHIBITORY EFFECTS ON LAMINAR PROPRIA MONONUCLEAR CELLS FROM IBD AND NON-IBD SUBJECTS. EXPOSURE OF PERIPHERAL TH17-TREGS (CD4(+) CD25(HI) CD127(LO) CXCR3(-) CCR4(+) CCR6(+) ) TO BMS-336 ALSO INHIBITED IL-17A PRODUCTION AND PREVENTED INFLAMMATORY CYTOKINE-INDUCED DESTABILIZATION, AS EVIDENCED BY PRESERVED FOXP3 EXPRESSION AND EPIGENETIC STATUS OF THE TREG-SPECIFIC DEMETHYLATION REGION. IN PARALLEL, RORC2 INHIBITION INCREASED THE PRODUCTION OF IL-10 IN TH17-TREGS, RESULTING IN ENHANCED SUPPRESSION OF INFLAMMATORY CYTOKINES FROM MYELOID CELLS. THUS, VIA ITS ABILITY TO SIMULTANEOUSLY INHIBIT TH17 CELLS AND ENHANCE THE STABILITY AND FUNCTION OF TH17-TREGS, PHARMACOLOGICAL INHIBITION OF RORC2 IS A PROMISING APPROACH TO SUPPRESS INFLAMMATION AND PROMOTE IMMUNE REGULATION IN IBD. 2020 6 51 42 A DISTINCT EPIGENETIC PROFILE DISTINGUISHES STENOTIC FROM NON-INFLAMED FIBROBLASTS IN THE ILEAL MUCOSA OF CROHN'S DISEASE PATIENTS. BACKGROUND: THE CHRONIC REMITTING AND RELAPSING INTESTINAL INFLAMMATION CHARACTERISTIC OF CROHN'S DISEASE FREQUENTLY LEADS TO FIBROSIS AND SUBSEQUENT STENOSIS OF THE INFLAMED REGION. APPROXIMATELY A THIRD OF ALL CROHN'S DISEASE PATIENTS REQUIRE RESECTION AT SOME STAGE IN THEIR DISEASE COURSE. AS THE PATHOGENESIS OF CROHN'S DISEASE ASSOCIATED FIBROSIS IS LARGELY UNKNOWN, A STRONG NECESSITY EXISTS TO BETTER UNDERSTAND THE PATHOPHYSIOLOGY THEREOF. METHODS: IN THIS STUDY, WE INVESTIGATED CHANGES OF THE DNA METHYLOME AND TRANSCRIPTOME OF ILEUM-DERIVED FIBROBLASTS ASSOCIATED TO THE OCCURRENCE OF CROHN'S DISEASE ASSOCIATED FIBROSIS. EIGHTEEN SAMPLES WERE INCLUDED IN A DNA METHYLATION ARRAY AND TWENTY-ONE SAMPLES WERE USED FOR RNA SEQUENCING. RESULTS: MOST DIFFERENTIALLY METHYLATED REGIONS AND DIFFERENTIALLY EXPRESSED GENES WERE OBSERVED WHEN COMPARING STENOTIC WITH NON-INFLAMED SAMPLES. BY CONTRAST, FEW DIFFERENCES WERE OBSERVED WHEN COMPARING CROHN'S DISEASE WITH NON-CROHN'S DISEASE, OR INFLAMED WITH NON-INFLAMED TISSUE. INTEGRATIVE METHYLATION AND GENE EXPRESSION ANALYSES REVEALED DYSREGULATION OF GENES ASSOCIATED TO THE PRKACA AND E2F1 NETWORK, WHICH IS INVOLVED IN CELL CYCLE PROGRESSION, ANGIOGENESIS, EPITHELIAL TO MESENCHYMAL TRANSITION, AND BILE METABOLISM. CONCLUSION: OUR RESEARCH PROVIDES EVIDENCE THAT THE METHYLOME AND THE TRANSCRIPTOME ARE SYSTEMATICALLY DYSREGULATED IN STENOSIS-ASSOCIATED FIBROBLASTS. 2018 7 2368 28 EPIGENETIC REGULATION OF T HELPER CELLS AND INTESTINAL PATHOGENICITY. INFLAMMATORY BOWEL DISEASES (IBDS) ARE CHARACTERIZED BY RELAPSING AND REMITTING CHRONIC INTESTINAL INFLAMMATION. PREVIOUS STUDIES HAVE DEMONSTRATED THE CONTRIBUTIONS OF GENETIC BACKGROUND, ENVIRONMENTAL FACTORS (FOOD, MICROBIOTA, USE OF ANTIBIOTICS), AND HOST IMMUNITY IN THE DEVELOPMENT OF IBDS. MORE THAN 200 GENES HAVE BEEN SHOWN TO INFLUENCE IBD SUSCEPTIBILITY, MOST OF WHICH ARE INVOLVED IN IMMUNITY. THE VERTEBRATE IMMUNE SYSTEM COMPRISES A COMPLEX NETWORK OF INNATE AND ADAPTIVE IMMUNE CELLS THAT PROTECT THE HOST FROM INFECTION AND CANCER. DYSREGULATION OF THE MUTUALISTIC RELATIONSHIP BETWEEN THE IMMUNE SYSTEM AND THE GUT ENVIRONMENT RESULTS IN IBD. CONSIDERING THE FUNDAMENTAL ROLE OF EPIGENETIC REGULATION IN IMMUNE CELLS, EPIGENETIC MECHANISMS, PARTICULARLY IN T HELPER (TH) CELLS, MAY PLAY A MAJOR ROLE IN THE COMPLEX REGULATION OF MUCOSAL IMMUNITY. EPIGENETIC REGULATION AND DYSREGULATION OF TH CELLS ARE INVOLVED IN THE MAINTENANCE OF INTESTINAL HOMEOSTASIS AND ITS BREAKDOWN IN IBD. 2019 8 3454 54 HYPOMETHYLATION AT THE REGULATORY T CELL-SPECIFIC DEMETHYLATED REGION IN CD25HI T CELLS IS DECOUPLED FROM FOXP3 EXPRESSION AT THE INFLAMED SITE IN CHILDHOOD ARTHRITIS. THE MAINTENANCE OF FOXP3 EXPRESSION IN CD25(HI) REGULATORY T CELLS (TREGS) IS CRUCIAL TO THE CONTROL OF INFLAMMATION AND ESSENTIAL FOR SUCCESSFUL TREG TRANSFER THERAPIES. COEXPRESSION OF CD25 AND FOXP3 IN COMBINATION WITH A HYPOMETHYLATED REGION WITHIN THE FOXP3 GENE, CALLED THE TREG-SPECIFIC DEMETHYLATED REGION (TSDR), IS CONSIDERED THE HALLMARK OF STABLE TREGS. THE TSDR IS AN EPIGENETIC MOTIF THAT IS IMPORTANT FOR STABLE FOXP3 EXPRESSION AND IS USED AS A BIOMARKER TO MEASURE TREG LINEAGE COMMITMENT. IN THIS STUDY, WE REPORT THAT, UNLIKE IN PERIPHERAL BLOOD, CD4(+) T CELL EXPRESSION OF CD25 AND FOXP3 IS FREQUENTLY DISSOCIATED AT THE INFLAMED SITE IN PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS, WHICH LED US TO QUESTION THE STABILITY OF HUMAN TREGS IN CHRONIC INFLAMMATORY ENVIRONMENTS. WE DESCRIBE A NOVEL CD4(+)CD127(LO)CD25(HI) HUMAN T CELL POPULATION THAT EXHIBITS EXTENSIVE TSDR AND PROMOTER DEMETHYLATION IN THE ABSENCE OF STABLE FOXP3 EXPRESSION. THIS POPULATION EXPRESSES HIGH LEVELS OF CTLA-4 AND CAN SUPPRESS T CONVENTIONAL CELL PROLIFERATION IN VITRO. THESE DATA COLLECTIVELY SUGGEST THAT THIS POPULATION MAY REPRESENT A CHRONICALLY ACTIVATED FOXP3(LO) TREG POPULATION. WE SHOW THAT THESE CELLS HAVE DEFECTS IN IL-2 SIGNALING AND REDUCED EXPRESSION OF A DEUBIQUITINASE IMPORTANT FOR FOXP3 STABILITY. CLINICALLY, THE PROPORTIONS OF THESE CELLS WITHIN THE CD25(HI) T CELL SUBSET ARE INCREASED IN PATIENTS WITH THE MORE SEVERE COURSES OF DISEASE. OUR STUDY DEMONSTRATES, THEREFORE, THAT HYPOMETHYLATION AT THE TSDR CAN BE DECOUPLED FROM FOXP3 EXPRESSION IN HUMAN T CELLS AND THAT ENVIRONMENT-SPECIFIC BREAKDOWN IN FOXP3 STABILITY MAY COMPROMISE THE RESOLUTION OF INFLAMMATION IN JUVENILE IDIOPATHIC ARTHRITIS. 2014 9 5602 36 RORGAMMAT(+) HEMATOPOIETIC CELLS ARE NECESSARY FOR TUMOR CELL PROLIFERATION DURING COLITIS-ASSOCIATED TUMORIGENESIS IN MICE. COLORECTAL CANCER (CRC) IS ONE OF THE MOST COMMON TUMOR ENTITIES. IN PATIENTS WITH INFLAMMATORY BOWEL DISEASES, THE DEVELOPMENT OF COLITIS-ASSOCIATED COLON CANCER IS CONSIDERED A DANGEROUS LONG-TERM COMPLICATION. IL-17A AND THE TRANSCRIPTION FACTOR RETINOIC ACID RECEPTOR-RELATED ORPHAN RECEPTOR GAMMAT (RORGAMMAT) PLAY FUNDAMENTAL ROLES IN THE PATHOGENESIS OF INFLAMMATORY BOWEL DISEASES; IN HUMAN STUDIES, WE DETECTED A DENSE INFILTRATION OF RORGAMMAT-DEPENDENT CD4(+) IL17A(+) T HELPER (TH)17 CELLS IN SPECIMENS OF CRC, ULCERATIVE COLITIS, AND ULCERATIVE COLITIS-ASSOCIATED COLORECTAL CANCER. HOWEVER, THE MECHANISTIC ROLE OF RORGAMMAT(+) HEMATOPOIETIC CELLS IN COLITIS-ASSOCIATED TUMORIGENESIS REMAINS UNCLEAR. TO INVESTIGATE COLITIS-ASSOCIATED COLON TUMORIGENESIS, WE CONDUCTED STUDIES IN THE AOM+DSS MOUSE MODEL THAT REVEALED THE IMPORTANCE OF RORGAMMAT FOR COLON TUMOR PROGRESSION. IN THE ABSENCE OF RORGAMMAT-DEPENDENT TH17 LYMPHOCYTES, MICE