In this study, we generated enteroids and colonoids from dogs diagnosed with IBD or intestinal mast cell tumor. The goal of these experiments was to better understand how intestinal epithelial cells respond to LPS stimulation under different pathological conditions. We further investigated differences between organoids derived from various intestinal compartments (small intestine vs. colon) in IBD dogs following LPS stimulation. Transcriptomic analyses using microarray43 were used to identify differentially expressed genes in enteroids and colonoids derived from diseased dogs. These data are the first to characterize regional specific transcriptomic changes in intestinal epithelial cells of dogs with IBD and intestinal cancer in response to ex vivo LPS stimulation.
In the present study, tumor enteroids had the highest proliferation indices (based on Ki-67 estimates), followed by IBD enteroids and IBD colonoids, while all enteroids and colonoids showed an increase in proliferation following LPS stimulation. Additionally, we observed that organoid proliferation varied between enteroids and colonoids from the IBD dog, with enteroids exhibiting greater proliferation than colonoids. It is possible that LPS-induced enhanced proliferation in tumor enteroids was caused by increased expression of genes involved in cell cycle process like centromere protein F (CENPF) and flap endonuclease GEN homolog 1 (GEN1) as well as a receptor protein tyrosine kinase (STYK1). CENP-F is a centromere-kinetochore complex-associated protein, and its expression is increased in tumors44 and it serves as a marker for cell proliferation in human malignancies45. CRISPR-Cas9 silencing of CENPF in human prostate cancer cells resulted in decreased cell proliferation46,47. CENPF regulates cancer metabolism by modulating the phosphorylation signaling of pyruvate kinase M247.
Similarly, GEN1 expression was induced in tumor enteroids. GEN1, like other members of the Rad2/XPG family as FEN1, is a monomeric 59-flap endonuclease, but it can dimerize on Holliday junctions (HJs), providing the two symmetrically aligned active sites required for HJ resolution48. Members of the Rad2/XPG family, such as FEN1, are significantly expressed in proliferating cell populations, consistent with their role in DNA replication49. For instance, its expression is associated with proliferation of mammary epithelial cells49. FEN1 expression is increased in metastatic prostate cancer cells, gastric cancer cells, pancreatic cancer cells, and lung cancer cell lines, and with tumor progression50. Additionally, the receptor STYK1 is required for cell proliferation51. STYK1's oncogenic potential has been studied widely in gallbladder cancer (GBC) and was reported to be largely dependent on the PI3K/AKT pathway. STYK1's tumor-stimulating activity was abolished by the AKT-specific inhibitor MK2206, as well as by STYK1 gene silencing51. A crucial NF-κB regulator, Sam68 (KHDRBS1), was also observed to be elevated in LPS-treated tumor enteroids, along with the genes GEN1, KRIT1, CENPF, and STYK1. Sam68 (KHDRBS1) exhibited prognostic significance in various malignancies and was elevated in cancer cell lines52,53. Additionally, the genome-wide study identified Sam68 (KHDRBS1) co-expression with cancer-related genes52,53. Our results suggest the possible roles of GEN1, KRIT1, CENPF, STYK1, and Sam68/KHDRBS1 in promoting cancer cell proliferation, and these findings may provide a potential therapeutic target to control mast cell malignancy.
While LPS treatment did not affect the expression of genes involved in proliferation and malignancy, such as GEN1, KRIT1, CENPF, STYK1, and Sam68/KHDRBS1, it did inhibit numerous genes implicated in tumor growth. LPS treatment, for example, reduced the expression of the CRYZL1, Gpatch4, SLC7A1, ATP13A2, and ZNF358 genes. While CRYZL1 was previously detected in circulating tumor cells in the blood of female cancer patients54, GPATCH4 was identified in melanoma patient sera and was revealed to be increased in hepatocellular carcinoma55. Similarly, the SLC7A1/CAT1 arginine transporter plays a critical function in colorectal cancer by increasing arginine metabolism56. After LPS treatment, another important gene, ATP13A2, was downregulated in tumor enteroids. ATP13A2 regulates autophagy, as demonstrated by ATP13A2 knockdown decreasing cellular autophagy levels, reversing ATP13A2-induced stemness in colon cancer cells with the autophagy inhibitor bafilomycin A157, and reduction of the volume of colon cancer xenografts in mice treated with ATP13A2 siRNA57. While all of these pieces of evidence point to ATP13A2 and autophagy, studies also reveal a link between the level of ATP13A2 expression and the survival rate of colon cancer patients. Colon cancer patients with elevated ATP13A2 expression display shorter overall survival than those with low ATP13A257. While proliferation-promoting genes such as GEN1, KRIT1, CENPF, STYK1, and Sam68/KHDRBS1 were elevated in LPS-treated tumor enteroids, ZNF139 expression was decreased. ZNF139 increases proliferation and prevents apoptosis by increasing Survivin, x-IAP, and Bcl-2 expression and decreasing Caspase-3 and Bax expression58. ZNF139 is substantially expressed in gastric cancer and is used as a prognostic marker in this disease59.
