Abstract
Background
The calcium ion is important for physiological functions in all tissues and organs and essential to many vital functions, including hormone secretion and muscle contraction. The intracellular concentration of calcium is regulated by calcium related proteins such as CaBP-9k, PMCA1, and NCX1. In this study, we investigated the relationship between calcium regulation and esophageal functions such as mucin secretion and smooth muscle contraction.
Methods
To evaluate the influence of sex steroid hormones, immature rats were treated for 3 days with estradiol (E2), progesterone (P4), and their antagonists (ICI 182,780, and RU486). Esophageal function, transcription level, and localization of CaBP-9k, PMCA1, NCX1, ERα, and MUC2 were examined in the esophagus.
Results
Transcriptional level of Cabp-9k and Muc2 was increased by E2, but not by P4. CaBP-9k, PMCA1, and MUC2 were mainly localized in the mucosal layer. Acidic mucosubstances in the esophagus were increased by E2 and recovered by ICI treatment. Unlike the expression of Cabp-9k, mRNA levels of Pmca1, Ncx1, and Erα were only decreased in response to E2, and recovered by ICI co-treatment group. The contraction of the esophagus and mRNA level of Mylk were reduced by E2. Overall, E2 upregulated mucus secretion, but downregulated muscle contraction in the esophagus through regulation of the expression of calcium related genes and the resultant intracellular calcium level.
Conclusions
The regulation of E2 in the function of esophagus may be applied to treat esophageal diseases such as reflux esophagitis, achalasia, and esophageal cancer.
Similar content being viewed by others
Abbreviations
- CaBP-9k:
-
S100 calcium binding protein G, Calbindin-D9k
- PMCA1:
-
Plasma membrane Ca2+ ATPase
- NCX1:
-
Sodium-calcium exchanger 1
- E2:
-
17β –estradiol
- P4:
-
Progesterone
- ICI:
-
ICI 182,780
- RU:
-
Mifepristone, RU486
- ERα:
-
Estrogen receptor-alpha
- MUC2:
-
Mucin 2
- MYLK:
-
Myosin light chain kinase
- BW:
-
Body wegiht
- PND:
-
Postnatal day
- DAPI:
-
4′,6-diamidino-2-phenylindole
- AB-PAS:
-
Alcian blue-periodic acid-Schiff
References
Kim KM, Cho YK, Bae SJ, et al. Prevalence of gastroesophageal reflux disease in Korea and associated health-care utilization: a national population-based study. J Gastroenterol Hepatol. 2012;27(4):741–5.
Masaka T, Iijima K, Endo H, et al. Gender differences in oesophageal mucosal injury in a reflux oesophagitis model of rats. Gut. 2013;62(1):6–14.
Traube M, Dubovik S, Lange RC, et al. The role of nifedipine therapy in achalasia: results of a randomized, double-blind, placebo-controlled study. Am J Gastroenterol. 1989;84(10):1259–62.
Bianco SD, Peng JB, Takanaga H, et al. Marked disturbance of calcium homeostasis in mice with targeted disruption of the Trpv6 calcium channel gene. J Bone Miner Res. 2007;22(2):274–85.
Frick KK, Bushinsky DA. Molecular mechanisms of primary hypercalciuria. J Am Soc Nephrol. 2003;14(4):1082–95.
Poburko D, Potter K, van Breemen E, et al. Mitochondria buffer NCX-mediated Ca2+ -entry and limit its diffusion into vascular smooth muscle cells. Cell Calcium. 2006;40(4):359–71.
Maiti A, Beckman MJ. Extracellular calcium is a direct effecter of VDR levels in proximal tubule epithelial cells that counter-balances effects of PTH on renal Vitamin D metabolism. J Steroid Biochem Mol Biol. 2007;103(3–5):504–8.
Yang H, Choi KC, Hyun SH, et al. Coexpression and estrogen-mediated regulation of TRPV6 and PMCA1 in the human endometrium during the menstrual cycle. Mol Reprod Dev. 2011;78(4):274–82.
Ahn C, An BS, Jeung EB. Streptozotocin induces endoplasmic reticulum stress and apoptosis via disruption of calcium homeostasis in mouse pancreas. Mol Cell Endocrinol. 2015;412:302–8.
