Interleukin-37 regulates innate immune signaling in human and mouse colonic organoids

Intestinal epithelial cells (IEC) reside in close proximity to the gut microbiota and are hypo-responsive to bacterial products, likely to prevent maladaptive inflammatory responses. This is in part due to their strong expression of Single Ig IL-1 related receptor (SIGIRR), a negative regulator of interleukin (IL)-1 and toll-like receptor signaling. IL-37 is an anti-inflammatory cytokine that inhibits innate signaling in diverse cells by signaling through SIGIRR. Despite the strong expression of SIGIRR by IEC, few studies have examined whether IL-37 can suppress their innate immune signaling. We characterized innate immune responses of human and murine colonoids to bacteria (FliC, LPS) and host (IL-1β) products and the role of IL-37/SIGIRR in regulating these responses. We demonstrated that human colonoids responded only to FliC, but not to LPS or IL-1β. While colonoids derived from different donors displayed significant inter-individual variability in the magnitude of their innate responses to FliC stimulation, all colonoids released a variety of chemokines. Interestingly, IL-37 attenuated these responses through inhibition of p38 and NFκB signaling pathways. We determined that this suppression by IL-37 was SIGIRR dependent, in murine organoids. Along with species-specific differences in IEC innate responses, we show that IL-37 can promote IEC hypo-responsiveness by suppressing inflammatory signaling.

Intestinal epithelial cells (IEC) line the luminal surface of the mammalian gastrointestinal (GI) tract, and are uniquely positioned in that they are in constant and direct contact with both the gut microbiota as well as the underlying immune system. In this location, IEC play a central role in coordinating mucosal immunity, including promoting host defense by being responsive to luminal threats such as bacterial pathogens1. IEC accomplish this by expressing various pattern recognition receptors such as toll-like-receptors (TLR)2,3,4. These TLR enable IEC to sense those microbial pathogens that are able to escape the gut lumen and reach them, triggering IEC intrinsic pro-inflammatory and anti-microbial response, as well as signaling the presence of the invading microbes to underlying immune cells4,5,6. However, due to their frequent exposure to bacterial products released by commensal bacteria in the gut lumen under baseline conditions, IEC are less responsive to bacterial products than professional immune cells. This IEC hypo-responsiveness is likely aimed at preventing maladaptive inflammatory responses against the resident gut microbiota. This dichotomy suggests IEC undergo some form of dynamic innate immune regulation. Recent findings support this paradox by showing that human primary IEC are responsive to host (IL-1α, TNFα) and bacterial (flagellin) products, while being poorly responsive to other specific bacterial products such as LTA and LPS7. Another study showed that even though human IEC express the innate receptor for LPS (TLR4), they lack expression of the adaptor proteins necessary for proper activation of this innate receptor2.

Another way that IEC can regulate their own innate immune signaling is through the expression of negative regulators. We and others have shown that IEC strongly express Single Ig IL-1 related receptor (SIGIRR), a negative regulator of interleukin (IL)-1 and TLR signaling8, 9. Originally considered an orphan receptor, SIGIRR suppresses innate signaling by sequestering adaptor proteins downstream of MyD88, inhibiting intracellular signaling that would otherwise activate p38 MAP kinase or the transcription factor NFκB and their target genes10, 11. Previous studies using transformed IEC lines have shown that SIGIRR regulates NFκB -mediated chemokine (ie. IL-8) responses to IL-1β as well as TLR ligands (flagellin)9. Correspondingly, Sigirr deficient (−/−) mice have proven highly susceptible to intestinal inflammation and enteric infections, primarily due to the loss of Sigirr expression in their gut epithelium, leading to exaggerated inflammatory and antimicrobial responses12, 13. These studies have highlighted the importance of SIGIRR in controlling mucosal inflammation in the gut, yet its role as an orphan receptor has limited its potential to function as a therapeutic target.