SHOWED SIGNS OF INTENSE CHRONIC COLITIS, BUT DEVELOPED SIGNIFICANTLY FEWER MACROSCOPIC TUMOR NODULES. THE REDUCTION OF TUMOR DEVELOPMENT IN RORGAMMAT(-/-) MICE WAS NOT DUE TO REDUCED COLON TUMOR INITIATION. HOWEVER, THE PROLIFERATION RATE OF TUMOR CELLS WAS REDUCED IN THE ABSENCE OF RORGAMMAT-DEPENDENT TH17 CELLS AND TUMOR CELLS SHOWED PRONOUNCED SIGNS OF SENESCENCE-ASSOCIATED EPIGENETIC AND LYSOSOMAL CHANGES. THESE RESULTS INDICATE AN IMPORTANT ROLE FOR THE IMMUNOLOGICAL MILIEU IN COLITIS-ASSOCIATED CANCER, WHICH IS SHAPED IN-PART BY RORGAMMAT-DEPENDENT TH17 LYMPHOCYTES THAT SUPPORT CRC GROWTH. 2015 10 3662 49 INDUCTION OF STABLE HUMAN FOXP3(+) TREGS BY A PARASITE-DERIVED TGF-BETA MIMIC. IMMUNE HOMEOSTASIS IN THE INTESTINE IS TIGHTLY CONTROLLED BY FOXP3(+) REGULATORY T CELLS (TREGS), DEFECTS OF WHICH ARE LINKED TO THE DEVELOPMENT OF CHRONIC CONDITIONS, SUCH AS INFLAMMATORY BOWEL DISEASE (IBD). AS A MECHANISM OF IMMUNE EVASION, SEVERAL SPECIES OF INTESTINAL PARASITES BOOST TREG ACTIVITY. THE PARASITE HELIGMOSOMOIDES POLYGYRUS IS KNOWN TO SECRETE A MOLECULE (HP-TGM) THAT MIMICS THE ABILITY OF TGF-BETA TO INDUCE FOXP3 EXPRESSION IN CD4(+) T CELLS. THE STUDY AIMED TO INVESTIGATE WHETHER HP-TGM COULD INDUCE HUMAN FOXP3(+) TREGS AS A POTENTIAL THERAPEUTIC APPROACH FOR INFLAMMATORY DISEASES. CD4(+) T CELLS FROM HEALTHY VOLUNTEERS WERE EXPANDED IN THE PRESENCE OF HP-TGM OR TGF-BETA. TREG INDUCTION WAS MEASURED BY FLOW CYTOMETRIC DETECTION OF FOXP3 AND OTHER TREG MARKERS, SUCH AS CD25 AND CTLA-4. EPIGENETIC CHANGES WERE DETECTED USING CHIP-SEQ AND PYROSEQUENCING OF FOXP3. TREG PHENOTYPE STABILITY WAS ASSESSED FOLLOWING INFLAMMATORY CYTOKINE CHALLENGE AND TREG FUNCTION WAS EVALUATED BY CELLULAR CO-CULTURE SUPPRESSION ASSAYS AND CYTOMETRIC BEAD ARRAYS FOR SECRETED CYTOKINES. HP-TGM EFFICIENTLY INDUCED FOXP3 EXPRESSION (> 60%), IN ADDITION TO CD25 AND CTLA-4, AND CAUSED EPIGENETIC MODIFICATION OF THE FOXP3 LOCUS TO A GREATER EXTENT THAN TGF-BETA. HP-TGM-INDUCED TREGS HAD SUPERIOR SUPPRESSIVE FUNCTION COMPARED WITH TGF-BETA-INDUCED TREGS, AND RETAINED THEIR PHENOTYPE FOLLOWING EXPOSURE TO INFLAMMATORY CYTOKINES. FURTHERMORE, HP-TGM INDUCED A TREG-LIKE PHENOTYPE IN IN VIVO DIFFERENTIATED TH1 AND TH17 CELLS, INDICATING ITS POTENTIAL TO RE-PROGRAM MEMORY CELLS TO ENHANCE IMMUNE TOLERANCE. THESE DATA INDICATE HP-TGM HAS POTENTIAL TO BE USED TO GENERATE STABLE HUMAN FOXP3(+) TREGS TO TREAT IBD AND OTHER INFLAMMATORY DISEASES. 2021 11 2152 40 EPIGENETIC MECHANISM OF 5-HT/NE/DA TRIPLE REUPTAKE INHIBITOR ON ADULT DEPRESSION SUSCEPTIBILITY IN EARLY STRESS MICE. MAJOR DEPRESSIVE DISORDER (MDD) IS A CHRONIC, REMITTING AND DEBILITATING DISEASE AND THE ETIOLOGY OF MDD IS HIGHLY COMPLICATED THAT INVOLVES GENETIC AND ENVIRONMENTAL INTERACTIONS. DESPITE MANY PHARMACOTHERAPEUTIC OPTIONS, MANY PATIENTS REMAIN POORLY TREATED AND THE DEVELOPMENT OF EFFECTIVE TREATMENTS REMAINS A HIGH PRIORITY IN THE FIELD. LPM570065 IS A POTENT 5-HYDROXYTRYPTAMINE (5-HT), NOREPINEPHRINE (NE) AND DOPAMINE (DA) TRIPLE REUPTAKE INHIBITOR AND BOTH PRECLINICAL AND CLINICAL RESULTS DEMONSTRATE SIGNIFICANT EFFICACY AGAINST MDD. THIS STUDY EXTENDS PREVIOUS FINDINGS TO EXAMINE THE EFFECTS AND UNDERLYING MECHANISMS OF LPM570065 