Hydrogen sulfide preserves intestinal barrier repair function through sulfhydration of RPS20 in experimental colitis

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Abstract Patients with ulcerative colitis (UC) have a significantly impaired intestinal barrier. Hydrogen Sulfide (H2S) is a gaseous mediator that makes notable contributions in a variety of diseases, such as reducing inflammatory response in colitis. The experimental content includes the establishment of a mouse DSS-induced colitis model, mouse colon epithelial organoids culture, H&E staining and mass spectrometry analysis. We recognized that exogenous H2S donor-GYY4137 significantly alleviated the symptoms in UC mice models and maintained Minichromosome Maintenance Complex Component 2 (MCM2) expression. CBS knockdown reduced the expression of sulfhydrated Ribosomal protein S20 (RPS20-ssh) and MCM2 in the mouse colon. Cell experiments indicated that the expression of RPS20-ssh, rather than total expression of RPS20, is responsible. Our investigation indicated that CBS-H2S axis increases the sulfhydration level of RPS20, leading to enhanced binding between RPS20 and MCM2 mRNA, thereby promoting intestinal epithelial proliferation. This may provide a new potential therapy for the clinical treatment of colitis.
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Hydrogen Sulfide (H 2 S) is a gaseous mediator that makes notable contributions in a variety of diseases, such as reducing inflammatory response in colitis. The experimental content includes the establishment of a mouse DSS-induced colitis model, mouse colon epithelial organoids culture, H&E staining and mass spectrometry analysis. We recognized that exogenous H 2 S donor-GYY4137 significantly alleviated the symptoms in UC mice models and maintained Minichromosome Maintenance Complex Component 2 (MCM2) expression. CBS knockdown reduced the expression of sulfhydrated Ribosomal protein S20 (RPS20-ssh) and MCM2 in the mouse colon. Cell experiments indicated that the expression of RPS20-ssh, rather than total expression of RPS20, is responsible. Our investigation indicated that CBS-H 2 S axis increases the sulfhydration level of RPS20, leading to enhanced binding between RPS20 and MCM2 mRNA, thereby promoting intestinal epithelial proliferation. This may provide a new potential therapy for the clinical treatment of colitis. Biological sciences/Cell biology Biological sciences/Cell biology/Cell death H2S Intestinal barrier IBD Ulcerative colitis MCM2 Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 1. Introduction Intestinal barrier plays a crucial role in separating the intestinal lumen from the internal milieu, which maintains mucosal homeostasis and immune balance 1,2 . Intestinal barrier is composed of three interdependent layers including the luminal mucus layer, the intestinal epithelial layer, and a third layer composed of the mucosal immune system 3 . During the development of colitis, intestinal barrier undergoes damage, leading to a substantial increase in intestinal permeability 4 . Thus, the exploration of protective agents targeting intestinal barrier dysfunction may offer innovative therapeutic strategies for colitis. Similar to nitric oxide and carbon monoxide, H 2 S is a diffuse gas transmitter in the human body, primarily synthesized during cysteine metabolism and excreted by the kidneys as urinary sulfates 5,6 . Endogenous H 2 S is mainly produced by the conversion of cysteine by Cystathionine β-synthase (CBS), cystathionine γ-lyase (CSE) and 3-mercaptopyruvate sulfotransferase (3-MST), while CBS is significantly reduced in intestinal tissues of human ulcerative colitis 7,8 . H 2 S has a protective effect on a variety of diseases, such as digestive system diseases, circulatory system diseases, nervous system diseases, etc. 8–11 . H 2 S safeguards endothelial cell functionality and retards the progression of atherosclerosis through sulfhydrating RNA-binding protein Human Antigen R (HuR) 11 . In gastrointestinal tissues, H 2 S exhibits antioxidant properties, with glutathione playing a pivotal role in cellular ROS clearance. Research indicates that H 2 S can elevate glutathione levels in the gastric mucosa, thus effectively reducing ROS levels 12 . Cumulative studies, including our prior researches, have demonstrated an association between diminished synthesis of H 2 S primarily from CBS and various gastrointestinal diseases, such as UC 8,10 . Additionally, the beneficial effects of H 2 S on intestinal barrier function have been linked to the inhibition of NLRP-3 inflammasome activation and NF-kB-mediated MLCK signaling 8 . However, in addition to its anti-inflammatory effects, whether H 2 S contributes to maintaining intestinal epithelial repair function hence protecting the intestinal barrier in colitis remains to be illustrated. MCM2 is closely associated with cell proliferation, cell cycle, DNA damage repair and drug resistance 13 . In hepatocellular carcinoma (HCC) cells, MCM2 enhances stemness by influencing the Hippo signaling pathway, while its downregulation inhibits resistance to sorafenib 14,15 . At the same time, MCM2 can cooperate with ESRG to inhibit the p53 pathway, thereby supporting cell survival and self-renewal, or pluripotency of pluripotent stem cells 16 . The expression of MCM2 is subject to various regulatory factors. Given that MCM2 serves as a determinant factor in cell proliferation ability, and considering the significantly reduced CBS expression in UC colon tissue 8 , we hypothesized that the CBS-H 2 S axis could regulate MCM2 expression, thereby modulating cell proliferation in the intestinal epithelium and promoting the repair of damaged intestinal tissue. In this study, a 3.5% DSS solution was used to induce experimental UC model in mice. Compared with wild-type (WT) mice, CBS+/- heterozygous mice exhibited more severe colitis, increased intestinal permeability, and a significant reduction in intestinal epithelial repair function. The sulfhydration level of RPS20 was found to be decreased in CBS+/- mice, accompanied by a reduction in MCM2 expression. In order to investigate the mechanism of H 2 S regulating MCM2 expression, we conducted in vitro experiments using Caco-2 cells. After knocking out CBS, we observed decreases in cell proliferation ability, MCM2 expression level, and, significantly, the sulfhydration level of RPS20. In summary, our results indicated that endogenous H 2 S, primarily derived from CBS, plays a crucial role in preserving the integrity of intestinal barrier function and facilitating post-injury repair of intestinal epithelium in UC. The maintenance of RPS20-MCM2 axis might be the potential molecular mechanism, by which H 2 S maintains cell proliferation in intestinal epithelium and other tissues. 2. Materials and methods 2.1. Mice C57BL/6N wild-type (WT) mice were bred in the Animal Center of Peking University First Hospital. The mouse CBS gene (GenBank accession number: NM_144855.3; Ensembl: ENSMUSG00000024039) is located on mouse chromosome 17, and exon 3 to exon 14 was selected as target site for knockout. Cas9 mRNA and gRNA generated by in vitro transcription were injected into fertilized eggs to produce knockout mice. All mouse experiments were approved by the Animal Ethics Committee of Peking University First Hospital (No. J2022082) and we confirmed the study is reported in accordance with ARRIVE guidelines ( https://arriveguidelines.org ). Genotype identification was performed by PCR using tail genomic DNA, and the primer sequences were as follows: mouse CBS-F: 5’-AGGGAGAAGTTACATCATGCCTTGG-3’, mouse CBS-R: 5’-AGTATCCAGG GCTTGACATCCTTA-3’, and mouse CBS-WT/He-F: 5’-CTGATGCGGTTTCCTAGCAACAG-3’. The size of the PCR products was 1,055 bp for WT mice, and 1,055 bp and 810 bp for CBS+/- mice (Fig. S1 A). All CBS+/- male mice were fed for 6 weeks after birth. 2.2. Animal Treatment The ulcerative colitis mice model was induced by voluntary ingestion of 3.5% DSS in water (PM, America). 30 WT and 30 CBS+/- mice were randomly grouped into Control, DSS and DSS + GYY4137(a novel water-soluble, H 2 S-releasing molecule). Control mice were treated with water at baseline and injected intraperitoneally with 100 µl/10 g PBS every day from day 1 to 7. Mice in the DSS group were injected intraperitoneally with 100 µl/10 g PBS every day from day 1 to 7, and orally administered 3.5% DSS every day from day 0 to 7. Mice in the DSS + GYY4137 group were injected with 500 µg/10 g GYY4137 (Sigma Aldrich, America) in PBS every day from day 1 to 7, and orally administered 3.5% DSS every day from day 0 to 7. After 7 days of treatment, all mice were euthanized with intraperitoneal injection of pentobarbital sodium (200 mg/kg). Using the same treatment method, mice were served with normal water from the eighth day, until being euthanized after 21 days of treatment. 2.3. DAI score evaluation Disease activity index (DAI) scoring system was used to assess the clinical conditions of mice in each group (10 per group), and the scoring method is shown in Table 1 . Three independent researchers performed blind scoring work including weight loss, stool consistency and fecal occult blood 17 . 2.4. Paracellular permeability detection of mice intestine Mice intestinal permeability was detected as mentioned previously 18 . On the seventh day of the animal experiment, FD-4 (150 g/L, Sigma, America) was administered to mice by gavage at a dose of 40 µl/10 g body weight. 4 h after FD-4 gavage, we collected the blood samples and detected the serum fluorescence level using Synergy H2 microplate reader (Biotek Instruments, America) with 492 nm excitation and 520 nm emission filter. 2.5. Histological assessment of colon epithelium The proximal colons of all groups of mice in day 7 and day 21 were excised and embedded with paraffin. Sections and hematoxylin and eosin (H&E) stain were performed on day 7. Images were obtained, at least six imaged per slide, using Zeiss imaging optical microscopes with magnifications of 40x, 100x, and 400x. The extent of histopathological alterations was assessed by three pathologists who were unaware of grouping and grading based on the scoring method previously mentioned. Sections were graded according to inflammation severity, degree, crypt damage scores were calculated by multiplying the scores of each sections by their percentage of involvement, with a minimum score of 0 and a maximum score of 40: cellular infiltration (0–5), deterioration of crypt structure (crypt damage, 0–4), degree of mucosal ulceration (0–3), and presence of submucosal edema (0 and 1) 19 . Three doctors who were blinded to the groups were selected and histopathological scores were assessed by three clinical doctors. Masson staining was performed on tissues after 21 days, followed by measuring the thickness of fibrosis 20 . 2.6. Organoid culture For isolation and establishment of primary colon organoids, colon was minced and incubated in DMEM-F12 Advance (Thermo, America), 5 mg/mL Collagenase II, 1.25 mg/mL Dispase, 2.5% FBS, 100× HEPES Buffer (Thermo, America), 100x Glutamax (Thermo, America) and 100 ng/mL Primocin (Invivogen, America) on a rocker (Miltenyi, America) at 37°C for 2–3 h. The sample was collected in DMEM-F12 Advance, 10% FBS, 100x HEPES Buffer, 100x Glutamax and 100 ng/mL Primocin, passed through a cell strainer filter and centrifuged at 850 rpm for 7 min at 4°C. Then, 10 µL of 10 mg/mL DNase I were added and incubated at 37°C for 5 min. Finally, the sample was resuspended in 100% Matrigel (8 mg/mL, Corning), plated in a pre-warmed 24-wells plate, and placed in the incubator at 37°C for 30 min. When the Matrigel solidified, 500 µL of Complete Feeding Medium (Advanced DMEM-F12, 100xHEPES Buffer, 100x Glutamax, 100 ng Primocin, 20% R-Spondin conditioned medium, 500 nM A83-01 (Sigma, America), 50 ng/mL hEGF (Preprotech), 100 ng/mL mNoggin (Preprotech), 100 ng/mL hFGF10 (Preprotech), 10 nM Gastrin I (TOCRIS), 3 µM SB202190 (Stem cell, America), 10 nM Prostaglandin E2 (TOCRIS), 1.25 mM N-acetylcysteine (Sigma, America), 10 mM Nicotinammide (Sigma), 1X B-27 Supplement (Thermo)) supplemented with 10.5 mM Y-27632 (Rho Kinase inhibitor) was added to the top of the Matrigel and the 24 well-plates placed in the incubator. To split the primary colon organoids, droplets were broken by adding 1mL of ice-cold Splitting Media (Advanced DMEM-F12, 100x HEPES Buffer, 100x Glutamax, 100 ng/mL Primocin) and pipetting up and down. Organoids were collected in a tube, centrifuged at 1200rpm for 5–10 min at 4°C, and the medium was removed. Organoids were broken up with a fire-polished pipette, centrifuged at 1200 rpm for 5–10 min at 4°C, followed by mixing the pellet with Matrigel and plating in 50 µl droplets each 24-platewell. After solidification, 500 µl Complete Feeding Media (DMEM-F12 Advance, 100x HEPES Buffer, 100x Glutamax, 125 µg/mL Primocin, 20% R-Spondin conditioned medium, 500 nM A83-01, 50 ng/mL hEGF, 100 ng/mL mNoggin, 100 ng/mL hFGF10, 10 nM Gastrin I, 3 µM SB202190, 10 nM ProstaglandinE2, 1.25 mM N-acetylcysteine, 10 mM Nicotinammide, 1X B-27 Supplement) was added. Organoids were cryopreserved in Recovery Cell Culture Freezing Medium (Thermo Fisher, America) as master and working biobanks. 2.7. Cell culture Human colonic cell Caco-2 was acquired from the American Type Culture Collection (American, catalogue number: TCHu146). Caco-2 was cultured in DMEM High Glucose (Sigma, USA), supplemented with fetal bovine serum (10% v/v) (Sigma, USA), penicillin (50 U/ml) and streptomycin (50 U/ml). Incubation was in an environment of 37℃ and 5% CO2. 