Desmoglein2 Regulates Claudin2 Expression by Sequestering PI-3-Kinase in Intestinal Epithelial Cells

Inflammation-induced reduction of intestinal desmosomal cadherin Desmoglein 2 (Dsg2) is linked to changes of tight junctions (TJ) leading to impaired intestinal epithelial barrier (IEB) function by undefined mechanisms. We characterized the interplay between loss of Dsg2 and upregulation of pore-forming TJ protein Claudin2. Intraperitoneal application of Dsg2-stablising Tandem peptide (TP) attenuated impaired IEB function, reduction of Dsg2 and increased Claudin2 in DSS-induced colitis in C57Bl/6 mice. TP blocked loss of Dsg2-mediated adhesion and upregulation of Claudin2 in Caco2 cells challenged with TNFα. In Dsg2-deficient Caco2 cells basal expression of Claudin2 was increased which was paralleled by reduced transepithelial electrical resistance and by augmented phosphorylation of AKTSer473 under basal conditions. Inhibition of phosphoinositid-3-kinase proved that PI-3-kinase/AKT-signaling is critical to upregulate Claudin2. In immunostaining PI-3-kinase dissociated from Dsg2 under inflammatory conditions. Immunoprecipitations and proximity ligation assays confirmed a direct interaction of Dsg2 and PI-3-kinase which was abrogated following TNFα application. In summary, Dsg2 regulates Claudin2 expression by sequestering PI-3-kinase to the cell borders in intestinal epithelium.


INTRODUCTION
The intestinal epithelium provides a selective barrier which separates the gut lumen containing nutrients, commensal bacteria and pathogens from the inner part of the body (1). Loss of intestinal epithelial barrier (IEB) integrity is known to contribute to the pathogenesis of inflammatory bowel diseases (2,3).
Under basal condition the intestinal mucosa is lined by a single layer of polarized epithelial cells (enterocytes) that are sealed by tight junctions (TJ) and held together by adherens junctions and desmosomes (3)(4)(5). Adherens junctions are composed of E-cadherins which are tethered to the actin cytoskeleton while desmosomes in the intestine are composed of the desmocadherins desmoglein2 (Dsg2) and desmocollin2 (Dsc2) (3,6). Both are linked to the intermediate filament system via various adapter proteins. Previously, it was reported that desmosomal integrity is not only essential to maintain the intestinal epithelial barrier under basal conditions but it is meanwhile established that loss of Dsg2 significantly contributes to inflammation-induced breakdown of the gut barrier in inflammatory bowel diseases (6)(7)(8)(9)(10)(11). Desmosomes are known to stabilize IEB function by strengthening intercellular adhesion. In addition they are increasingly recognized as signaling hubs that mediate a variety of signals linked to cell proliferation, apoptosis and barrier regulation (3,(11)(12)(13)(14)(15)(16).
Beside the growing evidence for the importance of desmosomal integrity to maintain the IEB in health and disease, it is well established that the main diffusion barrier within the junctional complex is formed by tight junctions that consist of various transmembrane proteins including claudins and occludin which are typically found at the most apical part of the membranes (5). The majority of the claudins that are typically present in the intestine such as claudin1, 3, 4, 5, 7, and 8 exert barrier-sealing properties. In contrast, Claudin2 which is strongly upregulated in intestinal inflammation is a pore-forming claudin which increases the permeability for cations like Na + , K + , Li + and water (9,10,(17)(18)(19). Upregulation of Claudin2 has been linked to diarrhea as typical clinical symptom of gut barrier changes. Under basal conditions Claudin2 is largely absent in the adult colon tissue whereas it has been described to be expressed in the human small intestine along the crypt-villus axis especially in the crypts (20). It is known that Claudin2 is increased following stimulation of enterocytes with cytokines such as TNFa, which is also regarded as a key cytokine contributing to mucosal injury in inflammatory bowel diseases (18,21,22).
Many studies meanwhile described a close correlation between the integrity of desmosomes and tight junctions (23)(24)(25). In line with this, we found a correlation between inflammation-induced loss of Dsg2 and increased Claudin2 expression in patients with Crohn's disease and in vitro in a previous study. Interestingly, we observed that restoration of Dsg2-mediated adhesion using a Dsglinking tandem peptide (TP) blocked TNFa-induced upregulation of Claudin2 (10). Based on this, we tested here whether Dsg2mediated adhesion/signalling may be directly involved in the regulation of Claudin2.

Test Reagents
TNFa (Biomol, Hamburg, Germany) was used at 100 ng/ml (10). Tandem Peptide was used at 20 μM in vitro and 10 μM in vivo (Bachem, Bubendorf, Switzerland). The PI-3-kinase inhibitor LY294002 was used at 20 μM (Millipore, Darmstadt, Germany). Dsg2 binding was blocked by using a Dsg2 specific monoclonal mouse antibody directed against the third extracellular repeat domains of Dsg2 (anti-Dsg2 EC ) (clone 10G11, sodium azide free, Progen, Heidelberg, Germany) applied 1:50 (14). If not indicated otherwise cells were incubated with the mediators for 24h alone or in combination. When combinations of different reagents were used, they were applied simultaneously.

