Chronic inflammatory bowel disease presents a persistent challenge for translational drug development because disease drivers are neither static nor uniform. Immune signaling, epithelial responses, and tissue organization evolve as inflammation progresses, and these dynamics are not captured equally across commonly used preclinical models. As a result, therapeutic mechanisms that appear robust in one system may be attenuated, masked, or absent in another.
In a recent study by Fransson et al., published in Immunity (2026), the authors addressed this challenge by generating a high resolution, spatiotemporal atlas of chronic colitis across two widely used mouse models: CD45RBhi adoptive T cell transfer colitis and Il10-/- spontaneous colitis. By integrating longitudinal bulk RNA sequencing, single cell RNA sequencing, and spatial transcriptomics, the study tracked how immune, epithelial, and stromal compartments are progressively rewired during disease initiation and chronic progression.
Rather than treating colitis as a single inflammatory state, the authors show that distinct inflammatory programs emerge, expand, and persist over time, with both shared and model specific features. Across models, neutrophil associated inflammatory and cytokine responsive transcriptional programs represent some of the most consistently observed features between mice and human ulcerative colitis. However, the timing, cellular context, and spatial organization of these programs differ substantially depending on the underlying disease trigger.
In the CD45RBhi T cell transfer model, inflammation follows a tightly coordinated trajectory dominated by adaptive CD4⁺ T cell activation, rapid induction of cytokine responsive gene programs, and synchronized expansion of innate immune populations. In contrast, Il10-/- spontaneous colitis evolves more gradually and reflects loss of immune tolerance, with prominent involvement of B cells and plasma cells, progressive epithelial stress responses, and durable inflammatory programs that persist independently of acute cytotoxic T cell waves.
Spatial transcriptomic analysis further reveals that chronic colitis is regionally organized rather than uniform, with discrete epithelial and immune gene programs occupying defined tissue domains, including regions resembling tertiary lymphoid structures and epithelial antigen presentation niches. Importantly, these spatial patterns are observed across both models, demonstrating that tissue organization is an intrinsic feature of chronic inflammation rather than an artifact of experimental induction.
This Insight builds on those findings to examine how differences in immune drivers, chronicity, and spatial organization influence preclinical model selection and translational interpretation for ulcerative colitis drug development.