Btbd8 deficiency reduces susceptibility to colitis by enhancing intestinal barrier function and suppressing inflammation

Introduction BTBD8 has been identified as a susceptible gene for inflammatory bowel diseases (IBD). However, the function of BTBD8 in normal development and IBD pathogenesis remains unknown. Methods We administered drinking water with 3% dextran sodium sulfate (DSS) to wild-type (WT) and Btbd8 knockout (KO) mice for seven consecutive days to induce IBD. Subsequently, we further examined whether Btbd8 KO affects intestinal barrier and inflammation. Results We demonstrated that Btbd8 deficiency partially protects mice from DSS-induced IBD, even though no obvious phenotypes were observed in Btbd8 KO mice. Btbd8 deletion leads to strengthened tight junctions between intestinal epithelial cells, elevated intestinal stem cell activity, and enhanced mucus layer. All these three mechanisms work together to improve the intestinal barrier integrity in Btbd8 KO mice. In addition, Btbd8 deficiency mitigates inflammation by reducing the expression of IL-1β and IL-6 by macrophages. Discussion Our studies validate the crucial role of Btbd8 in IBD pathogenesis, and reveal that Btbd8 deficiency may ameliorate DSS-induced IBD through improving the intestinal barrier integrity, as well as suppressing inflammatory response mediated by macrophages. These findings suggest that Btbd8 could be a promising therapeutic target for the treatment of IBD.

Through genome-wide association studies (GWAS), more than 200 IBD susceptibility genes and loci have been identified (7)(8)(9)(10).Analysis of these IBD susceptibility genes and loci revealed several pathways crucial for IBD predisposition, including barrier function, epithelium reconstitution, microbial defense, and regulation of immunity.For example, C1orf106 and RNF186 are involved in maintaining the barrier integrity (11,12), HNF4A, NKX2-3, and STAT3 contribute to the regeneration of intestinal epithelium (13-16), CARD9 and NOD2 play roles in microbe-sensing (17-19), and IL10 and IL23R regulate immune response (20,21).These genetic data suggest that the interaction between the intestinal microbiome and the intestinal immune system plays a key role in IBD pathogenesis.
Despite extensive studies on IBD risk genes, the functions and mechanisms of some IBD susceptibility genes, including BTBD8 (BTB domain containing 8), remain elusive.BTBD8 was identified as an IBD susceptibility gene by a trans-ancestry GWAS analysis.Single-cell RNA sequencing revealed that BTBD8 expression is decreased in UC patients, particularly in intestinal epithelial cells (IECs) (22), implying a potential role of BTBD8 in IBD pathogenesis.In addition, it has been shown that Btbd8, also known as APache, is associated with clathrin-coated vesicles, and regulates synaptic vesicle trafficking, neuronal development, and synaptic plasticity (23).Nevertheless, whether and how BTBD8 regulates normal development and IBD pathogenesis remains unexplored.
To investigate the potential role of Btbd8 in normal development and IBD pathogenesis, we generated Btbd8 knockout (KO) mice with CRISPR/Cas9.Btbd8 KO mice are healthy and fertile, and exhibit reduced susceptibility to dextran sodium sulfate (DSS)-induced IBD.Mechanistically, Btbd8 KO suppresses endocytosis in epithelial cells, hence elevating the expression of tight junction proteins ZO-1 and Occludin.Btbd8 KO also increases the number of intestinal stem cells (ISCs) and goblet cells, promoting epithelial regeneration and mucus formation respectively.Therefore, the intestinal barrier function is enhanced in Btbd8 KO mice.In addition, Btbd8 KO reduces the expression of IL-1b and IL-6 in macrophages, thus suppressing inflammation.Collectively, our data reveal that Btbd8 facilitates IBD pathogenesis, and might be a therapeutic target for IBD treatment.

Mice and administration
Btbd8 KO mice were constructed in Nankai animal resources center.Cas9 protein and two guide RNAs targeting sites flanking the exon 14 of Btbd8, were microinjected into zygotes.The surviving embryos were transferred into pseudo-pregnant female mice.To identify KO mice, the mouse genotype was determined via PCR analysis using two pairs of specific primers and genomic DNA extracted from the mouse tail.WT mice were purchased from Vital River Laboratory Animal Technology Co., Ltd.(Beijing, China).All mice were in a C57BL/6 background.Unless otherwise specified, experiments were conducted using female mice aged 6-10 weeks.Age-and sex-matched littermates were used as control mice.All animal experiments were carried out with a strict accordance with institutional guideline, and the use of mice for this research is approved by Nankai Animal Care and Use Committee (Approval number: 2021-SYDWLL-1-0001).