2.8. Real-time quantitative polymerase chain reaction (RT-qPCR) TRIzol one step method (Applygen, China) was used to extract total RNA of Caco-2 cells, and Revert Aid First Strand cDNA Synthesis Kit (Thermo Fisher, America) was selected to reverse transcribe RNA into cDNA. We used Power Up SYBR Green Master Mix (Lablead, China) to conduct RT-qPCR. The primer sequences were as follows: Human MCM2-F: 5’- ATGGCGGAATCATCGGAATCC − 3’, Human MCM2-R: 5’- GGTGAGGGCATCAGTACGC − 3’, Human GAPDH-F: 5’- GGAGCGAGATCCCTCCAAAAT − 3’, Human GAPDH-R: 5’- GGCTGTTGTCATACTTCTCATGG − 3’. GAPDH was used as the internal standard, RT-qPCR reaction was repeated for three times for each sample to ensure experimental repeatability 2.9. Western blot analysis A method described previously was used to extract total proteins of caco-2 cells and mouse colon tissue 8 . We collected the mucosa of the first 2 cm colon or Caco-2 cells and acquired the total protein as previously mentioned 21 . BCA assay (Lablead, China) was used to detect the protein concentration, and the extracts containing same amount of protein (15–30 µg) were transfered onto 4%-12% polyacrylamide gel for cataphoresis. Isolated protein was then transferred onto the PVDF membrane, which was non-specifically bound (5% bovine serum albumin in TBS-Tween 20 buffer), for 1 h at room temperature. 0.1% rabbit anti-CBS monoclonal antibody (CST, America), 0.1% rabbit anti-RPS20 monoclonal antibody (Proteintech, China), 0.1% rabbit anti-MCM2 monoclonal antibody (CST, America), 0.1% rabbit anti-GAPDH antibody (CST, America), and 0.1% rabbit anti-GAPDH monoclonal antibody (CST, America) were used to incubate the membrane for one night at 4℃. Afterwards, we used the secondary antibody to incubate the membrane for 1 h at room temperature, and finally used ECL detection reagent to perform the blots (Lablead, China). 2.10. Cell counting kit-8 assay Cells were seeded into 96-well plates (5,000 cells/well). Cell viability was measured using Cell Counting Kit (CCK)-8 assay kits (Lablead, China) in accordance with the manufacturer’s instructions. The optical density (OD at 450 nm) was measured using a microplate reader. 2.11. Biotin switch assay of sulfhydration With reference to the method previously described, a modified biotin switch assay was used to detect the level of sulfhydration 22 . Briefly, HEN buffer (HEPES-NaOH pH 7.7 250 mM) with neocuproine (0.1 mM), EDTA (1 mM)) with protease/phosphatase inhibitors, 1% Nonidet-P40 (NP-40), and 150 l M deferoxamine were utilized to homogenize the cells or tissue samples. The homogenized samples were sonicated and centrifuged at 13,000g at 4 ℃ for 20 min, then we added HEN buffer with 20 mM methyl thiosulfonate (MMTS) and 2.5% SDS to the lysate and shook for 30 min at 50 ℃. Acetone was added afterwards to remove MMTS. Meanwhile, we precipitated the protein for 1 h at 20 ℃. HEN buffer with 4 mM biotin-HPDP and 1% SDS was used to resuspend the pellets. After incubating at 25 ℃ for 3 h, acetone was used to purify the protein. In the end, we dissolved the protein in solution buffer and purified it with streptavidin-agarose beads, the sulfhydrated protein was examined by Western blot. Negative controls were from cells treated by dithiothreitol (DTT) (1 mmol/L) 2.12. CRISPR/Cas9 mediated knockout of CBS in cells The CRISPR/Cas9 system was used to achieve stable knockout of the CBS gene in Caco-2 cells. In short, the interference target sgRNA was designed according to the sequence of the CBS gene as follows: CTGATGAGATCCTGCAGCAG. We phosphorylated, annealed, and cloned the guide oligonucleotide into the BsmBI site of the pHBLV-U6-gRNA-EF1-CAS9-PURO vector (Hanheng Biotechnology, China), and then verified the constructed vector by sequencing. The transferred plasmid with the guide oligonucleotide was then transformed into E. coli DH5a, and was isolated from the bacteria using a plasmid DNA purification kit (Tiangen, China). The transferable lenti-CAS-puro plasmid, packaging plasmids psPAX2 and pMD2G (Hanheng Biotechnology, China) were transfected into 293 T cells to produce lentivirus. 48 and 72 hours after transfection, the virus-containing supernatant was collected and then used to transfect Caco-2 cells. After 24 h of infection, the medium in each plate was replaced with fresh medium containing puromycin (30 mg/L) for 24 h, and then with fresh medium for 24 h. Three times of repetition were done. Finally, puromycin-resistant Caco-2 cells were collected and western blot was used to detect the CBS knockout efficiency. Transcriptome sequencing was performed after cells were collected, and the sequencing data has been uploaded to NCBI database (GEO: GSE276745). 2.13. Plasmid transfection Plasmids pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro-RPS20 WT (RPS20 WT ), pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro-RPS20 C36A (RPS20 C36A ) and pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro-RPS20 C70A (RPS20 C70A ) were purchased from Mailgene Corporation (Beijing, China). DNA sequencing was used to confirm that Cys36 and Cys70 were successfully point-mutated to alanine. The relevant plasmids were transfected into Caco-2 WT cells using Lipofectamine 3000 (Lablead, China) according to Mailgene's recommendation. After 24 h of transfection, the medium containing plasmids was replaced with fresh medium for 2-3days. Cells transfected with empty plasmid pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro (Vector) were used as negative controls. 2.14. ActD chase assay For ActD (MCE, USA) tracking assay, we treated Caco-2 WT, RPS20 C36A and RPS20 C70A cells with ActD alone (10 lg/ml) or with GYY4137 (50 µM) in serum-free medium. We collected cells every hour for 6 hours and detected MCM2 mRNA expression using RT-qPCR. The MCM2 mRNA expression corresponding to different time points were calculated as the fold change relative to baseline. 2.15. Statistical analysis One-way ANOVA and two-tailed Student’s t-test (unpaired) were used to analyze the differences in mean values among groups (GraphPad Prism version 8.0 for Windows, GraphPad Software, America). P value < 0.05 was considered statistically significant, and all results were expressed as mean ± SD. All experiments were repeated for at least three times to ensure repeatability, and standard deviations were shown by error bars. * P < 0.05, ** P < 0.01, vs control group. # P < 0.05, ## P < 0.01, vs DSS group. △ P < 0.05, △△ P < 0.01, WT vs CBS+/- or CBS KO group. 3. Results 3.1. H 2 S mitigated clinical symptoms and preserved survival rates in experimental colitis. Verifying the knockdown of the CBS gene, western blot analysis showed a decrease in CBS expression in CBS+/- mice colon compared to WT (wild type) mice (Fig. 1 A, B; SI, Fig. S2 A). During the establishment of the UC model, mice were provided with 3.5% DSS in drinking water for 7 days, followed by regular water for 14 days (Fig. 1 C). Compared with the Control group, the survival rate of DSS group mice was reduced, and the CBS+/- mice showed an even significant decrease of survival rate. GYY4137 improved the survival rate of both WT and CBS+/- mice after DSS induction (Fig. 1 D, E). Meanwhile, the weight of WT mice was significantly decreased at day 6–21 and at day 4–21 in CBS+/- mice after DSS induction. Intraperitoneal injection of GYY4137 could significantly eased the weight loss from day 6–12 in WT mice and from day 6–17 in CBS+/- mice after DSS induction (Fig. 1 F, G). Compared to WT mice, CBS+/- mice showed a more significant decreased of weight from day 12–17 in DSS group (Fig. 1 H), but there was no significant weight difference between WT and CBS+/- mice in DSS + GYY4137 group (Fig. 1 I). To further explore the effect of CBS-H 2 S axis in UC, DAI score was used. In DSS group during day 1–21, compared to the control group, DAI was continuously increased through day 4–16 for WT mice and through day 4–18 for CBS+/- mice. The DAI score of DSS + GYY4137 group was lower than DSS group at day 4–14 in WT mice and at day 5–7, day 9 and day 13–15 in CBS+/- mice, which indicated that GYY4137 can lessen the increase of DAI score in mice after DSS induction (Fig. 1 J, K). Together, these results indicated that H 2 S alleviated the damage induced by DSS, and CBS gene knockdown aggravated intestinal injury in UC mice model. 3.2. H 2 S improved the pathological changes of colon epithelium in colitis induced by DSS To evaluate the histological injuries in intestinal epithelium, H&E staining of mouse colon Swiss roll and FD-4 flux assays were utilized to evaluate the damage on colon barrier. The H&E staining of colon epithelium in control group showed no inflammation and crypt damage, and after 7 days of DSS treatment, significant inflammation and crypt damage were observed in the colon. However, GYY4137 attenuated the damage to colon epithelium caused by DSS (Fig. 2 A, B). Inflammation score was used to assess the damage of intestinal epithelium in each group (Fig. 2 C-F). The results indicated that compared with control mice, DSS treatment aggravated the intestinal inflammation score in mice colon epithelium, and GYY4137 reduced the intestinal epithelium injury after DSS treatment (Fig. 2 C, D). Compared to WT mice, the intestinal inflammation score was higher in CBS+/- mice in DSS group and DSS + GYY4137 group (Fig. 2 E, F). CBS+/- mice, compared to WT mice, showed a higher FD-4 serum concentration after 7 days in DSS group. Meanwhile, compared to DSS group, the concentration of FD-4 in the DSS + GYY4137 group mice was significantly reduced. In both the DSS group and the DSS + GYY4137 group, CBS+/- mice displayed higher intestinal epithelial permeability compared with WT mice (Fig. 2 G). Compared with WT mice, CBS+/- mice colon showed more severe intestinal fibrosis after treated with DSS, and administration of GYY4137 alleviated fibrosis (Fig. 2 H, I). These results suggested that H 2 S mitigated the damage induced by DSS, and CBS-H 2 S axis maintains intestinal barrier integrity and permeability disruption in UC mouse models. 3.3. H 2 S sustained colonic epithelial repair function in DSS induced colitis Ki67 immunohistochemical staining of colon tissue and colon length at day 7 were used as the proliferation index to evaluate colon repair. In control group, statistics showed that CBS knockdown did not significantly shorten the colon length of normally growing mice. Both WT and CBS+/- mice in the DSS group showed significant colon shortening, and the colon length of CBS+/- mice was significantly lower than WT group in DSS group. Administration of GYY4137 significantly reduced colon shortening, but there was no length difference between WT and CBS+/- mice in DSS + GYY4137 group (Fig. 2 J, K). Lower colon tissue Ki67 IHC staining showed that Ki67 in the colonic epithelium was lower in CBS+/- mice than that in WT mice (Fig. 2 L, M). These results revealed that CBS-H 2 S axis maintained colon epithelial repair and proliferation after damages. 3.4. CBS-H 2 S-axis maintained the growth and proliferation of colon organoids To further investigate the effect of H 2 S on the proliferation in mouse colon epithelium, colon organoids were cultured. Intestinal epithelial cells from WT and CBS+/- mice colon were selected to cultured colon organoids form day 0–10, and epithelial cells started to form organoids at day 2 (Fig. 3 A, B). Colon organoids began to sprout on day 4 in WT group (Fig. 3 A), and on day 6 in CBS+/- group (Fig. 3 B). The number of organoids reached its maximum on day 8 and began to perish thereafter. At day 6 and 8, the total number of organoids in the WT group was significantly higher than that in CBS+/- group, but there was no significant difference statistically in the number of organoids at day 2, 4, 10 (Fig. 3 C). Budding of organoids was regarded as an indicator of stemness, the number of total budding organoids reached its maximum at day 10, and the total number of budding organoids in the WT group was higher than that in the CBS+/- group at day 8. However, there was no statistical difference in the number of organoids at day 2, 4, 6, 10 (Fig. 3 D). The number of single budding organoids in the WT group was significantly higher than that in the CBS+/- group on day 8, but there was no statistically difference in the number of single organoids at day 2, 4, 6, 10 (Fig. 3 E). The number of multiple budding organoids was also higher in the WT group at day 8 and 10 (Fig. 3 F), as well as its percentage (Fig. 3 G, H). Cyst-like organoid is the indicator of defect, while a higher proportion and quantity of defective organoids indicate poor growth status. The number of normal organoids in the WT group was significantly higher than that in the CBS group at day 6, 8, 10(Fig. 3 G-K), and there was no statistical difference in the number of normal organoid at day 2, 4 (Fig. 3 G, H, K). The number of defective organoids in the WT group was significantly higher than that in the CBS+/- group at day 10, and there were no statistical differences in the number of defective organoids at day 2, 4, 6, 8 (Fig. 3 G, H, L). The result of FD-4 fluxes of WT and CBS+/- organoids at day 10 indicated H 2 S maintained permeability of organoids (Fig. 3 M). These results illustrated that CBS-H 2 S axis maintained the growth and permeability integrity of colon epithelial organoid in mice. 3.4. H 2 S maintained MCM2 expression by sulfhydrating RBPs To investigate the effect of H 2 S on cells proliferation related pathways, Caco-2 CBS KO cells and Caco-2 WT cell were used for transcriptome sequencing. To verify the knockout of the CBS gene, western blot was performed with images showing a decrease in CBS expression in Caco-2 CBS KO cells compared with Caco-2 WT cells (Fig. 4 A, B; SI, Fig. S2 B). The KEGG enrichment pathway of transcriptome sequencing results exhibited significant differences in DNA replication pathways (Fig. 4 C). GSEA indicated that CBS KO decreased the expression of MCM2 (Fig. 4 D). MCM2 expression was significantly lower in the colon of CBS+/- mice than WT mice after treatment of DSS (SI, Fig. S1 B). Western blot also showed a decrease in MCM2 expression in Caco-2 CBS KO cells (Fig. 4 E, F; SI, Fig. S2 C). Studies have proven that MCM2 is closely related to the proliferation and growth of tumor cells and normal cells 13,14,16 , and the stability of mRNA is closely related to RNA-binding proteins. Based on the findings above, we hypothesized that H 2 S affects the expression of MCM2 mRNA by changing the sulfhydration level of RNA-binding protein of MCM2 mRNA. To confirm this hypothesis, mass spectrometry was employed to determine differences in protein sulfhydration levels in Caco-2 WT cells and Caco-2 CBS KO cells with or without GYY4137(Fig. 4 G). At the same time, the catRAPID database was used as reference to predict the RNA-binding protein (RBPs) of MCM2 mRNA ( http://s.tartaglialab.com/page/catrapid_group ). Compared with Caco-2 WT cells, MCM2 RBPs’ sulfhydration levels of RPS20 was found to be reduced by over 50% after CBS KO, and restored to over 100% after the addition of GYY4137 (Fig. 4 H). These results indicated that sulfhydration level of MCM2 RBP mediated by H 2 S may affects the expression level of MCM2. 