Abstract
Intestinal epithelial cell (IEC) death signalling through the Fas receptor is impaired in active ulcerative colitis (UC). This is possibly due to the activation of cytoprotective pathways resulting in limitation of the tissue injury secondary to inflammation. We hypothesized that inflammatory signalling like the nuclear factor (NF)-κB or mitogen activated protein kinase (MAPK) pathways could be involved in (a) the modification of Fas mediated apoptosis responses and (b) the regulation of the Fas receptor inhibitor cellular FLICE-like inhibitory protein (c-FLIP). Phospho-ERK was upregulated in IECs in active UC as well as IECs exposed to pro-inflammatory cytokines in vitro. Similarly, the short form of c-FLIP (c-FLIPS) was found to be upregulated in IECs from patients with active UC. c-FLIPS was the main splice variant found in both HT-29 cells and primary human IECs. Both splice variants were induced by TNF-α, IL-1β and IFN-γ, while IL-10 induced c-FLIPL expression; TNF-α also induced c-FLIPS in primary IECs. Inhibition of NF-κB, JNK and p38 pathways did not affect c-FLIP expression, whereas ERK inhibition by MEK1 RNA silencing and pharmacologic inhibitors decreased c-FLIPS expression. Similarly, ERK – but not NF-κB – inhibited Fas ligand and TNF-α-mediated apoptosis responses in both cell line experiments and primary IECs. The present study identifies the MEK-ERK pathway as a major regulator of apoptosis in IECs during flares of UC and an inducer of c-FLIPS. The results explain the resistance to receptor mediated epithelial apoptosis in active UC. Oncogenic c-FLIP could promote propagation of DNA-damaged IECs and contribute to cancer development in UC.
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Acknowledgements
The authors wish to thank the skilful technical assistance from the technicians Birgit Deibjerg Kristensen, Anni Petersen, Hanne Fuglsang, Nine Scherling, Anne Hallander and Vibeke Voxen. This study was supported by grants from Fonden til Lægevidenskabens Fremme (the A.P. Møller Foundation), the Augustinus Foundation, and Aase and Ejnar Danielsens Foundation. JS holds a grant from the Danish Council for Independent Research. None of these research foundations had any influence on the outcome of this study or the interpretation of the results.
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The authors have declared that no competing interests exist.
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Seidelin, J.B., Coskun, M., Vainer, B. et al. ERK controls epithelial cell death receptor signalling and cellular FLICE-like inhibitory protein (c-FLIP) in ulcerative colitis. J Mol Med 91, 839–849 (2013). https://doi.org/10.1007/s00109-013-1003-7
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DOI: https://doi.org/10.1007/s00109-013-1003-7