Final Progress Report
Proposal No. IBD-0186R
Principal Investigator: Andreas Sturm, M.D.
Applicant Organization: Charité - Universitätsmedizin Berlin (Berlin, Germany)
Project Title: Galectin-2: Evaluation of a novel anti-inflammatory approach in the treatment of inflammatory bowel disease
Period of Award: January 1, 2007 – December 31, 2008
Summary of project aims
Galectins, a growing family of animal lectins, has attracted the interest of cell biologists and immunologists as master regulators of immune cell homeostasis. Until recently the biological function of galectin-2 was unknown, however, we showed that galectins modulate the adaptive immune system in IBD patients.
Our proposal aimed to test the hypothesis that Galectin-2 is involved in the pathogenesis of IBD and may have a potential therapeutic effect in this condition. We aimed to study galectin-2 expression in the intestine of IBD patients, the effect of galectin-2 on T cell function in control and IBD patients, and the mechanisms of its regulation. Furthermore, we aimed to investigate the potential therapeutic effect of galectin-2 in models of experimental colitis, and to explore the underlying mechanisms of its action.
Accomplishments towards meeting those aims
Due to the generous support by the BRMP, we were able to accomplish nearly all of our proposed aims. As pointed out in the attached manuscripts, we were able to uncover the role of Gal-2 on T cell function in normal and IBD patients and investigated its mechanism of regulation. Furthermore, and not primarily proposed, we investigated the role galectins on epithelial cell function and epithelial wound healing. In addition, we also investigated Gal-4 and uncovered that the beneficial effect of Galectins is not restricted to Gal-2.
Regarding the original proposed aims, we have not finished yet our work regarding the Galectin expression profiles in IBD. The aim here was to investigate intrinsic Galectin protein expression in IBD patients. In longitudinal studies we want to investigate if successfully treated patients or failure of treatment is related to Galectin expression. We do have data about the original expression profile, but are still collecting data after therapy. We will finish these experiment in spring 2010.
Significant results
Sturm A, et al, J Immunol 2004:
Lay summary
Galectin-2 is expressed in the human gastrointestinal tract. In IBD, inflammatory cells such as T cells have a disturbed life and dead regulation. In fact, in Crohns disease and ulcerative colitis, they are resistant against signals which terminates their life (dead induction=apoptosis). This enabled dead fosters inflammation. We showed that galectin-2 induced the cell death of inflammation cells and uncovered the underlying pathways.
We also showed that Galectin-2 is present in the epithelial compartment of the intestine, the first frontier of defense in the human body. By using animal experiments, we showed that during colitis, Galectin-2 expression was reduced, but was restored to normal levels by immunosuppressive treatment. When treating the animals with Gal-2, we showed convincingly, that Galectin-2 treatment ameliorated acute and chronic experimental colitis. We also investigated the sugar-binding protein Galectin-4 which is exclusively expressed in the gastrointestinal tract and its capacity to help wound closure. When investigating Gal-2 and Gal-4, we could show that both proteins bind to epithelial cells and promote wound healing after injuries.
With regard to Gal-4, we showed that the sugar-dependent binding of Gal-4 inhibited T cell activation, cycling and expansion. Again, we could uncover underlying pathways. In a model of experimental colitis, galectin-4 ameliorated mucosal inflammation, induced apoptosis of mucosal T-cells and decreased the secretion of pro-inflammatory mediators (cytokines).
Last but not least, in cooperation with dermatologist from the University of Muenster, we showed that Galectin-2 is expressed in murine skin and is up-regulated upon cutaneous inflammation. Interestingly, treatment of mice with galectin-2 significantly reduced the contact allergy response. This effect was long-lasting since rechallenge of galectin-2-treated mice after a 14-day interval still resulted in a decreased ear swelling.
