4.7 Review

Oxysterols in intestinal immunity and inflammation

Journal

JOURNAL OF INTERNAL MEDICINE
Volume 285, Issue 4, Pages 367-380

Publisher

WILEY
DOI: 10.1111/joim.12855

Keywords

cholesterol metabolism; inflammatory bowel disease; innate lymphoid cells; oxysterols

Funding

  1. Center for Innovative Medicine (CIMED) at Karolinska Institutet - Stockholm City Council
  2. Ake Wiberg Foundation

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Cholesterol is an essential molecule for life. It is a component of the cell membrane, and it is a precursor molecule for bile acids, vitamin D and steroid hormones. Cholesterol is actively metabolized, but the impact of endogenous cholesterol metabolites on immune function, especially in the intestine, is poorly understood. In this review, I focus on oxysterols, hydroxylated forms of cholesterol, and their specialized functions in intestinal immunity. Oxysterols act through various intracellular and extracellular receptors and serve as key metabolic signals, coordinating immune activity and inflammation. Our recent work has identified an unexpected link between cholesterol metabolism, innate lymphoid cell function and intestinal homeostasis. We discovered that oxysterol sensing through the G protein-coupled receptor 183 (GPR183) directs the migration of innate lymphoid cells, which is essential for the formation of lymphoid tissue in the colon. Moreover, we found that the interaction of GPR183 with oxysterols regulates intestinal inflammation. I will discuss the therapeutic potential of oxysterols and future possibilities of treating inflammatory bowel disease through the modulation of cholesterol metabolism.

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