PMID- 32498446 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 8 IP - 6 DP - 2020 Jun 2 TI - CD40 Receptor Knockout Protects against Microcystin-LR (MC-LR) Prolongation and Exacerbation of Dextran Sulfate Sodium (DSS)-Induced Colitis. LID - 10.3390/biomedicines8060149 [doi] LID - 149 AB - Inflammatory Bowel Disease (IBD) is one of the most common gastrointestinal (GI) disorders around the world, and includes diagnoses such as Crohn's disease and ulcerative colitis. The etiology of IBD is influenced by genetic and environmental factors. One environmental perturbagen that is not well studied within the intestines is microcystin-leucine arginine (MC-LR), which is a toxin produced by cyanobacteria in freshwater environments around the world. We recently reported that MC-LR has limited effects within the intestines of healthy mice, yet interestingly has significant toxicity within the intestines of mice with pre-existing colitis induced by dextran sulfate sodium (DSS). MC-LR was found to prolong DSS-induced weight loss, prolong DSS-induced bloody stools, exacerbate DSS-induced colonic shortening, exacerbate DSS-induced colonic ulceration, and exacerbate DSS-induced inflammatory cytokine upregulation. In addition, we previously reported a significant increase in expression of the pro-inflammatory receptor CD40 in the colons of these mice, along with downstream products of CD40 activation, including plasminogen activator inhibitor-1 (PAI-1) and monocyte chemoattractant protein-1 (MCP-1). In the current study, we demonstrate that knocking out CD40 attenuates the effects of MC-LR in mice with pre-existing colitis by decreasing the severity of weight loss, allowing a full recovery in bloody stools, preventing the exacerbation of colonic shortening, preventing the exacerbation of colonic ulceration, and preventing the upregulation of the pro-inflammatory and pro-fibrotic cytokines IL-1beta, MCP-1, and PAI-1. We also demonstrate the promising efficacy of a CD40 receptor blocking peptide to ameliorate the effects of MC-LR exposure in a proof-of-concept study. Our findings suggest for the first time that MC-LR acts through a CD40-dependent mechanism to exacerbate colitis. FAU - Su, Robin C AU - Su RC AUID- ORCID: 0000-0002-7423-0939 AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Warner, Emily A AU - Warner EA AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Breidenbach, Joshua D AU - Breidenbach JD AUID- ORCID: 0000-0002-5892-1879 AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Lad, Apurva AU - Lad A AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Blomquist, Thomas M AU - Blomquist TM AD - Department of Pathology, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Kleinhenz, Andrew L AU - Kleinhenz AL AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Modyanov, Nikolai AU - Modyanov N AD - Department of Physiology and Pharmacology, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Malhotra, Deepak AU - Malhotra D AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Kennedy, David J AU - Kennedy DJ AUID- ORCID: 0000-0001-5265-0142 AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. AD - Department of Medical Microbiology and Immunology, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. FAU - Haller, Steven T AU - Haller ST AUID- ORCID: 0000-0002-6919-6342 AD - Department of Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. AD - Department of Medical Microbiology and Immunology, The University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA. LA - eng GR - 4241/Ohio Department of Higher Education/ PT - Journal Article DEP - 20200602 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC7345682 OTO - NOTNLM OT - CD40 OT - colitis OT - colon OT - dextran sulfate sodium OT - inflammatory bowel disease OT - microcystin COIS- The authors declare no conflict of interest. EDAT- 2020/06/06 06:00 MHDA- 2020/06/06 06:01 PMCR- 2020/06/02 CRDT- 2020/06/06 06:00 PHST- 2020/04/14 00:00 [received] PHST- 2020/05/30 00:00 [revised] PHST- 2020/05/31 00:00 [accepted] PHST- 2020/06/06 06:00 [entrez] PHST- 2020/06/06 06:00 [pubmed] PHST- 2020/06/06 06:01 [medline] PHST- 2020/06/02 00:00 [pmc-release] AID - biomedicines8060149 [pii] AID - biomedicines-08-00149 [pii] AID - 10.3390/biomedicines8060149 [doi] PST - epublish SO - Biomedicines. 2020 Jun 2;8(6):149. doi: 10.3390/biomedicines8060149.