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1 Institute of Human Physiology, University of Pavia, 27100 Pavia; 2 Department of Internal Medicine, Chair of Gastroenterology, Second University of Naples and 4 Department of Cellular and Molecular Biology and Pathology "L. Califano," Institute of Experimental Endocrinology and Oncology "G. Salvatore" of Consiglio Nazionale delle Ricerche, Federico II University, 80131 Naples, Italy; and 3 Institut National de la Santé et de la Recherche Médicale Unité 452, Nice University School of Medicine, 06107 Nice Cedex 2, France
The relationship between nonsteroidal anti-inflammatory drugs (NSAIDs) and Helicobacter pylori-induced gastric mucosal injury is still under debate. VacA toxin is an important H. pylori virulence factor that causes cytoplasmic vacuolation in cultured cells. Whether and how NSAIDs affect VacA-induced cytotoxicity is unclear. This study was designed to evaluate the effect of NSAIDs on H. pylori VacA toxin-induced cell vacuolation in human gastric mucosal cells in culture (MKN 28 cell line). Our data show that 1) NSAIDs (indomethacin, aspirin, and NS-398) inhibit VacA-induced cell vacuolation independently of inhibition of cell proliferation and prostaglandin synthesis; 2) NSAIDs impair vacuole development/maintenance without affecting cell binding and internalization of VacA; and 3) NSAIDs, as well as the chloride channel blocker 5-nitro-2-(3-phenylpropylamino) benzoic acid, also inhibit cell vacuolation induced by ammonia. We thus hypothesize that NSAIDs might protect MKN 28 cells against VacA-induced cytotoxicity by inhibiting VacA channel activity required for vacuole genesis.
aspirin; chloride channel blockers; cyclooxygenases; indomethacin; NS-398
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