Abstract
Anomalies in the regulation and function of integrins have been implicated in the etiology of various pathologic conditions, including inflammatory disorders such as irritable bowel disease. Several classes of cell surface glycoproteins such as CD98 have been shown to play roles in integrins-mediated events. Here, we investigated the role of CD98 in intestinal inflammation using both in vivo and in vitro approaches. We found that in Caco2-BBE monolayers and colonic tissues, expression of CD98 was upregulated by the proinflammatory cytokine, interferon gamma (INF γ). Furthermore, CD98 was highly upregulated in colonic tissues from mice with active colitis induced by dextran sodium sulfate (DSS), but not in DSS-treated INF γ −/− mice. Administration of an anti-CD98 antibody worsened DSS-induced colitis in mice but had no effect on untreated control mice. Finally, we used Caco2-BBE cell monolayers to model intestinal epithelial wound healing, and found that activation of epithelial CD98 in DSS-treated monolayers inhibited monolayer reconstitution, but had no affect on untreated control monolayers. Our data collectively indicate that (i) CD98 upregulation is mediated by INF γ during intestinal inflammation and (ii) activation of epithelial CD98 protein aggravates intestinal inflammation by reducing intestinal epithelial reconstitution. Overall, our data suggest that epithelial CD98 plays an important role in the perpetuation of intestinal inflammation.
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Main
The regulation and establishment of the major epithelial permeability barrier is the end result of a cascade of events triggered by cell–cell and cell–extracellular matrix (ECM) interactions. Anomalies in the regulation and function of integrins have been implicated in the etiology of various pathologic conditions, including inflammatory disorders such as inflammatory bowel disease (IBD).1, 2, 3
Several classes of cell surface glycoproteins have been shown to play a role in integrins-mediated events, including CD98, CD36, CD63, CD9. Of these, CD98 is a cell surface heterodimer formed by covalent linkage of a ∼80 kDa heavy chain (hc) and ∼40 kDa light chain (lc).4, 5 CD98 was initially characterized as a T-cell activation marker, and was later shown to function as an amino-acid transporter.6, 7 Recent work demonstrated that a CD98/LAT-2 heterodimer is found in tissues containing epithelial barriers.8, 9, 10 We previously demonstrated that β1 integrins, which are also basolaterally polarized in intestinal epithelial cells, associate with CD98/LAT-2, and that CD98 influences β1 integrins distribution as well as cell shape and cytoskeletal organization, which depend on the function of β1 integrins.9 Interestingly, CD98 interacts specifically with β1 integrins, but not with the muscle-specific splice variant β1D, or the leukocyte-specific β7 integrins.11 The basolateral location of CD98 suggests that this protein could be involved in some form(s) of cell signaling where binding of a ligand to the extracellular loop of CD98 results in cellular changes through regulation of an amino-acid transporter (LAT-2 in the intestine) and the function of β1 integrins.9, 10 We previously demonstrated that ICAM-1 co-precipitates with the CD98/LAT2 heterodimer in intestinal epithelial cells, suggesting that ICAM-1 functions not only as an individual receptor but also as a component of supramolecular complexes at the plasma membrane in epithelial cells.12
In the context of intestinal inflammation, CD98 protein expression in human colonic epithelium was shown to be upregulated by proinflammatory cytokines such as Interferon γ (INF γ),13 and increased expression of lymphocyte activation antigens for CD98 was found on the cell surface of intestinal B cells, T cells, CD4+ T cells, and CD8+ T cells isolated from patients with Crohn's disease and ulcerative colitis.14 These and other studies have revealed that markedly increased intestinal lymphocyte activation is a major immunological alteration in IBD.15 In addition, 5-aminosalicylic acid (which is used for the treatment of intestinal inflammation in IBD) dose-dependently inhibited the expression of the CD98 cell-surface activation antigen on mitogen-activated peripheral blood lymphocytes, further suggesting that CD98 plays an important inflammatory role.14 However, although these previous studies have clearly shown that CD98 likely plays an important role in intestinal inflammation, no previous work has studied the role of epithelial CD98 in intestinal inflammation. Here, we used a combination of in vivo and in vitro approaches to investigate the role of epithelial CD98 in intestinal inflammation.