Winslow RL, Walker MA, Greenstein JL. Modeling calcium regulation of contraction, energetics, signaling, and transcription in the cardiac myocyte. Wiley Interdiscip Rev Syst Biol Med. 2016;8(1):37–67.
Yang H, Kuang SJ, Rao F, et al. Species-specific differences in the role of L-type Ca(2)(+) channels in the regulation of coronary arterial smooth muscle contraction. Naunyn-Schmiedeberg’s Arch Pharmacol. 2016;389(2):151–7.
Jeung EB, Krisinger J, Dann JL, et al. Molecular cloning of the full-length cDNA encoding the human calbindin-D9k. FEBS Lett. 1992;307(2):224–8.
Ko SH, Choi KC, Oh GT, et al. Effect of dietary calcium and 1,25-(OH)2D3 on the expression of calcium transport genes in calbindin-D9k and -D28k double knockout mice. Biochem Biophys Res Commun. 2009;379(2):227–32.
Tinnanooru P, Dang VH, Nguyen TH, et al. Estrogen regulates the localization and expression of calbindin-D9k in the pituitary gland of immature male rats via the ERalpha-pathway. Mol Cell Endocrinol. 2008;285(1–2):26–33.
Yu SP, Choi DW. Na(+)-Ca2 + exchange currents in cortical neurons: concomitant forward and reverse operation and effect of glutamate. Eur J Neurosci. 1997;9(6):1273–81.
Yang H, Kim TH, Lee HH, et al. Distinct expression of the calcium exchangers, NCKX3 and NCX1, and their regulation by steroid in the human endometrium during the menstrual cycle. Reprod Sci. 2011;18(6):577–85.
Herrmann S, Lipp P, Wiesen K, et al. The cardiac sodium-calcium exchanger NCX1 is a key player in the initiation and maintenance of a stable heart rhythm. Cardiovasc Res. 2013;99(4):780–8.
Iwamoto T. Sodium-calcium exchange inhibitors: therapeutic potential in cardiovascular diseases. Future Cardiol. 2005;1(4):519–29.
Iwamoto T, Watanabe Y, Kita S, et al. Na+/Ca2+ exchange inhibitors: a new class of calcium regulators. Cardiovasc Hematol Disord. 2007;7(3):188–98.
Azuma YT, Nishiyama K, Kita S, et al. Na(+)/Ca(2 +) exchanger 2-heterozygote knockout mice display decreased acetylcholine release and altered colonic motility in vivo. Neurogastroenterol Motil. 2012;24(12):e600–10.
van de Graaf SF, Hoenderop JG, Bindels RJ. Regulation of TRPV5 and TRPV6 by associated proteins. Am J Physiol Ren Physiol. 2006;290(6):F1295–302.
Wang W, Knosp E, Tai G, et al. Differential effects of estrogen and estrogen receptor antagonist, ICI 182 780, on the expression of calbindin-D9k in rat pituitary prolactinoma GH(3) cells. Int J Clin Exp Pathol. 2014;7(12):8498–505.
Yang H, Lee GS, Yoo YM, et al. Sodium/potassium/calcium exchanger 3 is regulated by the steroid hormones estrogen and progesterone in the uterus of mice during the estrous cycle. Biochem Biophys Res Commun. 2009;385(2):279–83.
Krisinger J, Dann JL, Currie WD, et al. Calbindin-D9k mRNA is tightly regulated during the estrous cycle in the rat uterus. Mol Cell Endocrinol. 1992;86(1–2):119–23.
Kimura J, Ono T, Sakamoto K, et al. Na+–Ca2+ exchanger expression and its modulation. Biol Pharm Bull. 2009;32(3):325–31.
Lee GS, Jeung EB. Uterine TRPV6 expression during the estrous cycle and pregnancy in a mouse model. Am J Physiol Endocrinol Metab. 2007;293(1):E132–8.
An BS, Ahn HJ, Kang HS, et al. Effects of estrogen and estrogenic compounds, 4-tert-octylphenol, and bisphenol a on the uterine contraction and contraction-associated proteins in rats. Mol Cell Endocrinol. 2013;375(1–2):27–34.
Dong XL, Zhang Y, Wong MS. Estrogen deficiency-induced Ca balance impairment is associated with decrease in expression of epithelial Ca transport proteins in aged female rats. Life Sci. 2014;96(1–2):26–32.
