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上皮-间充质转化诱导转录因子在幽门螺杆菌诱导成纤维细胞活化机制中的作用。

Involvement of epithelial-mesenchymal transition-inducing transcription factors in the mechanism of Helicobacter pylori-induced fibroblasts activation.

机构信息

Department of Physiology, Faculty of Medicine, Jagiellonian University Medical College, Cracow, Poland.

出版信息

J Physiol Pharmacol. 2019 Oct;70(5). doi: 10.26402/jpp.2019.5.08. Epub 2019 Dec 26.

Abstract

Gastric cancer (GC) originating from the lining of the stomach is one of the most frequent malignancies in humans. The most efficient method giving hope of full recovery from GC is gastric resection combined with adjuvant chemotherapy and radiotherapy. However, over 50% of patients after treatment suffer from recurrence and peritoneal metastasis. The bacteria Helicobacter pylori (Hp) is nowadays considered as the major pathogen capable of colonizing gastric mucosa. This bug causes deregulation of multiple signaling pathways including the activation of nuclear factor kappaB (NFκB) and Janus kinase/signal transducers and activators of transcription (JAK/STAT) responsible for inflammation and development of carcinogenic cascade. The pathomechanism of these changes remains little understood, but the Hp virulence factors affecting mainly gastric epithelium have been postulated. Nevertheless, the changes associated with inflammation progressing to cancer are not only limited to epithelial cells. The cells surrounding the tumor, mainly activated fibroblasts (CAFs - cancer-associated fibroblasts) create molecular microenvironment promoting tumorigenesis and cancer invasion. The downstream targets of STAT3, epithelial-mesenchymal transition-inducing transcription factors (EMT-TFs) are expressed in activated fibroblasts providing them with additional properties. Thus, our aim was to determine if the Hp strain expressing CagA and VacA cytotoxins may result in the activation/differentiation of rat gastric fibroblasts resulting in NFκB and STAT3 signaling, which could lead to EMT-TFs expression and secretome responsible for inflammatory and EMT inducing microenvironment. In this study, gastric samples were harvested from 8-week-old Spraque-Dowley rats and the primary and secondary fibroblast cultures were established. The 70% confluent secondary fibroblast cultures were infected with 1 x 10 of live Hp expressing cytotoxins CagA VacA per dish and incubated in humidified atmosphere for 3, 24, 48 and 72 hours, before the conditioned media or the cells were used for endpoint experiments. As the control, fibroblast culture in DMEM with 10% FBS and antibiotics, free from Hp infection was used. The expression of mRNA for 18S (control), toll-like receptors: TLR2 and TLR4, STAT3, NFκB p65/Rel A, inhibitor of NF-κB (Iκβ), Snail and Twist was determined by RT-PCR. The protein expression of Snail and Twist was assessed by Western blot technique. The fibroblast supernatant was collected at 72 hours from non-infected and Hp (cagA vacA)-infected culture and the concentrations of interleukin 8 (IL-8), hepatocyte growth factor (HGF) and stromal derived factor-1 (SDF-1) were measured by ELISA. In fibroblasts infected with Hp (cagA+ vacA+), the significant increase of mRNA expression for both, TLR2 and TLR4, as well as STAT3, NFκB/RelA subunit was observed already after 3 hours of fibroblasts infection with Hp strain compared with control non-infected fibroblasts. Simultaneously, the significant decrease of Iκβ mRNA has been noticed starting from 48 hours after the Hp infection of fibroblasts was carried out. The strong increase in the expression of Snail1 and Twist mRNA was recorded already at 3 hours in Hp-infected fibroblasts comparing to control non-infected fibroblasts and this increase persisted at 24 and 48 hours being the most pronounced at 72 hours post incubation with Hp. The expression of Snail1 protein was observed after 3 hours post Hp infection and this increase persisted throughout entire time periods upon Hp infection. In contrast, no detectable level of Twist protein expression was observed up to 72 hours post-infection neither in control conditions nor in fibroblasts co-infected with Hp. These changes in fibroblasts were accompanied by a significant increase in the release of HGF, SDF-1 and IL-8 determined in cell supernatants collected from Hp-infected fibroblasts. These data indicate that the activation/differentiation of rat gastric fibroblasts can occur directly by Hp releasing CagA and indirectly through TLR2 and TLR4 and these effects can be mediated by transcription factors NFκB and STAT3 signaling leading to rapid Snail1 protein expression. We conclude that NFκB and STAT3 signaling together with Snail1 protein expression may activate the secretome responsible for fibroblasts inflammatory and EMT-inducing microenvironment likely serving as prerequisite for GC development.

