Smad7 as a positive regulator of intestinal inflammatory diseases

In physiological conditions, the human gut contains more immune cells than the rest of the body, but no overt tissue damage occurs, because several regulatory mechanisms control the activity of such cells thus preventing excessive and detrimental responses. One such mechanism relies on the action of...

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Main Authors: Giovanni Monteleone, Federica Laudisi, Carmine Stolfi
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Current Research in Immunology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S259025552300001X
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author Giovanni Monteleone
Federica Laudisi
Carmine Stolfi
author_facet Giovanni Monteleone
Federica Laudisi
Carmine Stolfi
author_sort Giovanni Monteleone
collection DOAJ
description In physiological conditions, the human gut contains more immune cells than the rest of the body, but no overt tissue damage occurs, because several regulatory mechanisms control the activity of such cells thus preventing excessive and detrimental responses. One such mechanism relies on the action of transforming growth factor (TGF)-β1, a cytokine that targets both epithelial cells and many immune cell types. Loss of TGF-β1 function leads to intestinal pathology in both mice and humans. For instance, disruption of TGF-β1 signaling characterizes the destructive immune-inflammatory response in patients with Crohn’s disease and patients with ulcerative colitis, the major human inflammatory bowel disease (IBD) entities. In these pathologies, the defective TGF-β1-mediated anti-inflammatory response is associated with elevated intestinal levels of Smad7, an antagonist of TGF-β1 signaling. Consistently, knockdown of Smad7 restores TGF-β1 function thereby attenuating intestinal inflammation in patients with IBD as well as in mice with IBD-like colitis. Up-regulation of Smad7 and reduced TGF-β1 signaling occurs also in necrotizing enterocolitis, environmental enteropathy, refractory celiac disease, and cytomegalovirus-induced colitis. In this article, we review the available data supporting the pathogenic role of Smad7 in the gastrointestinal tract and discuss whether and how targeting Smad7 can help attenuate detrimental immuno-inflammatory responses in the gut.
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spelling doaj.art-252719d52e8e4030950ece29e20aba8c2023-12-03T05:42:47ZengElsevierCurrent Research in Immunology2590-25552023-01-014100055Smad7 as a positive regulator of intestinal inflammatory diseasesGiovanni Monteleone0Federica Laudisi1Carmine Stolfi2Corresponding author. Dipartimento di Medicina dei Sistemi, Università di Roma “Tor Vergata”, Via Montpellier 1, 00133, Rome, Italy.; Department of Systems Medicine, University of Rome “Tor Vergata”, Director of Gastroenterology Unit, Department of Medical Science, Policlinico Universitario Tor Vergata, Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, Director of Gastroenterology Unit, Department of Medical Science, Policlinico Universitario Tor Vergata, Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, Director of Gastroenterology Unit, Department of Medical Science, Policlinico Universitario Tor Vergata, Rome, ItalyIn physiological conditions, the human gut contains more immune cells than the rest of the body, but no overt tissue damage occurs, because several regulatory mechanisms control the activity of such cells thus preventing excessive and detrimental responses. One such mechanism relies on the action of transforming growth factor (TGF)-β1, a cytokine that targets both epithelial cells and many immune cell types. Loss of TGF-β1 function leads to intestinal pathology in both mice and humans. For instance, disruption of TGF-β1 signaling characterizes the destructive immune-inflammatory response in patients with Crohn’s disease and patients with ulcerative colitis, the major human inflammatory bowel disease (IBD) entities. In these pathologies, the defective TGF-β1-mediated anti-inflammatory response is associated with elevated intestinal levels of Smad7, an antagonist of TGF-β1 signaling. Consistently, knockdown of Smad7 restores TGF-β1 function thereby attenuating intestinal inflammation in patients with IBD as well as in mice with IBD-like colitis. Up-regulation of Smad7 and reduced TGF-β1 signaling occurs also in necrotizing enterocolitis, environmental enteropathy, refractory celiac disease, and cytomegalovirus-induced colitis. In this article, we review the available data supporting the pathogenic role of Smad7 in the gastrointestinal tract and discuss whether and how targeting Smad7 can help attenuate detrimental immuno-inflammatory responses in the gut.http://www.sciencedirect.com/science/article/pii/S259025552300001XCrohn’s diseaseUlcerative colitisInflammatory bowel diseasesTGF-beta
spellingShingle Giovanni Monteleone
Federica Laudisi
Carmine Stolfi
Smad7 as a positive regulator of intestinal inflammatory diseases
Current Research in Immunology
Crohn’s disease
Ulcerative colitis
Inflammatory bowel diseases
TGF-beta
title Smad7 as a positive regulator of intestinal inflammatory diseases
title_full Smad7 as a positive regulator of intestinal inflammatory diseases
title_fullStr Smad7 as a positive regulator of intestinal inflammatory diseases
title_full_unstemmed Smad7 as a positive regulator of intestinal inflammatory diseases
title_short Smad7 as a positive regulator of intestinal inflammatory diseases
title_sort smad7 as a positive regulator of intestinal inflammatory diseases
topic Crohn’s disease
Ulcerative colitis
Inflammatory bowel diseases
TGF-beta
url http://www.sciencedirect.com/science/article/pii/S259025552300001X
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