DSS-induced colitis
The age-and sex-matched WT and Btbd8 KO mice were provided with drinking water containing 3% DSS (MP Biomedicals, 160110) for 7 days.Body weight of mice was monitored daily, and changes were calculated relative to the initial body weight.Every mouse underwent daily assessment using the DAI score, which includes weight loss, stool consistency, and the presence of fecal blood.The scoring system for calculating DAI was described previously (24).Body weight loss was assessed using the following scale: 0 for none, 1 for 1-5%, 2 for 6-10%, 3 for 11-18%, and 4 for >18%.Stool consistency was assessed using the following scale: 0 for normal, 1 for soft but still formed stools, 2 for soft stools, 3 for very soft or wet stools, and 4 for watery diarrhea stools.Stool bleeding was assessed using the following scale: 0 for normal, 1 for a brown color, 2 for occult blood, 3 for visible blood trace, and 4 for gross bleeding.

Histology and histopathological score
For each mouse, the entire colon was promptly excised, and its length was measured.The distal section of colon was fixed in 4% paraformaldehyde for 24 h and embedded in paraffin or Tissue-Tek OCT compound.Other sections were collected for qRT-PCR or Western blot.Five-micron paraffin sections were deparaffinized and stained with hematoxylin and eosin (H&E) for histological analysis and assessment of the histopathological score.HE staining followed the standard processing procedures and the scoring system for calculating histopathological score was described previously (25).Colon sections were assessed using the following scale: 0 for normal tissue; 1 for mild inflammation in the mucosa with some infiltrating mononuclear cells; 2 for increased level of inflammation in the mucosa with more infiltrating cells, damaged crypt glands and epithelium, mucin depletion from goblet cells; 3 for extensive infiltrating cells in the mucosa and submucosa area, crypt abscesses present within creased mucin depletion, and epithelial cell disruption; 4 for massive infiltrating cells in the tissue, complete loss of crypt.

Immunofluorescence
Paraffin sections were deparaffinized, and antigen retrieval was achieved by boiling in citrate antigen retrieval solution before analysis.Frozen sections were equilibrated at room temperature for 30 min, and then immersed in PBS for 15 min to remove OCT before analysis.Both paraffin and frozen sections were incubated in 5% goat serum for 45 min at room temperature.Subsequently, primary antibodies treatment was conducted in PBS supplemented with 0.3% Triton X-100 overnight at 4°C.

Immunohistochemical staining
Paraffin sections were deparaffinized and subjected to antigen retrieval by boiling in a citrate antigen retrieval solution.The sections were incubated at room temperature in 5% goat serum for 45 minutes, and subsequently incubated with anti-Ki-67 antibody (Proteintech, 27309) in PBS containing 0.3% Triton X-100 at 4°C overnight.A 3% hydrogen peroxide treatment for 10 min was applied to remove endogenous peroxidases.The sections were then incubated with goat anti-rabbit IgG conjugated with horseradish peroxidase (HRP) (ORIGENE, ZB-2301) for 45 min at room temperature.The HRP activity was visualized using a diaminobenzidine solution (ORIGENE, ZLI-9018), and the sections were counterstained with hematoxylin.Microscopic images were captured using the Leica DM3000 microscope (Leica).

Transmission electron microscope (TEM)
The distal sections of colon were fixed overnight at 4°C with 2.5% glutaraldehyde.The subsequent standard processing procedures, including fixation in osmium acid, dehydration, embedding, sectioning, and co-staining with yellow acetate and lead citrate, were carried out by Shiyanjia Lab (Hangzhou, China).The ultrastructure was observed using a transmission electron microscope H-7650 (Hitachi).

Quantitative reverse-transcription PCR (qRT-PCR)
Total RNA was extracted from cells or tissues using a RNeasy Mini Kit (Qiagen) or TRIZOL (Invitrogen), and converted to cDNA using a Reverse Transcription kit (GenStar) according to the manufacturer's instruction.The PCR reactions were performed with a RealStar Probe Fast Mixture kit (GenStar) on a Quantitative PCR machine (Bio-Rad).The primers are listed in Supplementary Table S1.