3.6. H 2 S improved the expression of MCM2 by sulfhydration of RPS20 Western blotting showed no difference of RPS20 expression in mice colon among Control, DSS and DSS + GYY4137 group, but level of sulfhydrated RPS20 significantly depressed in DSS group and the level of RPS20-ssh significantly recovered after intraperitoneal injection of GYY4137. However, MCM2 expression in sulfhydrated RPS20 protein showed no significant difference between WT and CBS+/- mice (Fig. 5 A-E; SI, Fig. S3A, B). To verify the effect of CBS KO on cell growth, CCK-8 was utilized to evaluate cell viability, and the results showed that at 24, 48, 72 hours, the proliferation level of Caco-2 CBS KO cells was significantly lower than that of the Caco-2 WT cells. When Caco-2 CBS KO cells were cultured in medium containing GYY4137, the proliferation status significantly improved at 48 and 72 hours (Fig. 5 F). The result of Western blot showed a greater decrease in RPS20-ssh expression in Caco-2 CBS KO cells compared with Caco-2 WT cells, and the expression of RPS20-ssh level was recovered with the addition of GYY4137 (Fig. 5 G, H; SI, Fig. S2 D). Protein sequence of RPS20 was obtained from NCBI, and shown that RPS20 has two cysteine sites, Cys36 and Cys70. In order to further investigate the maintenance effect of sulfhydrated RPS20 on the expression of MCM2, and to clarify the cysteine site of H 2 S in RPS20, empty plasmid (Vector), plasmids expressing RPS20 (RPS20 WT ), plasmid with RPS20 Cys36 single-point mutation to alanine (RPS20 C36A ) and plasmid with RPS20 Cys70 single-point mutation to alanine (RPS20 C70A ) were transfected into Caco-2 WT cells. Western blotting images of Caco-2 cells demonstrated that the overexpression of RPS20 WT , RPS20 C36A and RPS20 C70A increased the expression of RPS20. However, overexpression of RPS20 C70A did not increase the expression of RPS20-ssh, and GYY4137 failed to improve the expression of MCM2 transfected with RPS20 C70A . GYY4137 also failed to sulfhydrate RPS20 expressed in Caco-2 cells overexpression with RPS20 C70A (Fig. 5 I-K; SI, Fig. S3C, D). These results revealed that H 2 S maintains MCM2 expression by sulfhydrating the RPS20 Cyst70 site to support cell proliferation. ActD tracking assay was performed to further explore MCM2 mRNA stability in Caco-2 cells. The assay showed that after treated with ActD alone in WT cells, the half-life of MCM2 mRNA was approximately 1.6 h, and with the addition of GYY4137, the half-life became approximately 3.4 h. In the RPS20 C36A group, the half-life was approximately 1.7 h, and became approximately 3.6 hours after GYY4137 added. In the RPS20 C70A cells, the half-life was approximately 1.8 h, and 2.5 hours after GYY4137 added (Fig. 5 L). ActD tracking assay further showed that H 2 S acts on the RPS20 Cys70 site to maintain the stability of MCM2 mRNA. These results suggested that H 2 S-mediated sulfhydration of RPS20 might be the mechanism of how CBS-H 2 S axis maintains intestinal epithelial cell proliferation in DSS-induced colitis. 4. Discussions As the primary guardian of internal environment stability, the intestinal barrier has evolved into a multilayered system, serving as both a physical and a functional barrier against the ingress of harmful substances into the body. Increased intestinal epithelial permeability caused by intestinal barrier damage is related to the occurrence and development of various diseases, such as colitis, bacterial translocation, systemic inflammatory response syndrome and so on 23 . During colitis, a large amount of toxic substances or bacteria in the intestine enter the internal environment, which further aggravates the destruction of the intestinal barrier and delays the repair of intestinal epithelium 24 . Identifying protective agents for intestinal barrier proliferation and promoting intestinal epithelial repair may provide potential methods for the treatment of colitis. H 2 S plays a pivotal role in the pathogenesis of numerous diseases, spanning inflammatory conditions to cancers 25,26 . The supportive effect of exogenous H 2 S on cell proliferation ability has been verified 27,28 . The protective effect of exogenous H 2 S on the intestinal barrier has been reported, but excessively high concentration of H 2 S has brought adverse effects, such as inhibiting intestinal epithelial cell proliferation through cell cycle arrest 12,29–32 . Our previous study found that CBS expression was decreased in UC lesion sites, indicating that CBS knockdown amplified TNF-α/IFN-γ-induced barrier damage in Caco-2 monolayers, and H 2 S inhibits COX-2 expression by sulfhydrating HuR, protecting the integrity of intestinal barrier function and inhibiting intestinal inflammation 10,33 . However, the effect of CBS-H 2 S axis on intestinal barrier repair in UC and its underlying mechanism remain to be explored. In this study, experimental colitis was induced by 3.5% DSS in WT and CBS+/- mice. The results indicated that after the treatment of DSS, the body weight of CBS+/- mice decreased faster compared with WT mice and the recovered slower. WT mice had significantly lower increases in DAI scores than CBS+/- mice, and the DAI score during the recovery period was significantly faster than that of CBS+/- mice. Histological evaluation of the colon demonstrated increased disruption of intestinal epithelial tissue in CBS knockdown mice. A more significant increase in intestinal permeability was also noted, together with a significantly higher degree of fibrosis in the colon epithelium. Intraperitoneal injection of GYY4137 could significantly reduce the degree of fibrosis. At the same time, the colon length of CBS knockdown mice was shorter than that of WT mice after DSS treatment, and GYY4137 alleviated colon shortening. Compared with WT mice, the proliferation ability of colonic epithelium in CBS+/- mouse colitis model was significantly reduced. Organoid technology can effectively expand intestinal epithelial tissue in vitro, and organoids can be used to replace native colon epithelium to produce functional intestinal crypt 34 . In our study, mouse colon epithelial cells were used to culture organoids. The results indicated that the overall number of organoids, single budding organoids and multiple budding organoids in the WT group during the growth process were significantly higher than those of the organoids in the CBS+/- group. The study also figured that in the CBS+/- group, the percentage of Cyst-like Organoids was significantly higher than that in the WT group. Meanwhile, the permeability to FD-4 of organoids in the CBS+/- group was significantly higher than that of the WT group. Animal experiments and organoid results indicated that the CBS-H 2 S axis protects intestinal barrier and maintains intestinal epithelial growth and proliferation. Given the above results, we set out to study the mechanism by which H 2 S maintains intestinal epithelial proliferation in UC. RNA-binding proteins (RBPs) are key trans factors associated with specific cis elements present in mRNAs and regulate their stability and translation 35,36 . Previous studies conducted by our research group have demonstrated that H 2 S can increase sulfhydrated HuR, leading to the degradation of COX-2 mRNA and, consequently, a reduction in inflammation 10 . Ribosomal protein S20 (RPS20) is a member of the S10P family of ribosomal proteins, and its main function lies in the regulation of ribosomal RNA processing 37 . Unlike other RPs, which are usually found in the nucleus 38–40 , RPS20 is primarily located in the cytoplasm 41 . RPS20 is involved in the occurrence and development of various tumors 37,42 . Recent studies have shown that RPS20 is also involved in non-ribosomal regulation, and also in the regulation of p53-mouse double minute 2 homologous signaling pathway 43,44 . In addition, RPS20 has been shown to interact with GNL1 to regulate cell proliferation 45 . CatRAPID database predicts that RPS20 is one of the RNA-binding proteins of the MCM2 mRNA (s.tartaglialab.com/page/catrapid_group). However, it is still unknown whether RPS20 is involved in the regulation of MCM2 gene expression and thereby regulates the repair and proliferation of intestinal epithelium in experimental ulcerative colitis. Based on previous reports and the results above, we hypothesized that H 2 S could increase the stability of RPS20 through sulfhydration of RPS20, thereby promoting the expression of MCM2. Our experiments showed that in DSS-induced ulcerative colitis colonic epithelium, MCM2 expression was reduced in the intestinal epithelial tissue of WT and CBS+/- mice, with no change in total RPS20 level expression. After injected GYY4137, the expression of MCM2 increased significantly, but the total expression of RPS20 did not change significantly. We detected the sulfhydration level of RPS20 through biotin switch assay and western blotting, and results indicated that compared with Control mice, the level of sulfhydration of RPS20 in mice in the DSS group was significantly reduced. When injected GYY4137 on the basis of DSS treatment, the sulfhydration of RPS20 increased significantly. CRISPR/Cas9 was used to knock out the CBS gene in Caco-2 cells. Western blotting results showed that CBS knockout reduced sulfhydrated RPS20 and MCM2, and the total expression of RPS20 remained unchanged. We further investigated the specific sites where H 2 S interacts with RPS20, and western blot results indicated H 2 S sulfhydrated RPS20 Cys70 rather than RPS20 Cys36, thereby increasing RPS20-ssh levels, MCM2 mRNA stability and MCM2 expression. In addition, we tested the stability of MCM2 mRNA in Caco-2 cells through ActD tracking assay and found that H 2 S significantly increased the stability of MCM2 mRNA in Caco-2 cells. The results of the mRNA stability experiment also indicated that H 2 S increases the stability of MCM2 mRNA by sulfhydrating RPS20 Cys70. Results above indicated CBS-H 2 S axis maintained the expression of MCM2 and the stability of MCM2 mRNA by increasing the sulfhydration of RPS20, which may be one of the potential mechanisms by which H 2 S sustained epithelial proliferation in UC. H 2 S increased the affinity of RPS20 and MCM2 mRNA by increased RPS20-ssh, then increased the binding of RPS20 and MCM2 mRNA, thereby prevented MCM2 mRNA degradation, promoted MCM2 expression and ultimately maintained intestinal epithelial proliferation. In our study, we applied some novel methods in vitro and in vivo. We established a CBS knockdown mouse strain and verified the protective effect of the CBS-H 2 S axis on intestinal epithelial proliferation in mice in DSS-induced colitis. We selected mouse colon epithelial cells for organoid culture and confirmed that CBS-H 2 S maintained the growth and proliferation of mouse colon organoids. We further determined the specific cysteine site where H 2 S acts in RPS20 in human cell lines. Nevertheless, while this study substantiated the involvement of the CBS-H 2 S axis in mouse intestinal epithelium and human cell lines, a limitation lies in the absence of experiments conducted on human colitis tissue. In summary, our study demonstrated that the CBS-H 2 S axis plays a crucial role in protecting intestinal barrier repair function in DSS-induced UC and demonstrated the promotion of MCM2 mRNA stability by increasing sulfhydrated RPS20. This may be one of the mechanisms by which the CBS-H 2 S axis maintained intestinal epithelial proliferation on UC and other colitis. And we provide a potential therapy for the treatment of colitis. Abbreviations H 2 S, Hydrogen sulfide; UC, Ulcerative colitis; MCM2, Minichromosome maintenance complex component 2; RPS20, Ribosomal protein S20; HuR, Human Antigen R; CBS, Cystathionine β-synthase; CSE, Cystathionine γ-lyase; 3-MST, 3-mercaptopyruvate sulfotransferase; IBD, Inflammatory bowel disease; RBP, RNA-binding protein; WT, Wild-type; DSS, Dextran sulfate sodium salt. Declarations Ethics This study followed all institutional and national guidelines for the care and use of animals. All mouse experiments were approved by the Animal Ethics Committee of Peking University First Hospital (No. J2022082). Author contribution Xuan He, Jichang Li, Zhihao Huang and Baoshuai Xue: Writing – review & editing, Writing – original draft, Methodology, Investigation, Data curation. Jing Zhu and Meiyi You: data duration. Xin Wang, Yucun Liu and Xiaoyun Liu: project administration and software. Shanwen Chen: writing-original draft and formal analysis. Pengyuan Wang: funding acquisition, supervision and writing-review & edit. All the authors have read and approved the final manuscript. Funding This work was supported by grants from Beijing Nova Program (No. 20230484244), Peking University Clinical Scientist Training Program (No. BMU2023PYJH001), supported by “the Fundamental Research Funds for the Central Universities”, the National Natural Science Foundation of China (No. 32370837); National High Level Hospital Clinical Research Funding (Scientific and Technological Achievements Transformation Incubation Guidance Fund Project of Peking University First Hospital) (No. 2023CX04). Declaration of competing interest All authors declare no known competing financial interests or personal relationships that could have influenced this manuscript work. Data availability statement The authors confirm that the data supporting the findings of this study are available within the article and its supplementary materials. