Abstract
Helicobacter pylori (H. pylori) induces the activation of nuclear factor-kB (NF-κB) and cytokine expression in gastric epithelial cells. The Janus kinase/signal transducers and activators of transcription (Jak/Stat) cascade is the inflammatory signaling in various cells. The purpose of the present study is to determine whether H. pylori-induced activation of NF-κB and the expression of interleukin-8 (IL-8) are mediated by the activation of Jak1/Stat3 in gastric epithelial (AGS) cells. Thus, gastric epithelial AGS cells were infected with H. pylori in Korean isolates (HP99) at bacterium/cell ratio of 300:1, and the level of IL-8 in the medium was determined by enzyme-linked immonosorbent assay. Phospho-specific and total forms of Jak1/Stat3 and IκBα were assessed by Western blot analysis, and NF-κB activation was determined by electrophoretic mobility shift assay. The results showed that H. pylori induced the activation of Jak1/Stat3 and IL-8 production, which was inhibited by a Jak/Stat3 specific inhibitor AG490 in AGS cells in a dose-dependent manner. H. pylori-induced activation of NF-κB, determined by phosphorylation of IκBα and NF-κB-DNA binding activity, were inhibited by AG490. In conclusion, Jak1/Stat3 activation may mediate the activation of NF-κB and the expression of IL-8 in H. pylori-infected AGS cells. Inhibition of Jak1/Stat3 may be beneficial for the treatment of H. pylori-induced gastric inflammation, since the activation of NF-κB is inhibited and inflammatory cytokine expression is suppressed.
Keywords: Helicobacter pylori, Jak1/Stat3, IL-8, NF-κB, gastric epithelial cells
Helicobacter pylori (H. pylori) is involved in the pathogenesis of gastric diseases including gastritis, peptic ulcer, and gastric adenocarcinoma.1,2,3,4,5 Interleukin-8 (IL-8) is an activator of neutrophils which migrate into the infected gastric mucosa.6,7 Upregulation of IL-8 was found in gastric mucosa isolated from the patients infected with H. pylori,6 and the expression of IL-8 was mediated with the activation of transcription factor NF-κB in gastric epithelial cells.8,9,10 Furthermore, signal transducers and activators of transcription (Stat) regulates IL-8 transcription.11,12
Janus kinase (Jak)/Stat signaling is one of the important immune and cytokine signals. Various subtypes of Jak and Stat molecules are activated by specific inflammatory stimuli.13,14 The binding of inflammatory ligand such as cytokine to its receptor induces the assembly of an active receptor associated Jak. Phosphorylated Jak leads to the activation of neighboring Jak, which provides the docking sites for Stat. Stat is phosphorylated on tyrosine and serine residues which is required for full Stat activity. Phosphorylated Stat forms dimmers and translocate to the nucleus where they bind directly to the promoter region of specific target genes involved in immune responses.15,16,17,18 In the present study, we determined whether H. pylori-induced activation of NF-κB and IL-8 production are mediated by the activation of Jak1/Stat3 in gastric epithelial AGS cells using a Jak/Stat3 specific inhibitor AG490.
A gastric epithelial cell line AGS (gastric adenocarcinoma, ATCC CRL 1739, American Type Culture Collection, Manassas, VA, USA) and H. pylori strain HP99 in Korean isolates were cultured as previously described.19 HP99 was identified as cagA+, vacA s1b, m2, iceA1 H. pylori strain.19 Tyrphostin AG490 (a Jak/Stat3 specific inhibitor) was purchased from Calbiochem (La Jolla, CA, USA). AG490 was dissolved in dimethysulfoxide (DMSO). The cells were pre-treated with AG490 (10, 20, or 40 µM final concentration) for 2 h and cultured in the presence of H. pylori for 30 min (for Jak1/Stat3 activation) and 24 h (for IL-8 levels in the medium). The control group received DMSO instead of AG490. The concentration of DMSO did not exceed 1%. In other set of experiment, AGS cells were pretreated at a final concentration of 40 µM AG490 2 h prior to H. pylori infection. The cells were cultured in the presence of H. pylori for 1 h (for NF-κB-DNA binding activity and protein levels of IκBα). IL-8 level in the medium was determined by enzyme-linked immunosorbent assay kits (Invitrogen Corporation, Carlsbad, CA, USA). For determination of protein levels of Jak1, p-Jak1, Stat, p-Stat3, IκBα, and p-IκBα, whole cell extracts (50 µg protein) were subjected to 6% SDS-PAGE and the proteins were detected with polyclonal antibodies against Jak1 (1:500, Cat. No. 3332, Cell Signaling, Beverly, MA, USA), Stat3 (1:500, Cat. No. 06-596, Upstate Biotechnology, Lake Placid, NY, USA), phospho-Jak1 (1:500, Cat. sc-16773, Santa Cruz Biotechnology, Dallas, TX, USA), phospho-Stat3 (1:500, Cat. No. 9131, Cell Signaling), pan-IκB (1:500, Cat. sc-371, Santa Cruz Biotechnology) and phospho-IκBα (1:500, Cat. No. 9241, Cell Signaling), followed by goat anti-rabbit secondary antibodies (1:2000, Cat. No. sc-2004, Santa Cruz Biotechnology) conjugated to horseradish peroxidase, which was followed by enhanced chemiluminescence (Santa Cruz Biotechnology).19 Actin served as a loading control. Electrophoretic mobility shift assay (EMSA) was performed for NF-κB-DNA binding activity using nuclear extracts as described previously.19 The statistical differences were determined using one-way ANOVA, followed by a Newman-Keul's test. All values are expressed as mean±S.E. of four different experiments. A value of p<0.05 was considered statistically significant.