ON STRESS VULNERABILITY USING A "TWO-HIT" STRESS MOUSE MODEL. THE "TWO-HIT" STRESS MODEL USED ADULT MICE THAT HAD EXPERIENCED EARLY LIFE MATERNAL SEPARATION (MS) STRESS FOR SOCIAL DEFEAT STRESS (SDS) AND THEN THEY WERE EVALUATED IN THREE BEHAVIORAL ASSAYS: SUCROSE PREFERENCE TEST, TAIL SUSPENSION TEST AND FORCED SWIMMING TEST. FOR THE MECHANISTIC STUDIES, METHYLATION-SPECIFIC DIFFERENTIALLY EXPRESSED GENES IN MOUSE HIPPOCAMPAL TISSUE AND VENTRAL TEGMENTAL AREA (VTA) WERE ANALYZED BY WHOLE-GENOME TRANSCRIPTOME ANALYSIS ALONG WITH NEXT-GENERATION BISULFITE SEQUENCING ANALYSIS, FOLLOWED BY RT-PCR AND PYROPHOSPHATE SEQUENCING TO CONFIRM GENE EXPRESSION AND METHYLATION. LPM570065 SIGNIFICANTLY REVERSED DEPRESSIVE-LIKE BEHAVIORS IN THE MICE IN THE SUCROSE PREFERENCE TEST, THE TAIL SUSPENSION TEST, AND THE FORCED SWIMMING TEST. MORPHOLOGICALLY, LPM570065 INCREASED THE DENSITY OF DENDRITIC SPINES IN HIPPOCAMPAL CA1 NEURONS. HYPERMETHYLATION AND DOWNREGULATION OF OXYTOCIN RECEPTOR (OXTR) IN THE HIPPOCAMPAL TISSUES ALONG WITH INCREASED PROTEIN EXPRESSION OF DNMT1 AND DNMT3A IN MICE THAT EXPERIENCED THE "TWO-HIT" STRESS COMPARED TO THOSE THAT ONLY EXPERIENCED ADULTHOOD SOCIAL DEFEAT STRESS, AND LPM570065 COULD REVERSE THESE CHANGES. COMBINED, THESE RESULTS SUGGEST THAT METHYLATION SPECIFICITY OF THE GENE OXTR IN THE HIPPOCAMPUS MAY PLAY AN IMPORTANT ROLE IN EARLY LIFE STRESS-INDUCED SUSCEPTIBILITY TO DEPRESSION AND THAT THE5-HT/NE/DA TRIPLE REUPTAKE INHIBITOR LPM570065 MAY REDUCE DEPRESSION SUSCEPTIBILITY VIA THE REVERSAL OF THE METHYLATION OF THE GENE OXTR. 2022 12 5908 43 TARGETED DE-METHYLATION OF THE FOXP3-TSDR IS SUFFICIENT TO INDUCE PHYSIOLOGICAL FOXP3 EXPRESSION BUT NOT A FUNCTIONAL TREG PHENOTYPE. CD4+ REGULATORY T CELLS (TREGS) ARE KEY MEDIATORS OF IMMUNOLOGICAL TOLERANCE AND PROMISING EFFECTOR CELLS FOR IMMUNO-SUPPRESSIVE ADOPTIVE CELLULAR THERAPY TO FIGHT AUTOIMMUNITY AND CHRONIC INFLAMMATION. THEIR FUNCTIONAL STABILITY IS CRITICAL FOR THEIR CLINICAL UTILITY AND HAS BEEN CORRELATED TO THE DEMETHYLATED STATE OF THE TSDR/CNS2 ENHANCER ELEMENT IN THE TREG LINEAGE TRANSCRIPTION FACTOR FOXP3. HOWEVER, PROOF FOR A CAUSAL CONTRIBUTION OF THE TSDR DE-METHYLATION TO FOXP3 STABILITY AND TREG INDUCTION IS SO FAR LACKING. WE HERE ESTABLISHED A POWERFUL TRANSIENT-TRANSFECTION CRISPR-CAS9-BASED EPIGENETIC EDITING METHOD FOR THE SELECTIVE DE-METHYLATION OF THE TSDR WITHIN THE ENDOGENOUS CHROMATIN ENVIRONMENT OF A LIVING CELL. THE INDUCED DE-METHYLATED STATE WAS STABLE OVER WEEKS IN CLONAL T CELL PROLIFERATION CULTURES EVEN AFTER EXPRESSION OF THE EDITING COMPLEX HAD CEASED. EPIGENETIC EDITING OF THE TSDR RESULTED IN FOXP3 EXPRESSION, EVEN IN ITS PHYSIOLOGICAL ISOFORM DISTRIBUTION, PROVING A CAUSAL ROLE FOR THE DE-METHYLATED TSDR IN FOXP3 REGULATION. HOWEVER, SUCCESSFUL FOXP3 INDUCTION WAS NOT ASSOCIATED WITH A SWITCH TOWARDS A FUNCTIONAL TREG PHENOTYPE, IN CONTRAST TO WHAT HAS BEEN REPORTED FROM FOXP3 OVEREXPRESSION APPROACHES. THUS, TSDR DE-METHYLATION IS REQUIRED, BUT NOT SUFFICIENT FOR A STABLE TREG PHENOTYPE INDUCTION. THEREFORE, TARGETED DEMETHYLATION OF THE TSDR MAY BE A CRITICAL ADDITION TO PUBLISHED IN VITRO TREG INDUCTION PROTOCOLS WHICH SO FAR LACK FOXP3 STABILITY. 