This concept has changed since the discovery of IL-37, a newly discovered anti-inflammatory cytokine belonging to the IL-1 family14. In a variety of human diseases, elevated IL-37 levels have been linked with increased inflammation levels15,16,17. Specifically, IL-37 appears to play a key role in suppressing innate immunity, directly inhibiting inflammatory signaling in various cell types18,19,20. Interestingly, IL-37 is a human-specific cytokine and has not been discovered in mice. When human IL-37 is transgenically expressed in mice, it exhibits a wide range of anti-inflammatory features, acting through several mechanisms depending on the cellular and microenvironmental context14, 21, 22. For example, IL-37 can act intracellularly binding to SMAD3, translocating to the nucleus and directly suppressing the transcription of various cytokine and chemokine genes14, 22. In humans, IL-37 can also be produced and secreted extracellularly by immune cells23. Once in the extracellular environment, IL-37 binds to cells using a heterodimeric receptor comprised of both SIGIRR and the IL-18 receptor to inhibit innate immune signaling via specific inhibition of the NFκB and p38 MAPK pathways21, 24.

Despite IEC expressing higher levels of SIGIRR than other cells in the gut, thus far, no study has examined the ability of IL-37 and SIGIRR to regulate innate signaling within primary-derived IECs (ie. enteroids or colonoids). In this study, we evaluated the responsiveness of primary colonic IEC (colonoids), derived from healthy donors, to the pro-inflammatory cytokine IL-1β and to the microbial products flagellin (FliC) and LPS. Only the bacterial product FliC induced a strong inflammatory response in human colonoids, whereas these cells showed a very limited response to IL-1β as compared to transformed cell lines (Caco-2) or mouse colonoids. Although we observed significant inter-individual variability upon FliC stimulation, all colonoids responded by releasing several chemokines (IL-8, CCL2 and CCL20). In contrast, mouse colonoids were found to be responsive to both FliC and IL-1β but only secreted a limited number of chemokines (Cxcl1 and Ccl20). For the first time, we show that the anti-inflammatory cytokine IL-37 attenuates the innate immune responses of human and mouse colonoids and this attenuation, at least in murine cells was Sigirr dependent. Taken together, our results show exogenous IL-37 can suppress innate immune responses of primary IEC and that important inter-species differences in IEC responses to specific inflammatory stimuli occur.

Pediatric and adult colonoids transcribe similar levels of innate immune genes

IL-37 expression and function have been intensively studied in immune cells such macrophages, neutrophils, and T cells, but little attention has been paid to epithelial cells. To better understand the innate immune response of primary intestinal epithelial cells (IEC) and whether it is impacted by IL-37, human-derived organoids were grown from the sigmoidal biopsies of pediatric or adult healthy donors according to well described methods25, 26. These colonoids were exposed to the cytokine IL-1β or bacterial products (LPS or flagellin (FliC)) for 4 h and then assessed for their immune response by qPCR, ELISA and Western Blot analysis. After being cultured for 10 to 12 days, both adult and pediatric colonoids showed similar macroscopic and histological features, including budding and IEC thickening (see Fig. S1online). Since IL-37 typically acts under inflammatory conditions, expression of various innate receptors was evaluated in human colonoids to determine their capacity to respond to pro-inflammatory stimuli. Recently published studies have demonstrated site specific innate receptor expression as well as human specific innate responses by IEC to host or microbial products2, 3, 27. By real-time qPCR analysis, both pediatric and adult colonoids were confirmed to transcribe mRNA for several innate immune receptors including TLR4, TLR5 IL-1R and IL-18R1 (see Fig. S1 online). Gene transcription of SIGIRR and the novel anti-inflammatory cytokine, IL-37 were also confirmed by qPCR analysis, showing similar levels between pediatric and adult samples (see Fig. S1 online). Human colonoids showed high expression of SIGIRR mRNA but very low levels of IL-37. IL37 protein secretion was not detected in IEC under all stimulation conditions as opposed to LPS stimulated peripheral blood mononuclear cells (PBMC) that secreted IL-37 (see Fig. S1 online)23.

