Tang Ruihan, Yang Guang, Zhang Shenghong, Wu Changyou, Chen Minhu
*Department of Gastroenterology, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China; †Department of Medical Imaging and Interventional Radiology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangzhou, China; and ‡Department of Immunology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, China.
Inflamm Bowel Dis. 2014 Nov;20(11):1950-61. doi: 10.1097/MIB.0000000000000192.
Inflammatory bowel disease (IBD) is characterized by a damaged intestinal epithelium barrier. Interferon regulatory factor 1 (IRF1) and osteopontin (OPN) regulate cell survival and growth in a variety of circumstances but their effects on the intestinal epithelium have not been elucidated. In this study, we sought to determine the effects of OPN on intestinal epithelial cells under conditions of tumor necrosis factor (TNF)-α-induced inflammation and whether IRF1 regulates OPN expression, the activation of downstream pathways, and inflammatory responses.
The expression levels of OPN and IRF1 were assessed by immunohistochemical analyses of human IBD and experimental mouse colitis. The effects of IRF1 and OPN on inflammatory responses were investigated in vitro in NCM460 and Caco-2 cells stimulated by TNF-α. Changes in p-AKT, p-P38, and p-ERK levels were quantified by western blotting assays. The regulation of OPN expression by IRF1 was determined by luciferase activity and chromatin immunoprecipitation assays.
IRF1 was upregulated in human IBD and in the colon epithelium of mice with dextran sulfate sodium-induced colitis. Additionally, IRF1 was correlated with high-sensitivity C-reactive protein, erythrocyte sedimentation rate, Crohn's disease activity index, Crohn's disease endoscopic index of severity, and simple endoscopic score for Crohn's disease in Crohn's disease and with high-sensitivity C-reactive protein, erythrocyte sedimentation rate, Mayo score, Baron score, modified Baron score, Rachmilewitz score, ulcerative colitis endoscopic index of severity, ulcerative colitis colonoscopic index of severity, and disease duration in ulcerative colitis. The expression of OPN was significantly decreased in patients with IBD compared with controls and in dextran sulfate sodium-induced experimental colitis and was also inversely correlated with clinical and endoscopic activities in both Crohn's disease and ulcerative colitis. TNF-α treatment upregulated IRF1 and diminished OPN in both NCM460 and Caco-2 cells. The overexpression of OPN and rhOPN ameliorated the apoptosis induced by TNF-α, whereas the overexpression of IRF1 aggravated apoptosis, indicating opposite effects of OPN and IRF1 in inflamed epithelial cells. The luciferase and chromatin immunoprecipitation assays showed that IRF1 transcriptionally modulated the expression of OPN. TNF-α inhibited the OPN-induced upregulation of p-ERK, p-P38, and p-AKT.
Our data suggest that during intestinal inflammation, the TNF-α-mediated activation of IRF1 is related to the subsequent suppression of OPN expression, further reducing p-AKT, p-P38, and p-ERK activities and resulting in aggravation of the injury to intestinal epithelial cells.
炎症性肠病(IBD)的特征是肠道上皮屏障受损。干扰素调节因子1(IRF1)和骨桥蛋白(OPN)在多种情况下调节细胞存活和生长,但它们对肠道上皮的影响尚未阐明。在本研究中,我们试图确定OPN在肿瘤坏死因子(TNF)-α诱导的炎症条件下对肠道上皮细胞的影响,以及IRF1是否调节OPN表达、下游通路的激活和炎症反应。
通过对人类IBD和实验性小鼠结肠炎进行免疫组织化学分析,评估OPN和IRF1的表达水平。在TNF-α刺激的NCM460和Caco-2细胞中,体外研究IRF1和OPN对炎症反应的影响。通过蛋白质免疫印迹分析定量p-AKT、p-P38和p-ERK水平的变化。通过荧光素酶活性和染色质免疫沉淀分析确定IRF1对OPN表达的调节作用。
IRF1在人类IBD以及葡聚糖硫酸钠诱导的结肠炎小鼠的结肠上皮中上调。此外,在克罗恩病中,IRF1与高敏C反应蛋白、红细胞沉降率、克罗恩病活动指数、克罗恩病内镜严重程度指数和克罗恩病简易内镜评分相关;在溃疡性结肠炎中,IRF1与高敏C反应蛋白、红细胞沉降率、梅奥评分、巴伦评分、改良巴伦评分、拉赫米列维茨评分、溃疡性结肠炎内镜严重程度指数、溃疡性结肠炎结肠镜严重程度指数和病程相关。与对照组相比,IBD患者以及葡聚糖硫酸钠诱导的实验性结肠炎中OPN的表达显著降低,并且在克罗恩病和溃疡性结肠炎中,OPN表达均与临床和内镜活动呈负相关。TNF-α处理使NCM460和Caco-2细胞中的IRF1上调而OPN减少。OPN和重组人OPN的过表达减轻了TNF-α诱导的细胞凋亡,而IRF1的过表达加重了细胞凋亡,表明OPN和IRF1在炎症上皮细胞中具有相反的作用。荧光素酶和染色质免疫沉淀分析表明,IRF1转录调节OPN的表达。TNF-α抑制了OPN诱导的p-ERK、p-P38和p-AKT的上调。
我们的数据表明,在肠道炎症期间,TNF-α介导的IRF1激活与随后OPN表达的抑制有关,进一步降低了p-AKT、p-P38和p-ERK的活性,导致肠道上皮细胞损伤加重。