Regulation of mucosal inflammation by fibroblasts

Abstract: ABSTRACT Acute inflammation in the bowel, a response of the immune system to infections or trauma, is probably a frequent but localized event, but when the barrier is repaired and the infection cleared, it is quickly followed by wound healing and resolution. However, in some individuals these mechanisms are not effective and the inflammatory bowel diseases, Crohn?s disease and ulcerative colitis result. Common and important characteristics in both of these diseases are the increased accumulation of immune cells, especially non-apoptotic CD4+ T cells and the activation of non-immune cells, including fibroblasts, which then become directly involved in immune responses. The aim of this thesis was to improve our understanding of the role of the mucosal fibroblasts in intestinal inflammation by analysing the molecular signalling mechanisms underlying their inflammatory potential. Fibroblast cell lines isolated from murine normal colon tissue and from the CD4+CD45RBhigh ?transplanted SCID mouse model of colitis were used. Fibroblasts are known to express the membrane receptor CD40 which, through interaction with its ligand (CD40L), plays a key role in inflammatory responses. We showed for the first time the existence of a subpopulation of fibroblasts isolated from inflamed tissue which, despite having lower expression of membrane CD40 compared to normal fibroblasts, were able to respond vigorously to CD40 ligation, a response that was increased by IFN-gamma. This indicated that the activated fibroblasts in colitis acquire a permanently activated phenotype. Molecular studies performed to reveal the mechanisms underlying the synergy between CD40 and IFN-gamma in inflamed cells, revealed co-operation between the transcription factors CAATT/Enhancer binding protein beta (C/EBP beta) and Nuclear Factor kappa B (NFkB). Both transcription factors were expressed constitutively at higher intensity in inflamed fibroblasts, compared to normal cells, rendering inflamed mucosal fibroblasts more sensitive to CD40 ligation and IFN-gamma stimulation. Co-cultures of normal and inflamed fibroblasts with CD4+ T cells showed that both fibroblast lines were equally efficient in promoting survival of CD4+ T cells, thus indicating the importance of the mesenchyme in immune homeostasis in the gut. Finally, analysis of TGF-beta ligation on the fibroblast lines showed that the increased and disrupted collagen deposition which had been observed in inflamed tissue could not be explained by simple dysregulation of signalling from the TGF-betaR on inflamed fibroblasts. In conclusion, the results of this thesis suggest that mucosal fibroblasts in chronic inflammation respond to the surrounding milieu, become activated and transdifferentiate into a stable proinflammatory phenotype which may contribute to chronicity of the inflammation, and certainly influences its pathogenesis.