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-5199665","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":369396994,"identity":"d20c4181-44f1-49ed-a63d-b95213cd83db","order_by":0,"name":"Xuan He","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Xuan","middleName":"","lastName":"He","suffix":""},{"id":369396995,"identity":"b8788cb8-2d38-40dd-95b3-e32411c29bb2","order_by":1,"name":"Jichang Li","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Jichang","middleName":"","lastName":"Li","suffix":""},{"id":369396996,"identity":"f61834b0-085a-43b7-b7b0-73ca4174e585","order_by":2,"name":"Zhihao Huang","email":"","orcid":"","institution":"AstraZeneca Investment (China) Co., Ltd","correspondingAuthor":false,"prefix":"","firstName":"Zhihao","middleName":"","lastName":"Huang","suffix":""},{"id":369396997,"identity":"a3151c7b-afb2-4bdb-80ce-b494583cb230","order_by":3,"name":"Baoshuai Xue","email":"","orcid":"","institution":"Jilin University","correspondingAuthor":false,"prefix":"","firstName":"Baoshuai","middleName":"","lastName":"Xue","suffix":""},{"id":369397000,"identity":"b099ffb6-e9a6-4178-a6cd-dd9dccdc17b4","order_by":4,"name":"Jing Zhu","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Jing","middleName":"","lastName":"Zhu","suffix":""},{"id":369397002,"identity":"ab53a32b-a205-4b43-9258-cd57d4c26110","order_by":5,"name":"Meiyi You","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Meiyi","middleName":"","lastName":"You","suffix":""},{"id":369397003,"identity":"e7d1775d-ca5f-48de-b80a-a8405b63333c","order_by":6,"name":"Xiaoyun Liu","email":"","orcid":"","institution":"Peking University, Peking University","correspondingAuthor":false,"prefix":"","firstName":"Xiaoyun","middleName":"","lastName":"Liu","suffix":""},{"id":369397004,"identity":"8280995b-4501-4298-a7fd-e128201d71e2","order_by":7,"name":"Xin Wang","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Xin","middleName":"","lastName":"Wang","suffix":""},{"id":369397005,"identity":"77c7f4c8-b14c-4274-bea7-4905b07fb876","order_by":8,"name":"Yucun Liu","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Yucun","middleName":"","lastName":"Liu","suffix":""},{"id":369397011,"identity":"d14d335a-3a88-4053-916a-c8c3e71b751c","order_by":9,"name":"Shanwen Chen","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAyUlEQVRIiWNgGAWjYDACCQglx8ADothI0GJMupbEBqK1yM9ufvaYp+JO+naeMwYMH8oOM/DPbsCvxeDOMXNjnjPPcnf29hgwzjh3mEHizgECWiQSzKRz2w7nbjjPY8DM23YYJELAYTPSv0nn/jucbgDS8pcYLQw3coC2NBxOMDjbY8DMSIwWgxs5ZdJ/jh023NlzrOBgz7l0HokbhB22TXJGzWF5c57kjQ9+lFnL8c8g5DC4dUB8AIh5iFQP1TIKRsEoGAWjACsAAA//Qhoye1K5AAAAAElFTkSuQmCC","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":true,"prefix":"","firstName":"Shanwen","middleName":"","lastName":"Chen","suffix":""},{"id":369397012,"identity":"03a38f4c-31bb-4ae3-bb32-f04c5bbc2790","order_by":10,"name":"Pengyuan Wang","email":"","orcid":"","institution":"Peking University First Hospital","correspondingAuthor":false,"prefix":"","firstName":"Pengyuan","middleName":"","lastName":"Wang","suffix":""}],"badges":[],"createdAt":"2024-10-03 16:53:19","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-5199665/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-5199665/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1038/s41598-025-02268-5","type":"published","date":"2025-05-21T15:57:08+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":67369491,"identity":"7b5ece2c-e0c7-450a-9e0b-f107c2074385","added_by":"auto","created_at":"2024-10-24 07:49:00","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":798920,"visible":true,"origin":"","legend":"\u003cp\u003eCBS knockdown exaggerated experimental colitis induced by DSS\u003c/p\u003e\n\u003cp\u003e(A) Representative western blot images of CBS in mice colon epithelial cells. (B) Relative band density of CBS in western blot. (C) Treatment overview of C57/BL mice induced by 3.5% DSS. (D, E) Survival rate of WT and CBS+/- mice. (F, G) Body weight changes of WT and CBS+/-mice. (H) Comparison of weights between WT and CBS+/- mice of DSS group. (I) Comparison of weights between WT and CBS+/- mice of DSS + GYY4137 group. (J, K) The DAI score of WT and CBS+/- mice.\u003c/p\u003e","description":"","filename":"Fig.1.png","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/9f5c5595f9f6d5b1820b50a9.png"},{"id":67369492,"identity":"487da083-a8f6-4f2f-a847-49417e6c232a","added_by":"auto","created_at":"2024-10-24 07:49:00","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":2120849,"visible":true,"origin":"","legend":"\u003cp\u003eCBS-H\u003csub\u003e2\u003c/sub\u003eS axis alleviated intestinal barrier disruption and maintained intestinal epithelial proliferation in UC\u003c/p\u003e\n\u003cp\u003e(A, B) H\u0026amp;E staining of colon tissue of WT and CBS+/- mice at day 7 (40x, 100x and 400x). (C, D) Inflammation score of colon tissue of WT and CBS+/- mice. (E, F) Comparison of inflammation score of colons between WT and CBS+/- mice in DSS group and DSS+GYY4137 group. (G) FD-4 flux of intestine of WT and CBS+/- mice at day 7. (H, I) Masson's trichrome staining of colon and statistics of fibrotic submucosa thickness. (J, K) Colon length between WT and CBS+/- mice at day 7. (L, M) Ki67 IHC staining of lower colon (near rectum) epithelial tissue between WT and CBS+/- mice induced by DSS after 7 days.\u003c/p\u003e","description":"","filename":"Fig.2.png","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/45cb4385afa9889f010adc24.png"},{"id":67369493,"identity":"d9c13439-ee11-4a4e-bf37-17e24d9f5712","added_by":"auto","created_at":"2024-10-24 07:49:00","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":1789645,"visible":true,"origin":"","legend":"\u003cp\u003eCBS-H\u003csub\u003e2\u003c/sub\u003eS axis sustained proliferation of intestinal epithelial organoids in mice\u003c/p\u003e\n\u003cp\u003e(A, B) Colon intestinal tissue organoids growth status of WT and CBS+/- mice. (C) The number of total organoids statistics of WT and CBS+/- mice from day 2-10. (D) The number of total buddings organoids of WT and CBS+/- mice from day 2-10. (E) The number of single budding organoids of WT and CBS+/- mice from day 2-10. (F) The number of multiple budding organoids of WT and CBS+/- mice from day 2-10. (G, H) The percentage of organoids of WT and CBS+/- mice from day 2-10. (I, J) The Cyst-like organoids of WT and CBS+/- mice at day 10. (K, L) The statistics of normal and cyst-like organoids of WT and CBS+/- mice from day 2-10. (M) FD-4 flux of WT and CBS+/- organoids at day 10.\u003c/p\u003e","description":"","filename":"Fig.3.png","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/bc40f0923539157ba41c7dc3.png"},{"id":67369494,"identity":"0d398e12-4cc1-42b9-b468-b660f93f1986","added_by":"auto","created_at":"2024-10-24 07:49:00","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":1059993,"visible":true,"origin":"","legend":"\u003cp\u003eCBS-H\u003csub\u003e2\u003c/sub\u003eS-axis maintained expression of MCM2 in colon epithelium\u003c/p\u003e\n\u003cp\u003e(A, B) Western blot images and band density of CBS in Caco-2 WT cells and Caco-2 CBS KO cells. (C) Differentially expressed genes pathway in Caco-2 WT cells and Caco-2 CBS KO cells. (D) Differentially expressed genes of DNA replication pathway in Caco-2 WT cells and Caco-2 CBS KO cells. (E, F) Western blot images and band density of MCM2 in Caco-2 WT cells and Caco-2 CBS KO cells with or without GYY4137. (G) Caco-2 WT cells and Caco-2 CBS KO cells with or without GYY4137for 48 hours before modified biotin switch assays. Bands in the respective lanes in SDS-PAGE gels were collected for mass spectrometry. (H) Take the intersection of proteins with more than 50% change in sulfhydration level and MCM2 RNA-binding protein.\u003c/p\u003e","description":"","filename":"Fig.4.png","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/761a774d8624aaa136de1497.png"},{"id":67369496,"identity":"3d0bd567-886a-45de-97bb-7e413a1c7bca","added_by":"auto","created_at":"2024-10-24 07:49:00","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":1400844,"visible":true,"origin":"","legend":"\u003cp\u003eCBS-H\u003csub\u003e2\u003c/sub\u003eS axis sustained the stability of MCM2 mRNA as well as the expression level of MCM2 by sulfhydrating RPS20\u003c/p\u003e\n\u003cp\u003e(A, B) Representative western blot images of MCM2, RPS20 and RPS20-ssh in colon epithelium cells of WT and CBS+/- mice. (C, D, E) Relative band intensity of MCM2, RPS20 and RPS20-ssh in mice. (F) Cell viability of Caco-2 WT cells and Caco-2 CBS KO cells with or without GYY4137. (G, H) Western blot of RPS20-ssh in Caco-2 WT cells and Caco-2 CBS KO cells with or without GYY4137 for 48 hours. (I, J) Western blot analysis of RPS20, RPS20-ssh and MCM2 in Caco-2 cells after transfected plasmid. (K) Relative band intensity of RPS20, RPS20-ssh and MCM2. (L) ActD chase assays for the stability of MCM2 mRNA in Caco-2 cells treated with or without GYY4137. (a) Stability of MCM2 mRNA in WT Caco-2 cells. (b) Stability of MCM2 mRNA in RPS20\u003csup\u003eC70A\u003c/sup\u003e Caco-2 cells. (c) Stability of MCM2 mRNA in RPS20\u003csup\u003eC36A\u003c/sup\u003e Caco-2 cells. * P \u0026lt; 0.05, ** P \u0026lt; 0.01, vs WT group. # P \u0026lt; 0.05, ## P \u0026lt; 0.01, vs CBS KO or ActD group.\u003c/p\u003e","description":"","filename":"Fig.5.png","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/4a4a2d1cbb370c48ec24a5f2.png"},{"id":83460759,"identity":"95325d58-550e-4259-ae50-b8f9001ae895","added_by":"auto","created_at":"2025-05-26 16:13:55","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":8483350,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/270e3938-9ed3-468d-80e1-5238d92c772f.pdf"},{"id":67371612,"identity":"58dff350-3472-4068-b912-3e90e0c48c58","added_by":"auto","created_at":"2024-10-24 07:57:01","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":832888,"visible":true,"origin":"","legend":"","description":"","filename":"OriginalimageofWBresult.pdf","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/fdc2d0975c722448ebb8e805.pdf"},{"id":67371611,"identity":"b691503b-5760-4991-b537-819e85095a65","added_by":"auto","created_at":"2024-10-24 07:57:00","extension":"docx","order_by":2,"title":"","display":"","copyAsset":false,"role":"supplement","size":3092686,"visible":true,"origin":"","legend":"","description":"","filename":"SupplementaryMaterial.docx","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/7ed06adc313062aadd7477a4.docx"},{"id":67371610,"identity":"5a82f704-2f67-4341-831b-ffb71c3c87ad","added_by":"auto","created_at":"2024-10-24 07:57:00","extension":"xlsx","order_by":3,"title":"","display":"","copyAsset":false,"role":"supplement","size":10063,"visible":true,"origin":"","legend":"","description":"","filename":"table1.xlsx","url":"https://assets-eu.researchsquare.com/files/rs-5199665/v1/e4cdae1ffe6cd4815c9ba3c8.xlsx"}],"financialInterests":"No competing interests reported.","formattedTitle":"Hydrogen sulfide preserves intestinal barrier repair function through sulfhydration of RPS20 in experimental colitis","fulltext":[{"header":"1. Introduction","content":"\u003cp\u003eIntestinal barrier plays a crucial role in separating the intestinal lumen from the internal milieu, which maintains mucosal homeostasis and immune balance \u003csup\u003e1,2\u003c/sup\u003e. Intestinal barrier is composed of three interdependent layers including the luminal mucus layer, the intestinal epithelial layer, and a third layer composed of the mucosal immune system \u003csup\u003e3\u003c/sup\u003e. During the development of colitis, intestinal barrier undergoes damage, leading to a substantial increase in intestinal permeability \u003csup\u003e4\u003c/sup\u003e. Thus, the exploration of protective agents targeting intestinal barrier dysfunction may offer innovative therapeutic strategies for colitis.