Abstract

Ethanol is metabolized into acetaldehyde in most tissues. In this study, we investigated the synergistic effect of ethanol and acetaldehyde on the tight junction integrity in Caco-2 cell monolayers. Expression of alcohol dehydrogenase sensitized Caco-2 cells to ethanol-induced tight junction disruption and barrier dysfunction, whereas aldehyde dehydrogenase attenuated acetaldehyde-induced tight junction disruption. Ethanol up to 150 mM did not affect tight junction integrity or barrier function, but it dose-dependently increased acetaldehyde-mediated tight junction disruption and barrier dysfunction. Src kinase and MLCK inhibitors blocked this synergistic effect of ethanol and acetaldehyde on tight junction. Ethanol and acetaldehyde caused a rapid and synergistic elevation of intracellular calcium. Calcium depletion by BAPTA or Ca2+-free medium blocked ethanol and acetaldehyde-induced barrier dysfunction and tight junction disruption. Diltiazem and selective knockdown of TRPV6 or CaV1.3 channels, by shRNA blocked ethanol and acetaldehyde-induced tight junction disruption and barrier dysfunction. Ethanol and acetaldehyde induced a rapid and synergistic increase in reactive oxygen species by a calcium-dependent mechanism. N-acetyl-L-cysteine and cyclosporine A, blocked ethanol and acetaldehyde-induced barrier dysfunction and tight junction disruption. These results demonstrate that ethanol and acetaldehyde synergistically disrupt tight junctions by a mechanism involving calcium, oxidative stress, Src kinase and MLCK.

Highlights

  • Epithelial tight junctions confer the intestinal mucosal barrier function in the intestine

  • We investigated the synergistic effect of ethanol and acetaldehyde on the tight junction integrity and barrier function in Caco-2 cell monolayers, and delineated the role of calcium influx and mitochondrial oxidative stress in the mechanism involved in the synergistic effect of ethanol and acetaldehyde

  • Confocal immunofluorescence microscopy showed that ethanol produced no obvious effect on junctional distribution of occludin and ZO-1, but it caused a dramatic redistribution of occludin and ZO-1 from the intercellular junctions into intracellular compartment in ADH1B-transfected cell monolayers (Fig. 1D)

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Summary

Introduction

Epithelial tight junctions confer the intestinal mucosal barrier function in the intestine. Previous studies showed that acetaldehyde is more effective than ethanol in tight junction disruption in Caco-2 cell monolayer[1]. To determine the role of oxidative stress in ethanol and acetaldehyde-induced tight junction disruption and barrier dysfunction we evaluated the effect of antioxidants.

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