Fig. 1A shows that H. pylori-induced increase in IL-8 level in the medium was inhibited by AG490 in AGS cells dose-dependently. Phospho-specific forms of Jak1 and Stat3 were increased by H. pylori which was inhibited by AG490 treatment (Fig. 1B). Total forms of Jak1 and Stat3 were not changed by H. pylori infection and AG490 treatment. These results show that AG490 efficiently inhibits Jak1/Stat3 activation in H. pylori-infected gastric epithelial AGS cells. NF-κB activation was determined by NF-κB-DNA binding activity and phophorylation of IκB by EMSA and Western blot analysis (Fig. 1C and D). AG490 suppressed phosphorylation of IκBα and NF-κB-DNA binding activity in H. pylori-infected AGS cells. Since IκBα is phosphorylated to p-IκBα by H. pylori, total IκBα was decreased in the infected cells, which was inhibited by AG490.
H. pylori-induced inflammatory signaling has been known to focuse on the activation of NF-κB with IL-8 expression.8,9,19 In the present study, we found that Jak1/Stat3 activation mediated the production of IL-8 in H. pylori-infected cells. Even though Jak/Stat signaling has been widely studied on inflammatory response in brain,20,21 relatively little studies on Jak/Stat activation in relation to gastric diseases have been reported. Lee, et al.22 reported that the phosphorylation status of H. pylori protein CagA affects the signal switch between the SHP2 (Src homology 2 domain-containing Src homology tyrosine phosphatase 2)/ERK and Jak2/Stat3 pathways through glycoprotein 130 in gastric epithelial cells. Stat3 activation mediated by non-phosphorylated CagA is dependent on Jak2 activation in AGS cells. In the present study, AG490, an inhibitor of Jak/Stat3, suppressed H. pylori-induced activation of NF-κB and IL-8 expression in AGS cells, and our recent study showed that HP99-induced activation of Jak2/Stat3 mediates the expression of monocyte chemoattractant protein-1 (MCP-1) and inducible nitric oxide synthase (iNOS) in AGS cells.23 Since we did not determine phosphorylation status of H. pylori CagA in the present study, further study should be performed to investigate the involvement of phosphorylated or non-phosphorylated CagA in Jak/Stat3-mediated NF-κB activation in gastric epithelial cells. The present results demonstrate that Jak1/Stat3 activation is an upstream signaling for NF-κB activation to induce IL-8 expression in H. pylori-infected gastric epithelial cells.
In the present study, AGS cells were infected with HP99 at bacterium/cell ratio of 300:1. Our previous study showed that Jak1/Sat3 and Jak2/Sat3 were activated at multiplicity of infection (MOI) of 300 bacteria per AGS cells,23,24 and Ritter, et al.25 demonstrated that IL-8 expression is differentially regulated by MOI of H. pylori per gastric epithelial cells; IL-8 mRNA level is elevated in response to high MOI independent of cagA and vacA gene characteristics, and only cagA+ strains significantly induce IL-8 expression by lower MOI,25 Previously, we found that both 100 and 300 MOI induced COX-2 expression26,27 whereas 300 MOI showed the activation of NF-κB and Jak1/Stat3 in HP99-infected AGS cells.24 Therefore, 100 MOI may activate Jak/Stat3 in HP99-infected cells. Further study with lower MOI is needed to determine whether Jak/Stat3 is differentially activated by MOI of H. pylori per gastric epithelial cells.
