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Am J Physiol Gastrointest Liver Physiol (February 12, 2009). doi:10.1152/ajpgi.90268.2008
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Submitted on March 31, 2008
Revised on February 2, 2009
Accepted on February 7, 2009

Activation of guanylate cyclase C signaling pathway protects intestinal epithelial cells from acute radiation-induced apoptosis

Monica P Garin-Laflam1, Kris A Steinbrecher, Jeffrey A Rudolph1, Juxian Mao1, and Mitchell B Cohen, MD1*

1 Cincinnati Children's Hospital Medical Center

* To whom correspondence should be addressed. E-mail: mitchell.cohen{at}cchmc.org.

Uroguanylin (UGN) is a peptide hormone that binds to and activates the intestinal epithelial cell (IEC) transmembrane receptor guanylate cyclase C (GC-C), which in turn increases intracellular cGMP. Gene targeting of murine UGN or GC-C results in significantly lower levels of cGMP in IECs. Based on effects of cGMP in non-intestinal systems, we hypothesized that loss of GC-C activation would increase intestinal epithelial apoptosis following radiation-induced injury. We first compared apoptosis from the proximal jejunum of C57BL/6 wild type (WT) and GC-C knockout (KO) mice three hours after receiving 5Gy of {gamma} irradiation. We then investigated whether supplementation via intraperitoneal injection of 1mM 8BrcGMP would mitigate radiation-induced apoptosis in these experimental animals. Identical experiments were performed in BALB/c UGN WT and KO mice. Apoptosis was assessed by quantitating morphological indications of cell death and cleaved caspase 3 immunohistochemistry. Both UGN KO and GC-C KO mice were more susceptible than their WT littermates in this in vivo model of apoptotic injury. Furthermore, cGMP supplementation in both GC-C and UGN KO animals ameliorated radiation-induced apoptosis. Neither WT strain demonstrated significant alteration in apoptotic susceptibility as a result of cGMP supplementation before radiation injury. These in vivo findings demonstrate increased radiosensitivity of IECs in UGN and GC-C KO mice and a role for cGMP, as a primary downstream mediator of GC-C activation in the protection of these IECs from radiation-induced apoptosis.







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