\u003c/p\u003e \u003cp\u003eSimilar to nitric oxide and carbon monoxide, H\u003csub\u003e2\u003c/sub\u003eS is a diffuse gas transmitter in the human body, primarily synthesized during cysteine metabolism and excreted by the kidneys as urinary sulfates\u003csup\u003e5,6\u003c/sup\u003e. Endogenous H\u003csub\u003e2\u003c/sub\u003eS is mainly produced by the conversion of cysteine by Cystathionine β-synthase (CBS), cystathionine γ-lyase (CSE) and 3-mercaptopyruvate sulfotransferase (3-MST), while CBS is significantly reduced in intestinal tissues of human ulcerative colitis\u003csup\u003e7,8\u003c/sup\u003e. H\u003csub\u003e2\u003c/sub\u003eS has a protective effect on a variety of diseases, such as digestive system diseases, circulatory system diseases, nervous system diseases, etc.\u003csup\u003e8\u0026ndash;11\u003c/sup\u003e. H\u003csub\u003e2\u003c/sub\u003eS safeguards endothelial cell functionality and retards the progression of atherosclerosis through sulfhydrating RNA-binding protein Human Antigen R (HuR)\u003csup\u003e11\u003c/sup\u003e. In gastrointestinal tissues, H\u003csub\u003e2\u003c/sub\u003eS exhibits antioxidant properties, with glutathione playing a pivotal role in cellular ROS clearance. Research indicates that H\u003csub\u003e2\u003c/sub\u003eS can elevate glutathione levels in the gastric mucosa, thus effectively reducing ROS levels \u003csup\u003e12\u003c/sup\u003e. Cumulative studies, including our prior researches, have demonstrated an association between diminished synthesis of H\u003csub\u003e2\u003c/sub\u003eS primarily from CBS and various gastrointestinal diseases, such as UC \u003csup\u003e8,10\u003c/sup\u003e. Additionally, the beneficial effects of H\u003csub\u003e2\u003c/sub\u003eS on intestinal barrier function have been linked to the inhibition of NLRP-3 inflammasome activation and NF-kB-mediated MLCK signaling\u003csup\u003e8\u003c/sup\u003e. However, in addition to its anti-inflammatory effects, whether H\u003csub\u003e2\u003c/sub\u003eS contributes to maintaining intestinal epithelial repair function hence protecting the intestinal barrier in colitis remains to be illustrated.\u003c/p\u003e \u003cp\u003eMCM2 is closely associated with cell proliferation, cell cycle, DNA damage repair and drug resistance\u003csup\u003e13\u003c/sup\u003e. In hepatocellular carcinoma (HCC) cells, MCM2 enhances stemness by influencing the Hippo signaling pathway, while its downregulation inhibits resistance to sorafenib \u003csup\u003e14,15\u003c/sup\u003e. At the same time, MCM2 can cooperate with ESRG to inhibit the p53 pathway, thereby supporting cell survival and self-renewal, or pluripotency of pluripotent stem cells \u003csup\u003e16\u003c/sup\u003e. The expression of MCM2 is subject to various regulatory factors. Given that MCM2 serves as a determinant factor in cell proliferation ability, and considering the significantly reduced CBS expression in UC colon tissue \u003csup\u003e8\u003c/sup\u003e, we hypothesized that the CBS-H\u003csub\u003e2\u003c/sub\u003eS axis could regulate MCM2 expression, thereby modulating cell proliferation in the intestinal epithelium and promoting the repair of damaged intestinal tissue.\u003c/p\u003e \u003cp\u003eIn this study, a 3.5% DSS solution was used to induce experimental UC model in mice. Compared with wild-type (WT) mice, CBS+/- heterozygous mice exhibited more severe colitis, increased intestinal permeability, and a significant reduction in intestinal epithelial repair function. The sulfhydration level of RPS20 was found to be decreased in CBS+/- mice, accompanied by a reduction in MCM2 expression. In order to investigate the mechanism of H\u003csub\u003e2\u003c/sub\u003eS regulating MCM2 expression, we conducted in vitro experiments using Caco-2 cells. After knocking out CBS, we observed decreases in cell proliferation ability, MCM2 expression level, and, significantly, the sulfhydration level of RPS20.\u003c/p\u003e \u003cp\u003eIn summary, our results indicated that endogenous H\u003csub\u003e2\u003c/sub\u003eS, primarily derived from CBS, plays a crucial role in preserving the integrity of intestinal barrier function and facilitating post-injury repair of intestinal epithelium in UC. The maintenance of RPS20-MCM2 axis might be the potential molecular mechanism, by which H\u003csub\u003e2\u003c/sub\u003eS maintains cell proliferation in intestinal epithelium and other tissues.\u003c/p\u003e"},{"header":"2. Materials and methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003e2.1. Mice\u003c/h2\u003e \u003cp\u003eC57BL/6N wild-type (WT) mice were bred in the Animal Center of Peking University First Hospital. The mouse CBS gene (GenBank accession number: NM_144855.3; Ensembl: ENSMUSG00000024039) is located on mouse chromosome 17, and exon 3 to exon 14 was selected as target site for knockout. Cas9 mRNA and gRNA generated by in vitro transcription were injected into fertilized eggs to produce knockout mice. All mouse experiments were approved by the Animal Ethics Committee of Peking University First Hospital (No. J2022082) and we confirmed the study is reported in accordance with ARRIVE guidelines (\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://arriveguidelines.org\u003c/span\u003e\u003cspan address=\"https://arriveguidelines.org\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e). Genotype identification was performed by PCR using tail genomic DNA, and the primer sequences were as follows: mouse CBS-F: 5\u0026rsquo;-AGGGAGAAGTTACATCATGCCTTGG-3\u0026rsquo;, mouse CBS-R: 5\u0026rsquo;-AGTATCCAGG GCTTGACATCCTTA-3\u0026rsquo;, and mouse CBS-WT/He-F: 5\u0026rsquo;-CTGATGCGGTTTCCTAGCAACAG-3\u0026rsquo;. The size of the PCR products was 1,055 bp for WT mice, and 1,055 bp and 810 bp for CBS+/- mice (Fig. \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003eA). All CBS+/- male mice were fed for 6 weeks after birth.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003e2.2. Animal Treatment\u003c/h2\u003e \u003cp\u003eThe ulcerative colitis mice model was induced by voluntary ingestion of 3.5% DSS in water (PM, America). 30 WT and 30 CBS+/- mice were randomly grouped into Control, DSS and DSS\u0026thinsp;+\u0026thinsp;GYY4137(a novel water-soluble, H\u003csub\u003e2\u003c/sub\u003eS-releasing molecule). Control mice were treated with water at baseline and injected intraperitoneally with 100 \u0026micro;l/10 g PBS every day from day 1 to 7. Mice in the DSS group were injected intraperitoneally with 100 \u0026micro;l/10 g PBS every day from day 1 to 7, and orally administered 3.5% DSS every day from day 0 to 7. Mice in the DSS\u0026thinsp;+\u0026thinsp;GYY4137 group were injected with 500 \u0026micro;g/10 g GYY4137 (Sigma Aldrich, America) in PBS every day from day 1 to 7, and orally administered 3.5% DSS every day from day 0 to 7. After 7 days of treatment, all mice were euthanized with intraperitoneal injection of pentobarbital sodium (200 mg/kg).\u003c/p\u003e \u003cp\u003eUsing the same treatment method, mice were served with normal water from the eighth day, until being euthanized after 21 days of treatment.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003e2.3. DAI score evaluation\u003c/h2\u003e \u003cp\u003eDisease activity index (DAI) scoring system was used to assess the clinical conditions of mice in each group (10 per group), and the scoring method is shown in \u003cb\u003eTable\u0026nbsp;1\u003c/b\u003e. Three independent researchers performed blind scoring work including weight loss, stool consistency and fecal occult blood\u003csup\u003e17\u003c/sup\u003e.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003e2.4. Paracellular permeability detection of mice intestine\u003c/h2\u003e \u003cp\u003eMice intestinal permeability was detected as mentioned previously\u003csup\u003e18\u003c/sup\u003e. On the seventh day of the animal experiment, FD-4 (150 g/L, Sigma, America) was administered to mice by gavage at a dose of 40 \u0026micro;l/10 g body weight. 4 h after FD-4 gavage, we collected the blood samples and detected the serum fluorescence level using Synergy H2 microplate reader (Biotek Instruments, America) with 492 nm excitation and 520 nm emission filter.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003e2.5. Histological assessment of colon epithelium\u003c/h2\u003e \u003cp\u003eThe proximal colons of all groups of mice in day 7 and day 21 were excised and embedded with paraffin. Sections and hematoxylin and eosin (H\u0026amp;E) stain were performed on day 7. Images were obtained, at least six imaged per slide, using Zeiss imaging optical microscopes with magnifications of 40x, 100x, and 400x. The extent of histopathological alterations was assessed by three pathologists who were unaware of grouping and grading based on the scoring method previously mentioned. Sections were graded according to inflammation severity, degree, crypt damage scores were calculated by multiplying the scores of each sections by their percentage of involvement, with a minimum score of 0 and a maximum score of 40: cellular infiltration (0\u0026ndash;5), deterioration of crypt structure (crypt damage, 0\u0026ndash;4), degree of mucosal ulceration (0\u0026ndash;3), and presence of submucosal edema (0 and 1) \u003csup\u003e19\u003c/sup\u003e. Three doctors who were blinded to the groups were selected and histopathological scores were assessed by three clinical doctors. Masson staining was performed on tissues after 21 days, followed by measuring the thickness of fibrosis\u003csup\u003e20\u003c/sup\u003e.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003e2.6. Organoid culture\u003c/h2\u003e \u003cp\u003eFor isolation and establishment of primary colon organoids, colon was minced and incubated in DMEM-F12 Advance (Thermo, America), 5 mg/mL Collagenase II, 1.25 mg/mL Dispase, 2.5% FBS, 100\u0026times; HEPES Buffer (Thermo, America), 100x Glutamax (Thermo, America) and 100 ng/mL Primocin (Invivogen, America) on a rocker (Miltenyi, America) at 37\u0026deg;C for 2\u0026ndash;3 h. The sample was collected in DMEM-F12 Advance, 10% FBS, 100x HEPES Buffer, 100x Glutamax and 100 ng/mL Primocin, passed through a cell strainer filter and centrifuged at 850 rpm for 7 min at 4\u0026deg;C. Then, 10 \u0026micro;L of 10 mg/mL DNase I were added and incubated at 37\u0026deg;C for 5 min. Finally, the sample was resuspended in 100% Matrigel (8 mg/mL, Corning), plated in a pre-warmed 24-wells plate, and placed in the incubator at 37\u0026deg;C for 30 min. When the Matrigel solidified, 500 \u0026micro;L of Complete Feeding Medium (Advanced DMEM-F12, 100xHEPES Buffer, 100x Glutamax, 100 ng Primocin, 20% R-Spondin conditioned medium, 500 nM A83-01 (Sigma, America), 50 ng/mL hEGF (Preprotech), 100 ng/mL mNoggin (Preprotech), 100 ng/mL hFGF10 (Preprotech), 10 nM Gastrin I (TOCRIS), 3 \u0026micro;M SB202190 (Stem cell, America), 10 nM Prostaglandin E2 (TOCRIS), 1.25 mM N-acetylcysteine (Sigma, America), 10 mM Nicotinammide (Sigma), 1X B-27 Supplement (Thermo)) supplemented with 10.5 mM Y-27632 (Rho Kinase inhibitor) was added to the top of the Matrigel and the 24 well-plates placed in the incubator.\u003c/p\u003e \u003cp\u003eTo split the primary colon organoids, droplets were broken by adding 1mL of ice-cold Splitting Media (Advanced DMEM-F12, 100x HEPES Buffer, 100x Glutamax, 100 ng/mL Primocin) and pipetting up and down. Organoids were collected in a tube, centrifuged at 1200rpm for 5\u0026ndash;10 min at 4\u0026deg;C, and the medium was removed. Organoids were broken up with a fire-polished pipette, centrifuged at 1200 rpm for 5\u0026ndash;10 min at 4\u0026deg;C, followed by mixing the pellet with Matrigel and plating in 50 \u0026micro;l droplets each 24-platewell. After solidification, 500 \u0026micro;l Complete Feeding Media (DMEM-F12 Advance, 100x HEPES Buffer, 100x Glutamax, 125 \u0026micro;g/mL Primocin, 20% R-Spondin conditioned medium, 500 nM A83-01, 50 ng/mL hEGF, 100 ng/mL mNoggin, 100 ng/mL hFGF10, 10 nM Gastrin I, 3 \u0026micro;M SB202190, 10 nM ProstaglandinE2, 1.25 mM N-acetylcysteine, 10 mM Nicotinammide, 1X B-27 Supplement) was added.\u003c/p\u003e \u003cp\u003eOrganoids were cryopreserved in Recovery Cell Culture Freezing Medium (Thermo Fisher, America) as master and working biobanks.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003e2.7. Cell culture\u003c/h2\u003e \u003cp\u003eHuman colonic cell Caco-2 was acquired from the American Type Culture Collection (American, catalogue number: TCHu146). Caco-2 was cultured in DMEM High Glucose (Sigma, USA), supplemented with fetal bovine serum (10% v/v) (Sigma, USA), penicillin (50 U/ml) and streptomycin (50 U/ml). Incubation was in an environment of 37℃ and 5% CO2.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003e2.8. Real-time quantitative polymerase chain reaction (RT-qPCR)\u003c/h2\u003e \u003cp\u003eTRIzol one step method (Applygen, China) was used to extract total RNA of Caco-2 cells, and Revert Aid First Strand cDNA Synthesis Kit (Thermo Fisher, America) was selected to reverse transcribe RNA into cDNA. We used Power Up SYBR Green Master Mix (Lablead, China) to conduct RT-qPCR. The primer sequences were as follows: Human MCM2-F: 5\u0026rsquo;- ATGGCGGAATCATCGGAATCC \u0026minus;\u0026thinsp;3\u0026rsquo;, Human MCM2-R: 5\u0026rsquo;- GGTGAGGGCATCAGTACGC \u0026minus;\u0026thinsp;3\u0026rsquo;, Human GAPDH-F: 5\u0026rsquo;- GGAGCGAGATCCCTCCAAAAT \u0026minus;\u0026thinsp;3\u0026rsquo;, Human GAPDH-R: 5\u0026rsquo;- GGCTGTTGTCATACTTCTCATGG \u0026minus;\u0026thinsp;3\u0026rsquo;. GAPDH was used as the internal standard, RT-qPCR reaction was repeated for three times for each sample to ensure experimental repeatability\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003e2.9. Western blot analysis\u003c/h2\u003e \u003cp\u003eA method described previously was used to extract total proteins of caco-2 cells and mouse colon tissue \u003csup\u003e8\u003c/sup\u003e. We collected the mucosa of the first 2 cm colon or Caco-2 cells and acquired the total protein as previously mentioned \u003csup\u003e21\u003c/sup\u003e. BCA assay (Lablead, China) was used to detect the protein concentration, and the extracts containing same amount of protein (15\u0026ndash;30 \u0026micro;g) were transfered onto 4%-12% polyacrylamide gel for cataphoresis. Isolated protein was then transferred onto the PVDF membrane, which was non-specifically bound (5% bovine serum albumin in TBS-Tween 20 buffer), for 1 h at room temperature. 