Western blot
Tissues were harvested and resuspended in RIPA lysis buffer (20 mM Tris-HCl pH 8.0, 60 mM NaCl, 0.2% glycerol, 0.02% NP-40, 0.04 mM EDTA) supplemented with protease inhibitors.The suspension was then sonicated for 30 seconds and subsequently centrifuged at 12,000 rpm for 15 min at 4°C.The protein concentration was measured using a BCA Protein Assay Kit (Solarbio).The total protein samples were separated on SDS-PAGE Gel and transferred to a PVDF membrane (Cytiva).Membranes were blocked for 2 hours at room temperature with blocking buffer and incubated overnight with specific primary antibodies at 4°C.The primary antibodies were anti-pro-IL-1b (Abclonal, A11370), anti-IL-6 (Abclonal, A0286), and anti-b-Tubulin (Abmart, M20005H).Bound primary antibodies were detected by HRP-conjugated secondary antibodies, donkey anti-Rabbit IgG (Cytiva, NA934V) and sheep anti-Mouse IgG (Cytiva, NA931V).Images were captured using an automated chemiluminescence imaging analysis system (Tanon).

Intestinal permeability assay
After an 8-hour fasting period, 0.6 mg/g bodyweight of FITCdextran (Sigma, 46944) was administered to mice via gavage.Four hours later, whole blood was collected and subsequently centrifuged twice at 12,000 rpm for 3 min at 4°C to obtain serum.The serum was then transferred into 96-well microplates (Corning), and FITC levels were quantified using fluorometry at 490 nm with a microplate reader Enspire (PerkinElmer).FITC-dextran was diluted with PBS to create a standard curve for calculating the FITC concentration.

Isolation of intestinal epithelial cells
The entire colon was dissected out and longitudinally incised.The intestinal lumen was cleansed of fecal content using ice-cold HBSS.Subsequently, the colon was cut into 1 cm-long segments, which were then transferred into a 50 ml centrifuge tube and incubated in isolation buffer (consisting of HBSS, 5 mM EDTA, 1 mM DTT) for 15 min at 37°C on a shaker.The tube was then placed on ice for 15 min, followed by thorough vortexing for 1 min.The suspension was carefully collected.To release more epithelial cells, the pellet was washed with ice-cold HBSS and vigorously shaken.The suspension was then collected, and this process was repeated twice.Epithelial cells were harvested by centrifugation at 1200 g for 5 min at 4°C.

Organoids isolation and culture
Crypt isolation and organoid culture were performed as described previously (26).The entire small intestine was removed from the mouse abdominal cavity, and the contents of intestinal lumen were flushed with ice-cold PBS.The villi were removed from the surface of the small intestine by scraping with a sterile glass slide.Then crypts were released from the small intestine by incubating with PBS containing 2 mM EDTA for 30 min at 4°C while rocking on a shaker.Then crypts were harvested by centrifugation at 290 g for 5 min at 4°C.50 ml of Matrigel (Corning)/crypt suspension, containing 400-500 crypts, was added to the center of each 37°C pre-warmed 24-well plate.The plate was transferred to a 37°C incubator for 20 min to allow the Matrigel dome to solidify.Then 450 ml IntestiCult ™ mouse organoid growth medium (STEMCELL Technologies) was added to each well.The plate was placed in a 37°C incubator with 5% CO 2 .

Generation of intestinal organoidderived monolayers
Mouse organoids were transitioned to IntestiCult ™ human organoid growth medium (hOGM, STEMCELL Technologies) at least one generation before being converted to monolayer culture.24well transwell filters were coated with 5% Matrigel at 37°C for 2-4 hours.Two to three well-formed organoid domes were flushed and resuspended using Gentle Cell Dissociation Reagent (STEMCELL Technologies), followed by centrifugation at 200 g for 3 min at 4°C.The organoids were then incubated in 0.05% Trypsin-EDTA for 15 min at 37°C and mechanically disrupted by pipetting to obtain a single-cell or small fragments suspension.Subsequently, 1 ml of DMEM/F12 (Gibco) was added to the suspension, which was then centrifuged at 290 g for 5 min at 4°C.After removing supernatant, cells were resuspended in 100 ml of hOGM with 10 mM Y-27632 (Selleck Chemicals) and were seeded on the transwell insert.Additionally, 600 ml of hOGM with 10 mM Y-27632 were gently added into the lower compartment.The medium was refreshed every 2-3 days, and monolayers were maintained for up to 7 days.