Yang H, Ahn C, Jeung EB. Differential expression of calcium transport genes caused by COMT inhibition in the duodenum, kidney and placenta of pregnant mice. Mol Cell Endocrinol. 2015;401:45–55.
Loffing J, Loffing-Cueni D, Valderrabano V, et al. Distribution of transcellular calcium and sodium transport pathways along mouse distal nephron. Am J Physiol Ren Physiol. 2001;281(6):F1021–7.
Pan Q, Nicholson AM, Barr H, et al. Identification of lineage-uncommitted, long-lived, label-retaining cells in healthy human esophagus and stomach, and in metaplastic esophagus. Gastroenterology. 2013;144(4):761–70.
Gonzalez G, Huang Q, Mashimo H. Characterization of oncocytes in deep esophageal glands. Dis Esophagus. 2016;29(6):670–80
Long JD, Orlando RC. Esophageal submucosal glands: structure and function. Am J Gastroenterol. 1999;94(10):2818–24.
Glickman JN, Blount PL, Sanchez CA, et al. Mucin core polypeptide expression in the progression of neoplasia in Barrett’s esophagus. Hum Pathol. 2006;37(10):1304–15.
Sun D, Wang X, Gai Z, et al. Bile acids but not acidic acids induce Barrett’s esophagus. Int J Clin Exp Pathol. 2015;8(2):1384–92.
Lorinc E, Mellblom L, Oberg S. The immunophenotypic relationship between the submucosal gland unit, columnar metaplasia and squamous islands in the columnar-lined oesophagus. Histopathology. 2015;67(6):792–8.
Davison JM, Ellis ST, Foxwell TJ, et al. MUC2 expression is an adverse prognostic factor in superficial gastroesophageal adenocarcinomas. Hum Pathol. 2014;45(3):540–8.
Rubio-Gayosso I, Sierra-Ramirez A, Garcia-Vazquez A, et al. 17Beta-estradiol increases intracellular calcium concentration through a short-term and nongenomic mechanism in rat vascular endothelium in culture. J Cardiovasc Pharmacol. 2000;36(2):196–202.
Forstner G. Signal transduction, packaging and secretion of mucins. Annu Rev Physiol. 1995;57:585–605.
Zhang J, Ren C, Chen L, et al. Knockout of Na+/Ca2+ exchanger in smooth muscle attenuates vasoconstriction and L-type Ca2+ channel current and lowers blood pressure. Am J Physiol Heart Circ Physiol. 2010;298(5):H1472–83.
Lieberman DA, Oehlke M, Helfand M. Risk factors for Barrett’s esophagus in community-based practice. GORGE consortium. Gastroenterology Outcomes Research Group in Endoscopy. Am J Gastroenterol. 1997;92(8):1293–7.
Carter R, Brewer LA 3rd. Achalasia and esophageal carcinoma. Studies in early diagnosis for improved surgical management. Am J Surg. 1975;130(2):114–20.
Meijssen MA, Tilanus HW, van Blankenstein M, et al. Achalasia complicated by oesophageal squamous cell carcinoma: a prospective study in 195 patients. Gut. 1992;33(2):155–8.
Streitz JM Jr, Ellis FH Jr, Gibb SP, et al. Achalasia and squamous cell carcinoma of the esophagus: analysis of 241 patients. Ann Thorac Surg. 1995;59(6):1604–9.
Zendehdel K, Nyren O, Edberg A, et al. Risk of esophageal adenocarcinoma in achalasia patients, a retrospective cohort study in Sweden. Am J Gastroenterol. 2011;106(1):57–61.
Wang BJ, Zhang B, Yan SS, et al. Hormonal and reproductive factors and risk of esophageal cancer in women: a meta-analysis. Dis Esophagus. 2016;29(5):448–54.
Asanuma K, Iijima K, Shimosegawa T. Gender difference in gastro-esophageal reflux diseases. World J Gastroenterol. 2016;22(5):1800–10.
Acknowledgements
This work was supported by the National Research Foundation of Korea (NRF) Grant of Korean Government (MEST) (Nos. 2013-010514 and 2015R1A6A1A04020885).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Kim, K., Lee, D., Ahn, C. et al. Effects of estrogen on esophageal function through regulation of Ca2+-related proteins. J Gastroenterol 52, 929–939 (2017). https://doi.org/10.1007/s00535-016-1305-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00535-016-1305-y