XBP1 links ER stress to intestinal inflammation and confers genetic risk for human inflammatory bowel disease.

Authors:
Arthur Kaser, Ann-Hwee Lee, Andre Franke, Jonathan N Glickman, Sebastian Zeissig, Herbert Tilg, Edward E S Nieuwenhuis, Darren E Higgins, Stefan Schreiber, Laurie H Glimcher, Richard S Blumberg
Year of publication:
2008
Volume:
134
Issue:
5
Issn:
0092-8674
Journal title abbreviated:
CELL
Journal title long:
Cell
Impact factor:
28.710
Abstract: 
Inflammatory bowel disease (IBD) has been attributed to aberrant mucosal immunity to the intestinal microbiota. The transcription factor XBP1, a key component of the endoplasmic reticulum (ER) stress response, is required for development and maintenance of secretory cells and linked to JNK activation. We hypothesized that a stressful environmental milieu in a rapidly proliferating tissue might instigate a proinflammatory response. We report that Xbp1 deletion in intestinal epithelial cells (IECs) results in spontaneous enteritis and increased susceptibility to induced colitis secondary to both Paneth cell dysfunction and an epithelium that is overly reactive to inducers of IBD such as bacterial products (flagellin) and TNFalpha. An association of XBP1 variants with both forms of human IBD (Crohn''s disease and ulcerative colitis) was identified and replicated (rs35873774; p value 1.6 x 10(-5)) with novel, private hypomorphic variants identified as susceptibility factors. Hence, intestinal inflammation can originate solely from XBP1 abnormalities in IECs, thus linking cell-specific ER stress to the induction of organ-specific inflammation.