2020 13 2200 45 EPIGENETIC MODIFICATION OF FOXP3 IN PATIENTS WITH CHRONIC HIV INFECTION. OBJECTIVES: HIV-1 MODULATES HOST CELL EPIGENETIC MACHINERY TO CONTROL ITS OWN REPLICATION AND INDUCE IMMUNE SUPPRESSION. HIV-1 INFECTION LEADS TO ACTIVATION OF T REGULATORY CELL (T(REG)), BUT THE MECHANISM UNDERLYING THIS IMMUNE MODULATION IS UNCLEAR. T(REG) PLAYS A PROMINENT ROLE IN GUT-MUCOSAL IMMUNE TOLERANCE BY RESTRAINING EXCESSIVE EFFECTOR T-CELL RESPONSES, A MECHANISM THAT IS KNOWN TO BE DISTURBED IN CHRONIC HIV-1 INFECTION. DNA METHYLATION PLAYS A MAJOR ROLE IN T(REG) LINEAGE COMMITMENT AND IMMUNE HOMEOSTASIS, WHICH MAY BE REGULATED BY HIV. TO INVESTIGATE THE MECHANISMS OF ABERRANT METHYLATION OF THE T(REG) MARKER FOXP3 IN HIV-1 INFECTION, WE EVALUATED THE EXPRESSION PATTERN OF METHYLATION-RELATED ENZYMES AND ITS CORRELATION TO FOXP3 METHYLATION. METHODS: FOXP3 PROMOTER METHYLATION IN THE COLON MUCOSA AND PERIPHERAL BLOOD FROM HIV-INFECTED PATIENTS AND CONTROL SUBJECTS WAS MEASURED USING PYROSEQUENCING. GENE EXPRESSION PATTERN OF DNA METHYLATION ENZYMES IN THE COLON MUCOSA WAS INVESTIGATED BY MICROARRAY AND QUANTITATIVE REVERSE TRANSCRIPTASE-POLYMERASE CHAIN REACTION ANALYSIS IN THE SAME SUBJECTS. RESULTS: FOXP3 PROMOTER WAS SIGNIFICANTLY (P 3 MONTHS) THE MICE EXHIBITED COLORECTAL CANCER, INCLUDING A UNIQUE PHENOTYPE OF RECTAL PROLAPSED (RECTAL SEVERE INFLAMMATION AND ADENOCARCINOMA). THUS, THE AGE OF 3 MONTHS MIGHT BE THE KEY POINT OF THE TRANSITION FROM CHRONIC INFLAMMATION TO CANCER. TO DETERMINE THE MECHANISMS OF THE MALIGNANT TRANSFORMATION, WE CONDUCTED MIRNA ARRAY ON THE COLONIC EPITHELIAL CELLS FROM THE 3-MONTH MUC2-/- AND +/+ MICE. MICRORNA PROFILING SHOWED DIFFERENTIAL EXPRESSION OF MIRNAS (I.E. LOWER OR HIGHER EXPRESSION ENRICHMENTS) IN MUC2-/- MICE. 15 OF THEM WERE VALIDATED BY QUANTITATIVE PCR. BASED ON RELEVANCE TO CYTOKINE AND CANCER, 4 MIRNAS (MIR-138, MIR-145, MIR-146A, AND MIR-150) WERE VALIDATE AND WERE FOUND SIGNIFICANTLY DOWNREGULATED IN HUMAN COLITIS AND COLORECTAL CANCER TISSUES. THE NETWORK OF THE TARGETS OF THESE MIRNAS WAS CHARACTERIZED, AND INTERESTEDLY, MIRNA-ASSOCIATED CYTOKINES WERE SIGNIFICANTLY INCREASED IN MUC2-/-MICE. THIS IS THE FIRST TO REVEAL THE IMPORTANCE OF ABERRANT EXPRESSION OF MIRNAS IN DYNAMICALLY TRANSFORMATION FROM CHRONIC COLITIS TO COLITIS-ASSOCIATED CANCER. THESE FINDINGS SHED LIGHT ON REVEALING THE MECHANISMS OF CHRONIC COLITIS MALIGNANT TRANSFORMATION. 2014 15 3765 35 INTEGRATIVE ANALYSIS OF TRANSCRIPTOMIC AND PROTEOMIC PROFILING IN INFLAMMATORY BOWEL DISEASE COLON BIOPSIES. BACKGROUND: CROHN'S DISEASE (CD) AND ULCERATIVE COLITIS (UC) ARE INTESTINAL CHRONIC INFLAMMATORY CONDITIONS CHARACTERIZED BY ALTERED EPITHELIAL BARRIER FUNCTION AND TISSUE DAMAGE. DESPITE SIGNIFICANT EFFORTS TO UNDERSTANDING THE BIOLOGICAL MECHANISMS RESPONSIBLE FOR GUT INFLAMMATION, THE PATHOPHYSIOLOGY OF CD AND UC REMAINS POORLY UNDERSTOOD. METHODS: TO HELP ELUCIDATE THE POTENTIAL MECHANISMS RESPONSIBLE FOR GUT INFLAMMATION IN CD AND UC, TRANSCRIPTOMIC AND PROTEOMIC PROFILING OF HUMAN COLON BIOPSY SPECIMENS WAS PERFORMED. DYSREGULATED GENES AND PROTEINS IN DISEASE TISSUES COMPARED WITH NORMAL TISSUES WERE CHARACTERIZED FROM THE EXPRESSION PROFILES AND FURTHER