Abstract Background Inflammatory Bowel Disease (IBD) is characterized by chronic inflammation and metabolic dysregulation in the intestinal epithelium. Serine, a non-essential amino acid synthesized via the rate-limiting enzyme phosphoglycerate dehydrogenase (PHGDH) maintains cellular redox balance. Serine metabolism is upregulated in cancer and immune cells, supporting survival and growth. Our previous story shows ER stress-mediated rewiring of serine metabolism is a key molecular feature in IBD. However, the mechanism of how it influences ER stress in IBD remains unclear. Methods To explore the molecular regulation of de novo serine synthesis via PHGDH, we used murine intestinal epithelial cells (Mode-K cells) and murine intestinal organoids. WB and IHC were performed in vivo to analyze ER stress and PHGDH on DSS colitis model. Mode-K cells were subjected to serine starvation and co-treated with LPS. Proinflammatory cytokines (Cxcl1, Tnfα, Il6) were evaluated by qPCR and ELISA. Metabolic supplement formate and hypoxanthine were tested to mitigate hyperinflammation. Total starvation was assessed by using serine deprivation medium and PHGDH inhibitor BI-4916. Tunicamycin, NAC, Y27632, and rapamycin were used to study the biofunction under ER stress effect by using qPCR, WB, and IF. Cell viability was performed by CellTiter-Glo® 2.0 Cell Viability Assay. RNA sequencing and proteomic analyses were performed to investigate molecular mechanisms. Clinical analysis of PHGDH was assessed in two cross-sectional IBD cohorts correlating PHGDH expression with endoscopic or clinical disease activity. Results We show elevated ER stress and de novo serine synthesis in DSS colitis model. Using total starvation to completely block serine pathway, we observed increased ER stress which subsequently leads to dramatically enhanced inflammation signature under LPS treatment. ER stress induced by total starvation also leads to mitochondria dysfunction as assessed by Seahorse and JC-1 assay. By using cell viability assay and IF, we show ER stress induces AIF-mediated anoikis. Autophagy induced by ROS under ER stress conditions can protect cells from anoikis and inflammation. Combining RNAseq and proteomic analysis, we identified CEBPB as the critical regulator in mediating cellular anoikis and inflammation during ER stress which were further confirmed by IF and qPCR. Finally, we observed unregulated PHGDH in IBD patients showing a strong association between serine metabolism and IBD severity. Conclusion In this study, we demonstrate the critical roles of PHGDH and Serine metabolism in regulating cellular inflammatory responses under ER stress. Notably, we reveal a protective role of ROS in ER stress and inflammation, providing new insights into ER stress and IBD severity.
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