0.1% rabbit anti-CBS monoclonal antibody (CST, America), 0.1% rabbit anti-RPS20 monoclonal antibody (Proteintech, China), 0.1% rabbit anti-MCM2 monoclonal antibody (CST, America), 0.1% rabbit anti-GAPDH antibody (CST, America), and 0.1% rabbit anti-GAPDH monoclonal antibody (CST, America) were used to incubate the membrane for one night at 4℃. Afterwards, we used the secondary antibody to incubate the membrane for 1 h at room temperature, and finally used ECL detection reagent to perform the blots (Lablead, China).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003e2.10. Cell counting kit-8 assay\u003c/h2\u003e \u003cp\u003eCells were seeded into 96-well plates (5,000 cells/well). Cell viability was measured using Cell Counting Kit (CCK)-8 assay kits (Lablead, China) in accordance with the manufacturer\u0026rsquo;s instructions. The optical density (OD at 450 nm) was measured using a microplate reader.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003e2.11. Biotin switch assay of sulfhydration\u003c/h2\u003e \u003cp\u003eWith reference to the method previously described, a modified biotin switch assay was used to detect the level of sulfhydration \u003csup\u003e22\u003c/sup\u003e. Briefly, HEN buffer (HEPES-NaOH pH 7.7 250 mM) with neocuproine (0.1 mM), EDTA (1 mM)) with protease/phosphatase inhibitors, 1% Nonidet-P40 (NP-40), and 150 l M deferoxamine were utilized to homogenize the cells or tissue samples. The homogenized samples were sonicated and centrifuged at 13,000g at 4 ℃ for 20 min, then we added HEN buffer with 20 mM methyl thiosulfonate (MMTS) and 2.5% SDS to the lysate and shook for 30 min at 50 ℃. Acetone was added afterwards to remove MMTS. Meanwhile, we precipitated the protein for 1 h at 20 ℃. HEN buffer with 4 mM biotin-HPDP and 1% SDS was used to resuspend the pellets. After incubating at 25 ℃ for 3 h, acetone was used to purify the protein. In the end, we dissolved the protein in solution buffer and purified it with streptavidin-agarose beads, the sulfhydrated protein was examined by Western blot. Negative controls were from cells treated by dithiothreitol (DTT) (1 mmol/L)\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003e2.12. CRISPR/Cas9 mediated knockout of CBS in cells\u003c/h2\u003e \u003cp\u003eThe CRISPR/Cas9 system was used to achieve stable knockout of the CBS gene in Caco-2 cells. In short, the interference target sgRNA was designed according to the sequence of the CBS gene as follows: CTGATGAGATCCTGCAGCAG. We phosphorylated, annealed, and cloned the guide oligonucleotide into the BsmBI site of the pHBLV-U6-gRNA-EF1-CAS9-PURO vector (Hanheng Biotechnology, China), and then verified the constructed vector by sequencing. The transferred plasmid with the guide oligonucleotide was then transformed into E. coli DH5a, and was isolated from the bacteria using a plasmid DNA purification kit (Tiangen, China). The transferable lenti-CAS-puro plasmid, packaging plasmids psPAX2 and pMD2G (Hanheng Biotechnology, China) were transfected into 293 T cells to produce lentivirus. 48 and 72 hours after transfection, the virus-containing supernatant was collected and then used to transfect Caco-2 cells. After 24 h of infection, the medium in each plate was replaced with fresh medium containing puromycin (30 mg/L) for 24 h, and then with fresh medium for 24 h. Three times of repetition were done. Finally, puromycin-resistant Caco-2 cells were collected and western blot was used to detect the CBS knockout efficiency.\u003c/p\u003e \u003cp\u003eTranscriptome sequencing was performed after cells were collected, and the sequencing data has been uploaded to NCBI database (GEO: GSE276745).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2\u003e2.13. Plasmid transfection\u003c/h2\u003e \u003cp\u003ePlasmids pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro-RPS20\u003csup\u003eWT\u003c/sup\u003e(RPS20\u003csup\u003eWT\u003c/sup\u003e), pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro-RPS20\u003csup\u003eC36A\u003c/sup\u003e (RPS20\u003csup\u003eC36A\u003c/sup\u003e) and pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro-RPS20\u003csup\u003eC70A\u003c/sup\u003e (RPS20\u003csup\u003eC70A\u003c/sup\u003e) were purchased from Mailgene Corporation (Beijing, China). DNA sequencing was used to confirm that Cys36 and Cys70 were successfully point-mutated to alanine. The relevant plasmids were transfected into Caco-2 WT cells using Lipofectamine 3000 (Lablead, China) according to Mailgene's recommendation. After 24 h of transfection, the medium containing plasmids was replaced with fresh medium for 2-3days. Cells transfected with empty plasmid pCDH-CMV-MCS-EF1-CopGFP-T2A-Puro (Vector) were used as negative controls.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003e2.14. ActD chase assay\u003c/h2\u003e \u003cp\u003eFor ActD (MCE, USA) tracking assay, we treated Caco-2 WT, RPS20 C36A and RPS20 C70A cells with ActD alone (10 lg/ml) or with GYY4137 (50 \u0026micro;M) in serum-free medium. We collected cells every hour for 6 hours and detected MCM2 mRNA expression using RT-qPCR. The MCM2 mRNA expression corresponding to different time points were calculated as the fold change relative to baseline.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec17\" class=\"Section2\"\u003e \u003ch2\u003e2.15. Statistical analysis\u003c/h2\u003e \u003cp\u003eOne-way ANOVA and two-tailed Student\u0026rsquo;s t-test (unpaired) were used to analyze the differences in mean values among groups (GraphPad Prism version 8.0 for Windows, GraphPad Software, America). P value\u0026thinsp;\u0026lt;\u0026thinsp;0.05 was considered statistically significant, and all results were expressed as mean\u0026thinsp;\u0026plusmn;\u0026thinsp;SD. All experiments were repeated for at least three times to ensure repeatability, and standard deviations were shown by error bars. \u003cb\u003e*\u003c/b\u003e P\u0026thinsp;\u0026lt;\u0026thinsp;0.05, \u003cb\u003e**\u003c/b\u003e P\u0026thinsp;\u0026lt;\u0026thinsp;0.01, vs control group. # P\u0026thinsp;\u0026lt;\u0026thinsp;0.05, ## P\u0026thinsp;\u0026lt;\u0026thinsp;0.01, vs DSS group. △ P\u0026thinsp;\u0026lt;\u0026thinsp;0.05, △△ P\u0026thinsp;\u0026lt;\u0026thinsp;0.01, WT vs CBS+/- or CBS KO group.\u003c/p\u003e \u003c/div\u003e"},{"header":"3. Results","content":"\u003cdiv id=\"Sec19\" class=\"Section2\"\u003e \u003ch2\u003e3.1. H\u003csub\u003e2\u003c/sub\u003eS mitigated clinical symptoms and preserved survival rates in experimental colitis.\u003c/h2\u003e \u003cp\u003eVerifying the knockdown of the CBS gene, western blot analysis showed a decrease in CBS expression in CBS+/- mice colon compared to WT (wild type) mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eA, B; SI, Fig. \u003cspan refid=\"MOESM2\" class=\"InternalRef\"\u003eS2\u003c/span\u003eA). During the establishment of the UC model, mice were provided with 3.5% DSS in drinking water for 7 days, followed by regular water for 14 days (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eC). Compared with the Control group, the survival rate of DSS group mice was reduced, and the CBS+/- mice showed an even significant decrease of survival rate. GYY4137 improved the survival rate of both WT and CBS+/- mice after DSS induction (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eD, E). Meanwhile, the weight of WT mice was significantly decreased at day 6\u0026ndash;21 and at day 4\u0026ndash;21 in CBS+/- mice after DSS induction. Intraperitoneal injection of GYY4137 could significantly eased the weight loss from day 6\u0026ndash;12 in WT mice and from day 6\u0026ndash;17 in CBS+/- mice after DSS induction (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eF, G). Compared to WT mice, CBS+/- mice showed a more significant decreased of weight from day 12\u0026ndash;17 in DSS group (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eH), but there was no significant weight difference between WT and CBS+/- mice in DSS\u0026thinsp;+\u0026thinsp;GYY4137 group (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eI). To further explore the effect of CBS-H\u003csub\u003e2\u003c/sub\u003eS axis in UC, DAI score was used. In DSS group during day 1\u0026ndash;21, compared to the control group, DAI was continuously increased through day 4\u0026ndash;16 for WT mice and through day 4\u0026ndash;18 for CBS+/- mice. The DAI score of DSS\u0026thinsp;+\u0026thinsp;GYY4137 group was lower than DSS group at day 4\u0026ndash;14 in WT mice and at day 5\u0026ndash;7, day 9 and day 13\u0026ndash;15 in CBS+/- mice, which indicated that GYY4137 can lessen the increase of DAI score in mice after DSS induction (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eJ, K). Together, these results indicated that H\u003csub\u003e2\u003c/sub\u003eS alleviated the damage induced by DSS, and CBS gene knockdown aggravated intestinal injury in UC mice model.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec20\" class=\"Section2\"\u003e \u003ch2\u003e3.2. H\u003csub\u003e2\u003c/sub\u003eS improved the pathological changes of colon epithelium in colitis induced by DSS\u003c/h2\u003e \u003cp\u003eTo evaluate the histological injuries in intestinal epithelium, H\u0026amp;E staining of mouse colon Swiss roll and FD-4 flux assays were utilized to evaluate the damage on colon barrier. The H\u0026amp;E staining of colon epithelium in control group showed no inflammation and crypt damage, and after 7 days of DSS treatment, significant inflammation and crypt damage were observed in the colon. However, GYY4137 attenuated the damage to colon epithelium caused by DSS (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eA, B). Inflammation score was used to assess the damage of intestinal epithelium in each group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eC-F). The results indicated that compared with control mice, DSS treatment aggravated the intestinal inflammation score in mice colon epithelium, and GYY4137 reduced the intestinal epithelium injury after DSS treatment (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eC, D). Compared to WT mice, the intestinal inflammation score was higher in CBS+/- mice in DSS group and DSS\u0026thinsp;+\u0026thinsp;GYY4137 group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eE, F). CBS+/- mice, compared to WT mice, showed a higher FD-4 serum concentration after 7 days in DSS group. Meanwhile, compared to DSS group, the concentration of FD-4 in the DSS\u0026thinsp;+\u0026thinsp;GYY4137 group mice was significantly reduced. In both the DSS group and the DSS\u0026thinsp;+\u0026thinsp;GYY4137 group, CBS+/- mice displayed higher intestinal epithelial permeability compared with WT mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eG). Compared with WT mice, CBS+/- mice colon showed more severe intestinal fibrosis after treated with DSS, and administration of GYY4137 alleviated fibrosis (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eH, I). These results suggested that H\u003csub\u003e2\u003c/sub\u003eS mitigated the damage induced by DSS, and CBS-H\u003csub\u003e2\u003c/sub\u003eS axis maintains intestinal barrier integrity and permeability disruption in UC mouse models.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec21\" class=\"Section2\"\u003e \u003ch2\u003e3.3. H\u003csub\u003e2\u003c/sub\u003eS sustained colonic epithelial repair function in DSS induced colitis\u003c/h2\u003e \u003cp\u003eKi67 immunohistochemical staining of colon tissue and colon length at day 7 were used as the proliferation index to evaluate colon repair. In control group, statistics showed that CBS knockdown did not significantly shorten the colon length of normally growing mice. Both WT and CBS+/- mice in the DSS group showed significant colon shortening, and the colon length of CBS+/- mice was significantly lower than WT group in DSS group. Administration of GYY4137 significantly reduced colon shortening, but there was no length difference between WT and CBS+/- mice in DSS\u0026thinsp;+\u0026thinsp;GYY4137 group (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eJ, K). Lower colon tissue Ki67 IHC staining showed that Ki67 in the colonic epithelium was lower in CBS+/- mice than that in WT mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eL, M). These results revealed that CBS-H\u003csub\u003e2\u003c/sub\u003eS axis maintained colon epithelial repair and proliferation after damages.