SUBJECTED TO PATHWAY ANALYSIS TO IDENTIFY ALTERED BIOLOGICAL PROCESSES AND SIGNALING PATHWAYS. RESULTS: SAMPLE ANALYSIS SHOWED 4250 GENES WITH MATCHED PROTEIN EXPRESSION AND A WIDE RANGE OF CORRELATION OF RNA-PROTEIN ABUNDANCE ACROSS SAMPLES. PATHWAY ANALYSIS OF DYSREGULATED GENES AND PROTEINS IN CD AND UC SHOWED ALTERATIONS IN IMMUNE AND INFLAMMATORY RESPONSES, COMPLEMENT CASCADE, AND THE SUPPRESSION OF METABOLIC PROCESSES AND PPAR SIGNALING. IN CD, INCREASED T-HELPER CELL DIFFERENTIATION AND ELEVATED TOLL-LIKE RECEPTOR AND JAK/STAT SIGNALING WERE OBSERVED. INTERESTINGLY, INCREASED MAPK SIGNALING WAS ONLY OBSERVED IN UC. WEIGHTED GENE CO-EXPRESSION NETWORK ANALYSIS SUGGESTED A POSSIBLE ROLE OF EPIGENETIC REGULATION IN UC. OF NOTE, A LARGE DISCREPANCY BETWEEN REGULATION OF RNA AND PROTEIN LEVELS IN INFLAMED COLON SAMPLES WAS DETECTED FOR PREVIOUSLY IDENTIFIED BIOMARKERS INCLUDING MMP14 AND LAMP1. CONCLUSIONS: WITH THE ANALYSIS OF DYSREGULATED GENES AND PATHWAYS, THE PRESENT STUDY UNRAVELS KEY MECHANISMS CONTRIBUTING TO CD AND UC PATHOGENESIS AND EMPHASIZES THAT INTEGRATIVE ANALYSIS OF MULTI-OMICS DATA SETS CAN PROVIDE MORE INSIGHT INTO UNDERSTANDING COMPLEX DISEASE MECHANISMS. 2019 16 4933 32 PATERNAL CHRONIC COLITIS CAUSES EPIGENETIC INHERITANCE OF SUSCEPTIBILITY TO COLITIS. INFLAMMATORY BOWEL DISEASE (IBD) ARISES BY UNKNOWN ENVIRONMENTAL TRIGGERS IN GENETICALLY SUSCEPTIBLE INDIVIDUALS. EPIGENETIC REGULATION OF GENE EXPRESSION MAY INTEGRATE INTERNAL AND EXTERNAL INFLUENCES AND MAY THEREBY MODULATE DISEASE SUSCEPTIBILITY. EPIGENETIC MODIFICATION MAY ALSO AFFECT THE GERM-LINE AND IN CERTAIN CONTEXTS CAN BE INHERITED TO OFFSPRING. THIS STUDY INVESTIGATES EPIGENETIC ALTERATIONS CONSEQUENT TO EXPERIMENTAL MURINE COLITIS INDUCED BY DEXTRAN SODIUM SULPHATE (DSS), AND THEIR PATERNAL TRANSMISSION TO OFFSPRING. GENOME-WIDE METHYLOME- AND TRANSCRIPTOME-PROFILING OF INTESTINAL EPITHELIAL CELLS (IECS) AND SPERM CELLS OF MALES OF THE F0 GENERATION, WHICH RECEIVED EITHER DSS AND CONSEQUENTLY DEVELOPED COLITIS (F0(DSS)), OR NON-SUPPLEMENTED TAP WATER (F0(CTRL)) AND HENCE REMAINED HEALTHY, AND OF THEIR F1 OFFSPRING WAS PERFORMED USING REDUCED REPRESENTATION BISULFITE SEQUENCING (RRBS) AND RNA-SEQUENCING (RNA-SEQ), RESPECTIVELY. OFFSPRING OF F0(DSS) MALES EXHIBITED ABERRANT METHYLATION AND EXPRESSION PATTERNS OF MULTIPLE GENES, INCLUDING IGF1R AND NR4A2, WHICH ARE INVOLVED IN ENERGY METABOLISM. IMPORTANTLY, DSS COLITIS IN F0(DSS) MICE WAS ASSOCIATED WITH DECREASED BODY WEIGHT AT BASELINE OF THEIR F1 OFFSPRING, AND THESE F1 MICE EXHIBITED INCREASED SUSCEPTIBILITY TO DSS-INDUCED COLITIS COMPARED TO OFFSPRING FROM F0(CTRL) MALES. THIS STUDY HENCE DEMONSTRATES EPIGENETIC TRANSMISSIBILITY OF METABOLIC AND INFLAMMATORY TRAITS RESULTING FROM EXPERIMENTAL COLITIS. 