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IL-6-Driven FasL Promotes Nf-κBp65/PUMA-Mediated Apoptosis in Portal Hypertensive Gastropathy
42 Pages Posted: 11 Jun 2019
More...Abstract
Background: Mucosal epithelial apoptosis with non-specific inflammation is an essential pathological characteristic in portal hypertensive gastropathy (PHG). However, whether a coordinated crosstalk between myeloid cells and epithelial cells involved in PHG remains unclear.
Methods: Gastric injury and mucosal apoptosis were examined in patients with PHG and the PHG model of p65ΔM/ΔM (myeloid cells specific NF-κBp65 deletion) and p65f/f (floxed p65) mice, PUMA-WT (PUMA wild-type) and PUMA-KO (PUMA knockout) mice. The interaction of IL-6, Fas, FasL, NF-κBp65 and PUMA expression was investigated, and the mechanisms underlying IL-6-regulated gastric epithelial apoptosis were analysed.
Findings: IL-6, which is induced in the mucosa of PHG patients and mice, promotes FasL production via enhancing NF-κBp65 activation in myeloid cells, while blockage of IL-6 signaling by Tocilizumab or deletion of NF-κBp65 in myeloid cells attenuates the inflammatory response and Fas/FasL-mediated epithelial apoptosis in PHG. IL-6-driven FasL from myeloid cells combines with epithelial Fas receptor to encourage NF-κBp65/PUMA-mediated epithelial apoptosis in PHG, and inhibition of NF-κBp65 or knockout of PUMA dramatically alleviates Fas/FasL network-mediated epithelial apoptosis in PHG.
Interpretation: These results indicate that IL-6 drives FasL generation via NF-κBp65 in myeloid cells to promote Fas/NF-κBp65/PUMA-mediated epithelial apoptosis in PHG.
Funding: This work was supported by grants from the National Natural Science Foundation of China (U1501224, 81700536), the Natural Science Foundation Team Project of Guangdong Province (2018B03031200), the Science and Technology Developmental Special Foundation of Guangdong Province (2017B020226003), the Basic Research Programme of Young Teachers' Training Project of Sun Yat-sen University (17ykpy51), the Science and Technology Planning Projects of Guangzhou City (201604020118, 201604020002).
Declaration of Interest: The authors declare that there are no conflicts of interest.
Ethical Approval: The study protocol and the acquisition of the tissue samples were approved by the Institutional Review Board of The Third Affiliated Hospital of Sun Yat-Sen University.
Keywords: IL-6; PHG; Fas/FasL; NF-κBp65; PUMA; Apoptosis
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