Isolation and culture of BMDMs
The isolation and differentiation of BMDMs were performed as previously described (27).Mouse bone marrow was obtained from the femur and tibia bones, followed by centrifugation at 1500 rpm for 5 min to collect the BM cells.Red blood cells were lysed using 5 ml of ACK buffer (Solarbio).The cells were then plated onto two 24well plates in 0.5 ml of BMDM medium (consisting of DMEM, 20% FBS, 1% P/S, and 20 ng/ml M-CSF) and cultured for 7 days, resulting in a confluent layer of macrophages.Subsequently, the BMDMs were stimulated with 100 ng/ml LPS (Sigma) and 20 g/ml IFN-g (R&D Systems) to induce M1 polarization.

Statistical analysis
Data were analyzed using GraphPad Prism software and were presented as means ± SEM.Statistical analysis was performed with unpaired two-tailed Student's t test.Statistically significant p-values were represented in figures as follows: *, p < 0.05; **, p < 0.01; ***, p < 0.001.

Btbd8 deficiency reduces susceptibility to DSS-induced IBD
To investigate the function of Btbd8 in development and IBD, 1 homozygous and 6 heterozygous Btbd8 knockout (KO) mice were generated by zygotic microinjection of Cas9 and two sgRNAs targeting two sites flanking Btbd8 exon 14 (Figures 1A-C, Supplementary Figures S1A, B).The homozygous Btbd8 KO mouse was used as the founder mouse for the subsequent mating and study.Mating between male and female Btbd8 +/-mice yields Btbd8 +/+ , Btbd8 +/-, and Btbd8 -/-progenies, close to the expected Mendelian ratio of 1:2:1 (Supplementary Figure S1C).No morphological and histopathological abnormalities were noticed in various organs, including intestine, lung, heart, liver, spleen, and kidney (Supplementary Figure S1D).
Next, we attempted to address whether Btbd8 deficiency affects the development of colitis.To induce IBD, we administered 3% DSS in drinking water to both wild-type (WT) and Btbd8 KO mice for 7 days, and monitored colitis symptoms in these mice.We found that compared with DSS treated WT mice, DSS treated Btbd8 KO mice exhibit milder colitis symptoms, such as less body weight loss, decreased Disease Activity Index (DAI) score, and longer colon (Figures 1D-F), whereas no difference in body weight and colonic length between untreated WT and Btbd8 KO mice was observed (Supplementary Figures S1E, F).Furthermore, histological analysis revealed that more severe histological damage occurs in the colon of WT mice than in Btbd8 KO mice (Figure 1G).In summary, our results suggest that even though Btbd8 is dispensable for normal development, it is involved in the development of IBD.

Enhanced barrier integrity in Btbd8 KO mice upon DSS treatment
The intestinal epithelium separates gut microbiota from the host immune system, and is vital for preventing immune response to non-pathogenic commensals and dietary antigens (28,29).Given that the expression level of BTBD8 in intestinal epithelium is higher than those in immune cells and stroma cells (Supplementary Figure S2), we hypothesized that KO of Btbd8 might improve the integrity of the intestinal barrier, leading to reduced susceptibility to IBD.DSS induced colitis symptoms are more severe in WT mice than in Btbd8 KO mice (Figures 1D-G), which might result in more impaired intestinal barrier in DSS treated WT mice.To avoid the intestinal barrier damage caused by colitis, we assessed the intestinal barrier integrity in untreated mice or mice treated with DSS for 2.5 days, in which no colitis symptom difference between WT and Btbd8 KO mice, including colonic length and histopathology, was observed (Supplementary Figures S3A-D).Serum FITC-dextran in WT and Btbd8 KO mice without DSS treatment is about the same (Figure 2A).However, after 2.5-day DSS treatment, serum FITCdextran in WT mice increases by about 2.5-fold, while it is maintained at a low level in Btbd8 KO mice (Figure 2A).These data indicate that DSS treatment for 2.5 days impairs the barrier integrity in WT mice, allowing more FITC-dextran to enter the serum.However, in Btbd8 KO mice, the barrier function is strengthened and better maintained.Hence, no significant increase in serum FITC-dextran was detected in Btbd8 KO mice after 2.5 days of DSS treatment.