Materials and methods
Cell Culture and Treatments
Caco2-BBE16, 17, 18, 19 cells (between passages 30 and 50) were grown in high glucose Dulbecco's Vogt Modified Eagle's Media (DMEM; Invitrogen, Carlsbad, CA, USA) supplemented with 14 mmol/l NaHCO3, and 10% newborn calf serum. Cells were incubated at 37°C in 5% CO2 and 90% humidity, and the medium was changed daily. Monolayers were subcultured every 7 days with 0.1% trypsin and 0.9 mmol/l ethylenediaminetetraacetic acid (EDTA) in Ca2+/Mg2+-free phosphate-buffered saline (PBS). Experiments were performed with confluent monolayers plated on permeable supports (area 1 cm2; pore size 0.4 μm; Transwell-Clear polyester membranes; Costar (Life Sciences, Acton, MA, USA) and examined 15 days postplating. IFN γ (100 U/ml in serum-free medium) was added to the basolateral aspect of the monolayers and incubated for 48 h. Recombinant IFN γ (produced in Escherichia coli and having a specific activity of 2 × 10 (REF) U/mg) was obtained from Genentech (San Francisco, CA, USA).
Western Blot Analysis
Colonic mucosal biopsies were collected from patients who underwent colonoscopy for polyp or cancer surveillance. All subjects were given informed consent, as approved by Human Investigations Committee of Emory University Atlanta, GA. Human colonic mucosa biopsies and mouse colonic mucosa (the muscle layer was carefully removed using pointed forceps) were lysed with PBS containing 1% Triton X-100 and 1% NP-40 (v/v), protease inhibitor cocktail (Boehringer Mannheim), EDTA, SDS, sodium orthovanadate, and sodium fluoride.
Proteins were separated by SDS-polyacrylamide gel electrophoresis on 4–20% gradient gels (BioRad, Hercules, CA, USA), and then transferred to nitrocellulose membranes. The blots were blocked for 1 h with 5% nonfat milk in blocking buffer, and then incubated for 1 h with 1/100 dilutions of goat polyclonal anti-human CD98 (Santa Cruz Biotechnology, Santa Cruz, CA, USA), goat polyclonal anti-mouse CD98 (Santa Cruz) or goat polyclonal anti-ERK (Santa Cruz). After the blots were washed three times for 15 min in blocking buffer, they were further incubated for 1 h with the corresponding secondary horseradish peroxidase (HPR) conjugated anti-goat antibody (diluted 1:2000). The membranes were then washed three times (20 min each) in blocking buffer and then probed using a chemiluminescence system (ECL; Amersham, Piscataway, NJ, USA).
Membrane Extractions
Caco2-BBE pellets were resuspended and homogenized in HEPES (5 mM) containing protease inhibitors. The samples were then incubated for 30 min at 4°C and centrifuged at 13 000 g for 30 min at 4°C. The resulting pellet was suspended in PBS by repeated passage through an 18-gauge needle. The protein solution was boiled for 5 min at 100°C in Laemmli buffer supplemented with 0.5% β-mercaptoethanol and then used for protein separation on SDS-polyacrylamide gel electrophoresis.
Confocal Immunofluorescence
Caco2-BBE cells grown on filters were washed twice in Hank's balanced salt solution (HBSS), pH 7.4, and then fixed with 3.7% paraformaldehyde in HBSS with calcium, pH 7.4 (HBSS+). The cells were then permeabilized with 0.5% Triton for 30 min at 25°C, rinsed and incubated with rhodamine-phalloidin (Molecular Probes, Eugene, OR, USA) diluted 1:60 for 40 min. The samples were then blocked for 1 h in a blocking solution containing 0.2% gelatin and 0.08% saponin in HBSS+ and incubated for 1 h with 2 μg/ml goat anti-human CD98 antibody (Santa Cruz, CA, USA). The monolayers were stained with the appropriate fluorescein isothiocyanate antibody diluted 1:1000 (Molecular Probes, OR, USA). Microscopy was performed with a Zeiss epifluorescence microscope equipped with a BioRad MRC600 confocal unit, computer and laser scanning microscope (LSM) image analysis software (Zeiss, Jena, Germany).