Animal Experiments
After approval by the animal care committee (Laboratory Animal Care and Use Committee of the District of Unterfranken; , experiments were performed in male C57BL6/J mice (Janvier Labs, Le Genest Saint Isle, France). Animals were kept under conditions that complied with the NIH Guide for the Care and Use of Laboratory Animals, and studies were approved by the governments of Unterfranken and Germany. Animals were kept on a standard diet and 12-hour day and night cycles.

Experimental Setup
We used dextran sulfate sodium (DSS)-induced colitis in mice as (a murine) model for inflammatory bowel disease. Eight-weekold male mice received 2.5% DSS in autoclaved drinking water ad libitum for 4 days. The control group received normal drinking water ad libitum. Mice were monitored daily to evaluate the disease activity index (DAI) as described previously (8). Animals were randomized in different groups. One group received intraperitoneally (i.p.) 10 μM TP dissolved in 100μl 0.9% NaCl (DSS+TP) whereas the other group received 100μl 0.9% NaCl i.p. (DSS group). Injections were administered daily up from day 4 onwards every 24 hours for 3 days. Endpoint of the experiment was defined after 6 days.

Measurement of Intestinal Permeability, Colon Length, and Tissue Harvesting
Intestinal permeability was measured as described previously (8): After 6 days, mice were anaesthetized mice using isoflurane (Forene, Abbott, Wiesbaden, Germany). Following laparotomy, the colon was mobilized and opened at the ileocaecal valve and at the upper rectum. After flushing the colon with PBS at RT to remove blood and stool, the colon was ligated at the cutted ends without compromising the blood supply. To determine intestinal permeability 200μl of 4kDa FITC dextran diluted in PBS (1 mg/ ml) was injected in the ligated colon. After 1h blood from the inferior vena cava was taken to measure the concentration of 4 kDa FITC dextran translocated from the colonic lumen into the blood. The blood samples were centrifuged at 13.400 rpm for 10 minutes at 4°C, and the luminescence of the serum was quantified by using Genios Pro Reader (Tecan, Maennedorf, Switzerland). After blood collection mice were euthanized by exsanguination, the colon was harvested and the length was measured.
The ligations of the colon were removed and the colon was cut longitudinally into two pieces. One part was fixed in 4% paraformaldehyde embedded in paraffin and sectioned. The other half of the colon was lyzed and homogenized with a Tissue Lyzer (Quiagen, Hilden, Germany) in a SDS lysis buffer and used for Western Blot analysis.

Histological Injury Score
Two blinded investigators quantified the inflammation of the tissue in H.E.-stained sections of the colon using the following inflammation score (26): Extent of inflammatory cell infiltration (none =1, mucosal infiltration =2, submucosal infiltration =3 transmural infiltration =4) and severity of epithelial damage (no epithelial damage =1, focal lesions =2, multiple lesions =3, extended ulcerations =4), resulting in a total scoring range from 2 -8 per mouse.

Immunostaining
Animal tissue samples were embedded in paraffin and sectioned in 1μm slices. Immunostaining was performed after removal of paraffin as described for CaCo2 cells.

Dispase-Based Enterocyte Dissociation Assays
As described previously (10), confluent cells in 24-well plates were exposed to the test reagents as indicated above, washed with Hank's buffered saline solution plus (HBSS, Sigma-Aldrich, Munich, Germany) and incubated with Dispase-II (Sigma-Aldrich, Munich, Germany) for 30 minutes to release the monolayer from the well bottom. Afterwards, the cell sheet was exposed to shear stress by pipetting 5 times. Four fields of view were photographed with BZ-9000 (BIOREVO, Keyence, Osaka, Japan) and numbers were quantified.

Measurement of FITC-Dextran Flux Across Monolayers of Cultured Epithelial Cells
As described previously (27), Caco2 cells were seeded on top of transwell filter chambers on 12-well plates (0.4mm pore size; Falcon, Heidelberg, Germany). After reaching confluence, cells were rinsed with PBS, and incubated with fresh DMEM without phenol red (Sigma) containing 10 mg/ml FITC-dextran (4 kDa).

Measurements of Transepithelial Electrical Resistance (TER)
To measure transepithelial electrical resistance (TER) we used ECIS trans-Filter Adapter for ECIS 1600R across cell monolayers (Applied Biophysics, Ibidi GmBH, Martinsried, Germany). Cells were seeded on 8 well arrays with 40 electrodes per well (Applied Biophysics, Ibidi GmBH, Martinsried, Germany) as described previously (8). At confluency of monolayers cells were treated with different mediators and measurements were started immediately after application of the reagents.

embrane Protein Extraction Assay
Protein fractionation was carried out using Mem-Per Plus Kit (Thermo Fischer, Waltham, MA, USA) as described previously (8). Cells were harvested in growth media by scraping them from the bottom with a cell scraper. After centrifugation at 300 rpm for 5 minutes and washing three times, cells were permeabilized with a permeabilization buffer to release the cytosolic fraction. The cytosolic fraction was separated by centrifugation at 16.000 rpm for 15 minutes. The pellet containing the membrane-associated proteins was then re-suspended in a solubilization buffer. The suspension was centrifuged another time at 16.000 rpm for 15 minutes to remove particulate material. Then the cytosolic and membrane-associated supernatants were used for Western Blot analysis.

