1. Introduction
Intestinal homeostasis is maintained by a complex interaction between the microbiota and the host immune system [
1]. The gut microbiota produces a variety of metabolites, thereby controlling many biological processes, such as immune system and intestinal redox homeostasis. Rapid production of reactive oxygen species (ROS) is important to potentiate the immune system when invaded by pathogens, while this ROS production must be immediately declined by endogenous anti-oxidant system to prevent undesired chronic inflammation [
2]. Disturbances in the gut microbiota and redox balance cause intestinal stress vulnerability, leading to progression of inflammatory bowel disease (IBD), such as Crohn's disease (CD) and ulcerative colitis (UC), characterized by chronic inflammation and mucosal tissue damage with recurrent remissions and relapses in the digestive tract [
3,
4]. Oxidative stress contributes to the induction and progression of UC [
5]. The colon becomes infiltrated and activated by leukocytes, neutrophils, and macrophages, resulting in increased generation of prooxidant molecules accompanied by UC progression [
6]. Cytokine-induced increases in myeloperoxidase levels also result in ROS production [
7]. In contrast, antioxidant enzymes such as superoxide dismutase (SOD), catalase, glutathione peroxidase (GPx), glutathione reductase, and low molecular weight antioxidant molecules such as reduced glutathione (GSH) are present in the epithelium of the colon [
8]. These antioxidant/reductant systems of the colonic mucosa are essential for the maintenance of intracellular reducing status and the protection of cells from oxidative stress and exposure to electrophiles such as drugs and phytochemicals [
9,
10].
Zn
2+, an essential trace element for living organisms, plays an important role in maintaining redox homeostasis and intestinal microbial homeostasis [
11,
12]. The intestine is the main location for Zn
2+absorption and excretion [
13]. Zn
2+ deficiency is common in patients with IBD [
14]. IBD patients show altered expression of ion channels and transporters [
15,
16]. Several biologically important Zn
2+ transporters and Zn
2+-permeable channels have been identified, but a druggable therapeutic target protein has not been so far found for the treatment of IBD. Transient receptor potential (TRP) channels are multi-modal sensor/activator channels that can permeate Zn
2+ [
17,
18]. Canonical TRP subfamily members (TRPC1-TRPC7) are thought as molecular entities of receptor-activated cation channels [
19], and TRPC6 channels are reported to permeate metal ions such as Zn
2+ and Fe
2+ in addition to Ca
2+ and Na
+ [
18,
20]. Growing evidence has suggested that TRPC6 channels contribute to the progression of pathological cardiovascular and renal remodeling, and that inhibition of TRPC channel activities is a potential target of several cardiovascular diseases [
19,
21,
22], we recently reported the opposite finding that pharmacological activation of TRPC6 channels improves myocardial contractility and heart failure through Zn
2+ influx-dependent pathway [
20]. Although TRPC6 channels are ubiquitously expressed including immune cells and colon tissues and may contribute to tissue remodeling by promoting cellular proliferation and/or differentiation, it is unclear whether TRPC6-mediated Zn
2+ influx also prevents IBD progression. Therefore, we here investigate the role of TRPC6 channels in colitis progression using dextran sulphate sodium (DSS)-treated TRPC6-KO mice and examine whether activation of TRPC6 channels prevents colitis progression through maintaining Zn
2+ homeostasis.
3. Discussion
Ion channels and transporters embedded in the cell membrane are essential for maintaining acid-base balance [
26,
27]. Gain and/or loss of ion channels and transporters leads to intestinal mucosal injury, such as bicarbonate and mucous layer destruction [
28], epithelial cell loss [
29], gut microbiota imbalance [
30], and mucosal blood flow changes [
31]. Thus, ion channels and transporters play important roles that directly affect the mucosa, as well as tight junctions, microbial distribution, and mucosal blood flow. This study showed that some microbiota changed in TRPC6 KO mice.