Animals
All studies were carried out in female C57BL/6 mice (8 weeks, 18–22 g) or female C57BL/6 IFN γ−/− mice (8 weeks, 18–22 g) obtained from Jackson Laboratories (Bar Harbor, ME, USA). Mice were group-housed under a controlled temperature (25°C) and photoperiod (12:12-h light–dark cycle). The mice were allowed unrestricted access to standard mouse chow and tap water. They were allowed to acclimate to these conditions for at least 7 days before inclusion in experiments. The animals were treated in accordance with the Emory University Institutional Animal Care, Authorization no. 146-2002.
Induction of Colitis and Study Design
Colitis was induced in all groups by the addition of 3% (w/v) dextran sodium sulfate (DSS; molecular weight 40 kDa; (ICN Biochemicals, Auora, OH, USA) to the drinking water. Mean DSS/water consumption and body weight were assessed daily during the treatment period. Six groups of mice (n=6 per group) were treated for 7 days with DSS alone, DSS plus daily intraperitoneal (i.p.) injections of 0.5 mg/ml CD98 polyclonal goat anti-mouse antibody (Santa Cruz), DSS plus 0.5 mg/ml isotype control (daily by i.p.), NDW plus 0.5 mg/kg anti-CD98 (daily by i.p.), or normal drinking water plus 0.5 mg/ml isotype control (daily by i.p.).
IFN γ Treatment in Mice
Recombinant rIFN γ (specific activity of 2 × 10 (REF) U/mg units/mg; Genentec) was administrated i.p. at a concentration of 105 units/day for 3 days.
Histology
To assess the distribution of colonic inflammatory changes, colons were dissected from mice, cut into three equal sections and attached to a cork board before fixation with 2% (v/v) paraformaldehyde solution. Samples were embedded in paraffin and sectioned. Hematoxylin and eosin (H&E) staining was used for general assessment of intestinal inflammation, which was performed by a GI pathologist blinded to the treatment protocol. Each section was scored for ulceration severity and extent, and the tissue thickness from the muscularis propria to the luminal border was determined. Lesion severity was graded using a modification of a previously defined scoring system with a scale of 0–4: 0 normal; 1 minimal; 2 mild; 3 moderate; 4 severe.20 Minimal lesions contained small, focal, or widely dispersed areas of inflammation and/or fibrosis above the muscularis mucosae. Mild lesions were multifocal or locally extensive and contained inflammation or fibrosis extending into the submucosa. Moderate lesions consisted of multifocal lesions with ulcers consuming less than 10% of the assessed mucosal surface. Severity was defined as having moderate lesions and/or ulcers consuming more than 10% of the assessed mucosal surface.
Wound-Healing Assays
Wound-healing assays were performed with the Electric Cell-Substrate Impedance Sensing (ECIS Model 1600R (Applied BioPhysics, Inc., Troy, NY, USA) technology. The ECIS device is based on AC impedance measurements using weak and noninvasive AC signals, as previously described.21, 22 Attachment and spreading of cells on the electrode surface changes the impedance, allowing inference of morphological information. The measurement system consists of an eight-well culture dish with electrodes (0.0005 cm2) at the bottom of each well, a lock-in amplifier with an internal oscillator, relays to switch between the different wells, and a personal computer that controls the measurement and stores the data. The entire system was obtained from Applied Biophysics, Inc.