Co-Immunoprecipitation Experiments
Cells were seeded on 6-well plates. Monolayer cells at confluency were treated with different mediators and harvested after different incubation times in RIPA-buffer (ThermoFisher). Samples were steamed for 1min and centrifuged for 15min at 15.000g and 4°C. Total protein concentration was determined by measuring absorbance at 280nm.
The Co-IP experiments were done using the immunoprecipitation Starter Pack (GE Healthcare, Germany). The amount of 300-600 μg protein was used. After an initial preclearing step of one hour at 4°C (500μl of whole cell lysate with respectively 25μl protein G/A sepharose beads), antigens were coupled overnight at 4°C to 2.5 μg purified antibody rabbit anti-PI-3-kinase (Santa Cruz Biotechnology, Heidelberg, Germany). Protein-antibody complexes were precipitated with a mix of 25μl protein A and G sepharose beads for one hour at 4°C. The beads were washed three times with isotonic salt buffer (RIPA-buffer), once with wash-buffer (50 mM TRIS, pH 8) and suspended in 50μl Laemmli buffer. After denaturation for 5min at 95°C and a following centrifugation step, the supernatant was analyzed by western Blot analyses as described above. Detection was performed with mouse anti-Dsg2 diluted 1:1000 (Invitrogen, Carlsbad, CA, USA). Optical densities (OD) were quantified in each Western Blot using Image Lab ChemicDoc Touch (Bio-Rad Laboratories GmbH, Munich, Germany) for statistical evaluation. A ratio of the co-immununoprecipitated proteins was calculated to determine the potential changes detected under different conditions.

Proximity Ligation Assay
Proximity ligation assays (PLA) were carried out as recommended by the manufacturer ((Sigma-Aldrich, Munich, Germany): In brief, cells were seeded on coverslips and treated with TNFa for 24h when reached confluency. Two primary antibodies from different species were selected. Following antibodies were used: mouse anti-Dsg2 (Invitrogen, Carlsbad, CA, USA) at a dilution of 1:100, rabbit anti-PI-3-kinase 1:100 (Cell signaling, Leiden, Netherlands), mouse anti-Plakoglobin 1:100 (Progen, Heidelberg, Germany) and rabbit anti-Dsg2 1:100 (abcam, Cambrige, UK). After blocking of unspecific binding sites, slides were incubated with the mentioned primary antibodies. Next, a pair of oligonucleotide-labeled secondary antibodies (PLUS and MINUS Probes) which bind to the primary antibody were applied. When the PLA probes are in close proximity, connector oligos join the PLA probes and become ligated by addition of ligase at a dilution of 1:40. As a consequence, a closed circle DNA template is formed and acts as a primer for a DNA polymerase. Finally, labeled oligos hybridize to the complementary sequences within the amplicon, which are then visualized as discrete spots (PLA signals) by microscopy analysis. As negative controls, the same procedure was carried without application of primary antibodies as recommended by the manufacturer.

Quantification of Immunostaining
Quantification of immunostaining was carried out as described previously (9). In brief, 10mm line was placed orthogonal to the cell border with the cell border representing the middle of this line. The fluorescence pixel intensity was measured using ImageJ, which resulted in a graph with a maximum peak in the middle of the curve if the staining pattern was at the cell border. Loss of staining intensity at the cell borders resulted in a flattening of the curve. Indicating a redistribution of the proteins in the cytoplasm. For each sample at least ten randomly chosen junctions were measured by a blinded observer. For merge images the position and length of each line was then saved and also measured in the corresponding image field, thus resulting in 60 measurements at 30 distinct junctions per condition. After calculating the average and subtracting the gray value of the backgrounds three lane profiles per protein and condition were analyzed using a Two-way ANOWA with multiple comparisons.

Statistics
Statistical analysis was performed using Prism (GraphPad Software, La Jolla, CA, USA). Data are presented as means ± SE. Statistical significance was assumed for p<0.05. Paired Student's t-test was performed for two-sample group analysis after checking for a Gaussian distribution. Analysis of variance (ANOVA) followed by Tukey's multiple comparisons test and Bonferroni correction was used for multiple sample groups. The tests applied for each of the different experiments are indicated in the figure legends.

