Transcription Suppression of GABARAP Mediated by Lncrna XIST-EZH2 Interaction Triggers Caspase-11-dependent Inflammatory Injury in Ulcerative Colitis

Background: We have previously found that enhancer of zeste homolog 2 (EZH2) is correlated with inflammatory infiltration and mucosal cell injury in ulcerative colitis (UC). This study aims to analyze the role of X -inactive specific transcript (XIST), a possible interactive long non -coding RNA of EZH2, in UC and to explore the mechanisms. Methods: C57BL/6N mice were treated with dextran sulfate sodium (DSS), and mouse colonic mucosal epithelial cells were treated with DSS and lipopolysaccharide (LPS) for UC modeling. The UC-related symptoms in mice, and the viability and apoptosis of mucosal epithelial cells were determined. Inflammatory injury in animal and cellular models were assessed through the levels of ACS, occludin, IL-1 beta, IL -18, TNF-alpha, caspase-1, and caspase-11. Molecular interactions between XIST, EZH2, and GABA type A receptor -associated protein (GABARAP) were verified by immunoprecipitation assays, and their functions in inflammatory injury were determined by gain- or loss -of -function assays. Results: XIST was highly expressed in DSS-treated mice and in DSS + LPS-treated mucosal epithelial cells. It recruited EZH2, which mediated gene silencing of GABARAP through H3K27me3 modification. Silencing of XIST alleviated body weight loss, colon shortening, and disease active index of mice and reduced inflammatory injuries in their colon tissues. Meanwhile, it reduced apoptosis and inflammation in mucosal epithelial cells. However, these alleviating effects were blocked by either EZH2 overexpression or GABARAP knockdown. Rescue experiments identified caspase-11 as a key effector mediating the inflammatory injury following GABARAP loss. Conclusion: This study suggests that the XIST-EZH2 interaction -mediated GABARAP inhibition activates caspase11-dependent inflammatory injury in UC.