Melanin concentrating hormone (MCH) was first identified as a hypothalamic neuropeptide regulating feeding behavior and energy balance. The MCH receptor, MCHR1, is present in brain as well as in several peripheral tissues including the gastrointestinal tract where its role is yet to be established. Increased MCH and MCHR1 expression in the mucosa of patients with inflammatory bowel disease (IBD) implies a role of MCH in disease pathogenesis. Our previous studies have shown that MCH-deficient mice develop attenuated colitis, a phenotype that was recapitulated when mice were treated with an anti-MCH antibody. The exact mechanisms by which MCH exerts proinflammatory effects remain under investigation, as well as the cell types involved and have been the focus of the present study. We found MCHR1 upregulation in CD4+ T cells isolated from the lamina propria of patients with Crohn’s disease, in contrast to those derived from peripheral blood. In vitro, MCHR1 was induced upon activation of CD4+ T-cells. Furthermore, treatment with MCH of mucosal explants from patients with IBD resulted in increased cytokine secretion in the culture supernatant (IFNg, IL-17, IL-2, IL-6, IL8, MCP1, TNFa). Most importantly, metabolomics analysis of Jurkat cells, a T-cell line expressing high basal levels of MCHR1 receptor, revealed that treatment with MCH increased glutamine, glutamate and a-ketoglutarate levels 4-, 2.5-, and 3.5-fold, respectively, as well as those of acetyl-CoA (3-fold) while glycolytic intermediates remained unaltered. These findings imply engagement of a “reductive carboxylation” cycle in the presence of MCH, the fuel of which is a-ketoglutarate instead of glucose. The role of a-ketoglutarate in driving T-effector activation and differentiation is well established. In further support of these observations, stimulation with MCH resulted in upregulation of the glutamine transporter SLC1A5 that determines intracellular glutamine levels, as well those of its metabolites glutamate and a-ketoglutarate. In relation to the immune phenotype, MCH-induced metabolic shifts correlated with increased proliferation and reduced apoptosis of Jurkat cells, as well as increased IL-2 secretion. In a more relevant context, treatment of isolated CD4+ T cells with MCH under polarized conditions resulted in 70% increase of IL-17+ cells, in contrast to 32% decrease of IL-4+ and 25% decrease of Foxp3+ cells. Collectively, these findings further support a deleterious effect of aberrant MCH signaling in IBD and potentially illustrate a new target in IBD therapeutics.
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