DSS-Induced Colitis and Increased
Intestinal Permeability in Mice Were Attenuated by Application of Dsg-Linking Tandem Peptide (TP) Previously, we demonstrated that Dsg-linking tandem peptide (TP) restored TNFa-induced loss of intestinal epithelial barrier function in Caco2 cells in vitro by increasing Dsg2-mediated adhesion (10). To test the effects of TP on IEB in an in vivo model of intestinal inflammation, we induced acute colonic injury with 2.5% dextran sulfate sodium (DSS) in mice. C57Bl/6 mice (n=17) received 2.5% DSS (n=6) in autoclaved drinking water ad libitum, whereas control mice (n=5) received normal drinking water. One group of mice (DSS + TP, n=6) were injected intraperitoneally beginning at day 4 with 10 μM of TP in 100μl 0.9% sodium chloride whereas the other group (DSS) received 100μl 0.9% sodium chloride i.p daily.
Following DSS application, the disease activity index (DAI) and the stool index were increased to 2.0 ± 0.75 and 2.33 ± 0.89 ( Figures 1A, B). Both were significantly reduced at day 6 (endpoint of the experiment) in animals treated with TP. The bodyweight was reduced in the DSS group compared to controls and following treatment with TP ( Figure 1C). In the control group, the colon length was 75.4 ± 3.54mm which was reduced to 48.17 ± 2.72mm in the DSS group. Reduction of colon length was attenuated by TP application (60.0 ± 3.55mm; Figure 1D). Intestinal permeability as revealed by measurements of 4 kDa FITC-dextran flux across the IEB was increased in DSS animals compared to control animals whereas treatment with TP attenuated inflammation-induced increase of intestinal permeability ( Figure 1E). Histological analyses of H&E-stained colon sections showed a severe inflammation pattern after treatment with DSS ( Figure 2Ab) which was attenuated by injection of TP (Figure 2Ac). TP application alone did not have an obvious effect on crypt architecture in colon sections (data not shown). Histological injury score also revealed an acute inflammation following DSS administration (control 2.00 ± 0.01 vs. DSS 7.13 ± 0.48, p<0.0001). Again, TP reduced inflammation (histological score DSS+TP 5.63 ± 0.52, p<0.05 compared to DSS) (data not shown).
To verify the close correlation between the integrity of Dsg2 and Claudin2 that we had previously observed in vitro (10), immunostaining was carried out for both proteins from the gut specimens of the different experimental groups of the in vivo experiments. In the control group, Dsg2 in colon sections showed a regular staining pattern along the cell borders of enterocytes whereas Claudin2 was hardly detectable (Figure 2Ba-c). In DSScolitis, Dsg2 was reduced in intestinal epithelium whereas Claudin2 was present along virtually all enterocytes (Figure 2Bd-f). Both the reduction of Dsg2 and the strong increase of Claudin2 were attenuated when TP was applied to animals with DSS-colitis (Figure 2Bg-i). In line with this, in Western blot analyses DSSinduced reduction of Dsg2 compared to control conditions (p<0.05, n=6) was restored after TP treatment (p<0.01, n=6) ( Figures 2C, D). Moreover, DSS-induced increase of Claudin2 compared to controls (p<0.05, n=6) was decreased after TP application (p<0.01, n=6) ( Figure 2E). In summary, these data confirmed a critical role of Dsg2 for intestinal barrier stabilization and accordingly TP is effective to stabilize intestinal barrier function in vivo. Additionally, the close correlation between the integrity of Dsg2 and Claudin2 strengthened our hypothesis of a causal interaction between both proteins in the regulation of intestinal permeability.

TNFa-Induced Loss of Dsg2-Mediated Adhesion Augmented Claudin2 Expression in Caco2 Monolayers
Next, we used our in vitro system of differentiated Caco2 cells and performed immunostaining following TNFa application to mimic inflammation. In Caco2 cells, TNFa resulted in reduced Dsg2 at the cell borders compared to untreated controls ( Figure 3A). TNFa-induced loss of Dsg2 was completely blocked when TP was applied while TP application alone did not have an effect on Dsg2 staining (Figure 3Ac, d). Claudin2 staining was augmented when TNFa was applied to epithelial monolayers (Figure 3Ae, f), which was attenuated following TP application (Figure 3Ag, h). Western blot analyses confirmed a strong increase of Claudin2 expression in Caco2 cells following application of TNFa, which was blocked even below control levels when TNFa and TP were applied together (Figure 3Ag, h, B, C). Dsg2 expression did not change significantly in Western blot analysis under the different conditions (data not shown). However, in line with the observed loss of Dsg2 at the cell borders, dispase-based enterocyte dissociation assays demonstrated that TNFa led to a 2.5-fold increased fragmentation of epithelial monolayers ( Figure 3D). Application of TP blocked TNFa-induced cell dissociation which confirmed the significant role of Dsg2 in this context ( Figure 3D) (n=4, p<0.05). Measurements of 4kDa FITC dextran flux across CaCo2 monolayers showed augmented epithelial permeability following incubation with TNFa ( Figure 3E) (n=16, p<0.01). This was attenuated when TP was applied together with TNFa (n=16, p<0.05). Taken together, the in vitro experiments in CaCo2 monolayers confirmed that TNFa-induced loss of Dsg2 at the cell borders led to increased epithelial permeability, cell dissociation and Claudin2 expression. All of these effects were attenuated when Dsg-stabilising TP was applied, suggesting a direct link between Dsg2 integrity and Claudin2 expression.

