Background and Aims: Heat shock protein (HSP) 70 plays an important role in protection of gastrointestinal cells from a variety of stresses. Recent studies have shown that HSP70 is upregulated in inflamed intestinal mucosa in patients with inflammatory bowel diseases(IBD)(Luding, Dig Dis Sci, 1999), while other studies have shown that proinflammatory cytokines, which are highly expressed in intestinal mucosa in IBD patients, down-regulate expression of HSP 70(Sien H, Gastroenterology 2007). In the present study, we examined if proinflammatory cytokines inhibit HSP 70 expression in colonic mucosa, thereby exaggerating oxidative injury in colonic mucosa. We also examined if induction of heat shock protein 70 (HSP 70) by geranylgeranyacetone (GGA), a non-toxic HSP inducer, could protect colonic mucosa from oxidative injury In Vitro.Methods: Confluent monolayers of Caco-2 cells were incubated on membrane permeable supports. HSP 70 expression was evaluated by Western blot analysis and real time PCR. Cell viability was assessed by MTT assay. Apoptosis was evalutated by Caspase-3 assay. Integrity of the Caco-2 cell monolayers was assessed by measuring electrical transepithelial electrical resistance (TER) and transmucosal flux of FITClabeled inulin across the monolayers. Cells were incubated with or without cytokines (IFNγ and TNF-α) and/or Hydrogen peroxide (H2O2). In some experiments, the cells were preincubated with GGA. Results: 1. Treatment with either IFN-γ alone or TNF-α alone did not affect either HSP 70 expression or cell viability, and did not affect TER or FITC-labeled inulin flux in the Caco-2 cell monolayers. 2. Combination of IFN-γ (100 nM) and TNF-α (100 nM) downregulated HSP 70 expression, but did not affect cell viability or mucosal integrity. 3. In the absence of the cytokines, lower doses of H2O2 (< 10 mM) upregulated HSP 70 expression, and did not cause cell death or disruption of the mucosal integrity. 4. In the presence of the cytokine cocktail, lower doses of H2O2 failed to increase in HSP 70 expressions, enhanced cell death, and impaired mucosal integrity. 4. Pretreatment of the cells with GGA up-regulated HSP 70 expression, and prevented oxidative injury induced by H2O2, in both the absence and the presence of the cytokine cocktails. Conclusions: The present study suggest that (1)IFN-γ and TNF-α synergistically downregulate HSP 70 expression in colonic mucosa, and exaggerate colonic mucosal injury induced by oxidative stress, (2)induction of HSP70 by GGA appears to be useful in treatment and/or prevention of colonic mucosal injury in IBD patients.
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