Human colonoids are highly responsive to Salmonella flagellin

To analyze the inflammatory response and functionality of naïve, primary IEC, mature 3D colonoids in Matrigel were treated with Salmonella flagellin (FliC 100 ng/ml) for 4 h. Colonoids were also treated with IL-1β (10 ng/ml) or the bacterial product LPS (1 µg/ml). FliC stimulation of colonoids elicited strong upregulated transcription of various cytokine and chemokine genes at the mRNA level, with CCL20 induced 120-fold, and IL-8 and TNFa induced 40-fold compared to untreated conditions (Fig. 1a). In contrast, IL-1β stimulation induced only a 4 to sixfold increase in mRNA levels of these cytokines (Fig. 1a). To determine if these changes led to protein secretion, we collected supernatant of stimulated 3D colonoids in Matrigel, to look at basolateral secretion, and performed ELISA. Consistent with mRNA, FliC, among the 3 stimuli used, was the strongest inducer of IEC innate responses with a strong CCL20 and IL-8 secretion, whereas IL-1β induced little or no secretion of these chemokines (Fig. 1b). The low or lack of innate response of human colonoids to IL-1β stimulation is not caused by the ineffectiveness of IL-1β, as IL-1β, even at a concentration of 5 times less, was able to induce higher levels of IL-8 and CCL20 secretion by Caco2 cells (see Fig. S1 online). LPS also failed to induce the secretion of IL-8 and CCL20 by human colonoids, similar to a recent finding3 (Fig. 1b).

One striking observation from the FliC stimulation experiments was the significant variability among the 6 colonoid lines (each derived from a different patient) in the magnitude of their innate immune response (Fig. 1b). CCL20 secretion by the different colonoid lines ranged from 200 to 1200 pg/ml after 4 h of FliC stimulation despite ensuring equal colonoid density, size and protein quantity. To explore the expression/secretion of other cytokines and chemokines the colonoid innate immune response to FliC and how this differed among individuals, we used a Milliplex Luminex assay detecting 9 cytokines and chemokines (IL-6, IL-10, IL-18, IL-8, CCL2, CCL3, CCL4, CCL5, TNFα) (Fig. 1c). Notably, FliC-stimulated colonoids produced CCL2 (MCP-1) at high levels similar to the levels detected for IL-8, followed by CCL5 and TNFα at more modest levels (Fig. 1d). ELISA also confirmed the high levels of IL-8 secreted (Fig. 1b). Furthermore, it is important to mention that under these specific conditions, IL-10, IL-6, IL-18, CCL3 and CCL4 secretion were not detected (Fig. 1c).

IL-37 suppresses innate immune responses of human colonoids to different stimuli

We next determined if IL-37 would inhibit IEC immune responses. A dose response curve for IL-37 stimulation revealed that, much like peripheral blood mononuclear cells (PBMC)21, picogram levels of IL-37 (1000 pg/ml to 100 pg/ml) were sufficient to suppress FliC-induced inflammatory responses in colonoids (see Fig. S2 online).Therefore, 100 pg/ml of IL-37 was selected to evaluate its effect on innate immune responses of FliC stimulated colonoids. The mRNA levels of various cytokines and chemokines such as CCL20, IL-8, CXCL2 and TNFα were significantly reduced in the presence of IL-37 (Fig. 2a). These mRNA changes were found to largely correlate with protein levels as demonstrated through ELISA (Fig. 2b) or Milliplex Luminex analysis (Fig. 2c). However, the majority of colonoids lines (4 of 6) showed a significant reduction of CCL20 and IL-8 secretion, while the colonoids from 2 individuals were unresponsive to IL-37 treatment (see Fig. S2 online). To further investigate the effects of IL-37, we pursued our analysis only on the IEC/colonoids derived from responsive donors. Among these responsive colonoids, a significant reduction was observed at the protein levels for IL-8 secretion (34% reduction) and CCL20 at 25% (Fig. 2b) as well as significant decrease in CCL2 and TNFα levels in response to IL-37 treatment (Fig. 2c).