Loss of Dsg2 Integrity Increased Claudin2 Expression
To directly interfere with Dsg2-mediated adhesion, we applied a monoclonal antibody directed against the extracellular second and third extracellular repeat domains of Dsg2 (anti-Dsg2 EC ) on Caco2 monolayers as described previously (6,14). This resulted in a reduction of Dsg2 at the cell borders after 6h and 12h of incubation with anti-Dsg2 EC in immunostaining (Figure 4Aa-c). The loss of Dsg2 at the cell borders was paralleled with a strong increase of Claudin2 which was sparsely seen under control conditions and regularly present at the cell borders after 6h and after 12h of incubation with anti-Dsg2 EC (Figure 4Ad-f). In contrast, the staining pattern of barrier-sealing TJ protein Claudin1 was modestly changed when compared to Claudin2 staining pattern after 6h and 12h of incubation with anti-Dsg2 EC (Figure 4Aj-l). In line with this, application of anti-Dsg2 EC led to decreased Transepithelial Electrical Resistance (TER) after 6h and 12h to 0.87 ± 0.04-fold and 0.88 ± 0.03-fold of control ( Figure 4B) whereas measurements of 4 kDa FITC dextran flux remained unaltered under these conditions ( Figure 5B).
In cell compartment separation assays application of anti-Dsg2 EC or TNFa reduced Dsg2 in the membrane-bound fraction compared to controls ( Figure 4C). This was paralleled with an increase of Claudin2 in the membrane-bound fraction both after application of anti-Dsg2 EC and after incubation with TNFa. In line with these observations, application of anti-Dsg2 EC and TNFa augmented Claudin2 mRNA-levels in Caco2 Dsg2 WT ( Figure 4D) whereas Dsg2 mRNA levels were not affected ( Figure 4E). To further determine a causal relationship between loss of Dsg2 and increased Claudin2 we used our Dsg2-deficient Caco2 cell line (Caco2 Dsg2 -/-) (8). Measurements of TER values across differentiated monolayers revealed a significantly higher basal resistance in Caco2 WT of 238 ± 20 Ω*cm² compared to Caco2 Dsg2 -/with 110 ± 5 Ω*cm² when cultured under the exact same conditions ( Figure 5A). However, Permeability coefficient-values as revealed by measurements of 4 kDa FITC dextran flux across epithelial monolayers showed that basal permeability was not different when Caco2 WT and Caco2 Dsg2 -/were compared ( Figure 5B). Incubation of monolayers with TNFa increased permeability in both cell lines ( Figure 5B). In immunostaining of differentiated Caco2 Dsg2 WT monolayers Dsg2 was regularly distributed at the cell borders whereas Claudin2 was sparsely found (Figure 5Da-d). In Caco2 Dsg2 -/no Dsg2 (Figure 5Dm) was detected in immunostaining whereas Claudin2 (Figure 5Do  Representative immunofluorescence staining of Caco2 cells after 24h treatment with either TNFa (100 ng/ml) or TP (20 µM) or both (TNFa+TP) are shown for Dsg2 (green; a-d), Claudin2 (red; e-h) or merged images with DAPI staining (blue; i-l) to visualize cell nuclei. Compared to controls (a,e,i) application of TNFa resulted in reduced Dsg2 (b) and increased Claudin2 (f) at the cell borders. TNFainduced changes were blunted by application of TP (c,g,k). TP alone had no effect on Dsg2 and Claudin2 (d,h,l) compared to controls. Images shown are representative for n=7, scale bar is 50 µm. (B) Representative Western Blot from Caco2 lysates under the conditions outlined in A for Claudin 2 is shown; ß-actin is shown as loading control. (C) Quantitative analyses of the optical densities for Claudin2 Western Blot bands normalized to b-actin showed a significant increase of Claudin2 protein levels compared to controls which is attenuated following incubation of cells with TNFa+TP. TP alone has no effect on Claudin2 expression. N= 4 for controls and n=6 for all other experimental conditions; ordinary 1-way ANOVA (D) Results from enterocyte dissociation assays are shown for the same conditions outlined in (A) Incubation of Caco2 cells with TNFa results in increased fragmentation of monolayers whereas TNFa+TP blocked this effect. Effects of TP alone on Caco2 monolayers were absent (p<0.05, n=4, ordinary 1-way ANOVA). (E) Permeability coefficient (P E ) measured as 4 kDa FITC dextran flux across confluent Caco2 monolayers are shown. TNFa-induced increase of epithelial permeability compared to controls (p<0.01) was blocked by application of TP (p<0.05, compared to TNFa); n=16 for each group; ordinary 1-way ANOVA. was found to be regularly present at the cell borders under basal conditions. Application of TNFa resulted in reduced Dsg2 (Figure 5Dg) and significantly augmented Claudin2 staining at the cell borders in Caco2 Dsg2 WT (Figure 5Di). In Caco2 Dsg2 -/-, Claudin2 was located at the cell borders under both conditions (untreated and TNFa) (Figure 5Do, u). Claudin1 was regularly distributed at the cell borders of Caco2 Dsg2 WT and Caco2 Dsg2 -/under basal conditions (Figure 5Do, u) which was reduced by application of TNFa (Figure 5Dk, w).
In Western blot analyses Dsg2 was equally expressed under basal conditions and following application of TNFa in Caco2 WT ( Figure 5C) whereas no Dsg2 was found in Caco2 Dsg2 -/-( Figure 5C). In WT cells Claudin2 was augmented following application of TNFa ( Figure 5C). In Caco2 Dsg2 -/basal expression of Claudin2 was increased compared to Caco2 WT and was further augmented after incubation with TNFa ( Figure 5C).
In line with this, qRT-PCR showed similar results indicating changes of Claudin2 at the level of protein expression rather than on changes in protein turnover ( Figure 4D).