2016 17 2065 27 EPIGENETIC CONTROL OF INTESTINAL BARRIER FUNCTION AND INFLAMMATION IN ZEBRAFISH. THE INTESTINAL EPITHELIUM FORMS A BARRIER PROTECTING THE ORGANISM FROM MICROBES AND OTHER PROINFLAMMATORY STIMULI. THE INTEGRITY OF THIS BARRIER AND THE PROPER RESPONSE TO INFECTION REQUIRES PRECISE REGULATION OF POWERFUL IMMUNE HOMING SIGNALS SUCH AS TUMOR NECROSIS FACTOR (TNF). DYSREGULATION OF TNF LEADS TO INFLAMMATORY BOWEL DISEASES (IBD), BUT THE MECHANISM CONTROLLING THE EXPRESSION OF THIS POTENT CYTOKINE AND THE EVENTS THAT TRIGGER THE ONSET OF CHRONIC INFLAMMATION ARE UNKNOWN. HERE, WE SHOW THAT LOSS OF FUNCTION OF THE EPIGENETIC REGULATOR UBIQUITIN-LIKE PROTEIN CONTAINING PHD AND RING FINGER DOMAINS 1 (UHRF1) IN ZEBRAFISH LEADS TO A REDUCTION IN TNFA PROMOTER METHYLATION AND THE INDUCTION OF TNFA EXPRESSION IN INTESTINAL EPITHELIAL CELLS (IECS). THE INCREASE IN IEC TNFA LEVELS IS MICROBE-DEPENDENT AND RESULTS IN IEC SHEDDING AND APOPTOSIS, IMMUNE CELL RECRUITMENT, AND BARRIER DYSFUNCTION, CONSISTENT WITH CHRONIC INFLAMMATION. IMPORTANTLY, TNFA KNOCKDOWN IN UHRF1 MUTANTS RESTORES IEC MORPHOLOGY, REDUCES CELL SHEDDING, AND IMPROVES BARRIER FUNCTION. WE PROPOSE THAT LOSS OF EPIGENETIC REPRESSION AND TNF INDUCTION IN THE INTESTINAL EPITHELIUM CAN LEAD TO IBD ONSET. 2015 18 4154 24 MECHANISTIC ROLES OF EPITHELIAL AND IMMUNE CELL SIGNALING DURING THE DEVELOPMENT OF COLITIS-ASSOCIATED CANCER. TO DATE, SUBSTANTIAL EVIDENCE HAS SHOWN A SIGNIFICANT ASSOCIATION BETWEEN INFLAMMATORY BOWEL DISEASES (IBD) AND DEVELOPMENT OF COLITIS-ASSOCIATED CANCER (CAC). THE INCIDENCE/PREVALENCE OF IBD IS HIGHER IN WESTERN COUNTRIES INCLUDING THE US, AUSTRALIA, AND THE UK. ALTHOUGH CAC DEVELOPMENT IS GENERALLY CHARACTERIZED BY STEPWISE ACCUMULATION OF GENETIC AS WELL AS EPIGENETIC CHANGES, PRECISE MECHANISMS OF HOW CHRONIC INFLAMMATION LEADS TO THE DEVELOPMENT OF CAC ARE LARGELY UNKNOWN. PRECEDING INTESTINAL INFLAMMATION IS ONE OF THE MAJOR INFLUENTIAL FACTORS FOR CAC TUMORIGENESIS. MUCOSAL IMMUNE RESPONSES INCLUDING ACTIVATION OF ABERRANT SIGNALING PATHWAYS BOTH IN INNATE AND ADAPTIVE IMMUNE CELLS PLAY A PIVOTAL ROLE IN CAC. TUMOR PROGRESSION AND METASTASIS ARE SHAPED BY A TIGHTLY CONTROLLED TUMOR MICROENVIRONMENT WHICH IS ORCHESTRATED BY SEVERAL IMMUNE CELLS AND STROMAL CELLS INCLUDING MACROPHAGES, NEUTROPHILS, DENDRITIC CELLS, MYELOID DERIVED SUPPRESSOR CELLS, T CELLS, AND MYOFIBROBLASTS. IN THIS ARTICLE, WE WILL DISCUSS THE CONTRIBUTING FACTORS OF EPITHELIAL AS WELL AS IMMUNE CELL SIGNALING IN INITIATION OF CAC TUMORIGENESIS AND MUCOSAL IMMUNE REGULATORY FACTORS IN THE COLONIC TUMOR MICROENVIRONMENT. IN DEPTH UNDERSTANDING OF THESE FACTORS IS NECESSARY TO DEVELOP NOVEL ANTI-INFLAMMATORY AND ANTI-CANCER THERAPIES FOR CAC IN THE NEAR FUTURE. 2016 19 6020 44 THE ATTENUATION OF RENAL FIBROSIS BY HISTONE DEACETYLASE INHIBITORS IS ASSOCIATED WITH THE PLASTICITY OF FOXP3(+)IL-17(+) T CELLS. BACKGROUND: THE HISTONE DEACETYLASE (HDAC) INHIBITOR, WHICH HAS POTENTIAL EFFECTS ON EPIGENETIC MODIFICATIONS, HAD BEEN REPORTED TO ATTENUATE RENAL FIBROSIS. CD4(+) FORKHEAD BOX P3 (FOXP3)(+) T REGULATORY (TREG) CELLS MAY BE CONVERTED TO INFLAMMATION-ASSOCIATED T HELPER 17 CELLS (TH17) WITH TISSUE FIBROSIS PROPERTIES. THE ASSOCIATION BETWEEN FOXP3(+)IL-17(+) T CELLS AND THE ATTENUATION OF RENAL FIBROSIS BY THE HDAC INHIBITOR IS NOT CLEAR. METHODS: THIS STUDY EVALUATED THE ROLES OF THE HDAC INHIBITOR, TREG CELLS AND THEIR DIFFERENTIATION INTO TH17 CELLS, WHICH AGGRAVATE CHRONIC INFLAMMATION AND RENAL FIBROSIS IN A UNILATERAL URETERAL OBSTRUCTION (UUO) MOUSE MODEL. THE STUDY GROUPS INCLUDED CONTROL AND UUO MICE THAT WERE MONITORED FOR 7, 14 