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Abstract
The chronic inflammatory process that characterizes inflammatory bowel diseases (IBD) is mainly driven by T-cell response to microbial and environmental antigens. Psychological stress is a potential trigger of clinical flares of IBD, and sphingosine-1-phosphate (S1P) is involved in T-cell recruitment. Hence, stress impact and the absence of sphingosine kinase 2 (Sphk2), an enzyme of S1P metabolism, were evaluated in the colon of mice after sub-chronic stress exposure. Here, we show that sub-chronic stress increased S1P in the mouse colon, possibly due to a decrease in its degradation enzymes and Sphk2. S1P accumulation could lead to inflammation and immune dysregulation reflected by upregulation of toll-like receptor 4 (TLR4) pathway, inhibition of anti-inflammatory mechanisms, cytokine-expression profile towards a T-helper lymphocyte 17 (Th17) polarization, plasmacytosis, decrease in IgA+ lymphoid lineage cells (CD45+)/B cells/plasmablasts, and increase in IgM+ B cells. Stress also enhanced intestinal permeability. Sphk2 knockout mice presented a cytokine-expression profile towards a boosted Th17 response, lower expression of claudin 3,4,7,8, and structural abnormalities in the colon. Intestinal pathophysiology should consider stress and S1P as modulators of the immune response. S1P-based drugs, including Sphk2 potentiation, represent a promising approach to treat IBD.
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1 Universidad Complutense, Instituto de Investigación Sanitaria Gregorio Marañón, Servicio de Psiquiatría del Niño y del Adolescente, Instituto de Psiquiatría y Salud Mental, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Madrid, Spain (GRID:grid.410526.4) (ISNI:0000 0001 0277 7938); CIBERSAM, Madrid, Spain (GRID:grid.469673.9) (ISNI:0000 0004 5901 7501)
2 CIBERSAM, Madrid, Spain (GRID:grid.469673.9) (ISNI:0000 0004 5901 7501); Universidad Complutense, Imas12, IUIN, Departamento de Farmacología y Toxicología, Facultad de Medicina, Madrid, Spain (GRID:grid.4795.f) (ISNI:0000 0001 2157 7667)
3 Universidad Complutense, Imas12, IUIN, Departamento de Farmacología y Toxicología, Facultad de Medicina, Madrid, Spain (GRID:grid.4795.f) (ISNI:0000 0001 2157 7667); Benemérita Universidad Autónoma de Puebla (BUAP), Laboratorio de Neuropsiquiatría, Instituto de Fisiología, Puebla, Mexico (GRID:grid.411659.e) (ISNI:0000 0001 2112 2750)
4 Universidad Complutense, Imas12, IUIN, Departamento de Farmacología y Toxicología, Facultad de Medicina, Madrid, Spain (GRID:grid.4795.f) (ISNI:0000 0001 2157 7667); Universidade Federal da Paraíba (UFPB), Laboratório de Imunobiotecnologia, Centro de Biotecnologia, João Pessoa, Brazil (GRID:grid.411216.1) (ISNI:0000 0004 0397 5145)
5 Universidad Complutense, Instituto de Investigación Sanitaria Gregorio Marañón, Servicio de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Departamento de Medicina, Madrid, Spain (GRID:grid.410526.4) (ISNI:0000 0001 0277 7938)
6 Universidad Complutense, Instituto de Investigación Sanitaria Gregorio Marañón, Servicio de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Departamento de Medicina, Madrid, Spain (GRID:grid.410526.4) (ISNI:0000 0001 0277 7938); CIBEREHD, Madrid, Spain (GRID:grid.452371.6) (ISNI:0000 0004 5930 4607)