Elevated expression of tight junction proteins in Btbd8 KO mice
The intestinal barrier is composed of a monolayer of IECs and the mucus layer.Tight junctions (TJs) at the apical region of IECs play a crucial role in maintaining intestinal paracellular permeability and barrier integrity (28)(29)(30)(31).We then asked whether TJs in Btbd8 KO IECs are strengthened to improve the intestinal barrier function.qRT-PCR analysis of isolated IECs revealed increased expression of ZO-1 and Occludin mRNA in Btbd8 KO IECs (Figures 2B, C).However, the mRNA levels of other TJ proteins, including Claudin-1, Claudin-7, and E-cadherin, are not significantly affected by Btbd8 KO (Supplementary Figures S3E-G).Western blot of isolated IECs and immunostaining of colon tissue sections further confirmed that Btbd8 KO elevates the expression of ZO-1 and Occludin proteins in IECs (Figures 2D-I, Supplementary Figure S3H).These findings suggest that Btbd8 deficiency may strengthen TJs and intestinal barrier by increasing the expression of TJ proteins ZO-1 and Occludin.

Btbd8 deficiency promotes the activity of ISCs
The intestinal epithelial layer is highly dynamic, with IECs undergoing rapid renewal and replacement approximately every couple of days.The self-renewal and differentiation of Lgr5 + ISCs located at the bottom of the intestinal crypts, maintain the homeostasis of the intestinal epithelium (32, 33).Thus, it is possible that enhanced epithelial regeneration contributes to the strengthened intestinal barrier in Btbd8 KO mice upon DSS treatment.Immunohistochemistry staining of Ki67 reveals more proliferating cells in the colon of Btbd8 KO mice (Figures 3A, B), suggesting a potential role of Btbd8 in regulating intestinal regeneration.To assess the self-renewal capacity of ISCs, crypts isolated from the intestine were cultured to form intestinal organoids in vitro.It is notable that Btbd8 KO intestinal organoids have more crypt domains per organoid and are of bigger size (Figures 3C-E), indicating enhanced self-renewal capacity of Btbd8 KO ISCs.These observations were replicated in passage 2 organoids (Supplementary Figure S4), confirming that Btbd8 KO promotes the activity of ISCs.Consistently, more Lgr5 RNA is expressed in Btbd8 KO IECs (Figure 3F).Immunofluorescent staining further revealed that the number of Lgr5 + ISCs per crypt is increased in Btbd8 KO mice (Figures 3G, H, Supplementary Figure S3I).These data suggest that strengthened intestinal barrier in Btbd8 KO mice may be partly due to enhanced epithelial regeneration.

Btbd8 deficiency elevates TJ protein expression through reducing endocytosis
The enhanced activity of ISCs in Btbd8 KO mice might account for elevated expression of TJ proteins, because freshly differentiated IECs might express more TJ proteins than worn out IECs.To determine whether the elevated level of ZO-1 and Occludin in Btbd8 KO IECs is caused by increased ISC activity, epithelial monolayers were derived from WT and Btbd8 KO organoids, thus avoiding the worn-out effect on IECs.The expression of ZO-1 and Occludin proteins are also increased in Btbd8 KO epithelial monolayers (Figures 4A, B), suggesting that enhanced ISC activity does not account for the elevated expression of ZO-1 and Occludin in Btbd8 KO IECs.
It has been shown that Btbd8 interacts with AP2, the most abundant adaptor coordinating coat recruitment and cargo selection into endocytic pits, and regulates the endocytosis in synapses (23).Moreover, endocytosis modulates the expression of Occludin in epithelial cells (34,35).Thus, we speculated that Btbd8 might promote the endocytosis of Occludin to reduce the expression of Occludin in TJs.To assess endocytic activity, we performed transmission electron microscope (TEM) and found that the number of vesicles in the apical region of Btbd8 KO IECs is reduced, compared with that in WT IECs (Figures 4C, D).Next, immunofluorescence assay was applied to examine whether Btbd8 KO affects the endocytosis of Occludin in IECs.However, no Occludin-containing cytoplasmic vesicles were detected in either WT or Btbd8 KO IECs (Figure 4E).We then treated mice with TNF to induce the endocytosis of Occludin (36).After TNF administration, more Occludin-containing cytoplasmic vesicles are induced in WT IECs than in Btbd8 KO IECs ( Figures 4E, F).These data suggest that Btbd8 might promote the endocytosis of Occludin, thus reducing the expression of Occludin in TJs.

