Correlation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axis

Abstract Background and aim Ulcerative colitis (UC) is characterized by complex immunological interactions involving CD4 T cell subsets and the NLRP3 inflammasome, which influence inflammatory responses. This investigation focused on delineating the activation profiles of these components and their...

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Main Authors: Yingnan Hu, Jingyi Tang, Dian Yu, Shuo Su, Jintao Fang, Linying Xia, Wenjun Xu, Weihan Zhu, Ninping Song, Fengyong Wang, Dechang Diao, Wei Zhang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Gastroenterology
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Online Access:https://doi.org/10.1186/s12876-025-03603-w
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author Yingnan Hu
Jingyi Tang
Dian Yu
Shuo Su
Jintao Fang
Linying Xia
Wenjun Xu
Weihan Zhu
Ninping Song
Fengyong Wang
Dechang Diao
Wei Zhang
author_facet Yingnan Hu
Jingyi Tang
Dian Yu
Shuo Su
Jintao Fang
Linying Xia
Wenjun Xu
Weihan Zhu
Ninping Song
Fengyong Wang
Dechang Diao
Wei Zhang
author_sort Yingnan Hu
collection DOAJ
description Abstract Background and aim Ulcerative colitis (UC) is characterized by complex immunological interactions involving CD4 T cell subsets and the NLRP3 inflammasome, which influence inflammatory responses. This investigation focused on delineating the activation profiles of these components and their correlation with disease severity and activity, assessing their diagnostic implications in UC. Methods We conducted immunohistochemistry and ELISA assays to measure markers expression of CD4 T cell subsets and the NLRP3 inflammasome in UC patients versus controls. Findings were validated using correlation analysis, molecular docking and ROC curves. Results UC patients displayed increased Th1 (T-bet, TNF-α), Th2 (GATA3, IL-6), and Th17 (RORγt, IL-17, IL-22, IL-23) markers versus controls. Additionally, Th1 and Th2 cytokines (IL-2 and IL-4) were significantly elevated in severe UC, while Treg markers (FOXP3, IL-10, TGF-β1) were elevated only in mild-to-moderate UC. Enhanced NLRP3 inflammasome activation, indicated by elevated NLRP3, Caspase-1, and IL-1β levels. These molecular patterns, confirmed through correlation analysis and molecular docking, underscored strong correlations among NLRP3, T-bet, and GATA3, supporting the proposed NLRP3/T-bet/GATA3 axis. This axis, along with other biomarkers, showed strong associations with UC severity, Mayo score, UCEIS, demonstrated relatively high diagnostic value. Conclusion The NLRP3/T-bet/GATA3 axis provides a referable strategy for multi-targeted combined treatment of UC and may serve as potential biomarkers for enhancing diagnostic accuracy and guiding therapy.
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spelling doaj-art-43ec509c4ca4429d86d76fd3fbb8ac2a2025-01-26T12:36:22ZengBMCBMC Gastroenterology1471-230X2025-01-0125111410.1186/s12876-025-03603-wCorrelation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axisYingnan Hu0Jingyi Tang1Dian Yu2Shuo Su3Jintao Fang4Linying Xia5Wenjun Xu6Weihan Zhu7Ninping Song8Fengyong Wang9Dechang Diao10Wei Zhang11The Second Clinical Medical College of Zhejiang Chinese Medical University, Zhejiang Chinese Medical UniversityThe Second Clinical Medical College of Zhejiang Chinese Medical University, Zhejiang Chinese Medical UniversityThe Second Clinical Medical College of Zhejiang Chinese Medical University, Zhejiang Chinese Medical UniversityDepartment of Spleen and Stomach Diseases, Qujiang District Hospital of Traditional Chinese MedicineThe Second Clinical Medical College of Zhejiang Chinese Medical University, Zhejiang Chinese Medical UniversityDepartment of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical UniversityThe Second Clinical Medical College of Zhejiang Chinese Medical University, Zhejiang Chinese Medical UniversityThe Second Clinical Medical College of Zhejiang Chinese Medical University, Zhejiang Chinese Medical UniversityDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Zhejiang Chinese Medical UniversityDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Zhejiang Chinese Medical UniversityDepartment of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-Sen UniversityThe Second Clinical Medical College of Zhejiang Chinese Medical University, Zhejiang Chinese Medical UniversityAbstract Background and aim Ulcerative colitis (UC) is characterized by complex immunological interactions involving CD4 T cell subsets and the NLRP3 inflammasome, which influence inflammatory responses. This investigation focused on delineating the activation profiles of these components and their correlation with disease severity and activity, assessing their diagnostic implications in UC. Methods We conducted immunohistochemistry and ELISA assays to measure markers expression of CD4 T cell subsets and the NLRP3 inflammasome in UC patients versus controls. Findings were validated using correlation analysis, molecular docking and ROC curves. Results UC patients displayed increased Th1 (T-bet, TNF-α), Th2 (GATA3, IL-6), and Th17 (RORγt, IL-17, IL-22, IL-23) markers versus controls. Additionally, Th1 and Th2 cytokines (IL-2 and IL-4) were significantly elevated in severe UC, while Treg markers (FOXP3, IL-10, TGF-β1) were elevated only in mild-to-moderate UC. Enhanced NLRP3 inflammasome activation, indicated by elevated NLRP3, Caspase-1, and IL-1β levels. These molecular patterns, confirmed through correlation analysis and molecular docking, underscored strong correlations among NLRP3, T-bet, and GATA3, supporting the proposed NLRP3/T-bet/GATA3 axis. This axis, along with other biomarkers, showed strong associations with UC severity, Mayo score, UCEIS, demonstrated relatively high diagnostic value. Conclusion The NLRP3/T-bet/GATA3 axis provides a referable strategy for multi-targeted combined treatment of UC and may serve as potential biomarkers for enhancing diagnostic accuracy and guiding therapy.https://doi.org/10.1186/s12876-025-03603-wUlcerative colitisCD4 T cellNLRP3 inflammasomeCorrelationDiagnostic value
spellingShingle Yingnan Hu
Jingyi Tang
Dian Yu
Shuo Su
Jintao Fang
Linying Xia
Wenjun Xu
Weihan Zhu
Ninping Song
Fengyong Wang
Dechang Diao
Wei Zhang
Correlation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axis
BMC Gastroenterology
Ulcerative colitis
CD4 T cell
NLRP3 inflammasome
Correlation
Diagnostic value
title Correlation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axis
title_full Correlation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axis
title_fullStr Correlation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axis
title_full_unstemmed Correlation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axis
title_short Correlation and diagnostic significance of CD4 T cell subsets and NLRP3 inflammasome in ulcerative colitis: the role of the NLRP3/T-bet/GATA3 axis
title_sort correlation and diagnostic significance of cd4 t cell subsets and nlrp3 inflammasome in ulcerative colitis the role of the nlrp3 t bet gata3 axis
topic Ulcerative colitis
CD4 T cell
NLRP3 inflammasome
Correlation
Diagnostic value
url https://doi.org/10.1186/s12876-025-03603-w
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