OR 21 DAYS. RESULTS: JUXTAGLOMERULAR (JG) HYPERPLASIA, ANGIOTENSIN II TYPE 1 RECEPTOR (AT1R) EXPRESSION AND LYMPHOCYTE INFILTRATION WERE OBSERVED IN RENAL TISSUES AFTER UUO BUT WERE DECREASED AFTER TRICHOSTATIN A (TSA) TREATMENT, A HDAC INHIBITOR. THE NUMBER OF CD4(+)FOXP3(+) T CELLS INCREASED PROGRESSIVELY, ALONG WITH THE NUMBER OF FOXP3(+)INTERLEUKIN (IL)-17(+) T CELLS, AFTER 14 DAYS, AND THEIR NUMBERS THEN PROGRESSIVELY DECREASED WITH INCREASING CD4(+)IL-17(+) T CELL NUMBERS, AS DEMONSTRATED BY DOUBLE IMMUNOHISTOCHEMISTRY. PROGRESSIVE RENAL FIBROSIS WAS ASSOCIATED WITH THE LOSS OF CD4(+)FOXP3(+)IL-17(+) T CELLS IN SPLENIC SINGLE-CELL SUSPENSIONS. FOXP3(+)IL-17(+) T CELLS EXPRESSED TGF-BETA1 BOTH IN VITRO AND IN VIVO, AND TGF-BETA1 EXPRESSION WAS SIGNIFICANTLY KNOCKDOWN BY IL-17 SIRNA IN VITRO. THESE CELLS WERE FOUND TO PLAY A ROLE IN CONVERTING TREGS INTO IL-17- AND TGF-BETA1-PRODUCING CELLS. CONCLUSIONS: TSA TREATMENT DECREASED JG HYPERPLASIA, THE PERCENTAGE OF FOXP3(+)IL-17(+) CELLS AND THE DEGREE OF FIBROSIS, SUGGESTING THAT THERAPEUTIC BENEFITS MAY RESULT FROM EPIGENETIC MODIFICATIONS. 2017 20 5610 29 S100A4/TCF COMPLEX TRANSCRIPTION REGULATION DRIVES EPITHELIAL-MESENCHYMAL TRANSITION IN CHRONIC SINUSITIS THROUGH WNT/GSK-3BETA/BETA-CATENIN SIGNALING. EPITHELIAL-MESENCHYMAL TRANSITION (EMT) IS THOUGHT TO BE INVOLVED IN THE TISSUE REMODELING AND LONG-TERM INFLAMMATORY PROCESS OF CHRONIC SINUSITIS (CRS), BUT THE DRIVING MECHANISM IS STILL UNCLEAR. USING HIGH-RESOLUTION MASS SPECTROMETRY, WE PERFORMED A PROTEOMIC SCREEN OF CRS NASAL MUCOSAL TISSUE TO IDENTIFY DIFFERENTIALLY EXPRESSED PROTEINS. DATA ARE AVAILABLE VIA PROTEOMEXCHANGE WITH IDENTIFIER PXD030884. SPECIFICALLY, WE IDENTIFIED S100 CALCIUM BINDING PROTEIN A4 (S100A4), AN EFFECTIVE FACTOR IN INFLAMMATION-RELATED DISEASES, AND ITS DOWNSTREAM PROTEIN CLOSELY RELATED TO TISSUE FIBROSIS COLLAGEN TYPE I ALPHA 1 CHAIN (COL1A1), WHICH SUGGESTED ITS INVOLVEMENT IN NASAL MUCOSAL TISSUE REMODELING. IN ADDITION, STIMULATION OF HUMAN NASAL EPITHELIAL CELLS (HNEPCS) WITH LIPOPOLYSACCHARIDE (LPS) MIMICKED THE INFLAMMATORY ENVIRONMENT OF CRS AND SHOWED THAT S100A4 IS INVOLVED IN REGULATING EMT AND THUS ACCELERATING TISSUE REMODELING IN THE NASAL MUCOSA, BOTH IN TERMS OF INCREASED CELL MOTILITY AND OVEREXPRESSION OF MESENCHYMAL-TYPE PROTEINS. ADDITIONALLY, WE FURTHER INVESTIGATED THE REGULATION MECHANISM OF S100A4 INVOLVED IN EMT IN CRS. OUR RESEARCH RESULTS SHOW THAT IN THE INFLAMMATORY ENVIRONMENT OF CRS NASAL MUCOSAL EPITHELIAL CELLS, TCF-4 WILL TARGET TO BIND TO S100A4 AND REGULATE ITS TRANSCRIPTION. THE TRANSCRIPTION OF S100A4 IN TURN AFFECTS THE EXECUTION OF THE IMPORTANT SIGNALING PATHWAY IN EMT, THE WNT/GSK-3BETA/BETA-CATENIN PATHWAY, THROUGH THE TCF-4/BETA-CATENIN COMPLEX. IN CONCLUSION, THIS STUDY CONFIRMED THAT THE EXPRESSION OF S100A4 WAS SIGNIFICANTLY INCREASED DURING THE PROGRESSIVE EMT PROCESS OF CRS MUCOSAL EPITHELIAL CELLS, AND REVEALED THAT THE TRANSCRIPTIONAL REGULATION OF S100A4 PLAYS AN IMPORTANT ROLE IN THE OCCURRENCE AND DEVELOPMENT OF EMT. THIS FINDING WILL HELP US TO BETTER UNDERSTAND THE PATHOGENESIS BEHIND THE REMODELING IN CRS PATIENTS, AND IDENTIFY TARGET MOLECULES FOR THE TREATMENT OF CRS. 2022