1. Hemokinin-1 and mucosal inflammation in human colon
- Author
-
Dai, Liying
- Subjects
- Substance P, Tachykinin, Hemokinin-1, Prostaglandin E2, Cyclooxygenase, 15-hydroxyprostaglandin dehydrogenase, Cytokine, Chemokine, Inflammatory bowel disease, Diverticular disease, Human colon, Mucosa
- Abstract
Hemokinin-1 (HK-1) is a mammalian tachykinin that originates primarily from non-neuronal cells. HK-1 and substance P (SP) signal through the neurokinin 1 (NK1) receptor, and exhibit overlapping immune and inflammatory properties. The first aim of this thesis was to examine the inflammatory role of HK-1 in the human colonic mucosa, compared with SP. Functional studies demonstrated that HK-1 evoked the release of prostaglandin E2 (PGE2) in a time- and concentration-dependent manner, and these actions required the activation of both NK1 and NK2 receptors as well as a cyclooxygenase-2 (COX-2) -dependent mechanism. Molecular studies showed that HK-1 not only stimulated COX-2 expression but also suppressed 15-hydroxyprostaglandin dehydrogenase (15-PGDH) expression at both gene and protein levels, suggesting an additional mechanism for HK-1-evoked PGE2 release. Furthermore, functional and molecular studies demonstrated that HK-1 increased the generation of multiple proinflammatory cytokines and chemokines, at both gene and protein levels. These effects were mediated by both NK1 and NK2 receptors. In parallel studies, SP had very similar responses in stimulating PGE2, proinflammatory cytokines and chemokines, but no effect on the expression of monocyte chemoattractant protein-1 (MCP-1) and regulated on activation, normal T cell expressed and secreted (RANTES). In summary, these studies demonstrated HK-1 had very similar actions with SP in inducing inflammatory mediators from the human colonic mucosa. The second aim of this thesis was to characterise the expression of PGE2-related enzymes in the human colonic mucosa from control and disease patients. Disease colonic tissues were obtained from the marginal resection specimens of patients with ulcerative colitis (UC), Crohn’s disease (CD) and acute diverticular disease (DD). Tissues from UC and CD appeared histologically abnormal; however, those from acute DD appeared relatively normal. In UC and CD, COX-2 expression was increased, and 15-PGDH expression was reduced. COX-1 was unchanged. In contrast, the decrease of COX-2 and the increase of 15-PGDH was seen in acute DD. A trend towards a decrease in COX-1 was also noted. In summary, these studies demonstrated the inverse mucosal expression of PGE2-related enzymes in acute DD compared to IBD, and suggests the implication of low PGE2 level in acute DD.
- Published
- 2017