Eosinophil-derived COX-2 protects against experimental colitis through the PGE <sub>2</sub> –IL-22 axis

Y Yang Yang C Constance L. Atkins (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston) Y Yuanyuan Fan (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston) L Lidan Hou (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston) J Jie Zhao J Junda Gao (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston) Y Yankai Wen (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston) N Nicolas F. Moreno (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston) X Xiangsheng Huang (Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston) F Faraz Bishehsari (Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston) A Agnieszka K. Czopik (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston) S Sean P. Colgan (Mucosal Inflammation Program, Division of Gastroenterology and Hepatology, Department of Medicine, University of Colorado Anschutz Medical Campus) T Tugrul Purnak (Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston) K Keith C. Summa (Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University) Y Yingzi Cong (Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University) E Elizabeth A. Jacobsen (Division of Allergy, Asthma and Clinical Immunology, Mayo Clinic) C Cynthia Ju (Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston)

Abstract

Inflammatory bowel disease (IBD) is driven by a breakdown in immune regulation and epithelial barrier function, yet the contribution of eosinophils to this process has remained poorly defined and controversial. While eosinophils infiltrate the intestinal mucosa during both flares and remission, their role in shaping disease outcomes is unclear. Our RNA-seq analyses of colonic eosinophils isolated from dextran sulfate sodium (DSS)-treated mice revealed a significant upregulation of cyclooxygenase (COX)-2 (gene name, Ptgs2 ). Eosinophil-specific deletion of COX-2 (Ptgs2 fl/fl eoCre +/− ) reduced IL-22 production and exacerbated DSS- and trinitrobenzene sulfonic acid (TNBS)-induced colitis, characterized by greater weight loss, higher disease activity, colon shortening, and epithelial injury. Administration of recombinant IL-22 reversed these phenotypes. Mechanistically, eosinophil-derived COX-2 enhanced IL-22 production by type 3 Innate lymphoid cells (ILC3s) through prostaglandin E2 (PGE 2 ) signaling. Consistently, Ptgs2 fl/fl eoCre +/− mice exhibited reduced colonic PGE 2 levels, while PGE 2 analog treatment restored IL-22 production and mucosal protection. Our findings identify eosinophil-derived COX-2 and PGE 2 as a critical regulator of IL-22 production during colitis, uncovering a eosinophil–ILC3 cross talk that safeguards the intestinal barrier and represents a promising therapeutic target in IBD.

Article Details

Volume / Issue Vol. 123, Issue 19
Published May 12, 2026
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (17)

Y

Yang Yang

C

Constance L. Atkins

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston

Y

Yuanyuan Fan

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston

L

Lidan Hou

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston

J

Jie Zhao

J

Junda Gao

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston

Y

Yankai Wen

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston

N

Nicolas F. Moreno

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston

X

Xiangsheng Huang

Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston

F

Faraz Bishehsari

Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston

A

Agnieszka K. Czopik

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston

S

Sean P. Colgan

Mucosal Inflammation Program, Division of Gastroenterology and Hepatology, Department of Medicine, University of Colorado Anschutz Medical Campus

T

Tugrul Purnak

Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston

K

Keith C. Summa

Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University

Y

Yingzi Cong

Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University

E

Elizabeth A. Jacobsen

Division of Allergy, Asthma and Clinical Immunology, Mayo Clinic

C

Cynthia Ju

Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston