MicroRNA‐146a‐mediated downregulation of IRAK1 protects mouse and human small intestine against ischemia/reperfusion injury

Abstract Intestinal ischemia/reperfusion (I/R) injury causes inflammation and tissue damage and is associated with high morbidity and mortality. Uncontrolled activation of the innate immune system through toll‐like receptors (Tlr) plays a key role in I/R‐mediated tissue damage but the underlying mechanisms have not been fully resolved. Here, we identify post‐transcriptional upregulation of the essential Tlr signalling molecule interleukin 1 receptor‐associated kinase (Irak) 1 as the causative mechanism for post‐ischemic immune hyper‐responsiveness of intestinal epithelial cells. Increased Irak1 protein levels enhanced epithelial ligand responsiveness, chemokine secretion, apoptosis and mucosal barrier disruption in an experimental intestinal I/R model using wild‐type, Irak1−/− and Tlr4−/− mice and ischemic human intestinal tissue. Irak1 accumulation under hypoxic conditions was associated with reduced K48 ubiquitination and enhanced Senp1‐mediated deSUMOylation of Irak1. Importantly, administration of microRNA (miR)‐146a or induction of miR‐146a by the phytochemical diindolylmethane controlled Irak1 upregulation and prevented immune hyper‐responsiveness in mouse and human tissue. These findings indicate that Irak1 accumulation triggers I/R‐induced epithelial immune hyper‐responsiveness and suggest that the induction of miR‐146a offers a promising strategy to prevent I/R tissue injury.