PMID- 32612145 OWN - NLM STAT- MEDLINE DCOM- 20201210 LR - 20211204 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 10 IP - 1 DP - 2020 Jul 1 TI - mTOR sustains inflammatory response in celiac disease. PG - 10798 LID - 10.1038/s41598-020-67889-4 [doi] LID - 10798 AB - Celiac disease (CD) is an enteropathy triggered by the ingestion of gluten proteins in genetically predisposed individuals and characterized by excessive activation of effector immune cells and enhanced production of inflammatory cytokines. However, factors/mechanisms that amplify the ongoing mucosal inflammation in CD are not fully understood. In this study, we assessed whether mammalian target of Rapamycin (mTOR), a pathway that combines intra- and extra-cellular signals and acts as a central regulator for the metabolism, growth, and function of immune and non-immune cells, sustains CD-associated immune response. Our findings indicate that expression of phosphorylated (p)/active form of mTOR is increased in protein lysates of duodenal biopsy samples taken from patients with active CD (ACD) as compared to normal controls. In ACD, activation of mTOR occurs mainly in the epithelial compartment and associates with enhanced expression of p-4EBP, a downstream target of mTOR complex (mTORC)1, while expression of p-Rictor, a component of mTORC2, is not increased. Stimulation of mucosal explants of inactive CD patients with pepsin-trypsin-digested (PT)-gliadin or IFN-gamma/IL-21, two cytokines produced in CD by gluten-specific T cells, increases p-4EBP expression. Consistently, blockade of such cytokines in cultures of ACD mucosal explants reduces p-4EBP. Finally, we show that inhibition of mTORC1 with rapamycin in ACD mucosal explants reduces p-4EBP and production of IL-15, a master cytokine produced by epithelial cells in this disorder. Our data suggest that ACD inflammation is marked by activation of mTORC1 in the epithelial compartment. FAU - Sedda, S AU - Sedda S AD - Department of Systems Medicine, University of "Tor Vergata", Via Montpellier, 1, 00133, Rome, Italy. FAU - Dinallo, V AU - Dinallo V AD - Department of Systems Medicine, University of "Tor Vergata", Via Montpellier, 1, 00133, Rome, Italy. FAU - Marafini, I AU - Marafini I AD - Department of Systems Medicine, University of "Tor Vergata", Via Montpellier, 1, 00133, Rome, Italy. FAU - Franze, E AU - Franze E AD - Department of Systems Medicine, University of "Tor Vergata", Via Montpellier, 1, 00133, Rome, Italy. FAU - Paoluzi, O A AU - Paoluzi OA AD - Department of Systems Medicine, University of "Tor Vergata", Via Montpellier, 1, 00133, Rome, Italy. FAU - Izzo, R AU - Izzo R AD - Medpace Spain, Madrid, Spain. FAU - Giuffrida, P AU - Giuffrida P AD - Dipartimento Di Medicina Interna, Fondazione IRCCS Policlinico San Matteo, Universita Di Pavia, Pavia, Italy. FAU - Di Sabatino, A AU - Di Sabatino A AUID- ORCID: 0000-0002-0302-8645 AD - Dipartimento Di Medicina Interna, Fondazione IRCCS Policlinico San Matteo, Universita Di Pavia, Pavia, Italy. FAU - Corazza, G R AU - Corazza GR AD - Dipartimento Di Medicina Interna, Fondazione IRCCS Policlinico San Matteo, Universita Di Pavia, Pavia, Italy. FAU - Monteleone, G AU - Monteleone G AD - Department of Systems Medicine, University of "Tor Vergata", Via Montpellier, 1, 00133, Rome, Italy. Gi.Monteleone@med.uniroma2.it. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200701 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (IFNG protein, human) RN - 0 (Interleukins) RN - 82115-62-6 (Interferon-gamma) RN - 9007-90-3 (Gliadin) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 2) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - MKM3CA6LT1 (interleukin-21) SB - IM MH - Biopsy MH - Celiac Disease/*immunology/pathology MH - Duodenum/*immunology/pathology MH - Female MH - Gliadin/immunology MH - Humans MH - Inflammation/immunology/pathology MH - Interferon-gamma/immunology MH - Interleukins/immunology MH - Intestinal Mucosa/*immunology/pathology MH - Male MH - Mechanistic Target of Rapamycin Complex 1/immunology MH - Mechanistic Target of Rapamycin Complex 2/immunology MH - Phosphorylation/immunology MH - T-Lymphocytes/immunology MH - TOR Serine-Threonine Kinases/*immunology PMC - PMC7329835 COIS- Monteleone G has served as an advisory board member for ABBVIE. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential competing interests. EDAT- 2020/07/03 06:00 MHDA- 2020/12/15 06:00 PMCR- 2020/07/01 CRDT- 2020/07/03 06:00 PHST- 2019/08/01 00:00 [received] PHST- 2020/06/02 00:00 [accepted] PHST- 2020/07/03 06:00 [entrez] PHST- 2020/07/03 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2020/07/01 00:00 [pmc-release] AID - 10.1038/s41598-020-67889-4 [pii] AID - 67889 [pii] AID - 10.1038/s41598-020-67889-4 [doi] PST - epublish SO - Sci Rep. 2020 Jul 1;10(1):10798. doi: 10.1038/s41598-020-67889-4.