Since NF-κB activation is followed by phosphorylation and proteosomal degradation of IκBα, we determined the effect of AG490 on phosphorylation of IκBα in H. pylori-infected AGS cells. Inhibition of Jak1/Stat3 by AG490 inhibited phosphorylation of IκBα thus suppressing NF-κB activation in H. pylori-infected AGS cells. Novel finding of the present study is that the Jak1/Stat3 activation mediates the activation of NF-κB and the expression of IL-8 in H. pylori-infected AGS cells. Recently, we showed that AG490 inhibited the activation of Jak2 which is activated in HP99-infected cells.23 Therefore, Jak2 may regulate NF-κB activation in HP99-infected AGS cells. Further study should be performed to elucidate the involvement of Jak2 on H. pylori-induced NF-κB activation in gastric epithelial cells.
We earlier showed that H. pylori induced translocation of heat shock protein 90β (Hsp 90β) from cytosol to membrane in H. pylori-infected gastric epithelial cells.28 In the membrane, Hsp 90β interacts with Rac1, which activates nicotinamide adenine dinucleotide phosphate oxidase (NADPH oxidase) to produce reactive oxygen species (ROS). An NADPH oxidase inhibitor diphenyleneiodonium (DPI) suppressed H. pylori-induced activation of Jak1/Stat3 in AGS cells, suggesting that ROS may activate Jak1/Stat3, determined by phosphorylation of Jak1/Stat3.24 ROS are known activators for NF-κB by inducing phosphorylation of inhibitory subunit IκBα through activation of IκB kinase,29 resulting in NF-κB binding to the promoter region of IL-8 gene.30 Taken together, H. pylori induces activation of NADPH oxidase and produces ROS, resulting in the activation of both NF-κB and Jak1/Stat3 in gastric epithelial cells.
In addition, ROS activates Src kinase,31 which controls phosphorylation of H. pylori CagA32 in the infected cells. CagA activates focal adhesion kinase and Src.33 Src- dependent activation of Stat3 by tyrosine phosphorylation has been observed in renal cyst-lining cells, independently of Jak family kinases.34 Therefore, dual inhibition of Janus and Src family kinases blocks constitutively-activated Stat3 in pancreatic cancer cells.35 Even though Src kinase was not determined in the present study, Src kinase may be involved in H. pylori-induced activation of Stat3 in gastric epithelial cells. Recent study showed that thrombin-induced NF-κB activation and IL-8 release are mediated by c-Src-dependent Shc, Raf-1, and ERK pathways in lung epithelial cells.36 Therefore, Src kinase may mediate phosphorylation of IκBα and NF-κB activation in H. pylori-infected cells, which should further be studied to clarify pathologic mechanism of H. pylori-associated gastric diseases.
In the present study, we found that Jak1/Stat3 is an upstream signaling for NF-κB activation in H. pylori-infected gastric epithelial cells. Therefore, inhibition of Jak/Stat3 may be beneficial for the treatment of H. pylori-induced gastric inflammation by inhibiting the activation of NF-κB and suppressing inflammatory cytokine expression.
ACKNOWLEDGEMENTS
This work was supported by the NRF of Korea funded by the Korean government (MSIP) (NRF-2012R1A1A204 3423).
Footnotes
The authors have no financial conflicts of interest.
References
- 1.Forman D, Newell DG, Fullerton F, Yarnell JW, Stacey AR, Wald N, et al. Association between infection with Helicobacter pylori and risk of gastric cancer: evidence from a prospective investigation. BMJ. 1991;302:1302–1305. doi: 10.1136/bmj.302.6788.1302. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Graham DY, Lew GM, Klein PD, Evans DG, Evans DJ, Jr, Saeed ZA, et al. Effect of treatment of Helicobacter pylori infection on the long-term recurrence of gastric or duodenal ulcer. A randomized, controlled study. Ann Intern Med. 1992;116:705–708. doi: 10.7326/0003-4819-116-9-705. [DOI] [PubMed] [Google Scholar]
- 3.NIH Consensus Conference. Helicobacter pylori in peptic ulcer disease. NIH Consensus Development Panel on Helicobacter pylori in Peptic Ulcer Disease. JAMA. 1994;272:65–69. [PubMed] [Google Scholar]
- 4.Kim YI, Choi IJ, Kook MC, Cho SJ, Lee JY, Kim CG, et al. The association between Helicobacter pylori status and incidence of metachronous gastric cancer after endoscopic resection of early gastric cancer. Helicobacter. 2014;19:194–201. doi: 10.1111/hel.12116. [DOI] [PubMed] [Google Scholar]