Interestingly, while LPS treatment increased proliferation and expression of the GEN1, KRIT1, CENPF, STYK1, and Sam68/KHDRBS1 genes, it decreased the expression of cancer-associated CRYZL1, Gpatch4, SLC7A1, ATP13A2, and ZNF358 genes47,51,57,59,60 in tumor enteroids. This could imply that LPS has some anticancer activity. LPS treatment has been shown to have potent anticancer effects61,62 against adoptively transferred tumors (TA3/Ha murine mammary carcinoma) in mice63,64. LPS and the other two potent TLR4 agonists have been proven effective in treating a variety of carcinomas62,65. In addition, research on mice with lung tumors has demonstrated that a modest dose of LPS promotes tumor development, whereas a large amount induces tumor regression63. Plasmacytoid dendritic cells are required for LPS to exert its dose-dependent effects63.
The addition of LPS increased the production of proteins involved in cytokine signaling, most notably interferon and interleukin signaling66. After LPS treatment, we observed the upregulation of genes involved in biotic stimuli and immune effector processes (OAS1, OASL, IFIT1, ISG15), as well as antigen processing and presentation (TAP2, DLA class I) and signal transduction (TFF1, IGFBP1, ISG15). Emerging evidence suggests that these genes increased activity contributes to the inflammatory response induced by LPS. For example, LPS and interferons highly activate the ubiquitin-like protein ISG15 and 2'-5'-oligoadenylate synthetase-like (OASL)67,68 OASL is necessary for the antiviral signaling pathway mediated by IFNs68, as it regulates pro-inflammatory mediators such as cytokines and chemokines68. Likewise, OAS1 has a strong antiviral impact both in vivo and in vitro69 and protects cells from viral infection70. When exogenous recombinant OAS1 was added to cultured cells, it was internalized and exerted a potent antiviral effect69. LPS has also been shown to induce OAS in marine sponges71. Notably, we found that most of these DEGs are 10.74% orthologous in Metazoa.
TAP2 and trefoil factor 1 (TFF1) upregulation in IBD enteroids and colonoids following LPS treatment could result from their ability to modulate TLR4 signaling or their anti-inflammatory properties72–74. TAP2 has been shown to inhibit TLR4 signaling and diminish the systemic cytokine response induced by LPS72. TFF1 exhibits anti-inflammatory properties, and its involvement as a tumor suppressor gene has been shown through studies using the Tff1-knockout (Tff1-KO) mouse model54,75. While the Tff1-KO mice develops gastric malignancies via activation of NF-κB and chronic inflammatory pathways73, treatment with exogenous TFFs alleviates gastrointestinal inflammation54,76. Insulin-like growth factor-binding protein 1 (IGFBP1) is a member of the GFBPs family of proteins that interact with Insulin-like growth factors (IGFs) to regulate their anabolic activity77. While LPS injection reduces circulating IGF-I levels, it increases IGFBP-1 levels78,79. LPS has also been shown to induce IGFBP-1 in the liver, muscle, and kidney tissues80. Similarly, NADPH oxidase 1 (NOX1) activity induced by LPS was detected in dendritic cells81, corroborating our current findings. NOX1 requires two additional proteins, NOXO1 and NOXA1, and it interacts with p22phox in a complex82. NOX1 is triggered by the GTPase Rac, which binds directly to it or via the NOXA1 TPR domain82.
Genes such as CP and GPX1, involved in the oxidation-reduction process and cellular detoxification, were expressed more abundantly in IBD intestine organoids following LPS treatment. The generation of reactive oxygen species (ROS) during the innate immune response to LPS is one of the anti-pathogen responses that can cause oxidative damage, and GPx-1, an antioxidant enzyme83,84, can protect the intestine from such damage. Gpx-1 facilitates the generation of pro-inflammatory cytokines in response to LPS exposure85. GPx1 has been shown to regulate LPS-induced adhesion molecule expression in endothelial cells through modulating CD14 expression. Suppression of GPx-1 promotes the expression of the CD14 gene in human microvascular endothelial cells86. GPx-1 deficiency increases LPS-induced intracellular ROS and CD14 and intercellular adhesion molecule-1 (ICAM-1) expression86.
