Abstract

Free oxygen radicals are thought to be involved in the pathogenesis of necrotizing enterocolitis (NEC) in premature infants. We have recently demonstrated that cyclooxygenase (COX)-2 induction occurs in NEC; however, the potential upstream cellular mechanisms involved are still largely unknown. Therefore, the purpose of this study was to determine the intracellular signal transduction pathways involved during oxidative stress-induced intestinal epithelial cell injury. Rat intestinal epithelial cells (RIE-1) maintained in DMEM with 5% fetal bovine serum (FBS) were used for our experiments. Cells were serum-starved overnight and treated with either H 2O 2 or vehicle in the presence of various kinase inhibitors: PD98059 for p44/42 mitogen-activated protein kinase (MAPK), SB203580 for p38 MAPK, SP600125 for c-Jun N-terminal kinase (JNK), and LY290042 for phosphatidylinositol 3-kinase (PI3K/Akt). Treated cells were harvested over a time course and protein was extracted for Western blotting. Cell viability was determined using CCK-8 assay. H 2O 2 treatment resulted in increases in phosphorylation of p44/42 MAPK, p38 MAPK, JNK and Akt in RIE-1 cells in a time- and dose-dependent manner. The peak increases were noted with 200 μM dosage at 5–15 min after treatment. Total MAPK and Akt levels were not affected by H 2O 2 treatment. Additionally, RIE-1 cell viability was significantly decreased when either MAPK or PI3K pathway was selectively inhibited with PD98059 and LY294002 compounds, respectively. Interestingly, RIE-1 cell viability was markedly enhanced when JNK pathway was inhibited by SP600125. Inhibition of p38 MAPK with SB203580 did not influence RIE-1 cell viability after H 2O 2 treatment. Phosphorylation of multiple signaling transduction pathways occurs during oxidative stress-induced intestinal epithelial cell injury. In contrast to JNK pathway, both p44/42 MAPK and PI3K/Akt may be involved as protective cellular signaling pathways in intestinal injury that occurs during NEC. A better understanding of this process may allow us to elucidate molecular mechanisms contributing to NEC.

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