Loss of Dsg2 Augmented Basal Activation of PI-3/AKT-Signaling
Previously it was reported that inflammation-induced Claudin2 upregulation in intestinal epithelial cells is dependent on PI-3kinase/AKT signaling (29)(30)(31). Based on this, we first verified that inhibition of PI-3-kinase using LY294002 blocked TNFa-induced upregulation of Claudin2 ( Figure 6). In line with previous data, LY294002 attenuated the TNFa-induced phosphorylation of AKT at Ser 473 in Caco2 Dsg2 WT and upregulation of Claudin2 ( Figure 6). In Caco2 Dsg2 -/where basal Claudin2 expression was increased, augmented basal phosphorylation of AKT Ser473 was observed ( Figures 6A-C). Application of TNFa strongly increased phosphorylation of AKT Ser473 which was diminished after application by LY294002 ( Figures 6A, B). Phosphorylation of AKT Thr308 was unaffected under all experimental conditions ( Figure 6A).
Taken together these data confirmed a critical role of PI-3/ AKT signaling in the regulation of Claudin2. Furthermore the increased basal phosphorylation of AKT Ser473 followed by an exaggerated phosphorylation pattern after TNFa incubation in Dsg2-deficient cells pointed to a potential role for Dsg2 in modulating PI-3-kinase. To substantiate this conclusion we tested whether application of TP would affect phosphorylation of AKT Ser473 . As outlined above incubation of Caco2 monolayers resulted in augmented phosphorylation of AKT Ser473 to 1.6 ± 0.1fold of controls. This effect was blocked when Caco2 cells were incubated with TNFa together with TP (1.1 ± 0.1-fold of controls), (Figures 6D, E).

Dsg2 Sequesters PI-3-Kinase Under Basal Conditions
To further resolve the potential contribution of Dsg2 to regulate both Claudin2 expression and PI-3-kinase signaling we next performed co-immunostaining of Dsg2 and PI-3-kinase under basal conditions and following stimulation with TNFa in Caco2 WT cells ( Figure 7A). Under basal conditions both Dsg2 and PI-3-kinase p110ß were found at the cell borders where they co-localized (Figure 7Aa-c). Incubation with TNFa resulted in loss of Dsg2 at the cell borders and redistribution of PI-3-kinase into the cytoplasm (Figure 7Ad-f). Accordingly, the colocalization of Dsg2 and PI-3-kinase was abrogated following application of TNFa (Figure 7Af). This visual impression was confirmed when quantifications of the immunostaining were carried out. Under basal conditions the mean peak of the staining intensity was found at the cell borders for both Dsg2 and PI-3kinase. Application of TNFa resulted in a flattening of the curves for Dsg2 and PI-kinase indicating a redistribution of both proteins from the cell borders in the cytoplasm (Figures 7B, C).
Since this suggested a direct interaction of Dsg2 and PI-3kinase we performed proximity ligation assays and coimmunoprecipitation studies. Proximity ligation assays revealed a direct interaction of Dsg2 and PI-3-kinase under basal conditions as revealed by the fluorescent spots throughout the cytoplasm (Figure 8Aa) and at the cell periphery (Figure 8Ab; inset). This interaction was reduced following incubation of Caco2 WT cells with TNFa (Figure 8Ac, d). To ensure the staining specificity, the same experiments were carried out using Caco2 Dsg2 -/cells, where no spots i.e. no interaction between Dsg2 and PI-3-kinase was detectable both under basal conditions (Figure 8Ae, f) and after incubation with TNFa (Figure 8Ag,h). PLAs were also performed in Caco2 WT with Dsg2 and the desmosomal plaque protein plakoglobin which is a known interaction partner of Dsg2 (32) (Figure 8i-l). This confirmed an interaction between Dsg2 and Plakogblobin (Figure 8i, inset in j) under basal conditions which was reduced following incubation of Caco2 cells with TNFa. Negative controls to exclude unspecific staining patterns induced by the duolink fluorescent detection reagent (Figure 8Am-p) were performed without application of primary antibodies. This did not result in the visualization of any spots.
Co-immunoprecipitation (IP) using cell lysates from Caco2 Dsg2 WT confirmed the interaction of Dsg2 and PI-3-kinase under basal conditions ( Figures 8B-D) whereas application of TNFa led to decreased interaction of these two proteins. In quantifications of the IPs TNFa reduced the interaction between TNFa and PI-3-kinase to 0.34 ± 0.06-fold of controls whereas incubation of TP with TNFa restored the interaction to control levels (0.99 ± 0.05-fold of controls) and TP alone had no effect (0.92 ± 0.11-fold of control). LY294002 blocked even augmented the interaction between Dsg2 and PI-3-kinase when applied alone (1.6 ± 0.27-fold of control) and when applied together with TNFa (1.5 ± 0.16-fold of control) ( Figure 8D). Quantification of PI-3-kinase protein levels in whole cell lysates of Caco2 Dsg WT showed no significant differences under the different experimental conditions (Figures 8C, E).

