Rahman Khalidur, Sasaki Maiko, Nusrat Asma, Klapproth Jan-Michael A
*Division of Digestive Diseases, Epithelial Pathobiology and Mucosal Inflammation Research Unit, Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia; and †Division of Digestive Diseases, Emory University, Atlanta, Georgia; and ‡Division of Digestive Diseases, Atlanta VA Medical Center, Decatur, Georgia.
Inflamm Bowel Dis. 2014 Aug;20(8):1419-25. doi: 10.1097/MIB.0000000000000096.
Epidemiological and genetic studies suggest a role for enteric flora in the pathogenesis of Crohn's disease (CD). Crohn's disease-associated Escherichia coli (CDEC) is characterized by their ability to invade epithelial cells and survive and induce high concentration of TNF-α from infected macrophages. However, the molecular mechanisms of CDEC survival in infected macrophages are not completely understood.
Intracellular survival of CDEC strain LF82 isolated from inflamed ileum tissue, 13I isolated from inflamed colonic tissue, and control E. coli strains were tested in the murine macrophage cell line, J774A.1 by Gentamicin protection assay. Modulation of intracellular cell signaling pathways by the E. coli strains were assessed by western blot analysis and confocal microscopy.
13I demonstrated increased survival in macrophages with 2.6-fold higher intracellular bacteria compared with LF82, yet both strains induced comparable levels of TNF-α. LF82 and 13I differentially modulated key mitogen-activated protein kinase pathways during the acute phase of infection; LF82 activated all 3 mitogen-activated protein kinase pathways, whereas 13I activated ERK1/2 pathway but not p38 and JNK pathways. Both 13I and LF82 suppressed nuclear translocation of NFκB compared with noninvasive E. coli strains during the acute phase of infection. However, unlike noninvasive E. coli strains, 13I and LF82 infection resulted in chronic activation of NFκB during the later phase of infection.
Our results showed that CDEC survive in macrophages by initially suppressing NFκB activation. However, persistence of bacterial within macrophages induces chronic activation of NFκB, which correlates with increased TNF-α secretion from infected macrophages.
流行病学和遗传学研究表明肠道菌群在克罗恩病(CD)的发病机制中起作用。克罗恩病相关大肠杆菌(CDEC)的特征在于其侵袭上皮细胞、存活并从感染的巨噬细胞诱导高浓度肿瘤坏死因子-α(TNF-α)的能力。然而,CDEC在感染的巨噬细胞中存活的分子机制尚未完全了解。
通过庆大霉素保护试验,在小鼠巨噬细胞系J774A.1中测试从发炎的回肠组织分离的CDEC菌株LF82、从发炎的结肠组织分离的13I以及对照大肠杆菌菌株的细胞内存活情况。通过蛋白质免疫印迹分析和共聚焦显微镜评估大肠杆菌菌株对细胞内信号通路的调节。
13I在巨噬细胞中的存活率增加,细胞内细菌数量比LF82高2.6倍,但两种菌株诱导的TNF-α水平相当。在感染急性期,LF82和13I对关键的丝裂原活化蛋白激酶途径有不同的调节作用;LF82激活所有3条丝裂原活化蛋白激酶途径,而13I激活细胞外信号调节激酶1/2(ERK1/2)途径,但不激活p38和应激活化蛋白激酶(JNK)途径。在感染急性期,与非侵袭性大肠杆菌菌株相比,13I和LF82均抑制核因子κB(NFκB)的核转位。然而,与非侵袭性大肠杆菌菌株不同,13I和LF82感染在感染后期导致NFκB的慢性激活。
我们的结果表明,CDEC通过最初抑制NFκB激活而在巨噬细胞中存活。然而,细菌在巨噬细胞内的持续存在诱导NFκB的慢性激活,这与感染的巨噬细胞中TNF-α分泌增加相关。