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec22\" class=\"Section2\"\u003e \u003ch2\u003e3.4. CBS-H\u003csub\u003e2\u003c/sub\u003eS-axis maintained the growth and proliferation of colon organoids\u003c/h2\u003e \u003cp\u003eTo further investigate the effect of H\u003csub\u003e2\u003c/sub\u003eS on the proliferation in mouse colon epithelium, colon organoids were cultured. Intestinal epithelial cells from WT and CBS+/- mice colon were selected to cultured colon organoids form day 0\u0026ndash;10, and epithelial cells started to form organoids at day 2 (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA, B). Colon organoids began to sprout on day 4 in WT group (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA), and on day 6 in CBS+/- group (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eB). The number of organoids reached its maximum on day 8 and began to perish thereafter. At day 6 and 8, the total number of organoids in the WT group was significantly higher than that in CBS+/- group, but there was no significant difference statistically in the number of organoids at day 2, 4, 10 (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eC). Budding of organoids was regarded as an indicator of stemness, the number of total budding organoids reached its maximum at day 10, and the total number of budding organoids in the WT group was higher than that in the CBS+/- group at day 8. However, there was no statistical difference in the number of organoids at day 2, 4, 6, 10 (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eD). The number of single budding organoids in the WT group was significantly higher than that in the CBS+/- group on day 8, but there was no statistically difference in the number of single organoids at day 2, 4, 6, 10 (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eE). The number of multiple budding organoids was also higher in the WT group at day 8 and 10 (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eF), as well as its percentage (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eG, H). Cyst-like organoid is the indicator of defect, while a higher proportion and quantity of defective organoids indicate poor growth status. The number of normal organoids in the WT group was significantly higher than that in the CBS group at day 6, 8, 10(Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eG-K), and there was no statistical difference in the number of normal organoid at day 2, 4 (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eG, H, K). The number of defective organoids in the WT group was significantly higher than that in the CBS+/- group at day 10, and there were no statistical differences in the number of defective organoids at day 2, 4, 6, 8 (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eG, H, L). The result of FD-4 fluxes of WT and CBS+/- organoids at day 10 indicated H\u003csub\u003e2\u003c/sub\u003eS maintained permeability of organoids (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eM). These results illustrated that CBS-H\u003csub\u003e2\u003c/sub\u003eS axis maintained the growth and permeability integrity of colon epithelial organoid in mice.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec23\" class=\"Section2\"\u003e \u003ch2\u003e3.4. H\u003csub\u003e2\u003c/sub\u003eS maintained MCM2 expression by sulfhydrating RBPs\u003c/h2\u003e \u003cp\u003eTo investigate the effect of H\u003csub\u003e2\u003c/sub\u003eS on cells proliferation related pathways, Caco-2 CBS KO cells and Caco-2 WT cell were used for transcriptome sequencing. To verify the knockout of the CBS gene, western blot was performed with images showing a decrease in CBS expression in Caco-2 CBS KO cells compared with Caco-2 WT cells (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eA, B; SI, Fig. \u003cspan refid=\"MOESM2\" class=\"InternalRef\"\u003eS2\u003c/span\u003eB). The KEGG enrichment pathway of transcriptome sequencing results exhibited significant differences in DNA replication pathways (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eC). GSEA indicated that CBS KO decreased the expression of MCM2 (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eD). MCM2 expression was significantly lower in the colon of CBS+/- mice than WT mice after treatment of DSS (SI, Fig. \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003eB). Western blot also showed a decrease in MCM2 expression in Caco-2 CBS KO cells (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eE, F; SI, Fig. \u003cspan refid=\"MOESM2\" class=\"InternalRef\"\u003eS2\u003c/span\u003eC). Studies have proven that MCM2 is closely related to the proliferation and growth of tumor cells and normal cells\u003csup\u003e13,14,16\u003c/sup\u003e, and the stability of mRNA is closely related to RNA-binding proteins. Based on the findings above, we hypothesized that H\u003csub\u003e2\u003c/sub\u003eS affects the expression of MCM2 mRNA by changing the sulfhydration level of RNA-binding protein of MCM2 mRNA. To confirm this hypothesis, mass spectrometry was employed to determine differences in protein sulfhydration levels in Caco-2 WT cells and Caco-2 CBS KO cells with or without GYY4137(Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eG). At the same time, the catRAPID database was used as reference to predict the RNA-binding protein (RBPs) of MCM2 mRNA (\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttp://s.tartaglialab.com/page/catrapid_group\u003c/span\u003e\u003cspan address=\"http://s.tartaglialab.com/page/catrapid_group\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e). Compared with Caco-2 WT cells, MCM2 RBPs\u0026rsquo; sulfhydration levels of RPS20 was found to be reduced by over 50% after CBS KO, and restored to over 100% after the addition of GYY4137 (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eH). These results indicated that sulfhydration level of MCM2 RBP mediated by H\u003csub\u003e2\u003c/sub\u003eS may affects the expression level of MCM2.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec24\" class=\"Section2\"\u003e \u003ch2\u003e3.6. H\u003csub\u003e2\u003c/sub\u003eS improved the expression of MCM2 by sulfhydration of RPS20\u003c/h2\u003e \u003cp\u003eWestern blotting showed no difference of RPS20 expression in mice colon among Control, DSS and DSS\u0026thinsp;+\u0026thinsp;GYY4137 group, but level of sulfhydrated RPS20 significantly depressed in DSS group and the level of RPS20-ssh significantly recovered after intraperitoneal injection of GYY4137. However, MCM2 expression in sulfhydrated RPS20 protein showed no significant difference between WT and CBS+/- mice (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eA-E; SI, Fig. S3A, B). To verify the effect of CBS KO on cell growth, CCK-8 was utilized to evaluate cell viability, and the results showed that at 24, 48, 72 hours, the proliferation level of Caco-2 CBS KO cells was significantly lower than that of the Caco-2 WT cells. When Caco-2 CBS KO cells were cultured in medium containing GYY4137, the proliferation status significantly improved at 48 and 72 hours (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eF). The result of Western blot showed a greater decrease in RPS20-ssh expression in Caco-2 CBS KO cells compared with Caco-2 WT cells, and the expression of RPS20-ssh level was recovered with the addition of GYY4137 (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eG, H; SI, Fig. \u003cspan refid=\"MOESM2\" class=\"InternalRef\"\u003eS2\u003c/span\u003eD).\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eProtein sequence of RPS20 was obtained from NCBI, and shown that RPS20 has two cysteine sites, Cys36 and Cys70. In order to further investigate the maintenance effect of sulfhydrated RPS20 on the expression of MCM2, and to clarify the cysteine site of H\u003csub\u003e2\u003c/sub\u003eS in RPS20, empty plasmid (Vector), plasmids expressing RPS20 (RPS20\u003csup\u003eWT\u003c/sup\u003e), plasmid with RPS20 Cys36 single-point mutation to alanine (RPS20\u003csup\u003eC36A\u003c/sup\u003e) and plasmid with RPS20 Cys70 single-point mutation to alanine (RPS20\u003csup\u003eC70A\u003c/sup\u003e) were transfected into Caco-2 WT cells. Western blotting images of Caco-2 cells demonstrated that the overexpression of RPS20\u003csup\u003eWT\u003c/sup\u003e, RPS20\u003csup\u003eC36A\u003c/sup\u003e and RPS20\u003csup\u003eC70A\u003c/sup\u003e increased the expression of RPS20. However, overexpression of RPS20\u003csup\u003eC70A\u003c/sup\u003e did not increase the expression of RPS20-ssh, and GYY4137 failed to improve the expression of MCM2 transfected with RPS20\u003csup\u003eC70A\u003c/sup\u003e. GYY4137 also failed to sulfhydrate RPS20 expressed in Caco-2 cells overexpression with RPS20\u003csup\u003eC70A\u003c/sup\u003e (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eI-K; SI, Fig. S3C, D). These results revealed that H\u003csub\u003e2\u003c/sub\u003eS maintains MCM2 expression by sulfhydrating the RPS20 Cyst70 site to support cell proliferation. ActD tracking assay was performed to further explore MCM2 mRNA stability in Caco-2 cells. The assay showed that after treated with ActD alone in WT cells, the half-life of MCM2 mRNA was approximately 1.6 h, and with the addition of GYY4137, the half-life became approximately 3.4 h. In the RPS20\u003csup\u003eC36A\u003c/sup\u003e group, the half-life was approximately 1.7 h, and became approximately 3.6 hours after GYY4137 added. In the RPS20\u003csup\u003eC70A\u003c/sup\u003e cells, the half-life was approximately 1.8 h, and 2.5 hours after GYY4137 added (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eL). ActD tracking assay further showed that H\u003csub\u003e2\u003c/sub\u003eS acts on the RPS20 Cys70 site to maintain the stability of MCM2 mRNA. These results suggested that H\u003csub\u003e2\u003c/sub\u003eS-mediated sulfhydration of RPS20 might be the mechanism of how CBS-H\u003csub\u003e2\u003c/sub\u003eS axis maintains intestinal epithelial cell proliferation in DSS-induced colitis.\u003c/p\u003e \u003c/div\u003e"},{"header":"4. Discussions","content":"\u003cp\u003eAs the primary guardian of internal environment stability, the intestinal barrier has evolved into a multilayered system, serving as both a physical and a functional barrier against the ingress of harmful substances into the body. Increased intestinal epithelial permeability caused by intestinal barrier damage is related to the occurrence and development of various diseases, such as colitis, bacterial translocation, systemic inflammatory response syndrome and so on\u003csup\u003e23\u003c/sup\u003e. During colitis, a large amount of toxic substances or bacteria in the intestine enter the internal environment, which further aggravates the destruction of the intestinal barrier and delays the repair of intestinal epithelium\u003csup\u003e24\u003c/sup\u003e. Identifying protective agents for intestinal barrier proliferation and promoting intestinal epithelial repair may provide potential methods for the treatment of colitis.\u003c/p\u003e \u003cp\u003eH\u003csub\u003e2\u003c/sub\u003eS plays a pivotal role in the pathogenesis of numerous diseases, spanning inflammatory conditions to cancers \u003csup\u003e25,26\u003c/sup\u003e. The supportive effect of exogenous H\u003csub\u003e2\u003c/sub\u003eS on cell proliferation ability has been verified\u003csup\u003e27,28\u003c/sup\u003e. The protective effect of exogenous H\u003csub\u003e2\u003c/sub\u003eS on the intestinal barrier has been reported, but excessively high concentration of H\u003csub\u003e2\u003c/sub\u003eS has brought adverse effects, such as inhibiting intestinal epithelial cell proliferation through cell cycle arrest\u003csup\u003e12,29\u0026ndash;32\u003c/sup\u003e. Our previous study found that CBS expression was decreased in UC lesion sites, indicating that CBS knockdown amplified TNF-α/IFN-γ-induced barrier damage in Caco-2 monolayers, and H\u003csub\u003e2\u003c/sub\u003eS inhibits COX-2 expression by sulfhydrating HuR, protecting the integrity of intestinal barrier function and inhibiting intestinal inflammation\u003csup\u003e10,33\u003c/sup\u003e. However, the effect of CBS-H\u003csub\u003e2\u003c/sub\u003eS axis on intestinal barrier repair in UC and its underlying mechanism remain to be explored.\u003c/p\u003e \u003cp\u003eIn this study, experimental colitis was induced by 3.5% DSS in WT and CBS+/- mice. The results indicated that after the treatment of DSS, the body weight of CBS+/- mice decreased faster compared with WT mice and the recovered slower. WT mice had significantly lower increases in DAI scores than CBS+/- mice, and the DAI score during the recovery period was significantly faster than that of CBS+/- mice. Histological evaluation of the colon demonstrated increased disruption of intestinal epithelial tissue in CBS knockdown mice. A more significant increase in intestinal permeability was also noted, together with a significantly higher degree of fibrosis in the colon epithelium. Intraperitoneal injection of GYY4137 could significantly reduce the degree of fibrosis. At the same time, the colon length of CBS knockdown mice was shorter than that of WT mice after DSS treatment, and GYY4137 alleviated colon shortening. Compared with WT mice, the proliferation ability of colonic epithelium in CBS+/- mouse colitis model was significantly reduced.