DISCUSSION
The present study extends our previous investigations on the role of desmosomal adhesion and signaling in the regulation of IEB integrity. Here, we show that Dsg2 at the cell borders is required to inhibit upregulation of pore-forming tight junction protein Claudin2. Loss of Dsg2-mediated adhesion induced by antibodies, TNFa or knock-out of Dsg2 induces the activation of PI-3-kinase/AKT signaling which results in the upregulation of Claudin2. This can be explained by the observation that Dsg2 sequesters PI-3-kinase under basal conditions keeping PI-3kinase/AKT signaling axis in an inactive state. This shows a new mechanism how desmosomal integrity is involved in the regulation of tight junctions in intestinal epithelium.

Stabilization of Dsg2 by TP Reduced Intestinal Permeability in Acute DSS Colitis In Vivo
The stability of intestinal barrier function has been increasingly reported to be dependent on desmosomal integrity in particular by Dsg2-mediated adhesion and signaling (6,7,10,13). Based on this, it has also been proposed that strengthening Dsg2-mediated adhesion between enterocytes might be an attractive target for intestinal barrier stabilization under conditions of inflammation (3). This notion is now substantiated by our present data using the acute DSS-colitis (E) Quantitative analyses of the optical densities for p-AKT Ser473 /total AKT; ordinary 1-way ANOVA. Asterisks mark significant difference *p < 0.01, **p < 0.001, ***p < 0.0001, ****p < 0.00001). Comparisons are indicated by the lines above the columns. model in which we clearly demonstrate a barrier-protective effect following application of TP in vivo. This was accompanied by an improved disease activity score in vivo and by reduced overall inflammation as revealed by H.E.-staining. The observation that TP effectively strengthens IEB function and thereby reduces intestinal inflammation supports the overall clinical importance of intestinal barrier integrity and the impact of Dsg2-mediated adhesion as an important player in this context (2,3,33).
TP was originally designed as 2 cyclized peptides connected through a flexible amino hexan linker to bind to Dsg1 and was later confirmed to bind Dsg2 as well because of its high sequence homology (10,34). Since it has been shown that E-cadherin binds Dsg2 on the E-cadherin cis binding interface which appears to be important for desmosome assembly (35) it is possible that TP also binds E-cadherin and thereby strengthens cellular adhesion. On the other hand previous data demonstrated that TP did not modulate homophilic binding of classical cadherins such as E-cadherin or N-cadherin (34,36). The fact that loss of Dsg2 was attenuated using TP both in immunostaining and in Western blot analyses suggests that crosslinking of neighboring Dsg2 proteins may already be sufficient to prevent loss of intercellular adhesion and the induction of barrier-compromising signaling events. This is supported by our in vitro data in Caco2 cells, where TP attenuated loss of intercellular adhesion in dispasebased enterocyte dissociation assays and by the fact that loss of intercellular adhesion induced by the application of antibodies directed against the extracellular domain of Dsg2 was sufficient to increase permeability of Caco2 monolayers. Comparable observations were made in previous studies (6,11).
Loss of Dsg2 and of Dsg-2-Mediated Adhesion Are Directly Linked With Claudin2 Expression An interplay between desmosomes and tight junction integrity has been discussed in the recent years although detailed mechanistic insights remained absent (37). It has been proposed that the control of microtubule stabilization by desmosomes could promote the trafficking of tight junction proteins (38). In the intestine, it can be assumed that a mechanical break of tight junctions as a consequence of reduced Dsg2-mediated adhesion may induce increased intestinal permeability. Given the close correlation between loss of tight junctions in general and Dsg2 at the cell borders this appears to be reasonable (6)(7)(8)10). However, the fact that the Claudin2 is upregulated on both, RNA-and protein levels following loss of Dsg2 indicates a mechanistic interplay between these two proteins instead of only a passive interplay of tight junctions. Following this, Dsg2 may serve as a scaffold protein to modulate downstream signaling either in response to other upstream signaling events and/or to changes in cell adhesion. The observation that loss of Dsg2 induced by TNFa, by gene knock out and by antibody-induced loss of intercellular adhesion resulted in increased Claudin2 levels demonstrates that all of these events are sufficient to induce Dsg2-dependent signaling. The role of Dsg2 as a protein critically involved in cellular signaling events has been recognized earlier in the context of apoptosis, where a fragment of the intracellular domain of Dsg2 contributed to the induction of cell death under certain experimental conditions (12,13,15). In addition is has been observed that Dsg2 or desmosomes in general contribute to the regulation of Rho GTPase activity by the modulation of Rho GEF and regulate the activity of protein kinase C which was observed in the context of plakophilin2 in keratinocytes and in cardiomyocytes (39)(40)(41)(42)(43)(44).

