The Na+/H+ Exchanger Controls Deoxycholic Acid-Induced Apoptosis by a H+-Activated, Na+-Dependent Ionic Shift in Esophageal Cells

Autor: Katerina Dvorak, Aaron Goldman, Kimberly A. Hill, Mohammad Shahidullah, Nicholas A. Delamere, Amritlal Mandal, Hwu Dau Rw Chen, Mohammad R. Khan, Heather B. Roesly
Rok vydání: 2011
Předmět:
Anatomy and Physiology
Tumor Physiology
lcsh:Medicine
Apoptosis
Antiport Proteins
Biochemistry
Ion Channels
Ouabain
Transmembrane Transport Proteins
chemistry.chemical_compound
0302 clinical medicine
Molecular Cell Biology
Basic Cancer Research
Homeostasis
lcsh:Science
Cells
Cultured

Gastrointestinal Neoplasms
0303 health sciences
Multidisciplinary
Cell Death
Bile acid
Chemistry
Deoxycholic acid
Hydrogen-Ion Concentration
Oncology
030220 oncology & carcinogenesis
Medicine
Intracellular
Research Article
Deoxycholic Acid
medicine.drug
Programmed cell death
Sodium-Hydrogen Exchangers
medicine.drug_class
Caspase 3
Bile Acids and Salts
03 medical and health sciences
Esophagus
Cations
Chemical Biology
medicine
Humans
Biology
030304 developmental biology
Plasma Proteins
lcsh:R
Sodium
Proteins
Molecular biology
Sodium–hydrogen antiporter
lcsh:Q
Physiological Processes
Lysosomes
Hydrogen
Zdroj: PLoS ONE
PLoS ONE, Vol 6, Iss 8, p e23835 (2011)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0023835
Popis: Apoptosis resistance is a hallmark of cancer cells. Typically, bile acids induce apoptosis. However during gastrointestinal (GI) tumorigenesis the cancer cells develop resistance to bile acid-induced cell death. To understand how bile acids induce apoptosis resistance we first need to identify the molecular pathways that initiate apoptosis in response to bile acid exposure. In this study we examined the mechanism of deoxycholic acid (DCA)-induced apoptosis, specifically the role of Na(+)/H(+) exchanger (NHE) and Na(+) influx in esophageal cells. In vitro studies revealed that the exposure of esophageal cells (JH-EsoAd1, CP-A) to DCA (0.2 mM-0.5 mM) caused lysosomal membrane perturbation and transient cytoplasmic acidification. Fluorescence microscopy in conjunction with atomic absorption spectrophotometry demonstrated that this effect on lysosomes correlated with influx of Na(+), subsequent loss of intracellular K(+), an increase of Ca(2+) and apoptosis. However, ethylisopropyl-amiloride (EIPA), a selective inhibitor of NHE, prevented Na(+), K(+) and Ca(2+) changes and caspase 3/7 activation induced by DCA. Ouabain and amphotericin B, two drugs that increase intracellular Na(+) levels, induced similar changes as DCA (ion imbalance, caspase3/7 activation). On the contrary, DCA-induced cell death was inhibited by medium with low a Na(+) concentrations. In the same experiments, we exposed rat ileum ex-vivo to DCA with or without EIPA. Severe tissue damage and caspase-3 activation was observed after DCA treatment, but EIPA almost fully prevented this response. In summary, NHE-mediated Na(+) influx is a critical step leading to DCA-induced apoptosis. Cells tolerate acidification but evade DCA-induced apoptosis if NHE is inhibited. Our data suggests that suppression of NHE by endogenous or exogenous inhibitors may lead to apoptosis resistance during GI tumorigenesis.
Databáze: OpenAIRE