Studies have shown a connection between LPS stimulation and NO production and the Ceruloplasmin (CP) activity87. Without changing iNOS expression levels, CP enhances LPS-activated iNOS activity. An unknown Cp receptor activates this intracellular signaling that cross-talks with the response stimulated by LPS88. Members of the S100 family, S100A2 and S100A16, were also induced by LPS stimulation and IBD; similar induction of S100A2 expression induction and secretion has been reported in the previous studies89. S100A2 is believed to be a functional component in the immune response89,90 due to its increased expression in LPS-stimulated immune cells. S100A2 has also been linked to cancer through regulating downstream of the BRCA1/ΔNp63 signaling axis91. Furthermore, our current research shows associations between S100 proteins and IBD, with LPS and IBD both stimulating S100A16 activity. Our present study, along with earlier reports92 points to the potential use of S100 markers for diagnostic purposes, specifically S100A2 in cancer and S100A16 in IBD. Use of S100 A proteins in canine feces as biomarkers of inflammatory activity has been previously reported93.
The transmembrane ion pump Na+/K+-ATPase (ATP1A1) has been linked to nuclear factor kappa B (NFκB) signaling94, a signal associated with the LPS induced immune response. While α2Na+/K+-ATPase haploinsufficiency was reported to regulate LPS-induced immune responses negatively, we observed that ATP1A1 was suppressed in both IBD enteroids and colonoids treated with LPS in the present study. Nonetheless, our demonstration of the inhibited expression of ATP1A1 in IBD intestinal organoids identifies it as a promising candidate for further analysis.
The GI tract microbial ecology varies according to its microbial diversity and anatomic location. Oxygen tension is a primary determinate of microbial numbers and complexity95. The upper GI tract, stomach, and small intestine have a lower pH, shorter transit time, and reduced bacterial population. However, the colon harbors the greatest diversity of bacteria, as it has a low cell turnover rate, a low redox potential, and a longer transit time96. As a result of the LPS reaction, the gene expression profile of enteroids and colonoids from IBD dogs also alters. Eighteen genes were increased in IBD enteroids treated with LPS but were downregulated in colonoids treated with LPS. These 18 unique signature genes might be used to differentiate the intestinal regions in response to LPS stimulation.
The differential expression of TOMM20 and eIF3F between IBD enteroids and colonoids may be a reason why IBD enteroids with higher TOMM20 expression and lower eIF3F expression proliferate more than colonoids. Mitochondrial protein, translocase of the outer mitochondrial membrane complex subunit 20 (TOMM20), promotes proliferation and resistance to apoptosis and serves as a marker of mitophagy activity97. Reduced TOMM20 expression in response to LPS treatment implies that LPS activates mitophagy98, resulting in decreased proliferation in IBD colonoids (as observed in the current study). In tumor cells, enhanced eIF3F expression inhibits translation, cell growth, cell proliferation and induces apoptosis, whereas knockdown of eIF3f inhibits apoptosis, displaying the role of eIF3f as an essential negative regulator of cell growth and proliferation99,100. Furthermore, the expression of FAM168A(TCRP1) in IBD enteroids implies that IBD enteroids are more protected than colonoids against LPS stimulation. FAM168A operates via the PI3K/AKT/NFKB signaling pathway and has previously been shown to protect cells against apoptosis 101.
Several genes that participated in RNA metabolism, protein synthesis, import, protein complex assembly and proteolysis, anion transport, adaptive immune response, and apoptosis were also differentially expressed in LPS-treated IBD colonoids and enteroids. For instance, LPS treatment enhanced the expression of SF3A1, S100P, CRIP1, ANXA1, and RGS2 in IBD colonoids. The presence of SF3A and SF3B is required for a robust innate immune response to LPS and other TLR agonists102. SF3A1, a member of the SF3A complex, regulates LPS-induced IL-6 by primarily inhibiting its production102. Similarly, S100 proteins are known to be secreted in response to TLR-4 activation. S100 proteins also influence proliferation, differentiation, and apoptosis, in addition to inflammation90. Earlier reports and our recent observation of enhanced cysteine-rich intestinal protein 1 (CRIP1) expression in response to LPS suggest that CRIP may play a role in immune cell activation or differentiation103. While CRIP1 is abundant in the intestine104, it is abnormally expressed in certain types of tumor103. CRIP1 inhibits the expression of Fas and proteins involved in Fas-mediated apoptosis103. LPS activates the AnxA1 gene significantly, and in the absence of AnxA1, LPS induces a dysregulated cellular and cytokine response with a high degree of leukocyte adhesion. The protective role of AnxA1 was demonstrated in AnxA1-deficient mice. In AnxA1-deficient mice, LPS induced a toxic response manifested by organ injury and lethality, restored by exogenous administration of AnxA1105,106.
