Macrophage-specific NF-κB activation dynamics can segregate inflammatory bowel disease patients


Papoutsopoulou, Stamatia ORCID: 0000-0001-6665-8508, Burkitt, Michael ORCID: 0000-0002-5055-6408, Bergey, François, England, Hazel, Hough, Rachael ORCID: 0000-0001-9765-6978, Schmidt, Lorraine, Spiller, David ORCID: 0000-0003-2502-6787, White, Michael HR, Paszek, Pawel, Jackson, Dean et al (show 6 more authors) (2019) Macrophage-specific NF-κB activation dynamics can segregate inflammatory bowel disease patients Frontiers in Immunology, 10. 535096-. ISSN 2692-8205

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Abstract

The heterogeneous nature of inflammatory bowel disease (IBD) presents challenges, particularly when choosing therapy. Activation of the NF-κB transcription factor is a highly-regulated, dynamic event in IBD pathogenesis. We expressed the human NF-κB/p65 subunit in blood-derived macrophages, using lentivirus. Confocal imaging of p65 activation revealed that a higher proportion of macrophages from Crohn’s patients responded to lipid-A compared to controls. In contrast, cells from ulcerative colitis (UC) patients exhibited a shorter duration of p65 nuclear localisation compared to healthy controls and Crohn’s donors. Using a similar lentivirus approach, NF-κB-regulated luciferase was expressed in patient macrophages, isolated from frozen peripheral blood mononuclear cell samples. Following activation, samples could be segregated into three clusters based on the NF-κB-regulated luciferase response. The majority of UC samples appeared in hypo-responsive cluster 1, with Crohn’s patients representing the majority of hyper-responsive cluster 3. A positive correlation was seen between NF-κB-induced luciferase activity and cytokine levels released to medium from stimulated macrophages, but not in serum or biopsy. Analysis of macrophage cytokine responses and patient metadata revealed a strong correlation between Crohn’s patients who smoked and hyper-activation of p65. These in vitro dynamic assays of NF-κB activation in blood-derived macrophages segregate IBD patients into groups with different phenotypes and therefore may help determine response to therapy. <h4>Significance statement</h4> This manuscript describes two dynamic assays of NF-κB activation in blood-derived macrophages that can segregate IBD patients into groups with different phenotypes. For the first time we introduce the use of dynamic measurements of a transcription factor activation as a method to stratify patients and we are confident that our approach will lead in future to early patient stratification and prediction of treatment outcome.

Item Type: Article
Uncontrolled Keywords: 32 Biomedical and Clinical Sciences, 3202 Clinical Sciences, Crohn's Disease, Inflammatory Bowel Disease, Autoimmune Disease, Clinical Research, Digestive Diseases, Genetics, Precision Medicine, 2.1 Biological and endogenous factors, Oral and gastrointestinal, 3 Good Health and Well Being
Depositing User: Symplectic Admin
Date Deposited: 13 Nov 2019 15:11
Last Modified: 08 Oct 2026 18:48
DOI: 10.1101/535096
Open Access URL: https://www.frontiersin.org/articles/10.3389/fimmu...
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3061789
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