tgr5 (gpbar1) and intestinal immunity

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TGR5 (GPBAR1) a bile acid activated receptors and intestinal inflammation Stefano Fiorucci University of Perugia Medical School www.Stefanofiorucci.it

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TGR5 (GPBAR1) a bile acid activated receptors

and intestinal inflammation

Stefano Fiorucci

University of Perugia Medical School

www.Stefanofiorucci.it

GP-BAR1 (TGR5, M-BAR1)

Energy

expenditure

Carbohydrate

Metabolism

TLCA-DCA

GP-BAR1

Bile Acids

Metabolism

Normal and

pathologic

growth and

differentiation

Immunity

0

1000

2000

3000

4000

*

GPBAR1-/-

GPBAR1+/+

(ng/m

l)

0.0

0.5

1.0

1.5

0

1

2

3

4

mR

NA

rela

tive e

xpressio

n

0.00

0.25

0.50

0.75

1.00

1.25

*

Zonulin-1 Ocludin E-cadherin Dextrane FITC

A

GPBAR1 +/+ GPBAR1 -/-

20x 20x

40x

20x

C GPBAR1-/- GPBAR1 +/+

D

10x 10x

20x

B

20x 20x

20x 20x

20x 20x

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011). PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

0 1 2 3 40

1

2

3

4

GPBAR1-/-

GPBAR1+/+

*

Time (days)

Dia

rrhea s

core

0

20

40

60

80

100

GPBAR1 +/+

Naive DSS

GPBAR1 -/-

Naive DSS

MildAbsent Moderate Severe

Ma

cro

sco

pic

Da

ma

ge

(%

)

0

2500

5000

7500

10000

GPBAR1 +/+

Naive DSS

GPBAR1 -/-

Naive DSS

*

**

FIT

C-d

extr

an

e(n

g/m

l)

Naive DSS0.0

0.5

1.0

1.5

2.0

GPBAR1 +/+

*

GP

BA

R1

mR

NA

rela

tive

expre

ssio

n

DSS

GPBAR1 -/-

GPBAR1 -/- DSS

GPBAR1 +/+

GPBAR1 +/+ DSS

GPBAR1 +/+

Naive

A B C

D

F

20x 20x

20x

E

20x 10x

20x 20x

20x

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011) The Bile Acid Receptor GPBAR-1 (TGR5) Modulates Integrity of

Intestinal Barrier and Immune Response to Experimental Colitis. PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

Naive TNBS DSS0.0

0.5

1.0

1.5

2.0

2.5

GPBAR1 +/+

* *

GP

BA

R1

mR

NA

rela

tive e

xp

ressio

nNormal Crohn's disease

0.0

0.5

1.0

1.5

2.0*

GP

BA

R1

mR

NA

rela

tive e

xp

ressio

n

20x

40x

Naive TNBS DSS

Crohn’s colitis

A C E

B D F

G

H I

L

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011) The Bile Acid Receptor GPBAR-1 (TGR5) Modulates Integrity of

Intestinal Barrier and Immune Response to Experimental Colitis. PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

0

1

2

3

GPBAR1 +/+

Naive Ciprofloxacin TLCA

GPBAR1 -/-

*

*

Naive Ciprofloxacin TLCA

(10M) (10M)(10M) (10M)

Sple

en m

onocyte

scA

MP

[pm

ol/m

l]

0

25

50

75

100

*

**

*

*GPBAR1 +/+

Naive LPS Alone + Ciprofloxacin

GPBAR1 -/-

Naive LPS Alone + Ciprofloxacin

(10M) (10M)

TN

F

mR

NA

(rela

tive

expre

ssio

n)

NN

HN

F COOH

O

1 2

HO

NH

H

H

O

SO3

A

B

C

D

E

0

5

10

15

20

25

30

0 0.1 1 5 10 100

Ciprofloxacin (M)

[cA

MP

] i

(pg/m

g p

rote

in)

Naive

Cipro

floxa

cin

TLC

A

0

10

20

30

40

*

*

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011) The Bile Acid Receptor GPBAR-1 (TGR5) Modulates Integrity of

Intestinal Barrier and Immune Response to Experimental Colitis. PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

0

1

2

3

4TNBS

*

**

-1 0 1 2 3 4 5

Naive TNBS TNBS +ciprofloxacin

Time (days)

Dia

rrhe

a s

core

Naive TNBS TNBS+Ciprofloxacin

10x 10x 10x

20x 20x 20x

0

1

2

3

4

*

**

Naive TNBS

Vehicle Ciprofloxacin

Mic

roscop

ic s

core

0

1

2

3

4

5

6 *

**

Ma

cro

sco

pic

sco

re

Naive TNBS CIPRO0

10

20

30

40*

**

IL1

rel.

exp

ressio

n

Naive TNBS CIPRO0.0

2.5

5.0

7.5

*

**

TN

Fa

rel.

exp

ressio

n

12

14

16

18

20

22

24

26

28

30

32

Naive TNBS TNBS + ciprofloxacin

TNBS

Ciprofloxacin or vehicle

**

*

-1 0 1 2 3 4 5

Time (Days)

We

igh

t (g

)

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011) The Bile Acid Receptor GPBAR-1 (TGR5) Modulates Integrity of

Intestinal Barrier and Immune Response to Experimental Colitis. PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

Naive

LPS

TLCA 5

0M

LPS+T

LCA

Olene

alolic a

c 1

mM

LPS+

Olean

olic a

c0

1000

2000

3000

4000

5000*

****

RAW macrophages

TN

F

(pg/m

l)

0

10

20

30

0 5 10 100

Oleanolic acid (M)

[cA

MP

](p

g/m

g p

rote

in)

*

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011) The Bile Acid Receptor GPBAR-1 (TGR5) Modulates Integrity of