Btbd8 deficiency increases goblet cell number and Muc2 expression
In addition to the physical barrier formed by IECs, the mucus, covering IECs, serves as the foremost defense line to restrict the entry of gut contents into the body (37).Next, we tested the possibility that Btbd8 KO might strengthen the intestinal barrier by enhancing the function of the mucus.Indeed, the expression of Muc2 RNA and protein, a major gel-forming mucin in the colon mucus, is increased in Btbd8 KO IECs (Figures 5A-C).Muc2 is predominantly secreted by goblet cells.Thus, we examined the expression of genes critical for goblet cell differentiation, Klf4 and Tff3, and found that Btbd8 KO elevates the expression of Klf4 and Tff3 RNA in IECs (Figures 5D, E).Furthermore, the number of acidic mucin-filled goblet cells, as indicated by Periodic Acid-Schiff (PAS) staining, is increased in Btbd8 KO mice (Figures 5F, G).These data suggest that Btbd8 deficiency might promote the development of goblet cells and enhance function of the mucus to improve the intestinal barrier.

Btbd8 deficiency reduces proinflammation cytokine expression in macrophages
The development of IBD is closely associated with the progression of inflammation (2,30,38).Macrophages play a pivotal role in innate immune defense by producing cytokines, such as IL-1b and IL-6, which initiate and exacerbate inflammation (39,40).Moreover, a low frequency variant of BTBD8 has been shown to associate with reduced monocyte counts, which give rise to mature macrophages (41).We then evaluated whether Btbd8 affects the function of macrophages, in addition to intestinal barrier integrity.qRT-PCR and Western blot revealed a significant reduction in both RNA and protein levels of IL-1b and IL-6 in the colonic tissues of DSS treated Btbd8 KO mice, compared with

Discussion
Even though BTBD8 has been identified as an IBD susceptibility gene, its role in normal development and IBD pathogenesis remains unclear.In this study, we knocked out Btbd8 in mice, and no obvious phenotype was noted in Btbd8 KO mice.Nevertheless, Btbd8 KO mice are partially resistant to DSS-induced IBD, confirming the function of Btbd8 in IBD pathogenesis.In addition, the expression of BTBD8 RNA is reduced in inflamed tissues of UC patients, compared with those in non-inflamed tissues of UC patients and in healthy individuals (Supplementary Figure S2B).DSS treatment also leads to decreased level of Btbd8 RNA in mice (Supplementary Figure S2C).These data suggest that under disease conditions, Btbd8 might be downregulated to prevent the progression of IBD.
Btbd8 regulates IBD pathogenesis through multiple mechanisms.First, Btbd8 depletion enhances the intestinal barrier function, including the epithelium and the mucus.TJ proteins ZO-1 and Occludin are upregulated in Btbd8 KO IECs, indicating stronger TJs.Therefore, intestinal barrier integrity is better maintained, particularly upon DSS treatment.In addition, elevated ISC activity in Btbd8 KO mice allowing more efficient epithelial regeneration, might contribute to the maintenance of intestinal barrier integrity.Btbd8 deficiency also leads to increased number of goblet cells, which secret Muc2 to form the mucus layer.Thus, the barrier function of the mucus is strengthened in Btbd8 KO mice.Secondly, Btbd8 deficiency may suppress inflammation through reducing pro-inflammatory cytokine expression in macrophages, such as IL-1b and IL-6, thus ameliorating the DSSinduced IBD symptom (Figure 6F).
However, how Btbd8 regulates the expression of ZO-1, Occludin, Muc2, IL-1b and IL-6, remains elusive.The expression of these genes is upregulated at both RNA and protein levels in Btbd8 KO mice, suggesting that Btbd8 might act as a transcription factor or co-factor to regulate the transcription of these genes.Consistent with this note, Btbd8 contains double BTB/POZ which are often found in developmentally regulated transcription factors (42).In addition, Btbd8 may promote endocytosis to suppress the expression of Occludin in TJs.These two distinct mechanisms require Btbd8 to function in different subcellular compartments, the nucleus and endocytic vesicles.Unfortunately, we did not have a good antibody for detecting Btbd8 protein.Therefore, we were unable to experimentally demonstrate the subcellular distribution of Btbd8 in IECs, goblet cells, and macrophages.Nevertheless, protein interactome studies have revealed that Btbd8 interact with not only nuclear proteins, but also cytoplasmic proteins, particularly AP2 the main adaptor protein responsible for clathrin-mediated endocytosis (23,43,44), implying that Btbd8 might function as a transcription factor, as well as an endocytosis regulator.Moreover, NF-kB activation rapidly induces the expression of pro-IL-1b, which is subsequently converted into its active form, IL-1b, by caspase-1 within the inflammasome (45,46).These processes play a pivotal role in DSS-induced colitis.Given that Btbd8 KO leads to enhanced expression of pro-IL-1b in the colon, it is worth to investigate whether Btbd8 is involved in activating NF-kB, and whether Btbd8 regulates the processing of pro-IL-1b by caspase-1 and inflammasomes.Additionally, a low-frequency variant of BTBD8 has been associated with reduced monocyte counts, potentially related to less mature macrophages (41).It implies that the KO of Btbd8 may reduce the number of colonic macrophages, which needs to be validated experimentally.
In summary, our studies revealed the role of Btbd8 in IBD pathogenesis.The reduced susceptibility to DSS-induced colitis in Btbd8 KO mice may attribute to enhanced intestinal barrier function and suppressed inflammation.Thus, Btbd8 might be a potential therapeutic target for IBD treatment.