IL-37 dramatically suppresses FliC-induced activation of NFκB in human colonoids

In immune cells, the downstream immunosuppressive effects of IL-37 via SIGIRR are hypothesized to occur through intracellular inhibition of the NFκB or p38 MAPK signaling cascades, leading to reduced inflammatory signals including attenuated cytokine and chemokine secretion21, 24. To assess whether the effect of IL-37 observed in the IEC/colonoids was due to its suppression on p38 or NFκB activation, we took advantage of a 2D monolayer system derived from human colonoids to assess NFκB activation through immunostaining. This involved the dissociation of 3D colonoids and plating single cells onto an ECM-coated coverslip to form a monolayer27,28,29. After 5 days of culture, when confluency was well established, monolayers were treated with FliC (100 ng/ml) for 30 min to provide sufficient time for NFκB translocation to the nucleus, indicative of its activation (Fig. 2d). As expected, exposure to FliC led to the majority of NFκB migrating to the nuclei of the IEC. When the monolayers were also exposed to IL-37, significant reductions in both the number of cells with nuclear NFκB signal, and the intensity of the nuclear staining were observed (Fig. 2d). Surprisingly, western blot analysis showed that the activation and phosphorylation of p38 was only modestly increased after FliC stimulation and IL-37 did not reduce its activation level (Fig. 2e).

IL-37 moderately suppresses FliC-induced p38 activation in human colonoids

SB202190 is an important media component necessary for the growth and proliferation of organoids, however it is also a potent inhibitor of p38 MAPK26. Even though the colonoids were treated in a serum-growth factor free medium (base medium; Advanced DMEM/F12 supplemented with GlutaMAX and HEPES), they were grown in the presence of SB202190 until their stimulation, which could impact their ability to respond to IL-37 and FliC. To address this, we grew colonoids in an organoid media lacking SB202190. There were alterations in the appearance and growth rate of the colonoids in the absence of SB202190 (Fig. 3a,b). The colonoids appeared more cystic and less mature when grown in media lacking SB202190 as compared to regular organoid media (Fig. 3a). Despite these findings, the absence of SB202190 did not significantly alter the secretion of chemokines by colonoids in response to FliC treatment, even though a trend for increase cytokine production was observed (Fig. 3c). We further assessed the effect of IL-37 on FliC stimulated colonoids grown without SB202190. Here we observed that SB202190 suppressed the full biological activity of IL-37 since its removal enabled IL-37 to decrease CCL20 secretion by 46% (Fig. 3d) as compared to the 25% reduction displayed with colonoids grown in regular organoid media (with SB202190) (Fig. 2b). Surprisingly, removal of SB202190 did not further decrease IL-37 mediated suppression of IL-8 release (Figs. 2b, 3d). Thus, aside from showing that the presence of SB202190 limits p38 activation in colonoids, we also confirm that IL-37 inhibits both p38 and NFκB activation and downstream signaling pathways, by showing a reduction in the phosphorylation of NFκB and p38, but with no modulation of total protein levels (Fig. 3e).

Chemokine production by murine colonoids

Currently, a murine homologue of IL-37 has not been identified, however previous studies have shown that human IL-37 can efficiently act on murine monocytes and lymphocytes to suppress innate immune signaling14. We examined whether IL-37 could also suppress immune signaling within murine colonoids, and whether such actions would depend on Sigirr expression. Colonic colonoids were generated from Sigirr deficient (Sigirr−/−) mice13, and their littermate controls (Sigirr+/+), and were grown in 3D culture as previously described25, 26, 28. We first determined the capacity of murine colonoids to respond to pro-inflammatory stimuli by evaluating the expression of various innate receptors. As shown in Fig. 4a, both Sigirr+/+ (WT) and Sigirr−/− (KO) colonoids expressed higher levels of Tlr4, Tlr5 Il1r and Il18r1 (Fig. 4a). Moreover, WT colonoids showed Sigirr gene expression whereas its total absence was observed in KO colonoids (Fig. 4a).