We first determined the ideal frequency for measuring the resistance of confluent Caco2-BBE monolayers by taking resistance measurements during a frequency scan of cells plated on ECIS 8W1E plates (Applied BioPhysics). The cells were then removed by trypsinization, and the resistance measurement was repeated on the naked electrode. The ideal frequency was that at which the ratio of the Log resistance with cells over the Log resistance without cells reached its peak. For Caco2-BBE cells, we determined the ideal frequency to be 500 Hz at a voltage of 1 V.23
For experiments, we first flooded the ECIS 8W1E electrode with a solution of 10 μg/ml goat anti-mouse CD98 antibody or 10 μg/ml goat isotype control for 60 min, and then washed the electrode with serum-free medium to remove nonadherent proteins. Caco2-BBE cells were then plated at 0.2 × 106 cells per well; at confluency, the monolayers were treated with 3% DSS or vehicle and incubated for a further 20 h. The cells were then exposed to an elevated voltage pulse (40 kHz and 4.5 V for 30 s) for wounding, and resistance measurements were sampled from each well every 30 s continuously for about 20 h, as previously described.23, 24
Statistical Analysis
The differences between mouse body weights, bowel lengths, and number of intestinal ulcers were compared using Mann–Whitney U statistics supported by the InStat software for Macintosh computers.
Results
Interferon γ Increases CD98 Protein Expression in Caco2-BBE Monolayers
To investigate the effect of IFNγ on CD98 expression, we incubated Caco2-BBE monolayers for 48 h in serum-free medium with 100 UI/ml IFNγ added to the basolateral compartment. Previous work showed that the cell polarity is not affected under these treatment conditions.19 At the end of the incubation period, we investigated CD98 protein expression using confocal microscopy and Western blotting. Confocal microscopy of confluent Caco2-BBE cell monolayers revealed that the staining for immunoreactive CD98 in control cells was localized to the basolateral domain, mainly in the tight junction area (Figure 1a). After stimulation with IFN γ (100 UI/ml for 48 h), CD98 staining was increased and was additionally found intracellularly and in the subapical membranes (Figure 1b). To confirm these observations, Caco2-BBE cell membranes were isolated from Caco2-BBE cells treated with or without IFN γ for 48 h and Western blotting was performed on membrane and cytosolic fractions, using a goat anti-human CD98 antibody. As previously reported, Caco2-BBE cell lysates displayed a single immunoreactive band corresponding to ∼90 kDa in the presence of β-mercaptoethanol. As shown in Figure 1c, treatment with IFN γ (100 U/ml for 48 h) increased the membrane CD98 expression in Caco2-BBE cells in comparison to untreated Caco2-BBE monolayers (Figure 1c, lane 2 vs lane 4). Together, these results demonstrate that the cytokine, IFN γ, increases membrane expression of the CD98 protein. Consistent with our confocal results, CD98 was not detectable in the cytosol of untreated Caco2-BBE cells (Figure 1c, lane 1), but was observed in the cytosol of Caco2-BBE cells treated with IFN γ (100 U/ml) for 48 h (Figure 1c, lane 3). These results suggest that IFN γ is likely to increase CD98 expression at the transcriptional level.
CD98 is Expressed In mouse Colonic Tissue
We then examined CD98 expression in the mouse intestine. The human and mouse CD98 proteins are 85% homologous at the amino-acid level. The anti-human CD98 antibody utilized in this work was raised against a peptide corresponding to the carboxy terminus of human CD98 (amino acids 105–529). We found that this antibody did not crossreact with anti-mouse CD98. In contrast, the utilized anti-mouse CD98 monoclonal antibody (Research Diagnostics) reacted to CD98 in the mouse large intestine (Figure 2a, lane 3), as well as to human CD98 from Caco2-BBE cells and human colon tissue (Figure 2a, lanes 1 and 2). These results suggest that the anti-mouse CD98 recognizes an antigen that is present in both human and mouse CD98 proteins.
Interferon γ Upregulates CD98 Expression in Mice Colonic Tissues
Based on our in vitro results showing that IFN γ increases CD98 expression in Caco2-BBE monolayers, we investigated the effect of IFN γ in mouse colonic tissues. As shown in Figure 2b, when mice were treated with 105 units of IFN γ, the expression of CD98 in colonic tissues increased by 1 day post-treatment and was sustained through day 3 post-treatment.
