Intra- and Inter-cellular Rewiring of the Human Colon during Ulcerative Colitis.

Cell
Authors
Abstract

Genome-wide association studies (GWAS) have revealed risk alleles for ulcerative colitis (UC). To understand their cell type specificities and pathways of action, we generate an atlas of 366,650 cells from the colon mucosa of 18 UC patients and 12 healthy individuals, revealing 51 epithelial, stromal, and immune cell subsets, including BEST4 enterocytes, microfold-like cells, and IL13RA2IL11 inflammatory fibroblasts, which we associate with resistance to anti-TNF treatment. Inflammatory fibroblasts, inflammatory monocytes, microfold-like cells, and T cells that co-express CD8 and IL-17 expand with disease, forming intercellular interaction hubs. Many UC risk genes are cell type specific and co-regulated within relatively few gene modules, suggesting convergence onto limited sets of cell types and pathways. Using this observation, we nominate and infer functions for specific risk genes across GWAS loci. Our work provides a framework for interrogating complex human diseases and mapping risk variants to cell types and pathways.

Year of Publication
2019
Journal
Cell
Volume
178
Issue
3
Pages
714-730.e22
Date Published
2019 Jul 25
ISSN
1097-4172
DOI
10.1016/j.cell.2019.06.029
PubMed ID
31348891
PubMed Central ID
PMC6662628
Links
Grant list
P30 DK043351 / DK / NIDDK NIH HHS / United States
RC2 DK114784 / DK / NIDDK NIH HHS / United States
R01 DK117263 / DK / NIDDK NIH HHS / United States
P50 HG006193 / HG / NHGRI NIH HHS / United States
U24 AI118672 / AI / NIAID NIH HHS / United States