The murine colonoids were then stimulated with either Salmonella flagellin (FliC) (100 ng/ml), or murine Il-1β (10 ng/ml) to match the inflammatory stimuli used on human colonoids. Key murine inflammatory genes were then assessed including the chemokines Ccl20, Cxcl2, Cxcl1(murine homologue of IL-8) and the cytokine Tnfα. All genes showing significantly increased transcription upon stimulation, with Il-1β inducing the greatest increases (30 to 100-fold change) (Fig. 4b). ELISA analysis also showed significant amounts of Cxcl1 and Ccl20 secreted after FliC and Il-1β stimulation (Fig. 4c), with Il-1β being the more potent stimulus as opposed to FliC being stronger in human colonoids. To further characterize the innate response of these murine colonoids, we used a Milliplex Luminex assay covering 9 cytokines and chemokines (Il-6, Il-10, Cxcl1, Cxcl2, Ccl2, Ccl3, Ccl4, Ccl5, Tnfα). Surprisingly, the only secreted molecule detected on our panels was Cxcl1, whereas the other molecules (Il-6, Il-10, Cxcl2, Ccl2, Ccl3, Ccl4, Ccl5, Tnfα) were not significantly induced (Fig. 4d). These levels of Cxcl1 were similar to those detected by ELISA, confirming that this chemokine is strongly induced after FliC stimulation and was induced even more strongly following Il-1β stimulation (Fig. 4c).

Sigirr mediates the effect of IL-37 on murine colonoids

We next sought to clarify whether IL-37 would suppress this innate response of murine colonoids, as well as determine whether its actions depended on the expression of Sigirr. Upon addition of IL-37 at the same time as FliC, and measured after 4 h, IL-37 was found to successfully reduce inflammatory responses in Sigirr+/+ colonoids. IL-37 significantly reduced mRNA levels of Cxcl1 (reduced 25%), Cxcl2 (reduced 25%) and Ccl20 (33%) as compared to colonoids not receiving IL-37, however this suppression was not observed with Sigirr−/−colonoids (Fig. 5a). To clarify whether these IL-37 effects were seen at the protein level, we analyzed chemokine/cytokine secretion by ELISA. The same trends were observed at the protein level, with Cxcl1 and Ccl20 showing the greatest reductions in levels when IL-37 was added to stimulated Sigirr+/+ colonoids and this suppression was not observed with Sigirr−/−colonoids (Fig. 5b).

Similar effects were observed when Il-1β stimulation was combined with IL-37 treatment. IL-37 reduced mRNA levels of Cxcl1 (reduced 33%), Ccl20 (reduced 43%) and to a lesser degree Tnfα, in Sigirr+/+ colonoids. This suppression was not observed in Sigirr−/− colonoids suggesting that the suppressive effects of exogenous IL-37 on murine IEC is Sigirr dependent (Fig. 5c). These IL-37 effects were also observed at the protein level, with Cxcl1 and Ccl20 secretion significantly reduced when IL-37 was added to stimulated Sigirr+/+ colonoids (Fig. 5d). This suppression of innate signaling was not observed in Sigirr−/− colonoids following treatment with IL-37 (Fig. 5d). These data suggest that the ability of IL-37 to suppress inflammatory signaling within murine IEC is dependent on the expression of Sigirr.

