Flynn, Lauren Mary (2024) Immune-Lymphatic Interactions in Inflammatory Bowel Disease. PhD thesis, National University of Ireland Maynooth.
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Completed Doctoral Thesis - L.Flynn 16700551 (Final Version) 2.pdf
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Abstract
The intestinal lymphatic system provides two vital processes to maintain physiologic
equilibrium, its modulation of immune tolerance and absorption of dietary lipids. Pathologic
defects in intestinal lymphatic vessels can lead to increased fluid retention and immune
dysregulation, which ultimately impairs organ physiology. Lymphatic-associated pathologies
have been implicated in the etiology of Inflammatory Bowel Diseases (IBD) for almost a
century. Despite this, we currently understand very little about how these lymphatic defects
contribute to the establishment and progression of Crohn’s Disease (CD) and Ulcerative Colitis
(UC). Therefore, we chose to evaluate lymphatic gene expression along the continuum of
disease in TNFΔARE+/- Crohn’s-like ileitis and CD4+CD45RBhigh Rag1-/- T cell transfer
mediated colitis models. A reduction in lymphatic endothelial cell (LEC) identity signatures
prox1, sox18 and lyve1, corresponded with an increase in colitogenic Th1/17-associated
cytokines, tnf, lta, ltb, ifng, il17. We also demonstrated this impaired LEC identity signature
was also present in a treatment-naïve Irish cohort of paediatric patients with UC. Using primary
HDLECs in vitro cultures, we chose to assess the impact of IBD-associated Type 1, Type 2
and Type 17 cytokines on LEC identity, lymphangiogenic, remodeling and structural integrity
gene expression profiles. Of note, TNF-α consistently repressed PROX1 and LYVE1 mRNA
and induced remodeling FOXC2 transcripts in a time and dose-dependent manner. Through
bulk RNA sequencing and pharmacologic inhibition studies we identified TNF-responsive
signaling pathways implicated in this transcriptional remodeling pattern, including TNF-α-
mediated changes in mTORC1 negative regulation and augmented PROX1 expression loss
upon dual TNF-α and Everolimus treatment. This correlated with altered HDLECs morphology
post-treatment. Collectively, our data supports the convergence of TNF-α driven loss of
PROX1 across in vitro HDLECs culture systems, IBD murine model tissues and patient
biopsies and supports the possibility that TNF-α-mTORC1 crosstalk may underpin lymphatic
vasculature dysfunction during chronic intestinal inflammation.
Item Type: | Thesis (PhD) |
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Keywords: | Immune-Lymphatic Interactions; Inflammatory Bowel Disease; |
Academic Unit: | Faculty of Science and Engineering > Biology |
Item ID: | 20563 |
Depositing User: | IR eTheses |
Date Deposited: | 16 Sep 2025 10:58 |
URI: | https://mural.maynoothuniversity.ie/id/eprint/20563 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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