Spencer, Paige N.; Brown, Monica E.; Smith, Erin P.; Wang, Jiawei; Kim, William; Spiga, Luisella; Tasneem, Naila; Simmons, Alan J.; Kim, Taewoo; Yang, Yilin; Xu, Yanwen; Zheng, Lin; Ro, James; Kaur, Harsimran; Kang, Seung Woo; Helou, Matthew D.; Lee, Mason A.; Arceneaux, Deronisha; Mueller, Katherine D.; Kuddar, Ozge S.; Harned, Mariah H.; Li, Jing; Banerjee, Amrita; Markham, Nicholas O.; Wilson, Keith T.; Coburn, Lori A.; Goettel, Jeremy A.; Liu, Qi; Washington, M. Kay; Valdivia, Raphael H.; Zhu, Wenhan; Lau, Ken S. (2026).聽The Journal of Clinical Investigation, 136(7), 1.聽
This study investigates why聽Crohn鈥檚 disease (CD), a type of inflammatory bowel disease, affects some parts of the gut more than others. The gastrointestinal tract (digestive system) has different structures and functions along its length, but the reasons for聽region-specific inflammation聽are not well understood. Using a mouse model genetically prone to inflammation, the researchers found that a specific bacterium,聽Chlamydia muridarum聽(a mouse equivalent of a human infectious bacterium), can trigger inflammation specifically in the聽upper (ascending) colon, a common site of Crohn鈥檚 disease.
They showed that in genetically susceptible individuals, this bacterium activates certain intestinal cells called聽goblet cells, which normally help produce mucus to protect the gut lining. These cells respond by increasing a metabolic process involving聽tryptophan聽(an amino acid) through an enzyme called聽IDO1 (indoleamine 2,3-dioxygenase 1), which contributes to inflammation. Importantly, the researchers found a similar pattern in humans: patients with active Crohn鈥檚 disease had higher levels of IDO1 in the lining of the ascending colon, but not in another commonly affected region, the聽terminal ileum.
Overall, the study shows how a combination of聽genetic susceptibility and specific microbes聽can drive inflammation in particular regions of the gut. This helps explain why Crohn鈥檚 disease can appear in specific locations and provides a useful model for studying and potentially targeting disease in the ascending colon.

Figure 1. Crohn鈥檚-like disease in the PC is associated with murine housing facility.
(A) Representative H&E-stained intestinal sections from WT (N聽= 3) and聽Tnf螖础搁贰/+聽mice from SPF-B (N聽= 4) and CONV facilities (N聽= 5). WT samples are from the CONV facility, and all mice are age-matched (34鈥�42 weeks). (B) Colitis scores from histopathological analysis of murine colons from聽A. (C听补苍诲听D) Colitis scores by colonic regions of CONV聽Tnf螖础搁贰/+聽mice (N聽= 4 for 12 weeks in聽C;听N聽= 5 for 34鈥�42 weeks in聽D). (E) Representative H&E-stained PC sections from aged (37 weeks) SPF-B mice (N聽= 3 WT,聽N聽= 4聽Tnf螖础搁贰/+) transferred and cohoused/fostered as pups in the CONV facility with a WT or聽Tnf螖础搁贰/+foster dam. (F) Representative H&E-stained PC sections from adult (32鈥�54 weeks) SPF-B mice (N聽= 2 WT,聽N聽= 3聽Tnf螖础搁贰/+) transferred and cohoused in the CONV facility in mixed-sex conditions until experimental collection. All scale bars: 200 渭m. Data are shown as the mean 卤 SEM in quantifications. Statistical significance was determined using an ordinary 1-way ANOVA with Dunnett鈥檚 multiple-comparison test with CONV WT as the control group (B) or using paired 2-tailed聽t聽tests (C听补苍诲听D). *P聽< 0.05, ****P聽< 0.0001.