Abstract
Objective and design
Compelling evidence indicates that dysregulated macrophages may play a key role in driving inflammation in inflammatory bowel disease (IBD). Fibroblast growth factor (FGF)-19, which is secreted by ileal enterocytes in response to bile acids, has been found to be significantly lower in IBD patients compared to healthy individuals, and is negatively correlated with the severity of diarrhea. This study aims to explore the potential impact of FGF19 signaling on macrophage polarization and its involvement in the pathogenesis of IBD.
Methods
The dextran sulfate sodium (DSS)-induced mouse colitis model was utilized to replicate the pathology of human IBD. Mice were created with a conditional knockout of FGFR4 (a specific receptor of FGF19) in myeloid cells, as well as mice that overexpressing FGF19 specifically in the liver. The severity of colitis was measured using the disease activity index (DAI) and histopathological staining. Various techniques such as Western Blotting, quantitative PCR, flow cytometry, and ELISA were employed to assess polarization and the expression of inflammatory genes.
Results
Myeloid-specific FGFR4 deficiency exacerbated colitis in the DSS mouse model. Deletion or inhibition of FGFR4 in bone marrow-derived macrophages (BMDMs) skewed macrophages towards M1 polarization. Analysis of transcriptome sequencing data revealed that FGFR4 deletion in macrophages significantly increased the activity of the complement pathway, leading to an enhanced inflammatory response triggered by LPS. Mechanistically, FGFR4-knockout in macrophages promoted complement activation and inflammatory response by upregulating the nuclear factor-κB (NF-κB)-pentraxin3 (PTX3) pathway. Additionally, FGF19 suppressed these pathways and reduced inflammatory response by activating FGFR4 in inflammatory macrophages. Liver-specific overexpression of FGF19 also mitigated inflammatory responses induced by DSS in vivo.
Conclusion
Our study highlights the significance of FGF19-FGFR4 signaling in macrophage polarization and the pathogenesis of IBD, offering a potential new therapeutic target for IBD.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig2_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig3_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig4_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig5_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig6_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig7_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig8_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs00011-024-01910-8/MediaObjects/11_2024_1910_Fig9_HTML.png)
Data availability
To obtain the RNA-seq data, check the website with the accession number PRJNA1034166 on https://www.ncbi.nlm.nih.gov/bioproject.
Abbreviations
- ARG-1:
-
Arginase-1
- BA:
-
Bile acid
- BMDMs:
-
Bone marrow-derived macrophages
- CD:
-
Crohn’s disease
- CRC:
-
Colorectal cancer
- CYP7A1:
-
Cytochrome P450 family 7 subfamily A member 1
- C3ar1:
-
C3a receptor1
- DAI:
-
Disease activity index
- DSS:
-
Dextran sulfate sodium
- FGF19:
-
Fibroblast growth factor 19
- FGFR4:
-
Fibroblast growth factor receptor 4
- HCC:
-
Hepatocellular carcinoma
- IBD:
-
Inflammatory bowel disease
- IBS-D:
-
Irritable bowel syndrome combined with diarrhea
- IFN-γ:
-
Interferon gamma
- IL-1β:
-
Interleukin-1 beta
- IL-6:
-
Interleukin-6
- iNOS:
-
Inducible nitric oxide synthase
- LPS:
-
Lipopolysaccharide
- NF-ΚB:
-
Nuclear factor-kappa B
- PD-L1:
-
Programmed death ligand 1
- p-IKKβ:
-
Phosphorylated kinase
- PTX3:
-
Pentraxin3
- p-IKBα:
-
Phosphorylated inhibitor kappa B alpha
- TAMs:
-
Tumor-associated macrophages
- TLR:
-
Toll-like receptor
- TME:
-
Tumor microenvironment
- TNF-α:
-
Tumor necrosis factor alpha
- UC:
-
Ulcerative colitis
References
Hodson R. Inflammatory bowel disease. Nature. 2016;540(7634):S97. https://doi.org/10.1038/540S97a.
Ananthakrishnan AN, Bernstein CN, Iliopoulos D, Macpherson A, Neurath MF, Ali RAR, et al. Environmental triggers in IBD: a review of progress and evidence. Nat Rev Gastroenterol Hepatol. 2018;15(1):39–49. https://doi.org/10.1038/nrgastro.2017.136.
Na YR, Stakenborg M, Seok SH, Matteoli G. Macrophages in intestinal inflammation and resolution: a potential therapeutic target in IBD. Nat Rev Gastroenterol Hepatol. 2019;16(9):531–43. https://doi.org/10.1038/s41575-019-0172-4.
