A critical mediator of gut mucosal protection

Beyond its established functions in inflammation and immune signaling, HMGB1 acts as an important component of mucosal host defense, helping maintain the balance between the gut microbiota and intestinal tissues.
A recent study identifies a previously unrecognized HMGB1–ToH1 molecular feedback loop that directly regulates these interactions. In response to the intestinal microbiota, HMGB1 is released into the colonic mucus, where it recognizes and binds a conserved amino acid sequence termed Target of HMGB1 (ToH1), present in proteins exposed on the bacterial surface.

This interaction triggers several protective mechanisms:

  • Bacterial aggregation: HMGB1 binding promotes bacterial clustering, limiting bacterial access to the intestinal epithelial surface.
  • Inhibition of bacterial adhesion: by interacting with ToH1-containing surface proteins, HMGB1 interferes with bacterial attachment to host tissues and restricts mucosal invasion.
  • Microbial adaptation: commensal bacteria exposed to HMGB1 downregulate the expression of ToH1-bearing adhesins, establishing a feedback mechanism that modifies bacterial adhesive behavior.

These findings expand the biological significance of HMGB1 beyond its well-established role as a damage-associated molecular pattern (DAMP).

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