Overexpression of ATP-activated P2X7 Receptors in the Intestinal Mucosa Is Implicated in the Pathogenesis of Crohnʼs Disease

Autor: Antonio José V. Carneiro, Fernanda Buongusto, Hayandra F. Nanini, Heitor Siffert Pereira de Souza, Claudio Bernardazzi, Agnes N. Yoshimoto, Robson Coutinho-Silva, Adriane R. Neves, Morgana T. Castelo-Branco, Cláudia Mara Lara Melo Coutinho, Vanessa Ribeiro Figliuolo
Rok vydání: 2014
Předmět:
Adult
Male
Adolescent
Blotting
Western

Interleukin-1beta
Fluorescent Antibody Technique
Apoptosis
Enzyme-Linked Immunosorbent Assay
Inflammation
Real-Time Polymerase Chain Reaction
Inflammatory bowel disease
Pathogenesis
Interferon-gamma
Mice
Young Adult
Adenosine Triphosphate
Crohn Disease
Intestinal mucosa
medicine
Animals
Humans
Immunology and Allergy
RNA
Messenger

Intestinal Mucosa
Colitis
Mice
Knockout

Lamina propria
Reverse Transcriptase Polymerase Chain Reaction
Tumor Necrosis Factor-alpha
business.industry
Gastroenterology
Colonoscopy
Middle Aged
Prognosis
medicine.disease
Molecular biology
Ulcerative colitis
Interleukin-10
Mice
Inbred C57BL

medicine.anatomical_structure
Case-Control Studies
Colitis
Ulcerative

Female
Tumor necrosis factor alpha
Receptors
Purinergic P2X7

medicine.symptom
business
Follow-Up Studies
Zdroj: Inflammatory Bowel Diseases. 20:444-457
ISSN: 1078-0998
Popis: BACKGROUND Extracellular nucleotides released in conditions of cell stress alert the immune system from tissue injury or inflammation. We hypothesized that the P2X7 receptor (P2X7-R) could regulate key elements in inflammatory bowel disease pathogenesis. METHODS Colonoscopy samples obtained from patients with Crohn's disease (CD), ulcerative colitis, and controls were used to analyze P2X7-R expression by RT and real-time PCR, immunohistochemistry, and confocal microscopy. Inflammatory response was determined by the levels of cytokines by enzyme-linked immunosorbent assay in cultures of intestinal explants. Apoptosis was determined by the TUNEL assay. P2X7-R C57BL/6 mice were treated with trinitrobenzene sulfonic acid or dextran sulfate sodium (DSS) for inducing colitis. RESULTS P2X7-R was expressed in higher levels in inflamed CD epithelium and lamina propria, where it colocalizes more with dendritic cells and macrophages. Basal levels of P2X7-R mRNA were higher in CD inflamed mucosa compared with noninflamed CD and controls and were upregulated after interferon-γ in controls. Apoptotic rates were higher in CD epithelium and lamina propria compared with ulcerative colitis and controls. Levels of tumor necrosis factor-α, interleukin (IL)-1β, and IL-17 were higher, whereas IL-10 was lower in CD compared with controls. Levels of tumor necrosis factor-α-α and interleukin-1β increased after adenosine-triphosphate and decreased after KN62 treatment in CD. P2X7-R animals did not develop trinitrobenzene sulfonic acid or DSS colitis. CONCLUSIONS The upregulation of P2X7-R in CD inflamed mucosa is consistent with the involvement of purinoceptors in inflammation and apoptosis. These observations may implicate purinergic signaling in the pathogenesis of intestinal inflammation, and the P2X7-R may represent a novel therapeutic target in CD.
Databáze: OpenAIRE