Yona S, Kim KW, Wolf Y, Mildner A, Varol D, Breker M, et al. Fate map** reveals origins and dynamics of monocytes and tissue macrophages under homeostasis. Immunity. 2013;38(1):79–91. https://doi.org/10.1016/j.immuni.2012.12.001.
De Schepper S, Verheijden S, Aguilera-Lizarraga J, Viola MF, Boesmans W, Stakenborg N, et al. Self-maintaining gut macrophages are essential for intestinal homeostasis. Cell. 2018;175(2):400–e41513. https://doi.org/10.1016/j.cell.2018.07.048.
Park MD, Silvin A, Ginhoux F, Merad M. Macrophages in health and disease. Cell. 2022;185(23):4259–79. https://doi.org/10.1016/j.cell.2022.10.007.
Orecchioni M, Ghosheh Y, Pramod AB, Ley K. Macrophage polarization: different gene signatures in M1(LPS+) vs. classically and M2(LPS-) vs. alternatively activated macrophages. Front Immunol. 2019;10:1084. https://doi.org/10.3389/fimmu.2019.01084.
Locati M, Curtale G, Mantovani A. Diversity, mechanisms, and significance of macrophage plasticity. Annu Rev Pathol. 2020;15:123–47. https://doi.org/10.1146/annurev-pathmechdis-012418-012718.
Tsai CF, Chen GW, Chen YC, Shen CK, Lu DY, Yang LY, Chen JH, Yeh WL. Regulatory effects of quercetin on M1/M2 macrophage polarization and oxidative/antioxidative balance. Nutrients. 2021;14(1):67. https://doi.org/10.3390/nu14010067.
Lissner D, Schumann M, Batra A, Kredel LI, Kühl AA, Erben U, et al. Monocyte and M1 macrophage-induced barrier defect contributes to chronic intestinal inflammation in IBD. Inflamm Bowel Dis. 2015;21(6):1297–305. https://doi.org/10.1097/MIB.0000000000000384.
Lafuse WP, Wozniak DJ, Rajaram MVS. Role of cardiac macrophages on cardiac inflammation, fibrosis and tissue repair. Cells. 2020;10(1):51. https://doi.org/10.3390/cells10010051.
Gadaleta RM, Moschetta A. Metabolic messengers: fibroblast growth factor 15/19. Nat Metab. 2019;1(6):588–94. https://doi.org/10.1038/s42255-019-0074-3.
Wu AL, Coulter S, Liddle C, Wong A, Eastham-Anderson J, French DM, et al. FGF19 regulates cell proliferation, glucose and bile acid metabolism via FGFR4-dependent and independent pathways. PLoS ONE. 2011;6(3):e17868. https://doi.org/10.1371/journal.pone.0017868.
Sawey ET, Chanrion M, Cai C, Wu G, Zhang J, Zender L, et al. Identification of a therapeutic strategy targeting amplified FGF19 in liver cancer by oncogenomic screening. Cancer Cell. 2011;19(3):347–58. https://doi.org/10.1016/j.ccr.2011.01.04.
Li F, Li Z, Han Q, Cheng Y, Ji W, Yang Y, Lu S, **a W. Enhanced autocrine FGF19/FGFR4 signaling drives the progression of lung squamous cell carcinoma, which responds to mTOR inhibitor AZD2104. Oncogene. 2020;39(17):3507–21. https://doi.org/10.1038/s41388-020-1227-2.
Feng S, Dakhova O, Creighton CJ, Ittmann M. Endocrine fibroblast growth factor FGF19 promotes prostate cancer progression. Cancer Res. 2013;73(8):2551–62. https://doi.org/10.1158/0008-5472.CAN-12-4108.
Kim RD, Sarker D, Meyer T, Yau T, Macarulla T, Park JW, et al. First-in-human phase I atudy of fisogatinib (BLU-554) validates aberrant FGF19 signaling as a driver event in hepatocellular carcinoma. Cancer Discov. 2019;9(12):1696–707. https://doi.org/10.1158/2159-8290.CD-19-0555.
Zhou M, Zhu S, Xu C, Liu B, Shen J. A phase Ib/II study of BLU-554, a fibroblast growth factor receptor 4 inhibitor in combination with CS1001, an anti-PD-L1, in patients with locally advanced or metastatic hepatocellular carcinoma. Invest New Drugs. 2023;41(1):162–7. https://doi.org/10.1007/s10637-023-01335-w.
Lyutakov I, Nakov R, Valkov H, Vatcheva-Dobrevska R, Vladimirov B, Penchev P. Serum levels of fibroblast growth factor 19 correlate with the severity of diarrhea and independently from intestinal inflammation in patients with inflammatory bowel disease or microscopic colitis. Turk J Gastroenterol. 2021;32(4):374–81. https://doi.org/10.5152/tjg.2021.20247.
