Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoids

Abstract Restoration of the intestinal epithelial barrier is crucial for achieving mucosal healing, the therapeutic goal for inflammatory bowel disease (IBD). During homeostasis, epithelial renewal is maintained by crypt stem cells and progenitors that cease to divide as they differentiate into matu...

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Main Authors: Arun Sridhar, Ingunn Bakke, Shreya Gopalakrishnan, Nimo Mukhtar Mohamud Osoble, Emilie Prytz Hammarqvist, Henrik P. Sahlin Pettersen, Arne Kristian Sandvik, Ann Elisabet Østvik, Marianne Doré Hansen, Torunn Bruland
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86314-2
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author Arun Sridhar
Ingunn Bakke
Shreya Gopalakrishnan
Nimo Mukhtar Mohamud Osoble
Emilie Prytz Hammarqvist
Henrik P. Sahlin Pettersen
Arne Kristian Sandvik
Ann Elisabet Østvik
Marianne Doré Hansen
Torunn Bruland
author_facet Arun Sridhar
Ingunn Bakke
Shreya Gopalakrishnan
Nimo Mukhtar Mohamud Osoble
Emilie Prytz Hammarqvist
Henrik P. Sahlin Pettersen
Arne Kristian Sandvik
Ann Elisabet Østvik
Marianne Doré Hansen
Torunn Bruland
author_sort Arun Sridhar
collection DOAJ
description Abstract Restoration of the intestinal epithelial barrier is crucial for achieving mucosal healing, the therapeutic goal for inflammatory bowel disease (IBD). During homeostasis, epithelial renewal is maintained by crypt stem cells and progenitors that cease to divide as they differentiate into mature colonocytes. Inflammation is a major effector of mucosal damage in IBD and has been found to affect epithelial stemness, regeneration and cellular functions. However, the impact of immune cell-modulating IBD drugs on epithelial homeostasis and repair is poorly understood. It is likely that these drugs will have distinct mechanisms of action (MOA) in intestinal epithelium relevant for homeostasis that will vary among patients. We investigated cellular effects of pan-Janus Kinase (JAK) inhibitor tofacitinib and the corticosteroid budesonide on uninflamed and TNF + Poly(I:C) stimulated human colon organoids (colonoids) from healthy donors and IBD-patients. Our findings reveal that although both tofacitinib and budesonide exhibit anti-inflammatory effects, tofacitinib increased colonoid size and proliferation during differentiation, and promoted epithelial stemness. In contrast, budesonide decreased colonoid size and showed no consistent effect on proliferation or stemness. Our study demonstrates the value of employing human colonoids to investigate how IBD drugs affect intestinal epithelial cells and inter-individual variations relevant to mucosal healing and personalized IBD treatment.
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spelling doaj-art-1623bdcaf38c4c469ddb15947b563fe72025-02-02T12:21:23ZengNature PortfolioScientific Reports2045-23222025-01-0115111910.1038/s41598-025-86314-2Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoidsArun Sridhar0Ingunn Bakke1Shreya Gopalakrishnan2Nimo Mukhtar Mohamud Osoble3Emilie Prytz Hammarqvist4Henrik P. Sahlin Pettersen5Arne Kristian Sandvik6Ann Elisabet Østvik7Marianne Doré Hansen8Torunn Bruland9Department of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyDepartment of Clinical and Molecular Medicine (IKOM), Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and TechnologyAbstract Restoration of the intestinal epithelial barrier is crucial for achieving mucosal healing, the therapeutic goal for inflammatory bowel disease (IBD). During homeostasis, epithelial renewal is maintained by crypt stem cells and progenitors that cease to divide as they differentiate into mature colonocytes. Inflammation is a major effector of mucosal damage in IBD and has been found to affect epithelial stemness, regeneration and cellular functions. However, the impact of immune cell-modulating IBD drugs on epithelial homeostasis and repair is poorly understood. It is likely that these drugs will have distinct mechanisms of action (MOA) in intestinal epithelium relevant for homeostasis that will vary among patients. We investigated cellular effects of pan-Janus Kinase (JAK) inhibitor tofacitinib and the corticosteroid budesonide on uninflamed and TNF + Poly(I:C) stimulated human colon organoids (colonoids) from healthy donors and IBD-patients. Our findings reveal that although both tofacitinib and budesonide exhibit anti-inflammatory effects, tofacitinib increased colonoid size and proliferation during differentiation, and promoted epithelial stemness. In contrast, budesonide decreased colonoid size and showed no consistent effect on proliferation or stemness. Our study demonstrates the value of employing human colonoids to investigate how IBD drugs affect intestinal epithelial cells and inter-individual variations relevant to mucosal healing and personalized IBD treatment.https://doi.org/10.1038/s41598-025-86314-2Intestinal epitheliumOrganoidsJAK-inhibitor
spellingShingle Arun Sridhar
Ingunn Bakke
Shreya Gopalakrishnan
Nimo Mukhtar Mohamud Osoble
Emilie Prytz Hammarqvist
Henrik P. Sahlin Pettersen
Arne Kristian Sandvik
Ann Elisabet Østvik
Marianne Doré Hansen
Torunn Bruland
Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoids
Scientific Reports
Intestinal epithelium
Organoids
JAK-inhibitor
title Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoids
title_full Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoids
title_fullStr Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoids
title_full_unstemmed Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoids
title_short Tofacitinib and budesonide treatment affect stemness and chemokine release in IBD patient-derived colonoids
title_sort tofacitinib and budesonide treatment affect stemness and chemokine release in ibd patient derived colonoids
topic Intestinal epithelium
Organoids
JAK-inhibitor
url https://doi.org/10.1038/s41598-025-86314-2
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