Abstract Background Sphingosine-1-phosphate (S1P) receptor (S1PR) modulators (S1PRMs) block chemotaxis of cells of immunity to the locus of inflammation. S1PRM effectiveness depends on the extent of the pathway activation. We explored the contribution of colonic stromal cells (CSC) to S1P production in patients with ulcerative colitis (UC) and healthy controls (HC). Methods We looked into the two S1P-producing kinases (SPHK1, SPHK2), the transporter exocytosing S1P (SPNS2) and the lyase degrading it (SGPL1). Basal mRNA transcription in primary CSC in culture from UC patients and from HC was assayed with quantitative reverse-transcription PCR. The effect of each one of the principal T helper (Th) 1 (ΤNF-α, IFN-γ), Th2 (IL-4, IL-13) or regulatory T (Treg; TGF-β, IL-10) cytokines was also tested. Medians of ΔΔCT and statistical significance between groups of unpaired, paired or between scale variables with Mann-Whitney, Wilcoxon or Spearman’s rho test, respectively, are reported. Results Eleven patients with UC (mean age: 49 years; 9 males; 7 with left-sided and 4 with extensive disease; mean UC duration: 180 months) and 9 HC were included. CSC from both UC and HC had a basal expression of SPHK1, slightly lower in UC (0.56x10-3 vs 2.18x10-3, p<0.04), and of SPHK2 (8.04x10-4, 1.05x10-3, respectively). However, CSC from UC patients with an endoscopic Mayo component of 3 vs 2 and from UC patients with higher erythrocyte sedimentation rate expressed more SPHK1 (3.69x10-3 vs 0.45x10-3, p<0.05; r 0.762, p<0.04). Similarly, both UC and HC CSC expressed SPNS2 (5.96x10-5, 3.46x10-4, respectively) and SGPL1, with the latter overexpressed in UC (5.41x10-2 versus 2.68x10-3, p<0.001). CSC from UC, in sharp contrast with those from HC, were responsive to proinflammatory cytokines. In detail, SPHK1 was upregulated by TNF-α (x5 times, p<0.034; Figure 1A). SPHK2 was downregulated by TGF-β (/3 times, p<0.042). SPNS2 was downregulated by IFN-γ (/18 times, p<0.001; Figure 2B) and by TGF-β (/8 times, p<0.02; Figure 2B). SGPL1 was downregulated by IFN-γ (/16 times, p<0.001; Figure 2C) and by IL-10 (/7 times, p<0.04; Figure 2C). Conclusion In health and UC, CSC express the machinery synthetizing, exocytosing and catabolizing S1P. In UC the transcription of these genes is controlled by cytokines. Hence, activity of the pathway in CSC should be further investigated as a parameter to the direction of personalised treatment with S1PRMs in UC.
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