Dsg2-Mediated Sequestering of PI-3-Kinase Regulates Activity of the PI-3-Kinase/AKT Signaling Axis
Increased Claudin2 levels are a typical hallmark in response to inflammatory stimuli in the intestine (45,46). According to this, Claudin2 is upregulated under conditions of acute inflammation in DSS-induced colitis in mice (47) and in patients with IBD (9, 10, 48). On a functional level Claudin2 as a pore-forming tight junction protein is critically involved in symptoms such as diarrhea in intestinal inflammation (49). On a mechanistic level it has been demonstrated earlier that upregulation of Claudin2 is dependent on PI-3-kinase activation leading to phosphorylation of AKT. Accordingly, inhibition of PI-3-kinase using LY294002 was effective to attenuate inflammation-induced upregulation in previous studies (30,31,50,51). This supports our current observation where LY294002 blocked TNFa-induced upregulation of claudin2 in Caco2 cells. The TNFa-induced activation of PI-3kinase may lead to Cdx2 expression as described previously for IL-6 (30). The enhanced expression of the transcription factor Cdx2 may then activate the claudin2 promotor resulting in the increased Claudin2 expression (29). The fact that LY294002 completely blocked both AKT phosphorylation and increased Claudin2 expression indicates that the critical event is upstream of AKT i.e. at the level of PI-3-kinase activation. The novel observation here is that Dsg2 sequesters PI-3-kinase in intestinal epithelial cells. The finding that we observed increased phosphorylation of AKT Ser473 in Dsg2-deficient cells when compared to WT cells under basal conditions and highly increased phosphorylation following application of TNFa led to the assumption that the sequestering of PI-3-kinase by Dsg2 may regulate its activity. On the other hand, the fact that TNFa application still results in increased Claudin2 expression and AKT phosphorylation in Dsg2-deficient cells also points to the presence of Dsg2-independent pathways in addition to the proposed mechanism here. The Dsg2-independent pathways may involve direct AKT phosphorylation by TNFa-induced activation of src kinase (52) by miRNAs (53) and also by integrins as has been observed in platelets (54) upstream of PI-3-kinase. Nonetheless, the experiments using TP to stabilize Dsg2-mediated adhesion showed that this was sufficient to block TNFa-induced AKT-phosphorylation and Claudin2 upregulation which overall supports the notion that Dsg2 is critically involved in the regulation of the PI-3-kinase/AKT signaling axis.
Application of TNFa not only resulted in loss of Dsg2 at the cell borders but also remarkably removed PI-3-kinase to the cytoplasm in immunostaining. The direct interaction of PI-3-kinase and Dsg2 was proven by PLA-assays and co-immunoprecipitation. However, when taking into account the staining pattern in PLA-assays it appears that not only desmosomal Dsg2 at the cell borders but also extradesmosomal Dsg2 which can be found apically in enterocytes also appears to be involved in sequestering PI-3-kinase (11). The presence of extradesmosmal Dsg2 may also explain the dotted staining pattern across the whole cells in PLAs. Interestingly, both TP and LY294002 blocked the dissociation of PI-3-kinase and Dsg2. According to the quantifications of the co-immunoprecipitation assays, LY294002 even increased the interaction between Dsg2 and PI-3-kinase above baseline levels both when applied alone and following application of TNFa. This suggests that activation of PI-3kinase causes disassembly of both proteins leading to increased Claudin2 expression. On the other hand as outlined above the stabilization of Dsg2 by TP blocked the dissociation of Dsg2 and PI-3-kinase and thereby attenuated AKT phosphorylation. Taking all these observations together, it is conceivable that the sequestering of PI-3-kinase to Dsg2 is required to prevent further downstream signaling in response to PI-3-kinase activation. Therefore, loss of the interaction triggers further downstream signaling. In addition, it can be speculated that loss of Dsg2 may further promote the susceptibility PI-3-kinase to be further activated. Based on this, we suggest that Dsg2 recruits PI-3-kinase under basal conditions. Loss of Dsg2 or Dsg2-mediated adhesion promotes the activation of PI-3-kinase and/or downstream signaling leading to AKT phosphorylation which then results in the upregulation of Claudin2.
In summary, our current data not only show a novel and important mechanism by which Dsg2 i.e. desmosomes are directly involved in the regulation of tight junction proteins but also strengthen the potential role of Dsg2 as a promising therapeutic target to stabilize intestinal barrier function in intestinal inflammation.

DATA AVAILABILITY STATEMENT
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

ETHICS STATEMENT
The animal study was reviewed and approved by Regierung von Unterfranken.