Anti-CD98 Does Not Induce Colonic Inflammation in Mice
Previous studies have reported that monoclonal anti-mouse CD98 activates intracellular signaling events in mouse lymphocytes,24 so we examined the effect an anti-mouse CD98 monoclonal antibody on intestinal inflammation in mice. The monoclonal anti-mouse CD98 antibody (2 mg/kg) was injected i.p. into mice daily for 7 days. As shown in Figure 3b, there was no macroscopic evidence of inflammation in any part of the colon at day 7 when compared to colons of untreated animals (Figure 3a and Histological activity score: 0). In addition, administration of the anti-CD98 antibody did not induce weight loss during the 7-day treatment period (Figure 4a).
The Course of DSS-Induced Murine Colitis is Aggravated by CD98 Activation
C57BL/6 mice were exposed to 3% DSS for a 7-day period, resulting in intestinal colitis (Figure 3c). Histological studies showed that administration of DSS induced cellular damage with epithelial exfoliation, which was not observed in control animals (Figure 3a). We observed interstitial edema, dilation of vessels, and a general increase in inflammatory cells (lymphocytes and polynuclear cells) in the lamina propria of DSS-treated animals (Figure 3c and Histological activity score: 3). In addition, the DSS-treated mice showed weight loss beginning at day 4 and peaking at day 7 (Figure 4a).
To evaluate the role of CD98 in an inflammatory context, anti-mouse CD98 was injected i.p. at 0.5 mg/kg every day in combination with the administration of DSS until mice were killed at day 7. As shown in Figure 3d, treatment with the anti-mouse CD98 increased the severity of DSS-induced colitis. Histological studies revealed complete erosion of the epithelium, longer ulcerations, and massive crypt loss and marked lamina propria and submucosa mixed inflammatory cell infiltration (Histological activity score: 4). In addition, administration of the anti-CD98 antibody in DSS-induced colitis increased the severity of weight loss when compared to that in mice treated with DSS alone (Figure 4). In contrast to anti-CD98 treatment, isotype control antibody treatment did not change the severity of DSS colitis (Histological activity score: 3). Finally, we examined whether DSS treatment increased the expression of CD98 in the colonic tissues of DSS-treated mice. As shown in Figure 4b, CD98 expression was increased as early as day 2 after DSS treatment. In contrast, CD98 protein expression in IFN γ−/− mice treated with DSS was not affected (Figure 4c), suggesting that the DSS-mediated induction of CD98 protein expression is IFN γ-mediated.
Anti-CD98 Does Not Affect Caco2-BBE Monolayer Reconstitution (Wound-Healing)
Caco2-BBE cells were grown to confluency on electrodes coated with anti-mouse CD98 or the goat isotype control. Resistance was measured and found to be about 40 000 Ω in both cases; Caco2-BBE monolayers on electrodes coated with anti-mouse CD98 had resistances of 46 000±5000 Ω (n=3), whereas Caco2-BBE monolayers grown on the goat isotype had resistances of 38 500±7000 Ω (n=4). As shown in Figure 5a, the application of the high field pulse led to a drastic drop in the resistance of monolayers on both anti-CD98 (Figure 5a, red trace: 8000±3000 Ω; n=3) and the goat isotype (Figure 5a, green trace; 7200±1200 Ω; n=4), indicating that the wound model was successfully applied. The time courses of wound-healing were similar for Caco2-BBE monolayers grown on anti-mouse CD98 and the goat isotype; the monolayers recovered within 10 h and displayed resistances even slightly superior to their prewounding resistances (Figure 5a). Unwounded Caco2-BBE monolayers grown on anti-mouse CD98 (red trace) or goat isotype (green trace) showed stable resistances during the experimental time course (Figure 5a). These experimental results were confirmed by microscopy of wounded and control monolayers grown on electrodes coated with anti-mouse CD98 or the goat isotype (Figure 5b).