Anaerotruncus was decreased in TRPC6 KO mice. It has been reported that
Anaerotruncus is protective species against DSS-induced colitis in mice [
32]. TRPC6 is reportedly expressed in intestinal gland cells, immune cells, smooth muscle cells, neuron [
33,
34,
35,
36]. The gut microbiota is altered by mucus secreted from intestinal gland cells and IgA produced from immune cells [
37,
38]. TRPC6 has also been reported to be associated with intestinal motility [
36]. Since the gut microbiota is also controlled by changes in peristalsis, TRPC6 expressed in smooth muscle may also contribute to altered expression patterns of gut microbiota. The gut microbiota profiles reportedly change due to deficiency of TRPA1 and TRPV1 channels, which are predominantly expressed in nerve cells [
39]. It is also possible to consider that the changes in gut microbiota profile is due to neural control by TRPC6. Future study will specify the cell type(s) that have the greatest impact on the microbial profile and colitis progression. TRP melastain family TRP (TRPM) channels are reportedly activated by intestinal distension caused by bacterial infection [
40]. In addition, gut microbiota metabolites modulate host physiology by activating some G protein-coupled receptors [
41]. Since TRPC6 is activated by receptor stimulation and mechanical stimulation [
17], identifying the gut bacteria or its metabolites that can increase TRPC6 channel activity may reveal a new relationships between the gut microbiota and the host to protect against chronic inflammation.
We also found that TRPC6 regulates expression of antioxidant proteins. Certain intestinal bacteria are known to induce antioxidant proteins via the Nrf2 pathway [
42]. Furthermore, it has been reported that constitutive activation of Nrf2 aggravates acute intestinal inflammation [
24]. In other words, one of the possible reasons for the worsening of DSS-induced colitis in TRPC6 KO might be the induction of reductive stress by antioxidant proteins. We showed that TRPC3 is not directly associated with the development of colitis. TRPC3 and TRPC6 have been reported to be involved in cardiac oxidative stress. TRPC3 forms a complex with NADPH oxidase (Nox)2 and increases ROS [
21,
43]. On the other hand, upregulation of TRPC6 protein destabilizes the TRPC3-Nox2 complex and prevents hyperglycemia-induced ROS generation-dependent cardiac dysfunction [
44]. TRPC3 is not permeable to Zn
2+ although TRPC6 is known to permeate various metal ions such as Zn
2+ and Fe
2+ in addition to Ca
2+ and Na
+ [
20]. The selectivity of cations passing through TRPC channels might have profound effects on intestine. Zn
2+ is important for maintaining redox homeostasis and gut microbiota [
11,
12]. It has also been reported that Zn
2+ deficiency increases oxidative stress and compensatory increases in antioxidant proteins [
11,
45]. It is known that the gut microbiota changes in Zn
2+-deficient diets and in Zip14, one of the Zn
2+ transporters, KO mice [
12,
46]. Additionally, it is known that feeding Zn
2+-deficient diets worsens colitis, and administration of Zn
2+ improves colitis [
47,
48]. Administration of Zn
2+ uptake inhibitor reduces
Anaerotruncus in gut microbiota [
49]. Although TRPC6 alters not only Zn
2+ homeostasis but also Fe
2+ homeostasis [
50], we could not observe any significant changes in lipid peroxidation or ferroptosis in TRPC6 KO mice. These observations suggest that among all ions permeated through TRPC6, Zn
2+ mainly contributes to intestinal homeostasis. However, little is known about the mechanism how Zn
2+ controls the gut microbial profile and redox status. Techniques for genetically modifying the gut microbiota [
51,
52] will help us to unravel the underlying molecular mechanism in the future.
Anti-inflammatory drugs such as 5-aminosalicylic acid preparations, steroids, and immunosuppressants are used to treat IBD [
4]. Recently, molecular target therapy using biological agents including TNFα antibody, IL-12/23p40 antibody, and anti-α4β7 integrin antibody has also been performed [
4,
53]. Although it has become possible to control inflammation through drug treatment, IBD tends to recur easily and cannot be completely cured. After suppressing inflammation, it is considered necessary to continue to maintain the balance of the intestinal environment. Treatment methods aiming at a complete cure by transplanting stool from a healthy person are being attempted, but further research is believed to be necessary to optimize fecal microbiota transplantation [
54]. Our results suggest that TRPC6-mediated Zn
2+ influx contributes to normalize the gut microbial homeostasis in IBD model mice (
Figure 6). Drugs that promote TRPC6-mediated Zn
2+ influx may be a breakthrough strategy to prevent colitis progression by maintaining gut systemic homeostasis.