Due to our earlier results that demonstrate IL37 inhibits Nfκb activation in human derived colonoids and Nfκb is downstream of Sigirr signaling pathways, we explored if IL37 exerts its inhibitory effect on Nfκb through its use of Sigirr30,31,32. We again utilized our 2D colonoid-derived monolayer system and assessed Nfκb nuclear translocation and activation through immunostaining. Monolayers derived from Sigirr+/+ and Sigirr−/− mouse colonoids were treated with inflammatory stimuli (Il-1β (10 ng/ml) or FliC (100 ng/ml)) for 30 min to induce Nfκb translocation to the nucleus (Fig. 5e for Il-1β) (See Fig. S3 online for FliC). When the monolayers of either genotype were stimulated with Il-1β, the majority of cells showed nuclear co-localisation of Nfκb (red) and DAPI (blue) (Fig. 5e). When the stimulated monolayers were treated with IL-37, there was a significant reduction in the number of positive nuclear Nfκb cells in the Sigirr+/+ colonoid monolayers that was not observed in the Sigirr−/− monolayers (Fig. 5e). A similar reduction in nuclear Nfκb staining was observed with Sigirr+/+ colonoids, but not with Sigirr−/− colonoids, when both were treated with FliC plus IL-37 (see Fig. S3online). Similar to our findings with human organoids, Western blot analysis on mouse colonoids confirmed that IL-37 reduces both Nfκb activation and p38 after Il-1β stimulation (Fig. 5f). The same trend was also observed for FliC-treated colonoids in the presence of IL-37 (data not shown). These results suggest that extracellular IL-37 acts on IEC through a Sigirr dependent pathway to inhibit FliC or Il-1β induced Nfκb and p38 activation.

IL-37 is a novel anti-inflammatory cytokine that plays an important role in regulating innate immunity. The majority of studies on IL-37 have focused on its ability to regulate the function of immune cells in various tissues and diseases, whereas its potential effects on the gut epithelium have been largely overlooked19, 20. By using human and murine colonoids and colonoid-derived monolayers, we show for the first time that extracellular IL-37 can effectively suppress IEC inflammatory responses in a manner dependent on Sigirr (in murine colonoids). Specifically, IL-37 reduced NFκB and p38 activation and chemokine secretion typically seen after stimulation of colonoids with bacterial FliC, as well as the cytokine Il-1β. This is the first study showing that IL-37 can suppress immune signaling in human and murine colonoids and that the effect is Sigirr dependent in mice.

Through the use of human colonoids, we investigated their innate immune responses and the effects of IL-37 on primary tissue-derived IEC, that unlike cell lines, have not undergone transformation or cell culture adaptation. Organoids provide several advantages over traditional cell culture methods, since they recapitulate the physiological and biological properties of the tissue of origin. Our results highlight the inter-individual variability that can occur when studying primary tissues and organoids derived from patients. Each colonoid line likely behaves in ways influenced by the specific genetic, epigenetic and environmental factors that influenced the original donor. Our results also surprisingly reveal that human colonoids are unresponsive to IL-1β stimulation despite expressing IL1R, as compared to the transformed Caco-2 cell line. In contrast, murine derived colonoids were found to respond very actively to the Il-1β stimulus, emphasizing previous findings that species differences can greatly affect IEC behavior and their innate immune responses3, 27.

Interestingly, our results also revealed that even picomolar concentrations (1000 pg/ml to 100 pg/ml) of IL-37 are sufficient to significantly inhibit murine and human IEC innate immune responses with micromolar concentration being less effective. The finding that higher doses of IL-37 can be less effective has been previously described in human macrophages, yet the mechanisms have yet to be clearly defined21. Our results also support previous findings that IL-37 can suppress the secretion of several chemokines such as CCL2, CCL5 and CXCL8 by the transformed T84 IEC line33. While this earlier study explored the ability of T84 cells to express IL-37, our results suggest that non-transformed colonic IEC do not produce significant levels of IL-37. Our experimental design instead used recombinant IL-37, enabling our assessment of extracellular IL-37 actions in its secreted form. This approach also gives us the advantage of discriminating the extracellular effect of IL-37 on IEC over the effect it could potentially have when produced intracellularly, as demonstrated with the use of CRISPR/Cas9 to delete IL37 in T84 cells.