Anti-CD98 Inhibits Wound Healing in Caco2-BBE Cell Monolayers Pretreated with DSS
Confluent Caco2-BBE monolayers were grown on electrodes precoated with anti-mouse CD98 antibody or with goat isotype, and then treated with 3% DSS for 20 h. As shown in Figure 5c, DSS treatment did not affect the resistances of Caco2-BBE monolayers grown on electrodes precoated with anti-mouse CD98 (R=55 000±7000 Ω; n=4) or the goat isotype (R=65 000±8200 Ω; n=4). Application of the high field pulse led to a drastic drop of resistance in Caco2-BBE monolayers grown on both anti-mouse CD98 (Figure 5c, dark cyan trace; R=5000±1100 Ω; n=4) and the goat isotype (Figure 5b, pink trace; R=5100±900 Ω; n=4). Interestingly, DSS-treated Caco2-BBE cells grown on electrodes precoated with anti-mouse CD98 did not reach confluence by 20 h postwounding (Figure 5c, dark cyan trace), while those grown on the goat isotype did achieve confluence within this time (Figure 5c, pink trace). However, the DSS-treated Caco2-BBE monolayers grown on the isotype control healed more slowly (∼15 h; Figure 5a) than comparable cells untreated with DSS (∼10 h; Figure 5a). Caco2-BBE monolayers grown on anti-mouse CD98 (Figure 5a, red trace) or the goat isotype (Figure 5a, green trace) and treated with DSS but not wounded displayed a slight decrease in resistance during the time of the experiment. We further confirmed our observations by microscopic examination of Caco2-BBE monolayers 20 h postwounding, which showed the confluence of the monolayer grown on the goat isotype (Figure 5d, DSS with wound) and the incomplete healing of the monolayer grown on anti-mouse CD98 (Figure 5d, DSS+anti-CD98 with wound).
Discussion
The role played by CD98 in colonic epithelial cells is poorly understood. The natural activators of CD98 remain unclear, although galectin-3 has been proposed as one candidate.25 Many of the previous CD98 functional studies have used anti-CD98 antibodies as agonists, an approach that has proven useful for the study of signaling in a great many.26 Indeed, our group has shown that CD98 is involved in signal recognition and transduction in Caco2-BBE cells,9, 12 these signaling events may be mediated through β1 integrins/Ca2+, as CD98 is known to interact with integrins such as β1 integrins and ICAM-1.12 In the present study, we demonstrate that the CD98 glycoprotein is expressed in Caco2-BBE monolayers, in the human intestine, and in the mouse small and large intestinal mucosa, and sought to better define the function of CD98 in these tissues.
It has been suggested that the increased epithelial expression of cell surface proteins in patients suffering from IBD occurs through a number of different pathways, including the production of cytokines by activated mucosal lymphocytes.27 IFN γ is present at high levels in IBD tissues, where it prepares enterocytes to function in host defense. In addition, inhibition of endogenous IFN γ by antibodies has been shown to ameliorate the chronic stage of colitis, indicating that IFN γ is likely a key mediator for intestinal inflammation.28 Here, we demonstrated that IFN γ increases CD98 glycoprotein expression in Caco2-BBE monolayers. This observation is consistent with the CD98 upregulation found on colonic epithelial cells isolated from inflamed IBD tissue.13 These findings suggest that CD98 is up-regulated in inflamed epithelial cells, and that activation of CD98 might be involved in signal recognition and transduction steps, such as protein phosphorylation (eg FAK phosphorylation) and/or Ca2+ signaling events.29
To evaluate a possible inflammatory role for CD98 in intestinal epithelial cells, we injected a mouse anti-CD98 mAb into mice, where it should bind to CD98 proteins expressed in intestinal epithelial cells. Since CD98 is not expressed on freshly isolated, resting peripheral blood mononuclear cells, the anti-CD98 antibody was not expected to activate lymphocytes.13, 14 Under our experimental conditions, the anti-CD98 antibody did not induce macroscopic intestinal inflammation in vivo. One important aspect of IBD is that immune cells can diffusely infiltrate the intestine without triggering obvious morphological, clinical, and endoscopic evidence of inflammation,15 suggesting that it may be formally possible that CD98 affects some intestinal epithelial cell function(s) without inducing morphological changes. However, the transepithelial resistance of the Caco2-BBE monolayers was not affected by activation of epithelial CD98, indicating that CD98 may not trigger an inflammatory response. These observations are not surprising since intestinal inflammations such as IBD are known to result from multiple factors.
