Enrichment of Activated Fibroblasts as a Potential Biomarker for a Non-Durable Response to Anti-Tumor Necrosis Factor Therapy in Patients with Crohn's Disease

We investigated whether the response to anti-tumor necrosis factor (anti-TNF) treatment varied according to inflammatory tissue characteristics in Crohn's disease (CD). Bulk RNA sequencing (RNA-seq) data were obtained from inflamed and non-inflamed tissues from 170 patients with CD. The samples were clustered based on gene expression profiles using principal coordinate analysis (PCA). Cellular heterogeneity was inferred using CiberSortx, with bulk RNA-seq data. The PCA results displayed two clusters of CD-inflamed samples: one close to (Inflamed_1) and the other far away (Inflamed_2) from the non-inflamed samples. Inflamed_1 was rich in anti-TNF durable responders (DRs), and Inflamed_2 was enriched in non-durable responders (NDRs). The CiberSortx results showed that the cell fraction of activated fibroblasts was six times higher in Inflamed_2 than in Inflamed_1. Validation with public gene expression datasets (GSE16879) revealed that the activated fibroblasts were enriched in NDRs over Next, we used DRs by 1.9 times pre-treatment and 7.5 times after treatment. Fibroblast activation protein (FAP) was overexpressed in the Inflamed_2 and was also overexpressed in the NDRs in both the RISK and GSE16879 datasets. The activation of fibroblasts may play a role in resistance to anti-TNF therapy. Characterizing fibroblasts in inflamed tissues at diagnosis may help to identify patients who are likely to respond to anti-TNF therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

International journal of molecular sciences - 24(2023), 19 vom: 30. Sept.

Sprache:

Englisch

Beteiligte Personen:

Park, Soo-Kyung [VerfasserIn]
Lee, Gi-Young [VerfasserIn]
Kim, Sangsoo [VerfasserIn]
Lee, Chil-Woo [VerfasserIn]
Choi, Chang-Hwan [VerfasserIn]
Kang, Sang-Bum [VerfasserIn]
Kim, Tae-Oh [VerfasserIn]
Chun, Jaeyoung [VerfasserIn]
Cha, Jae-Myung [VerfasserIn]
Im, Jong-Pil [VerfasserIn]
Ahn, Kwang-Sung [VerfasserIn]
Kim, Seon-Young [VerfasserIn]
Kim, Min-Suk [VerfasserIn]
Lee, Chang-Kyun [VerfasserIn]
Park, Dong-Il [VerfasserIn]

Links:

Volltext

Themen:

63231-63-0
Activated fibroblasts
Anti-tumor necrosis factor therapy
Crohn’s disease
Journal Article
RNA
RNA sequencing
Tumor Necrosis Factor Inhibitors
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 23.10.2023

Date Revised 23.10.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms241914799

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363272100