Cuzzocrea S, Mazzon E, De Sarro A, Caputi A P
Institute of Pharmacology, School of Medicine, University of Messina, Italy.
Mol Med. 2000 Sep;6(9):766-78.
Small intestine permeability is frequently altered in inflammatory bowel disease and may be caused by the translocation of intestinal toxins through leaky small intestine tight junctions (TJ) and adherence (1,2). The role of hydrogen peroxide (H2O2), and nitric oxide (NO) and PARS in the permeability and structure of small intestine TJ is not clearly understood.
In vitro study, MDCK (Madin-Darby Canine Kidney) cells were exposed to H2O2 (100 microM for 2h), or zymosan (200 microl of stock solution 1 mg/ml for 4h), in the presence or absence of a treatment with poly(ADP-ribose) synthetase (PARS) inhibitor 3-aminobenzamide (3-AB: 3 mM) or with n-acetylcysteine (NAC 10 mM). In vivo study, wild-type mice (WT) and mice lacking (KO) of the inducible (or type 2) nitric oxide synthase (iNOS) were treated with zymosan (500 mg/kg, suspended in saline solution, i.p.). In addition INOSWT mice were treated with 3-AB (10 mg/kg, i.p.) or with NAC (40 mg/kg, i.p.) 1 hour and 6 h after zymosan administration.
Exposure of MDCK cells to hydrogen peroxide caused a significant impairment in mitochondrial respiration that was associated with a reduction of cells adherence as well as derangement of the junctional proteins. A significant increase of nitrate and nitrite levels, stable metabolites of nitric oxide (NO), were found in MDCK supernatant after zymosan incubation. NO production was associated with a significant reduction of cell adherence and impairment of occludin protein. Pre-treatment of the cells with 3-AB or with NAC caused a significant prevention of H2O2-mediated occludin junctional damage as well as reduced the NO-induced occludin damage. In addition, H2O2 and NO are able to induce a significant derangement of beta-catenin and Zonula Ocludence-1 (ZO-1). We found an increase of tight junctional permeability to lanthanum nitrate (molecular weight, 433) in the terminal ileal TJs in zymosan-treated iNOSWT mice compared with permeable TJ in the control animals. Zymosan-treated iNOSKO mice showed a significant increase of tight junctional permselectivity. There were no differences in strand count or strand depth in the ilea from control or treated animals. In addition, a significant disrupted immunofluorescence signal for occludin, ZO-1 and beta-catenin was observed in the terminal ilea of zymosan-treated iNOSWT mice. In ileal fragments from zymosan-treated iNOSKO mice, we found less irregular distribution patterns of occludin, ZO-1 and beta-catenin. Similarly NAC or 3-AB treatments were able to prevent zymosan-induced damage of junctional proteins in iNOSWT mice.
In conclusion, this study demonstrates that the alteration of permselectivity is most likely induced by ROS and PARS activation.
炎症性肠病中常出现小肠通透性改变,这可能是由于肠道毒素通过渗漏的小肠紧密连接(TJ)和黏附作用发生易位所致(1,2)。过氧化氢(H₂O₂)、一氧化氮(NO)和多聚(ADP - 核糖)合成酶(PARS)在小肠TJ通透性和结构中的作用尚不清楚。
体外研究中,在存在或不存在聚(ADP - 核糖)合成酶(PARS)抑制剂3 - 氨基苯甲酰胺(3 - AB:3 mM)或N - 乙酰半胱氨酸(NAC 10 mM)处理的情况下,将MDCK(Madin - Darby犬肾)细胞暴露于H₂O₂(100 microM,2小时)或酵母聚糖(200微升1 mg/ml储备溶液,4小时)。体内研究中,将野生型小鼠(WT)和缺乏诱导型(或2型)一氧化氮合酶(iNOS)的小鼠(KO)用酵母聚糖(500 mg/kg,悬浮于盐溶液中,腹腔注射)处理。此外,在酵母聚糖给药后1小时和6小时,给iNOSWT小鼠腹腔注射3 - AB(10 mg/kg)或NAC(40 mg/kg)。
MDCK细胞暴露于过氧化氢会导致线粒体呼吸显著受损,这与细胞黏附减少以及连接蛋白紊乱有关。酵母聚糖孵育后,在MDCK细胞上清液中发现一氧化氮(NO)的稳定代谢产物硝酸盐和亚硝酸盐水平显著升高。NO的产生与细胞黏附显著减少和闭合蛋白损伤有关。用3 - AB或NAC预处理细胞可显著预防H₂O₂介导的闭合蛋白连接损伤,并减少NO诱导的闭合蛋白损伤。此外,H₂O₂和NO能够诱导β - 连环蛋白和紧密连接蛋白1(ZO - 1)发生显著紊乱。我们发现,与对照动物的可渗透TJ相比,酵母聚糖处理的iNOSWT小鼠回肠末端TJ对硝酸镧(分子量433)的紧密连接通透性增加。酵母聚糖处理的iNOSKO小鼠显示紧密连接选择通透性显著增加。对照或处理动物回肠的股数或股深度没有差异。此外,在酵母聚糖处理的iNOSWT小鼠回肠末端观察到闭合蛋白、ZO - 1和β - 连环蛋白的免疫荧光信号明显破坏。在酵母聚糖处理的iNOSKO小鼠的回肠片段中,我们发现闭合蛋白、ZO - 1和β - 连环蛋白的不规则分布模式较少。同样,NAC或3 - AB处理能够预防酵母聚糖诱导的iNOSWT小鼠连接蛋白损伤。
总之,本研究表明选择通透性的改变很可能是由活性氧(ROS)和PARS激活诱导的。