摘要

胃癌(GC)起源于胃的衬里,是人类最常见的恶性肿瘤之一。从 GC 中完全恢复的最有效方法是胃切除术联合辅助化疗和放疗。然而,超过 50%的治疗后患者会复发和腹膜转移。幽门螺杆菌(Hp)目前被认为是能够定植胃黏膜的主要病原体。这种细菌会导致包括核因子 kappaB(NFκB)和 Janus 激酶/信号转导和转录激活因子(JAK/STAT)在内的多种信号通路的失调,这些通路负责炎症和致癌级联的发展。这些变化的病理机制仍知之甚少,但主要影响胃上皮的 Hp 毒力因子已被推测出来。然而,与炎症进展为癌症相关的变化不仅限于上皮细胞。肿瘤周围的细胞,主要是激活的成纤维细胞(CAFs-癌相关成纤维细胞),会产生促进肿瘤发生和癌症侵袭的分子微环境。STAT3 的下游靶标,上皮-间充质转化诱导转录因子(EMT-TFs)在激活的成纤维细胞中表达,为其提供额外的特性。因此,我们的目的是确定表达 CagA 和 VacA 细胞毒素的 Hp 菌株是否会导致大鼠胃成纤维细胞的激活/分化,从而导致 NFκB 和 STAT3 信号转导,这可能导致 EMT-TFs 的表达和负责炎症和 EMT 诱导微环境的分泌组。在这项研究中,从 8 周龄的 Spraque-Dowley 大鼠中采集胃样本,并建立原代和次代成纤维细胞培养物。70%汇合的次代成纤维细胞培养物用 1 x 10 的活 Hp 表达细胞毒素 CagA VacA 感染每盘,并在加湿气氛中孵育 3、24、48 和 72 小时,然后使用条件培养基或细胞进行终点实验。作为对照,使用不含 Hp 感染的 DMEM 中含有 10%胎牛血清和抗生素的成纤维细胞培养物。通过 RT-PCR 确定 18S(对照)、Toll 样受体:TLR2 和 TLR4、STAT3、NFκB p65/Rel A、NF-κB 抑制剂(Iκβ)、Snail 和 Twist 的 mRNA 表达。通过 Western blot 技术评估 Snail 和 Twist 的蛋白表达。在非感染和 Hp(cagA vacA)感染培养物中收集 72 小时的成纤维细胞上清液,并通过 ELISA 测量白细胞介素 8(IL-8)、肝细胞生长因子(HGF)和基质衍生因子-1(SDF-1)的浓度。在感染了 Hp(cagA+ vacA+)的成纤维细胞中,与未感染的非成纤维细胞相比,在感染 Hp 菌株后 3 小时就观察到 TLR2 和 TLR4 以及 STAT3、NFκB/RelA 亚单位的 mRNA 表达显著增加。同时,从感染 Hp 后的 48 小时开始,Iκβ mRNA 的水平显著下降。在感染 Hp 的成纤维细胞中,Snail1 和 Twist mRNA 的表达在 3 小时内显著增加,与未感染的非成纤维细胞相比,这种增加持续到 24 和 48 小时,在感染 Hp 后 72 小时达到最显著。在感染 Hp 后 3 小时观察到 Snail1 蛋白的表达,并且这种增加在整个感染期间持续存在。相比之下,在感染 Hp 的条件下,在感染 Hp 后的 72 小时内,无论是在对照条件下还是在与 Hp 共感染的成纤维细胞中,都没有检测到 Twist 蛋白表达。这些成纤维细胞的变化伴随着 HGF、SDF-1 和 IL-8 的释放显著增加,这些因子在从感染 Hp 的成纤维细胞中收集的细胞上清液中被确定。这些数据表明,Hp 通过释放 CagA 直接激活大鼠胃成纤维细胞的分化,间接通过 TLR2 和 TLR4 来激活,这些作用可以通过转录因子 NFκB 和 STAT3 信号转导来介导,导致 Snail1 蛋白的快速表达。我们得出结论,NFκB 和 STAT3 信号转导以及 Snail1 蛋白表达可能会激活负责成纤维细胞炎症和 EMT 诱导微环境的分泌组,这可能是 GC 发展的前提条件。

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