Chow Jimmy Y C, Carlstrom Katie, Barrett Kim E
Division of Gastroenterology, Department of Medicine, University of California, San Diego, School of Medicine, San Diego, California, USA.
Gastroenterology. 2003 Oct;125(4):1114-24. doi: 10.1016/s0016-5085(03)01211-3.
Growth hormone (GH) has been shown to alleviate symptoms in patients with Crohn's disease. Chloride secretion is important in driving intestinal fluid secretion. We examined whether GH inhibits chloride secretion induced by carbachol (CCh, a calcium-dependent pathway), and the downstream effectors responsible.
T(84) cells were pretreated with GH at various concentrations followed by CCh (100 micromol/L). Chloride secretion was assessed as changes in short circuit current ( triangle up I(sc)) in Ussing chambers. Tyrphostins AG1478 (an epidermal growth factor receptor [EGFr] inhibitor) and AG490 (a Janus kinase 2 [JAK2] inhibitor), SB203580 (a p38 inhibitor), and PD98059 (a MEK1 inhibitor) were used.
GH inhibited CCh-induced chloride secretion at up to 10 nmol/L, but higher concentrations were less effective. GH caused tyrosine phosphorylation of JAK2 and EGFr. AG490 suppressed activation of JAK2 and EGFr in response to GH. AG1478 prevented GH activation of EGFr and reversed its inhibitory effect on chloride secretion. GH also induced activation of both p38 and ERK1/2. AG490 reversed GH-induced tyrosine phosphorylation of both ERK1/2 and p38, but AG1478 reversed that of ERK1/2 only. PD98059, but not SB203580, reversed the inhibitory effect of GH on chloride secretion.
GH inhibits CCh-induced chloride secretion via a JAK2-dependent mechanism involving transactivation of EGFr and consequent recruitment of ERK1/2. Although activated, p38 does not contribute to the inhibitory effect of GH on secretion. These data elucidate mechanisms of GH inhibition of chloride secretion in intestinal epithelia, which may be relevant to therapeutic benefits of GH in Crohn's disease or other diarrheal diseases.
生长激素(GH)已被证明可缓解克罗恩病患者的症状。氯离子分泌在驱动肠道液体分泌中起重要作用。我们研究了GH是否抑制卡巴胆碱(CCh,一种钙依赖性途径)诱导的氯离子分泌以及相关的下游效应器。
用不同浓度的GH预处理T(84)细胞,随后加入CCh(100微摩尔/升)。在尤斯灌流小室中,将氯离子分泌评估为短路电流(△I(sc))的变化。使用了酪氨酸磷酸化抑制剂AG1478(一种表皮生长因子受体[EGFr]抑制剂)和AG490(一种Janus激酶2[JAK2]抑制剂)、SB203580(一种p38抑制剂)以及PD98059(一种MEK1抑制剂)。
GH在高达10纳摩尔/升时抑制CCh诱导的氯离子分泌,但更高浓度时效果较差。GH导致JAK2和EGFr的酪氨酸磷酸化。AG490抑制GH诱导的JAK2和EGFr激活。AG1478阻止GH对EGFr的激活并逆转其对氯离子分泌的抑制作用。GH还诱导p38和ERK1/2的激活。AG490逆转GH诱导的ERK1/2和p38的酪氨酸磷酸化,但AG1478仅逆转ERK1/2的酪氨酸磷酸化。PD98059而非SB203580逆转GH对氯离子分泌的抑制作用。
GH通过一种依赖JAK2的机制抑制CCh诱导的氯离子分泌,该机制涉及EGFr的反式激活以及随后ERK1/2的募集。尽管p38被激活,但它对GH对分泌的抑制作用没有贡献。这些数据阐明了GH抑制肠道上皮细胞氯离子分泌的机制,这可能与GH在克罗恩病或其他腹泻性疾病中的治疗益处相关。