Abstract
Anemia of chronic disease is frequently seen in chronic inflammatory conditions. Its hallmark is disrupted iron homeostasis, with increased uptake and retention of iron in cells of the reticuloendothelial system. Using the Caco-2 cell line as an in vitro model for iron absorption, local intestinal iron-related protein dynamics were evaluated during interleukin (IL)1β/iron-induced inflammation, confirmed by IL8 release, and following β-carotene and vitamin A supplementation. Time- and dose-dependent iron administration to the cells was then studied. The effects on heavy and light ferritin, ferroportin, transferrin receptor and intracellular iron levels were compared in inflamed Caco-2 cells with and without application of the anti-inflammatory agents β-carotene and vitamin A. IL1β treatment led to IL8 release, a surge in both ferritins’ expressions and suppression of ferroportin and transferrin receptor expression. β-Carotene significantly reduced IL8 (1,306.2–253.75 pg/ml), decreased light and heavy ferritin by 77.8 and 45.8 %, respectively, and increased ferroportin by 59.9 % (P < 0.05). Increasing iron concentrations and incubation periods resulted in increased IL8 release. A strong correlation was found between the levels of IL8 and the ferritins. Intracellular iron sequestration was induced by IL1β and iron and alleviated by β-carotene. β-Carotene normalized the main iron-related proteins’ levels, reduced IL8 production, and released intracellular trapped iron. These results highlight local mucosal control of iron regulation and suggest that by applying anti-inflammatory compounds, less iron is locked in inflamed intestinal epithelial cells, leading to its increased bioavailability. This suggests a possible approach to combating anemia associated with chronic inflammatory conditions.
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References
Gangat N, Wolanskyi AP. Anemia of chronic disease. Semin Hematol. 2013;50:232–8.
Simpson RJ, McKie AT. Regulation of intestinal iron absorption: the mucosa takes control? Cell Metab. 2009;10:84–7.
Tandara L, Salamunic I. Iron metabolism: current and future directions. Biochem Medica. 2012;22:311–28.
Fleming KE, Ponka P. Iron overload in human disease. N Eng J Med. 2012;366(5):348–59.
During A, Albaugh G, Smith JC Jr. Characterization of b-Carotene 15,15′-dioxygenase activity in TC7 clone of human intestinal cell line Caco-2. Biochem Biophys Res Commun. 1998;249(2):467–74.
Alvarez-Hernandez X, Nichols GM, Glass J. Caco-2 cell line: a system for studying intestinal iron transport across epithelial cell monolayers. Biochim Biophys Acta. 1991;1070(1):205–8.
Bernotti S, et al. Inflammatory reaction without endogenous antioxidant response in Caco-2 cells exposed to iron/ascorbate-mediated lipid peroxidation. Am J Physiol Gastrointest Liver Physiol. 2003;285(5):G898–906.
He W, et al. Availability and toxicity of Fe(II) and Fe(III) in Caco-2 cells. J Zhejiang Univ Sci B. 2008;9(9):707–12.
Zödl B, et al. Toxicological effects of iron on intestinal cells. Cell Biochem Funct. 2004;22(3):143–7.
Eckmann L, et al. Differential cytokine expression by human intestinal epithelial cell lines: regulated expression of interleukin 8. Gastroenterology. 1993;105(6):1689–97.
Bestwick CS, Milne L. Effects of beta-carotene on antioxidant enzyme activity, intracellular reactive oxygen and membrane integrity within post confluent Caco-2 intestinal cells. Biochim Biophys Acta. 2000;1474(1):47–55.
Zold B, et al. Ascorbic acid mediated iron toxicity in Caco-2 cells: effects of different iron species. Cell Membr Free Radic Res. 2010;2(2):92–7.
Orino K, et al. Ferritin and the response to oxidative stress. Biochem J. 2001;357:241–7.
Repetto G, Del Peso A, Zurita JL. Neutral red uptake assay for the estimation of cell viability/cytotoxicity. Nat Protoc. 2008;3(7):1125–31.
Kruger NJ. The Bradford method for protein quantitation. Methods Mol Biol. 1994;32:9–15.
Piñero DJ, et al. Interleukin-1 beta increases binding of the iron regulatory protein and the synthesis of ferritin by increasing the labile iron pool. Biochim Biophys Acta. 2000;1497:279–88.
Rogers JT, et al. Translational control during the acute phase response. Ferritin synthesis in response to interleukin-1. J Biol Chem. 1990;265:14572–8.
Grygas J, et al. Hepatocyte growth factor enhances IL-1β stimulated IL-8 secretion by Caco-2 epithelial cells. Vitro Cell Dev Biol Animal. 2007;43(3–4):147–52.
