P032 Hepatocyte growth factor and MET in ulcerative colitis, novel drug targets impairing neutrophil recruitment?
B. Verstockt*1,2, M. Stakenborg2, W-J. Wollants2, G. Van Assche1,2, M. Ferrante1,2, S. Vermeire1,2, G. Matteoli2
1University Hospitals Leuven, Department of Gastroenterology and Hepatology, Leuven, Belgium, 2KU Leuven, Department of Chronic Diseases, Metabolism and Ageing, Translational Research Center for Gastrointestinal Disorders (TARGID), Leuven, Belgium
Neutrophils are crucial in the maintenance of intestinal homeostasis and inflammation. However, during chronic inflammatory conditions, like inflammatory bowel disease (IBD), the intestinal immune system responds inaccurately resulting in excessive neutrophil infiltration and tissue damage. MET is a tyrosine kinase required for neutrophil chemoattraction and cytotoxicity in response to its ligand hepatocyte growth factor (HGF). A neutrophil specific deletion of MET improved the severity of chronic DSS-colitis, together with reduced immune cell infiltration. We aimed to study HGF levels in blood and tissue of patients with ulcerative colitis (UC) and healthy controls (HC).
We collected serum in HC and actively inflamed UC patients, prior to the start of anti-TNF therapy, and at endoscopic reassessment (8–14 weeks after treatment initiation). Endoscopic remission was defined as a Mayo endoscopic sub-score ≤1. HGF was measured using the MesoScale Discovery electrochemiluminescence technology (MSD, Rockville, USA). Additionally, RNA sequencing (Illumina HiSeq4000) was performed on inflamed colonic biopsies in a subset of 24 UC patients and 11 HC.
Serum HGF was significantly up-regulated in 110 active UC patients compared with 30 HC (
Colonic and serum HGF levels are significantly up-regulated in active UC patients, with restoration towards physiological levels in patients with anti-TNF-induced endoscopic remission. As murine findings earlier suggested that absence of MET in neutrophils reduces intestinal inflammation, targeting MET could be considered as a novel therapeutic approach in UC therapy.