Intestinal Barrier and Immune Response to Experimental Colitis. PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

0

1

2

3

*

** **

Naive TNBS

10 1 0.1 mg/kg

Oleanolic acid

Macro

scopic

inju

ry s

core

0 1 2 3 422

24

26

28

30

32

34

Naive TNBS alone TNBS + Oleanolic acid 10 mg

TNBS + Oleanolic acid 1 mg TNBS + Oleanolic acid 0.1 mg

*

*

Time (days)

We

igh

t (g

)

0 1 2 3 4 50

1

2

3

Time (days)

*D

iarr

he

a s

core

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011) The Bile Acid Receptor GPBAR-1 (TGR5) Modulates Integrity of

Intestinal Barrier and Immune Response to Experimental Colitis. PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

0

10

20

30

40

Naive Naproxen Naive Naproxen

GPBAR1+/+

*

GPBAR1-/-

**

Inte

sti

nal

dam

ag

e(m

m o

f le

sio

n)

0

10

20

30

40

50

MP

O a

cti

vit

y(m

U/m

g p

rote

in)

*

*

Naive Naproxen Naive Naproxen

A

C

E

G

H

B

D

F

GP-BAR1-/- small intestine

GP-BAR1 gene deletion alters intestinal structure and function.

Cipriani S. et al. Activation of the bile acid receptor GPBAR1 protects against gastrointestinal injury caused by non-steroidal anti-

inflammatory drugs and aspirin in mice. Br J Pharmacol. 2013 Jan;168(1):225-37. doi: 10.1111/j.1476-5381.2012.02128.x.

Anti-inflammatory effects of oleanolic acid.

Cipriani S, Mencarelli A, Chini MG, Distrutti E, et al. (2011) The Bile Acid Receptor GPBAR-1 (TGR5) Modulates Integrity of

Intestinal Barrier and Immune Response to Experimental Colitis. PLoS ONE 6(10): e25637. doi:10.1371/journal.pone.0025637

20x

GPBAR1+/+ mouse naive GPBAR1 human

40x

20x

40x

A

B

C

D

GPBAR1

Monocytes Stomach0.0

0.5

1.0

1.5

mR

NA

rela

tive

exp

ressio

nCipriani S. et al. Activation of the bile acid receptor GPBAR1 protects against gastrointestinal injury caused by non-steroidal anti-

inflammatory drugs and aspirin in mice. Br J Pharmacol. 2013 Jan;168(1):225-37. doi: 10.1111/j.1476-5381.2012.02128.x.

0

10

20

30

40

50

60

GP-BAR1+/+

GP-BAR1-/-

Naive 10 mg/kg 30 mg/kg 50 mg/kg

ASA

**

**

*

**

**

Gastr

ic i

nu

ry s

co

re(m

m)

GPBAR1+/+ CTRL

GPBAR1-/- CTRL

GPBAR1+/+ ASA

GPBAR1-/- ASA

20x

20x

20x

20x

40x

H I

L M

Cipriani S. et al. Activation of the bile acid receptor GPBAR1 protects against gastrointestinal injury caused by non-steroidal anti-

inflammatory drugs and aspirin in mice. Br J Pharmacol. 2013 Jan;168(1):225-37. doi: 10.1111/j.1476-5381.2012.02128.x.

TNFα COX-1 COX-2

eNOS iNOS CSE CBS

0

1

2

3

4

*

GPBAR+/+

GPBAR-/-

*m

RN

A r

ela

tive e

xpre

ssio

n

0

1

2

3

mR

NA

rela

tive e

xp

ressio

n

0

1

2

3

4

5

6

*

**

mR

NA

rela

tive e

xp

ressio

n

0

1

2

3

4

5

6

mR

NA

re

lative e

xpre

ssio

n

*

0.00

0.25

0.50

0.75

1.00

mR

NA

re

lati

ve e

xp

ressio

n

*

*

0

1

2

3

Naive ASA Naive ASA

mR

NA

rela

tive e

xpre

ssio

n

*

*

0.0

0.5

1.0

1.5

*

*

Naive ASA Naive ASA

mR

NA

re

lative

exp

re

ssio

n

Cipriani S., et al. British Journal of Pharmacology 2012; 168: 225-237

Activation of the bile acid receptor GPBAR1 protects against gastrointestinal injury caused by non‐steroidal anti‐inflammatory drugs and aspirin in mice

MPO PGE2 TNFα

eNOS MUC1 MUC6

CSE CBS

0

10

20

30

40

Gastr

ic m

uco

sal

inju

ry s

co

re (

mm

lesio

n)

ASA 50 mg/kg

Betulinic acid - + - +

*

*

0

1000

2000

* * *

*

(pg/

mg

prot

ein)

0.00

0.25

0.50

0.75

1.00

1.25

1.50

mR

NA

rela

tive

expre

ssio

n

0

1

2

3

4

5

6

7*

*

mR

NA

rela

tive e

xpre

ssio

n

0

1

2

3

4*

Naive ASA ASA Naive ASA ASA + + Betulinic Betulinic

mR

NA

rela

tive e

xp

ressio

n

0

1

2

3

**

*

Naive ASA ASA Naive ASA ASA + + Betulinic Betulinic

0.00

0.25

0.50

0.75

1.00

1.25

**

Naive ASA ASA Naive ASA ASA

+ +

Betulinic Betulinic

0

1

2

3

4

5

*

0

10

20

30

40

50

MP

O(m

U/m

g p

ro

t) * *

Cipriani S., et al. British Journal of Pharmacology 2012; 168: 225-237

Betulinic acid a GPBAR1 agonist protects against gastrointestinal injury caused by non‐steroidal anti‐inflammatory drugs and aspirin in mice