In this study, IL-37 suppressed chemokine secretion levels from colonoids by 20 to 45%. We believe this would be biologically significant, and in keeping with previous reports, that IL-37 does not fully inhibit innate immune response but rather serves to balance excessive inflammation. It would be interesting to verify is this chemokine inhibition would translate into more physiological effects such as reduced chemotaxis of immune cells, normally induced by these chemokines. Unfortunately, using the current organoid system would be impractical since the chemokine levels are too low to induce migration of neutrophils or other immune cells. A scale-up of the organoid cultures (30–50 fold) or a co-culture system could help to answer these questions in the future.

In cells that produce IL-37, IL-37 can act intracellularly by binding to SMAD3 and then translocate to the nucleus to repress transcription of specific target genes14, 22, 34. IL-37 can also be secreted into the extracellular milieu where it will bind to specific heteroreceptors (IL-18 and SIGIRR) to inhibit innate immune signaling within its target cells21, 24. By using recombinant IL-37, we focused our efforts on defining the role of extracellular IL-37 on IECs. While we cannot rule out the possibility that some effects seen in human colonoids could reflect the actions of intrinsic IL-37 production, we found that human colonoids in fact produce very low levels of IL-37, as assessed by both qPCR and ELISA. Nevertheless, it is possible that in vivo, and particularly during disease states, IEC may produce greater levels of IL-37, since some studies have shown strong immunohistochemical staining for IL-37 in the inflamed gut epithelium of IBD patients22. In our system, we detected low levels of IL-37 mRNA without seeing any increase in protein expression (see Fig. S1 online). This suggests that colonic IEC from healthy individuals might be missing key elements (transcription factor, cytokine stimulation, differentiation state) required to produce functional levels of IL-37. Further investigations should focus on IL-37 expression by IECs and under which conditions, and by which IEC subtypes it may be expressed.

IL-37 does not appear to be expressed by mice or its human orthologue has not been discovered yet35. However previous studies have shown that human IL-37 can act on murine cells in a similar fashion to its actions on human cells. By using murine colonoids, we confirmed that human recombinant IL-37 is effective on murine IECs, providing a new system to study IL-37 and it signaling pathways and downstream targets. In this study, colonoids derived from Sigirr+/+ and Sigirr−/− mice were used to prove that extracellular IL-37 requires Sigirr expression to suppress inflammatory signaling. This data suggests that IL-37 acts on mouse IEC in a similar manner to what has been previously published with immune cells21. SIGIRR’s ability to regulate gut inflammation and innate immune responses by IEC have been previously described in different in vitro and in vivo models9, 12, 13. Here, our data support the concept that Sigirr, along with the IL-18R, functions as a hetero-receptor that mediates the regulator actions of IL-37. While the exact mechanisms remain to be determined, it is tempting to speculate that during clinical forms of intestinal inflammation, IL-37 could be secreted in the environment to act on SIGIRR expressing IEC to repress innate immune signaling, limiting the development of excessive inflammation. These speculations certainly require further clarification. However, our study is the first study to support the hypothesis that IL37 can act on primary IEC and further studies are needed to better understand how IL-37 and SIGIRR interact to balance inflammatory responses in the gut.

In summary, our study has demonstrated important differences in the innate immune response of human and murine primary IEC. While human IEC are highly reactive to FliC stimulation, mouse IEC produce stronger innate immune responses following Il-1β stimulation than they do when exposed to FliC. Moreover, these species differences are reflected in the panel of chemokines induced, with human IEC secreting a greater array of immune molecules (CCL2, CCL5, CCL20, IL8). By taking advantage of the colonoid system, we show for the first time, the anti-inflammatory role of IL-37 on primary human IEC by reducing NFκB and p38 signalling while we corroborated that its extracellular role depends on Sigirr expression in mouse IEC. Taken together, these data show that both human and mouse colonoids respond (albeit differently) to bacterial products, and their responses can be suppressed by IL-37, through its ability to signal through SIGIRR.