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INFLAMMATION/IMMUNITY/MEDIATORS
BDepartments of 1Surgery and 2Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin; 3Department of Medicine B, University Hospital Muenster, Muenster, Germany; and 4Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Submitted 11 July 2008 ; accepted in final form 9 December 2008
Human esophageal epithelial cells play a key role in esophageal inflammation in response to acidic pH during gastroesophageal reflux disease (GERD), increasing secretion of IL-6 and IL-8. The mechanisms underlying IL-6 and IL-8 expression and secretion in esophageal epithelial cells after acid stimulation are not well characterized. We investigated the role of PKC, MAPK, and NF-
B signaling pathways and transcriptional regulation of IL-6 and IL-8 expression in HET-1A cells exposed to acid. Exposure of HET-1A cells to pH 4.5 induced NF-
B activity and enhanced IL-6 and IL-8 secretion and mRNA and protein expression. Acid stimulation of HET-1A cells also resulted in activation of MAPKs and PKC (
and
). Curcumin, as well as inhibitors of NF-
B (SN-50), PKC (chelerythrine), and p44/42 MAPK (PD-098059) abolished the acid-induced expression of IL-6 and IL-8. The JNK inhibitor SP-600125 blocked expression/secretion of IL-6 but only partially attenuated IL-8 expression. The p38 MAPK inhibitor SB-203580 did not inhibit IL-6 expression but exerted a stronger inhibitory effect on IL-8 expression. Together, these data demonstrate that 1) acid is a potent inducer of IL-6 and IL-8 production in HET-1A cells; 2) MAPK and PKC signaling play a key regulatory role in acid-mediated IL-6 and IL-8 expression via NF-
B activation; and 3) the anti-inflammatory plant compound curcumin inhibits esophageal activation in response to acid. Thus IL-6 and IL-8 expression by acid may contribute to the pathobiology of mucosal injury in GERD, and inhibition of the NF-
B/proinflammatory cytokine pathways may emerge as important therapeutic targets for treatment of esophageal inflammation.
gastroesophageal reflux disease; interleukin-6; interleukin-8
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