\u003c/p\u003e \u003cp\u003eOrganoid technology can effectively expand intestinal epithelial tissue in vitro, and organoids can be used to replace native colon epithelium to produce functional intestinal crypt\u003csup\u003e34\u003c/sup\u003e. In our study, mouse colon epithelial cells were used to culture organoids. The results indicated that the overall number of organoids, single budding organoids and multiple budding organoids in the WT group during the growth process were significantly higher than those of the organoids in the CBS+/- group. The study also figured that in the CBS+/- group, the percentage of Cyst-like Organoids was significantly higher than that in the WT group. Meanwhile, the permeability to FD-4 of organoids in the CBS+/- group was significantly higher than that of the WT group. Animal experiments and organoid results indicated that the CBS-H\u003csub\u003e2\u003c/sub\u003eS axis protects intestinal barrier and maintains intestinal epithelial growth and proliferation. Given the above results, we set out to study the mechanism by which H\u003csub\u003e2\u003c/sub\u003eS maintains intestinal epithelial proliferation in UC.\u003c/p\u003e \u003cp\u003eRNA-binding proteins (RBPs) are key trans factors associated with specific cis elements present in mRNAs and regulate their stability and translation\u003csup\u003e35,36\u003c/sup\u003e. Previous studies conducted by our research group have demonstrated that H\u003csub\u003e2\u003c/sub\u003eS can increase sulfhydrated HuR, leading to the degradation of COX-2 mRNA and, consequently, a reduction in inflammation\u003csup\u003e10\u003c/sup\u003e. Ribosomal protein S20 (RPS20) is a member of the S10P family of ribosomal proteins, and its main function lies in the regulation of ribosomal RNA processing\u003csup\u003e37\u003c/sup\u003e. Unlike other RPs, which are usually found in the nucleus\u003csup\u003e38\u0026ndash;40\u003c/sup\u003e, RPS20 is primarily located in the cytoplasm\u003csup\u003e41\u003c/sup\u003e. RPS20 is involved in the occurrence and development of various tumors\u003csup\u003e37,42\u003c/sup\u003e. Recent studies have shown that RPS20 is also involved in non-ribosomal regulation, and also in the regulation of p53-mouse double minute 2 homologous signaling pathway\u003csup\u003e43,44\u003c/sup\u003e. In addition, RPS20 has been shown to interact with GNL1 to regulate cell proliferation\u003csup\u003e45\u003c/sup\u003e. CatRAPID database predicts that RPS20 is one of the RNA-binding proteins of the MCM2 mRNA (s.tartaglialab.com/page/catrapid_group). However, it is still unknown whether RPS20 is involved in the regulation of MCM2 gene expression and thereby regulates the repair and proliferation of intestinal epithelium in experimental ulcerative colitis.\u003c/p\u003e \u003cp\u003eBased on previous reports and the results above, we hypothesized that H\u003csub\u003e2\u003c/sub\u003eS could increase the stability of RPS20 through sulfhydration of RPS20, thereby promoting the expression of MCM2. Our experiments showed that in DSS-induced ulcerative colitis colonic epithelium, MCM2 expression was reduced in the intestinal epithelial tissue of WT and CBS+/- mice, with no change in total RPS20 level expression. After injected GYY4137, the expression of MCM2 increased significantly, but the total expression of RPS20 did not change significantly. We detected the sulfhydration level of RPS20 through biotin switch assay and western blotting, and results indicated that compared with Control mice, the level of sulfhydration of RPS20 in mice in the DSS group was significantly reduced. When injected GYY4137 on the basis of DSS treatment, the sulfhydration of RPS20 increased significantly. CRISPR/Cas9 was used to knock out the CBS gene in Caco-2 cells. Western blotting results showed that CBS knockout reduced sulfhydrated RPS20 and MCM2, and the total expression of RPS20 remained unchanged. We further investigated the specific sites where H\u003csub\u003e2\u003c/sub\u003eS interacts with RPS20, and western blot results indicated H\u003csub\u003e2\u003c/sub\u003eS sulfhydrated RPS20 Cys70 rather than RPS20 Cys36, thereby increasing RPS20-ssh levels, MCM2 mRNA stability and MCM2 expression. In addition, we tested the stability of MCM2 mRNA in Caco-2 cells through ActD tracking assay and found that H\u003csub\u003e2\u003c/sub\u003eS significantly increased the stability of MCM2 mRNA in Caco-2 cells. The results of the mRNA stability experiment also indicated that H\u003csub\u003e2\u003c/sub\u003eS increases the stability of MCM2 mRNA by sulfhydrating RPS20 Cys70. Results above indicated CBS-H\u003csub\u003e2\u003c/sub\u003eS axis maintained the expression of MCM2 and the stability of MCM2 mRNA by increasing the sulfhydration of RPS20, which may be one of the potential mechanisms by which H\u003csub\u003e2\u003c/sub\u003eS sustained epithelial proliferation in UC. H\u003csub\u003e2\u003c/sub\u003eS increased the affinity of RPS20 and MCM2 mRNA by increased RPS20-ssh, then increased the binding of RPS20 and MCM2 mRNA, thereby prevented MCM2 mRNA degradation, promoted MCM2 expression and ultimately maintained intestinal epithelial proliferation.\u003c/p\u003e \u003cp\u003eIn our study, we applied some novel methods in vitro and in vivo. We established a CBS knockdown mouse strain and verified the protective effect of the CBS-H\u003csub\u003e2\u003c/sub\u003eS axis on intestinal epithelial proliferation in mice in DSS-induced colitis. We selected mouse colon epithelial cells for organoid culture and confirmed that CBS-H\u003csub\u003e2\u003c/sub\u003eS maintained the growth and proliferation of mouse colon organoids. We further determined the specific cysteine site where H\u003csub\u003e2\u003c/sub\u003eS acts in RPS20 in human cell lines. Nevertheless, while this study substantiated the involvement of the CBS-H\u003csub\u003e2\u003c/sub\u003eS axis in mouse intestinal epithelium and human cell lines, a limitation lies in the absence of experiments conducted on human colitis tissue.\u003c/p\u003e \u003cp\u003eIn summary, our study demonstrated that the CBS-H\u003csub\u003e2\u003c/sub\u003eS axis plays a crucial role in protecting intestinal barrier repair function in DSS-induced UC and demonstrated the promotion of MCM2 mRNA stability by increasing sulfhydrated RPS20. This may be one of the mechanisms by which the CBS-H\u003csub\u003e2\u003c/sub\u003eS axis maintained intestinal epithelial proliferation on UC and other colitis. And we provide a potential therapy for the treatment of colitis.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eH\u003csub\u003e2\u003c/sub\u003eS, Hydrogen sulfide; UC, Ulcerative colitis; MCM2, Minichromosome maintenance complex component 2; RPS20, Ribosomal protein S20; HuR, Human Antigen R; CBS, Cystathionine \u0026beta;-synthase; CSE, Cystathionine \u0026gamma;-lyase; 3-MST, 3-mercaptopyruvate sulfotransferase; IBD, Inflammatory bowel disease; RBP, RNA-binding protein; WT, Wild-type; DSS, Dextran sulfate sodium salt.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics\u003c/strong\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThis study followed all institutional and national guidelines for the care and use of animals. All mouse experiments were approved by the Animal Ethics Committee of Peking University First Hospital (No. J2022082).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthor contribution\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eXuan He, Jichang Li, Zhihao Huang and Baoshuai Xue: Writing \u0026ndash; review \u0026amp; editing, Writing \u0026ndash; original draft, Methodology, Investigation, Data curation. Jing Zhu and Meiyi You: data duration. Xin Wang, Yucun Liu and Xiaoyun Liu: project administration and software. Shanwen Chen: writing-original draft and formal analysis. Pengyuan Wang: funding acquisition, supervision and writing-review \u0026amp; edit. All the authors have read and approved the final manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis work was supported by grants from Beijing Nova Program (No. 20230484244), Peking University Clinical Scientist Training Program (No. BMU2023PYJH001), supported by \u0026ldquo;the Fundamental Research Funds for the Central Universities\u0026rdquo;, the National Natural Science Foundation of China (No. 32370837); National High Level Hospital Clinical Research Funding (Scientific and Technological Achievements Transformation Incubation Guidance Fund Project of Peking University First Hospital) (No. 2023CX04).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDeclaration of competing interest \u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll authors declare no known competing financial interests or personal relationships that could have influenced this manuscript work.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData availability statement\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors confirm that the data supporting the findings of this study are available within the article and its supplementary materials. And the RNA-seq data supporting the findings of this study have been uploaded to a public database (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE276745).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eDisclosure\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll authors declared that they have no conflict of interest.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgments\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors sincerely thank Liu Xiaoyun\u0026apos;s team at Peking University School of Basic Medicine for their excellent technical assistance.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eMinton, K. Intestinal barrier protection. \u003cem\u003eNature reviews. 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Interplay between human nucleolar GNL1 and RPS20 is critical to modulate cell proliferation. \u003cem\u003eScientific reports\u003c/em\u003e \u003cstrong\u003e8\u003c/strong\u003e, 11421, doi:10.1038/s41598-018-29802-y (2018).\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Table","content":"\u003cp\u003eTable 1 is available in the Supplementary Files section.\u003c/p\u003e\n"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"H2S, Intestinal barrier, IBD, Ulcerative colitis, MCM2","lastPublishedDoi":"10.21203/rs.3.rs-5199665/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-5199665/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003ePatients with ulcerative colitis (UC) have a significantly impaired intestinal barrier. Hydrogen Sulfide (H\u003csub\u003e2\u003c/sub\u003eS) is a gaseous mediator that makes notable contributions in a variety of diseases, such as reducing inflammatory response in colitis. The experimental content includes the establishment of a mouse DSS-induced colitis model, mouse colon epithelial organoids culture, H\u0026amp;E staining and mass spectrometry analysis. We recognized that exogenous H\u003csub\u003e2\u003c/sub\u003eS donor-GYY4137 significantly alleviated the symptoms in UC mice models and maintained Minichromosome Maintenance Complex Component 2 (MCM2) expression. CBS knockdown reduced the expression of sulfhydrated Ribosomal protein S20 (RPS20-ssh) and MCM2 in the mouse colon. Cell experiments indicated that the expression of RPS20-ssh, rather than total expression of RPS20, is responsible.\u003c/p\u003e \u003cp\u003eOur investigation indicated that CBS-H\u003csub\u003e2\u003c/sub\u003eS axis increases the sulfhydration level of RPS20, leading to enhanced binding between RPS20 and MCM2 mRNA, thereby promoting intestinal epithelial proliferation. This may provide a new potential therapy for the clinical treatment of colitis.\u003c/p\u003e","manuscriptTitle":"Hydrogen sulfide preserves intestinal barrier repair function through sulfhydration of RPS20 in experimental colitis","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-10-24 07:48:55","doi":"10.21203/rs.3.rs-5199665/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-02-14T17:19:15+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-02-09T23:04:48+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"340057173653991485921679609869717025502","date":"2025-01-18T01:15:33+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"26834820053041796802266156217765697759","date":"2025-01-17T15:15:06+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-11-10T11:25:34+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"146797558030116098628598815907414687818","date":"2024-10-29T14:29:13+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-10-28T13:01:41+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-10-28T12:48:50+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2024-10-23T07:22:46+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-10-22T11:11:40+00:00","index":"","fulltext":""},{"type":"submitted","content":"Scientific Reports","date":"2024-10-03T16:49:02+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"024e7a97-6301-43d0-8903-b809ec17cd6a","owner":[],"postedDate":"October 24th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":39309734,"name":"Biological sciences/Cell biology"},{"id":39309735,"name":"Biological sciences/Cell biology/Cell death"}],"tags":[],"updatedAt":"2025-05-26T16:11:56+00:00","versionOfRecord":{"articleIdentity":"rs-5199665","link":"https://doi.org/10.1038/s41598-025-02268-5","journal":{"identity":"scientific-reports","isVorOnly":false,"title":"Scientific Reports"},"publishedOn":"2025-05-21 15:57:08","publishedOnDateReadable":"May 21st, 2025"},"versionCreatedAt":"2024-10-24 07:48:55","video":"","vorDoi":"10.1038/s41598-025-02268-5","vorDoiUrl":"https://doi.org/10.1038/s41598-025-02268-5","workflowStages":[]},"version":"v1","identity":"rs-5199665","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-5199665","identity":"rs-5199665","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

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