Data availability statement
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

1 Btbd8
FIGURE 1 Btbd8 KO mice are partially resistant to DSS-induced IBD.(A) Schematic illustration of the construction of Btbd8 KO mice.Two black arrows mark the sgRNA targeting sites.(B) Genotyping of WT, Btbd8 +/-, and Btbd8 -/-mice using F1/R1 and F2/R2 primers indicated in (A).(C) qRT-PCR validates the knockout of Btbd8 (n=5).(D, E) Body weight changes (D) and DAI scores (E) in WT and Btbd8 KO mice with DSS treatment (n=7).(F) Representative images of colon (left panel) and the length of colon (right panel) in WT and Btbd8 KO mice after 7-day DSS treatment (n=10).Scale bar: 0.5 cm.(G) Representative histopathological images of colon tissue sections (left panel) and the histopathological score (right panel) in WT and Btbd8 KO mice after 7-day DSS treatment (n = 10).The lumen of intestine is indicated by L. Magnified images are shown in the right side.Scale bar: 200 mm.Data were presented as means ± SEM. *, p < 0.05; **, p < 0.01; ***, p < 0.001.

2
FIGURE 2 Btbd8 deficiency reduces intestinal permeability, and enhances the expression of tight junctional proteins, ZO-1 and Occludin.(A) Intestinal permeability assay was performed in WT and Btbd8 KO mice on day 0 (Control) and day 2.5 of DSS treatment (n=5-8).(B, C) The expression of ZO-1 (B) and Occludin (C) in isolated WT and Btbd8 KO IECs was analyzed by qRT-PCR (n=5).(D, E) Expression of ZO-1 and Occludin proteins in isolated WT and Btbd8 KO IECs were detected by Western blot.(F) to (I) Immunofluorescence staining of colonic sections from untreated mice and mice with 7-day DSS treatment.(F, H) Representative images of ZO-1 (F) and Occludin (H) staining.The lumen of intestine is indicated by L. Magnified images are shown in the right side.Scale bar: 50 mm.(G, I) Quantification of ZO-1 (G) and Occludin (I) immunofluorescence (n=5).Data were presented as means ± SEM. *, p < 0.05; **, p < 0.01.