In contrast, following LPS treatment, GTF2A2 expression was increased in IBD enteroids. GTF2A2 is required for NF-kB signaling in LPS-induced TNFα responsive module107. Additionally, LPS promoted HSPD1 and Cyr61 expression in IBD enteroids. Cyr61 is known to be activated by LPS and may have pleiotropic responses to LPS108. Human hsp60 directly promotes nitrite production and cytokine synthesis in macrophages. Human hsp60 was found to synergize with IFN-γ in its proinflammatory activity109. The inflammatory response to LPS was evaluated in RGS2−/−. It showed that it exhibited higher expression of TNF-α and phosphorylated p38 levels in cardiomyocytes. This study demonstrates that RGS2 plays a function in cardioprotection and anti-inflammatory signaling via p38110. RGS2 inhibits G protein-coupled receptor signaling by increasing the rate of G protein deactivation or by decreasing G protein-effector interactions111.
The KEGG38 pathway analysis displayed that LPS induction modified the expression of thiamine, purine, and porphyrin metabolic pathway genes in tumor enteroids and IBD intestinal organoids but altered the expression of glycerophospholipid metabolism and arginine biosynthesis pathway genes in tumor enteroids. Purine metabolism is implicated in a variety of inflammatory diseases, including IBD112. Purine metabolism regulates innate lymphoid cell function by balancing the levels of eATP and adenosine via the NTPDase enzyme and protects against intestinal injury112. As the co-enzyme of pyruvate dehydrogenase and α-ketoglutarate dehydrogenase, thiamine plays a key role in carbohydrate metabolism. Accumulation of LPS results in a decrease in thiamine content and transport113. When thiamine-degrading enzyme thiaminase was introduced to cell culture media containing thiamine, it inhibited the growth of breast cancer cells114. In cancer cells, thiaminase reduced ATP levels signify its vital role in cancer cell bioenergetics114,115. LPS-induced TNF-α production in mice was inhibited by porphyrins suggesting its inhibitory effects in TNF-α cytokine production116,117.
LPS treatment also altered expression of arachidonic acid and glutathione metabolism pathway genes in IBD enteroids and colonoids. The arachidonic acid (AA) pathway is implicated in a variety of inflammatory diseases118,119. The glutathione (GSH) pathway is a critical metabolic integrator in T cell-mediated inflammatory responses120. Metabolism of AA results in reactive oxygen species (ROS) generation121. GSH and its metabolic enzymes protect tissues from oxidative damage83,84,122–127. By interacting in both the AA and GSH pathways, GPX1 is a critical determinant of AA effects121. Fatty acyl-CoA reductase 1 (FAR1) expression was greater in IBD enteroids than tumor enteroids. In mammals, fatty alcohol synthesis is accomplished by two highly expressed FAR isozymes128. FAR1 is a potential tumor suppressor, and its increased expression has been associated with improved survival rates in colorectal and breast cancer patients129. The enzymes of wax biosynthesis and its association with cancer have been previously reported128,130.
As inflammation is a prominent regulator of drug-metabolizing enzymes131, DEGs involved in drug metabolism were identified in IBD intestinal organoids and tumor enteroids. Additionally, LPS treatment altered Acyl-CoA synthetase 5 (ACSL5) expression in the intestine and tumor enteroids. ACSL5 is required for the de novo synthesis of lipids and fatty acid degradation, and its role in inflammation and cancer development has been reported. ACSL5 interacts with proapoptotic molecules and suppresses proliferation132. Following LPS treatment, genes involved in glutathione metabolism and arginine biosynthesis pathways were significantly altered in serum, whereas genes involved in the bile acid biosynthesis pathway were significantly changed in numerous rat tissues133. We also observed alterations in the expression of genes involved in these metabolic pathways in IBD intestinal organoids stimulated with LPS. Similarly, intestinal inflammation affects multiple metabolic pathways134, as evidenced in IBD enteroids and colonoids that express DEGs from primary metabolic process.
In conclusion, the current study provides new and comprehensive data describing how LPS induces differential gene expression in intestinal organoids derived from dogs with chronic intestinal inflammation and small intestinal cancer. The cross-talk between LPS/TLR4 signal transduction pathway and other metabolic pathways like fatty acid degradation and biosynthesis, purine, thiamine, arachidonic acid, and glutathione metabolism demonstrates an important role for LPS in chronic inflammation and carcinogenesis. Additionally, we observed contradictory effects of LPS. While it induced the proliferation and expression of several tumor-associated genes, it decreased the expression of other cancer-associated genes in tumor enteroids, including CRYZL1, Gpatch4, SLC7A1, ATP13A2, and ZNF358. In summary, this study may pave the way for novel approaches to developing anti-inflammatory and anticancer therapeutics.