Bourgonje AR, Hu S, Spekhorst LM, Zhernakova DV, Vich Vila A, Li Y, et al. The effect of phenotype and genotype on the plasma proteome in patients with inflammatory bowel disease. J Crohns Colitis. 2022;16(3):414–29. https://doi.org/10.1093/ecco-jcc/jjab157.
Wang J, Zhao H, Zheng L, Zhou Y, Wu L, Xu Y, et al. FGF19/SOCE/NFATc2 signaling circuit facilitates the self-renewal of liver cancer stem cells. Theranostics. 2021;11(10):5045–60. https://doi.org/10.7150/thno.56369.
Yan G, Zhao H, Zhang Q, Zhou Y, Wu L, Lei J, et al. A RIPK3-PGE2 circuit mediates myeloid-derived suppressor cell-potentiated colorectal carcinogenesis. Cancer Res. 2018;78(19):5586–99. https://doi.org/10.1158/0008-5472.CAN-17-3962.
Hegarty LM, Jones GR, Bain CC. Macrophages in intestinal homeostasis and inflammatory bowel disease. Nat Rev Gastroenterol Hepatol. 2023;20(8):538–53. https://doi.org/10.1038/s41575-023-00769-0.
Lin X, Yosaatmadja Y, Kalyukina M, Middleditch MJ, Zhang Z, Lu X, Ding K, Patterson AV, Smaill JB, Squire CJ. Rotational freedom, steric hindrance, and protein dynamics explain BLU554 selectivity for the hinge cysteine of FGFR4. ACS Med Chem Lett. 2019;10(8):1180–6. https://doi.org/10.1021/acsmedchemlett.9b00196.
Dunkelberger JR, Song WC. Complement and its role in innate and adaptive immune responses. Cell Res. 2010;20(1):34–50. https://doi.org/10.1038/cr.2009.139.
Wende E, Laudeley R, Bleich A, Bleich E, Wetsel RA, Glage S, Klos A. The complement anaphylatoxin C3a receptor (C3aR) contributes to the inflammatory response in dextran sulfate sodium (DSS)-induced colitis in mice. PLoS ONE. 2013;8(4):e62257. https://doi.org/10.1371/journal.pone.0062257.
Jain U, Woodruff TM, Stadnyk AW. The C5a receptor antagonist PMX205 ameliorates experimentally induced colitis associated with increased IL-4 and IL-10. Br J Pharmacol. 2013;168(2):488–501. https://doi.org/10.1111/j.1476-5381.2012.02183.x.
Ma YJ, Garred P. Pentraxins in complement activation and regulation. Front Immunol. 2018;9:3046. https://doi.org/10.3389/fimmu.2018.03046.
Baruah P, Dumitriu IE, Peri G, Russo V, Mantovani A, Manfredi AA, Rovere-Querini P. The tissue pentraxin PTX3 limits C1q-mediated complement activation and phagocytosis of apoptotic cells by dendritic cells. J Leukoc Biol. 2006;80(1):87–95. https://doi.org/10.1189/jlb.0805445.
Li X, Massa PE, Hanidu A, Peet GW, Aro P, Savitt A, Mische S, Li J, Marcu KB, IKKα. IKKβ, and NEMO/IKKγ are each required for the NF-κB-mediated inflammatory response program. J Biol Chem. 2002;277(47):45129–40. https://doi.org/10.1074/jbc.M205165200.
Shiraki A, Kotooka N, Komoda H, Hirase T, Oyama JI, Node K. Pentraxin-3 regulates the inflammatory activity of macrophages. Biochem Biophys Rep. 2016;5:290–5. https://doi.org/10.1016/j.bbrep.2016.01.009.
Drafahl KA, McAndrew CW, Meyer AN, Haas M, Donoghue DJ. The receptor tyrosine kinase FGFR4 negatively regulates NF-kappaB signaling. PLoS ONE. 2010;5(12):e14412. https://doi.org/10.1371/journal.pone.0014412.
Patnaik MM, Tefferi A, Pardanani A. Kit: molecule of interest for the diagnosis and treatment of mastocytosis and other neoplastic disorders. Curr Cancer Drug Targets. 2007;7(5):492–503. https://doi.org/10.2174/156800907781386614.
Li X, Cui J, Yang H, Sun H, Lu R, Gao N, et al. Colonic injuries induced by inhalational exposure to particulate-matter air pollution. Adv Sci (Weinh). 2019;6(11):1900180. https://doi.org/10.1002/advs.201900180.
Collins SL, Stine JG, Bisanz JE, Okafor CD, Patterson AD. Bile acids and the gut microbiota: metabolic interactions and impacts on disease. Nat Rev Microbiol. 2023;21(4):236–47. https://doi.org/10.1038/s41579-022-00805-x.
