LRH-1-mediated glucocorticoid synthesis in enterocytes protects against inflammatory bowel disease

Proc Natl Acad Sci U S A. 2007 Aug 7;104(32):13098-103. doi: 10.1073/pnas.0702440104. Epub 2007 Aug 1.

Abstract

Liver receptor homolog-1 (LRH-1) is a nuclear receptor involved in intestinal lipid homeostasis and cell proliferation. Here we show that haploinsufficiency of LRH-1 predisposes mice to the development of intestinal inflammation. Besides the increased inflammatory response, LRH-1 heterozygous mice exposed to 2,4,6-trinitrobenzene sulfonic acid show lower local corticosterone production as a result of an impaired intestinal expression of the enzymes CYP11A1 and CYP11B1, which control the local synthesis of corticosterone in the intestine. Local glucocorticoid production is strictly enterocyte-dependent because it is robustly reduced in epithelium-specific LRH-1-deficient mice. Consistent with these findings, colon biopsies of patients with Crohn's disease and ulcerative colitis show reduced expression of LRH-1 and genes involved in the production of glucocorticoids. Hence, LRH-1 regulates intestinal immunity in response to immunological stress by triggering local glucocorticoid production. These findings underscore the importance of LRH-1 in the control of intestinal inflammation and the pathogenesis of inflammatory bowel disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cholesterol Side-Chain Cleavage Enzyme / genetics
  • Corticosterone / biosynthesis
  • DNA-Binding Proteins / physiology*
  • Enterocytes / metabolism*
  • Female
  • Glucocorticoids / biosynthesis*
  • Humans
  • Inflammatory Bowel Diseases / prevention & control*
  • Male
  • Middle Aged
  • RNA, Messenger / analysis
  • Receptors, Cytoplasmic and Nuclear / physiology*
  • Steroid 11-beta-Hydroxylase / genetics
  • Transcription Factors / physiology*

Substances

  • DNA-Binding Proteins
  • Glucocorticoids
  • NR5A2 protein, human
  • RNA, Messenger
  • Receptors, Cytoplasmic and Nuclear
  • Transcription Factors
  • Steroid 11-beta-Hydroxylase
  • Cholesterol Side-Chain Cleavage Enzyme
  • Corticosterone