Mo1719 Epithelial NF-κB Activation via TNF Signaling May Be Involved in the Development of Colitis-Associated Carcinogenesis

Abstract

Background & Aim: Prolonged inflammatory bowel diseases (IBD) such as ulcerative colitis and Crohn's disease may promote carcinogenesis in the epithelia. It has been reported that activation of NF-κB pathway in both intestinal epithelial cells and myeloid cells are significant for the development of colitis-associated cancer (CAC). We previously reported that specific up-regulation of the type 2 receptor for tumor necrosis factor (TNFR2) rather than TNFR1 expression was observed in the inflamed colonic epithelia and further in the CAC. It is known that TNFR2 signaling may induce NF-κB activation, but the role of its expression in the setting of CAC has not been elucidated. Here we analyzed TNFR2 signaling in the colonic epithelial cells. Methods & Results: As previously observed in animal models of colitis and CAC, the expression of TNFR2 was up-regulated in an epithelial cell line, MOC1, which was derived from murine colonic ‘non-cancer' tissue, when stimulated with recombinant (r) IFN-γ. MOC1 cells incubated with both rIFN-γ and rTNF showed that NFκB pathway was activated rather than apoptosis pathway. Furthermore, the activated NFκB in MOC1 cells was associated with the expression of myosin light chain kinase (MLCK) as well as disrupted tight junction (TJ) in a rTNF dose-dependent manner. Such MLCK upregulation and TJ disruption in MOC1 cells were abrogated by either anti-TNF mAb (MP6XT22), TNFR2-specific siRNA or even MLCK inhibitor (ML-7). Using an animal model of CAC involving azoxymethane (AOM) and dextran sodium sulfate (DSS), the colonic lamina propria was found to have pro-tumorigenic cytokine production such as IL-1β, IL-6 and MIP-2 in association with epithelial NF-κB activation, TNFR2 and MLCK up-regulations and epithelial TJ disruption. AOM and DSS-administered mice with either MP6-XT22 or ML7 treatment failed to show significant abrogation of colitis severity, however such treatments revealed the restored epithelial TJ and decreased pro-tumorigenic cytokine production in the colonic tissues in association with the reduced CAC development. Conclusions: Our studies showed that epithelial NF-κB activation via TNFR2 signaling in the context of IBD may be involved in the epithelial permeabilization and pro-tumorigenic cytokine production that result in the induction of CAC development.