Biagioli M, Marchianò S, Carino A, Di Giorgio C, Santucci L, Distrutti E, Fiorucci S. Bile acids activated receptors in inflammatory bowel disease. Cells. 2021;10(6):1281. https://doi.org/10.3390/cells10061281.
Quinn RA, Melnik AV, Vrbanac A, Fu T, Patras KA, Christy MP, Bodai Z, et al. Global chemical effects of the microbiome include new bile-acid conjugations. Nature. 2020;579(7797):123–9. https://doi.org/10.1038/s41586-020-2047-9.
Kliewer SA, Mangelsdorf DJ. Bile acids as hormones: the FXR-FGF15/19 pathway. Dig Dis. 2015;33(3):327–31. https://doi.org/10.1159/000371670.
Pai R, French D, Ma N, Hotzel K, Plise E, Salphati L, et al. Antibody-mediated inhibition of fibroblast growth factor 19 results in increased bile acids synthesis and ileal malabsorption of bile acids in cynomolgus monkeys. Toxicol Sci. 2012;126(2):446–56. https://doi.org/10.1093/toxsci/kfs011.
Wang L, Gong Z, Zhang X, Zhu F, Liu Y, ** C, et al. Gut microbial bile acid metabolite skews macrophage polarization and contributes to high-fat diet-induced colonic inflammation. Gut Microbes. 2020;12(1):1–20. https://doi.org/10.1080/19490976.2020.1819155.
Triantis V, Saeland E, Bijl N, Oude-Elferink RP, Jansen PL. Glycosylation of fibroblast growth factor receptor 4 is a key regulator of fibroblast growth factor 19-mediated down-regulation of cytochrome P450 7A1. Hepatology (Baltimore, Md.). 2010; 52(2), 656–66. https://doi.org/10.1002/hep.23708.
Phillips AJ, Lobl MB, Hafeji YA, Safranek HR, Mohr AM, Mott JL. Glycosylation of FGFR4 in cholangiocarcinoma regulates receptor processing and cancer signaling. J Cell Biochem. 2022;123(3):568–80. https://doi.org/10.1002/jcb.30204.
Ma Y, Zhang K, Wu Y, Fu X, Liang S, Peng M, Guo J, Liu M. Revisiting the relationship between complement and ulcerative colitis. Scand J Immunol. 2023;98(5):e13329. https://doi.org/10.1111/sji.13329.
Jain U, Otley AR, Van Limbergen J, Stadnyk AW. The complement system in inflammatory bowel disease. Inflamm Bowel Dis. 2014;20(9):1628–37. https://doi.org/10.1097/MIB.0000000000000056.
Tuboly E, Futakuchi M, Varga G, Érces D, Tőkés T, Mészáros A, et al. C5a inhibitor protects against ischemia/reperfusion injury in rat small intestine. Microbiol Immunol. 2016;60(1):35–46. https://doi.org/10.1111/1348-0421.12338.
Funding
This work was supported by the Major International (Regional) Joint Research Program of the National Natural Science Foundation of China (No. 81920108027 to Y.L.), National Natural Science Foundation of China (No. 82273212 to H.Z.), Chongqing Young and Middle-aged Medical Talents Project (to H.Z.), Funding for Chongqing Young and Middle-Aged Medical Excellence Team (to Y.L.), Research and breeding project of Chongqing Medical Biotechnology Association (No. cmba2022kyym-zkxmQ0006 to H.Z), and Performance Incentive for Scientific Research Institutions of Chongqing Guide Special Projects (No. cstc2020jxjl130014 to H.Z.).
Author information
Authors and Affiliations
Contributions
Luyao Shen: Investigation, Data Curation, Writing-Original Draft. Cong Wang: Resources, Methodology. Ran Ren: Investigation. Xudong Liu: Visualization. Dongqin Zhou: Methodology. Yu Chen: Methodology. Yu Zhou: Investigation. Juan Lei: Methodology, Data Curation. Yang **ao: Formal analysis, Data Curation. Nan Zhang: Validation. Huakan Zhao: Conceptualization, Writing – Review & Editing, Funding acquisition. Yongsheng Li: Supervision, Project administration, Writing - Review & Editing, Funding acquisition. All authors reviewed the manuscript.
Corresponding authors
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Responsible Editor Hongying Wang.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Shen, L., Wang, C., Ren, R. et al. Fibroblast growth factor receptor 4 deficiency in macrophages aggravates experimental colitis by promoting M1-polarization. Inflamm. Res. (2024). https://doi.org/10.1007/s00011-024-01910-8
Received:
Revised:
Accepted:
Published:
DOI: https://doi.org/10.1007/s00011-024-01910-8