Based on the above observations, we speculated that the establishment of an inflammatory context might be necessary for anti-CD98 to have an effect on the intestine. We chose DSS-induced colitis as a model intestinal inflammation, because this model has the benefit of simplicity and highly uniform lesions.15 Furthermore, DSS-induced colitis is viewed as a T-cell-independent model because it is observed in T-cell-deficient animals such as SCID mice.15 In contrast, markers of lymphocyte activation, including the 4F2 antigen, the T9 transferrin receptor (CD71), and the IL-2 receptor, are increased among isolated intestinal B cells and T cells in intestinal inflammation induced by DSS,28 indicating that DSS-induced colitis is a useful model for examining the role of CD98 in the colonic mucosa and in T cells.
Oral administration of DSS for 7 days induced acute colitis in mice. Histologically, the colons were characterized by multifocal dropouts of entire crypts in all parts of the colon and cecum, as compared to the normal colons. Crypt abscesses were observed in some animals. The inflammation was mostly confined to the mucosa, with extensive edema of the submucosa in some cases. When anti-CD98 was administered in combination with DSS, histological studies revealed enhanced infiltration of inflammatory cells, especially neutrophils, and mucosal cell disruption in DSS/anti-CD98-treated mice compared to mice treated with DSS alone.
Interestingly, addition of DSS did not significantly affect the integrity of Caco2-BBE monolayers, suggesting that DSS requires additional inflammatory mediators to trigger intestinal inflammation. However, wounded Caco2-BBE monolayers pretreated with DSS showed slower recoveries of their epithelial barrier functions, perhaps indicating that increased cellular exposure to luminal agents might contribute to persistent colitis in vivo. Thus, active inflammation persisting within the colonic mucosa and disturbances in mucosal healing may both contribute to the intractability of ulcerative colitis.
It is known that TNFα and IFNγ are involved in perpetuation of chronic DSS-induced colitis.15 We found that CD98 expression was increased in DSS-treated mice, at least partially mediated by IFN γ. Consistent with this, our in vitro results showed that epithelial expression of CD98 was enhanced in IFN γ-treated Caco2-BBE cells. DSS is believed to cause colitis by interfering with intestinal barrier function and/or stimulating local inflammation within the colon via up-regulation of both Th1 and Th2 cytokines and inflammatory mediators.28 This may explain the increased expression of CD98 in intestinal epithelial cells during inflammation.
We have previously speculated that the specific molecular ratio between the CD98/amino-acid transporter heterodimer and β1 integrins might determine the polarity of epithelial cells. During inflammation, the overexpression of CD98 in intestinal epithelial cells will change this specific ratio. One of the potential consequences will be a loss of epithelial cell polarity, which is known to be a characteristic feature of IBD.
In sum, our data collectively indicate that (i) CD98 is upregulated during inflammation and (ii) activation of CD98 protein aggravates intestinal inflammation. We propose that during inflammation in vivo, CD98 is up-regulated and that natural CD98-binding proteins are released. The combination of these events may play an important role in the induction and perpetuation of intestinal inflammation by decreasing cell migration.
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Acknowledgements
This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases under a center grant (R24-DK-064399) and R01-DK-061941–01A1 (to D Merlin), R01DK064711-01 (to SV Sitaraman), and a Research Fellowship Award from the Crohn's and Colitis Foundation of America (to L Charrier). T Kucharzik was supported by the Deutsche Forschungsgemeinschaft (DFG) (KU 1328/1-1).
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Kucharzik, T., Lugering, A., Yan, Y. et al. Activation of epithelial CD98 glycoprotein perpetuates colonic inflammation. Lab Invest 85, 932–941 (2005). https://doi.org/10.1038/labinvest.3700289
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DOI: https://doi.org/10.1038/labinvest.3700289
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