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MUCOSAL BIOLOGY
Departments of 1Pediatrics, 3Neurobiology, Pharmacology, and Physiology, 4Medicine, and 5Pathology, University of Chicago, Chicago, Illinois; 2Department of Pediatrics, Evanston Northwestern Healthcare, Northwestern University, Evanston, Illinois
Submitted 16 July 2007 ; accepted in final form 11 March 2008
Platelet-activating factor (PAF) is a phospholipid inter- and intracellular mediator implicated in intestinal injury primarily via induction of an inflammatory cascade. We find that PAF also has direct pathological effects on intestinal epithelial cells (IEC). PAF induces Cl– channel activation, which is associated with intracellular acidosis and apoptosis. Using the rat small IEC line IEC-6, electrophysiological experiments demonstrated that PAF induces Cl– channel activation. This PAF-activated Cl– current was inhibited by Ca2+ chelation and a calcium calmodulin kinase II inhibitor, suggesting PAF activation of a Ca2+-activated Cl– channel. To determine the pathological consequences of Cl– channel activation, microfluorimetry experiments were performed, which revealed PAF-induced intracellular acidosis, which is also inhibited by the Cl– channel inhibitor 4,4'diisothiocyanostilbene-2,2'disulfonic acid and Ca2+ chelation. PAF-induced intracellular acidosis is associated with caspase 3 activation and DNA fragmentation. PAF-induced caspase activation was abolished in cells transfected with a pH compensatory Na/H exchanger construct to enhance H+ extruding ability and prevent intracellular acidosis. As ClC-3 is a known intestinal Cl– channel dependent on both Ca2+ and calcium calmodulin kinase II phosphorylation, we generated ClC-3 knockdown cells using short hairpin RNA. PAF induced Cl– current; acidosis and apoptosis were all significantly decreased in ClC-3 knockdown cells. Our data suggest a novel mechanism of PAF-induced injury by which PAF induces intracellular acidosis via activation of the Ca2+-dependent Cl– channel ClC-3, resulting in apoptosis of IEC.
intestinal injury; intestinal barrier; ion transport; Ca2+-activated Cl– channel
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