Jurado RL. Iron, infections, and anemia of inflammation. Clin Infect Dis. 1997;25(4):888–95.
Zamboni P. The big idea: iron-dependent inflammation in venous disease and proposed parallels in multiple sclerosis. J R Soc Med. 2006;99(11):589–93.
Uritski RI, et al. Dietary iron affects inflammatory status in a rat model of colitis. J Nutr. 2004;134(9):2251–5.
Núñez MT, et al. Iron-induced oxidative damage in colon carcinoma (Caco-2) cells. Free Radic Res. 2001;34(1):57–68.
Yamamoto K, et al. Combined effect of hydrogen peroxide induced oxidative stress and IL-1 alpha on IL-8 production in CaCo-2 cells (a human colon carcinoma cell line) and normal intestinal epithelial cells. Inflammation. 2003;27(3):123–8.
Ivison SM, et al. Oxidative stress enhances IL-8 and inhibits CCL20 production from intestinal epithelial cells in response to bacterial flagellin. Am J Physiol Gastrointest Liver Physiol. 2010;299(3):G733–41.
Rucker P, Torti FM, Torti SV. Role of H and L Subunits in mouse ferritin. J Biol Chem. 1996;271:33352–7.
Harrison PM. The ferritins: molecular properties, iron storage function and cellular regulation. Biochim Biophys Acta. 1996;1275:161–203.
Zoller H, et al. Expression of the duodenal iron transporters divalent-metal transporter 1 and ferroportin 1 in iron deficiency and iron overload. Gastroenterology.2001;120(6):1412–9.
Martini LA, et al. Iron treatment downregulates DMT1 and IREG1 mRNA expression in Caco-2 cells. J Nutr. 2002;1(4):693–6.
Yang F, et al. Regulation of reticuloendothelial iron transporter MTP1 (Slc11a3) by inflammation. J Biol Chem. 2002;277(42):39786–91.
Theurl I, et al. Regulation of iron homeostasis in anemia of chronic disease and iron deficiency anemia: diagnostic and therapeutic implications. Blood. 2009;113:5277–86.
Burpee T, et al. Intestinal ferroportin expression in pediatric Crohn’s disease. Inflamm Bowel Dis. 2011;17(2):524–31.
Sukumaran A, et al. Effects of acute and chronic inflammation on proteins involved in duodenal iron absorption in mice: a time-course study. Br J Nutr. 2012;108(11):1994–2001.
Sukumaran A, et al. Expression of iron-related proteins in the duodenum is up-regulated in patients with chronic inflammatory disorders. Br J Nutr. 2014;111:1059–68.
Citelli M, et al. Vitamin A modulates the expression of genes involved in iron bioavailability. Biol Trace Elem Res. 2012;149;64–70.
Reifen R. Vitamin A as an anti-inflammatory agent. Proc Nutr Soc. 2002;61(3):397–400.
García-Casal MN, et al. Vitamin A and beta-carotene can improve nonheme iron absorption from rice, wheat and corn by humans. J Nutr. 1998;128:646–50.
Layrisse M, et al. New property of vitamin A and beta-carotene on human iron absorption: effect on phytate and polyphenols as inhibitors of iron absorption. Arch Latinoam Nutr. 2000;50:243–8.
García-Casal MN, Leets I. Carotenoids, but not vitamin A, improve iron uptake and ferritin synthesis by Caco-2 cells from ferrous fumarate and NaFe-EDTA. J Food Sci. 2014;79:H706–12.
Walczyk T, et al. No enhancing effect of vitamin A on iron absorption in humans. Am J Clin Nutr. 2003;77:144–9.
Dekker M. Carotenoids as scavengers of active oxygen species. In: Cadenas E, Packer L, editors. Handbook of antioxidants. Los Angeles: University of Southern California; 1996. p. 259–313.
Martin KR, Failla L, Smith JC. Beta-carotene and lutein protect HepG2 human liver cells against oxidant induced damage. J Nutr. 1996;126(9):2098–106.
Acknowledgments
The authors are indebted to Dr. Hilary Voet for her assistance in the statistical analysis. This work was supported in part by a grant from the Israel Science Foundation (Grant No. 755/09).
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The authors declare that they have no conflict of interest.
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Katz, O., Reifen, R. & Lerner, A. β-Carotene can reverse dysregulation of iron protein in an in vitro model of inflammation. Immunol Res 61, 70–78 (2015). https://doi.org/10.1007/s12026-014-8570-8
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DOI: https://doi.org/10.1007/s12026-014-8570-8