3 Btbd8
FIGURE 3 Btbd8 KO enhances ISC activity.(A) Immunohistochemical staining of Ki67 on colonic sections from both WT and Btbd8 KO mice untreated or treated with DSS for 7 days.The lumen of intestine is indicated by L. Scare bar: 50 mm.(B) The number of Ki67 + cells per crypt was counted (n=5).(C) Representative images of primary intestinal organoids derived from WT and Btbd8 KO mice after 5 days of culture.Scare bars: 200 mm.(D) Organoid structural complexity was assessed by the number of crypt domain per organoid (n>160).(E) The size of primary organoid derived from WT and Btbd8 KO mice (n=73).(F) The expression of Lgr5 in isolated WT and Btbd8 KO IECs was analyzed by qRT-PCR (n=5).(G) Colonic sections from WT and Btbd8 KO mice were stained with Lgr5.Lgr5 + cells are marked by asterisks.Scare bar: 10 mm.(H) The number of Lgr5 + cells per crypt was quantified from (G) (n>30).Data were presented as means ± SEM. *, p < 0.05; **, p < 0.01; ***, p < 0.001.

4 Reduced
FIGURE 4 Reduced Occludin internalization, but not enhanced ISC activity, contributes to elevated expression of Occludin in Btbd8 KO mice.(A, B) Immunofluorescence staining of ZO-1 (A) and Occludin (B) in epithelial monolayer derived from WT and Btbd8 KO intestinal organoid.Magnified images of boxed regions are shown below the corresponding original images.Scare bar: 10 mm.(C) Representative TEM images of TJ regions in colonic enterocytes (n=2).The lumen of intestine is indicated by L. Lower panel: magnified images of boxed regions.Scare bar: 500 nm.(D) The number of endocytic vesicles per mm 2 in TJ regions was quantified from the TEM images in (C) (n=21).(E) Representative images of Occludin immunofluorescence staining in colonic crypt epithelium of control and TNF treated WT and Btbd8 KO mice (n=2).The lumen of intestine is indicated by L. Scare bar: 5 mm.(F) The count of Occludin containing vesicles in colonic crypt epithelium of control (n=20) and TNF treated (n=50) WT and Btbd8 KO mice.Data were presented as means ± SEM. *, p < 0.05; ***, p < 0.001.

5 Btbd8
FIGURE 5 Btbd8 deficiency increases the number of goblet cells and Muc2 expression.(A) The expression of Muc2 in isolated WT and Btbd8 KO IECs was analyzed by qRT-PCR (n=5).(B) Representative images of Muc2 immunofluorescence staining in colonic sections from control or DSS-treated WT and Btbd8 KO mice.The lumen of intestine is indicated by L. Scare bar: 200 mm.(C) Quantification of Muc2 immunofluorescence (n=5).(D, E) The expression of goblet cell markers, Klf4 (D) and Tff3 (E), in isolated WT and Btbd8 KO IECs, were assessed by qRT-PCR (n=5).(F) Colonic sections from WT and Btbd8 KO mice were stained with PAS.The lumen of intestine is indicated by L. Scare bar: 50 mm.(G) The number of PAS + goblet cells per crypt was counted (n=6).Data were presented as means ± SEM. *, p < 0.05; **, p < 0.01; ***, p < 0.001.

6
FIGURE 6 Reduced expression of pro-inflammatory cytokines, IL-1b and IL-6, by Btbd8 KO macrophages.(A, B) The expression of IL-1b (A) and IL-6 (B) in colon tissues of control or DSS-treated WT and Btbd8 KO mice (n=5).(C) Expression of IL-pro-1b and IL-6 proteins in colon tissues from DSStreated WT and Btbd8 KO mice were detected by Western blot.(D, E) The expression of IL-1b (D) and IL-6 (E) in WT and Btbd8 KO BMDMs stimulated with PBS or LPS/IFN-g was analyzed by qRT-PCR (n=3).(F) A working model for Btbd8 to regulate IBD pathogenesis.Btbd8 KO promotes the expression of TJ proteins ZO-1 and Occludin, enhances ISC activity, and increases the number of goblet cells and Muc2 secretion, thus improving the intestinal barrier integrity.In addition, loss of Btbd8 reduces the expression of IL-1b and IL-6 by macrophages, hence mitigating inflammation.Collectively, Btbd8 deficiency confers decreased susceptibility to colitis.Data were presented as means ± SEM. *, p < 0.05; **, p < 0.01; ***, p < 0.001.