- 5.Qadri Q, Rasool R, Gulzar GM, Naqash S, Shah ZA. H. pylori infection, inflammation and gastric cancer. J Gastrointest Cancer. 2014;45:126–132. doi: 10.1007/s12029-014-9583-1. [DOI] [PubMed] [Google Scholar]
- 6.Fan XG, Chua A, Fan XJ, Keeling PW. Increased gastric production of interleukin-8 and tumour necrosis factor in patients with Helicobacter pylori infection. J Clin Pathol. 1995;48:133–136. doi: 10.1136/jcp.48.2.133. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Craig PM, Territo MC, Karnes WE, Walsh JH. Helicobacter pylori secretes a chemotactic factor for monocytes and neutrophils. Gut. 1992;33:1020–1023. doi: 10.1136/gut.33.8.1020. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Kim H, Seo JY, Kim KH. Effects of mannitol and dimethylthiourea on helicobacter pylori-induced IL-8 production in gastric epithelial cells. Pharmacology. 1999;59:201–211. doi: 10.1159/000028321. [DOI] [PubMed] [Google Scholar]
- 9.Kim H, Seo JY, Kim KH. Inhibition of lipid peroxidation, NF-kappaB activation and IL-8 production by rebamipide in Helicobacter pylori-stimulated gastric epithelial cells. Dig Dis Sci. 2000;45:621–628. doi: 10.1023/a:1005474013988. [DOI] [PubMed] [Google Scholar]
- 10.Bae M, Jang S, Lim JW, Kang J, Bak EJ, Cha JH, et al. Protective effect of Korean Red Ginseng extract against Helicobacter pylori-induced gastric inflammation in Mongolian gerbils. J Ginseng Res. 2014;38:8–15. doi: 10.1016/j.jgr.2013.11.005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Yu H, Pardoll D, Jove R. STATs in cancer inflammation and immunity: a leading role for STAT3. Nat Rev Cancer. 2009;9:798–809. doi: 10.1038/nrc2734. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Yu JH, Kim KH, Kim H. Suppression of IL-1beta expression by the Jak 2 inhibitor AG490 in cerulein-stimulated pancreatic acinar cells. Biochem Pharmacol. 2006;72:1555–1562. doi: 10.1016/j.bcp.2006.07.008. [DOI] [PubMed] [Google Scholar]
- 13.Kishimoto T, Taga T, Akira S. Cytokine signal transduction. Cell. 1994;76:253–262. doi: 10.1016/0092-8674(94)90333-6. [DOI] [PubMed] [Google Scholar]
- 14.Igaz P, Tóth S, Falus A. Biological and clinical significance of the JAK-STAT pathway; lessons from knockout mice. Inflamm Res. 2001;50:435–441. doi: 10.1007/PL00000267. [DOI] [PubMed] [Google Scholar]
- 15.Kovarik P, Mangold M, Ramsauer K, Heidari H, Steinborn R, Zotter A, et al. Specificity of signaling by STAT1 depends on SH2 and C-terminal domains that regulate Ser727 phosphorylation, differentially affecting specific target gene expression. EMBO J. 2001;20:91–100. doi: 10.1093/emboj/20.1.91. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Wen Z, Zhong Z, Darnell JE., Jr Maximal activation of transcription by Stat1 and Stat3 requires both tyrosine and serine phosphorylation. Cell. 1995;82:241–250. doi: 10.1016/0092-8674(95)90311-9. [DOI] [PubMed] [Google Scholar]
- 17.Shuai K, Liu B. Regulation of JAK-STAT signalling in the immune system. Nat Rev Immunol. 2003;3:900–911. doi: 10.1038/nri1226. [DOI] [PubMed] [Google Scholar]
- 18.Starr R, Hilton DJ. Negative regulation of the JAK/STAT pathway. Bioessays. 1999;21:47–52. doi: 10.1002/(SICI)1521-1878(199901)21:1<47::AID-BIES6>3.0.CO;2-N. [DOI] [PubMed] [Google Scholar]
- 19.Seo JH, Lim JW, Kim H, Kim KH. Helicobacter pylori in a Korean isolate activates mitogen-activated protein kinases, AP-1, and NF-kappaB and induces chemokine expression in gastric epithelial AGS cells. Lab Invest. 2004;84:49–62. doi: 10.1038/sj.labinvest.3700010. [DOI] [PubMed] [Google Scholar]
- 20.Kim OS, Park EJ, Joe EH, Jou I. JAK-STAT signaling mediates gangliosides-induced inflammatory responses in brain microglial cells. J Biol Chem. 2002;277:40594–40601. doi: 10.1074/jbc.M203885200. [DOI] [PubMed] [Google Scholar]
- 21.Nicolas CS, Amici M, Bortolotto ZA, Doherty A, Csaba Z, Fafouri A, et al. The role of JAK-STAT signaling within the CNS. JAKSTAT. 2013;2:e22925. doi: 10.4161/jkst.22925. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Lee IO, Kim JH, Choi YJ, Pillinger MH, Kim SY, Blaser MJ, et al. Helicobacter pylori CagA phosphorylation status determines the gp130-activated SHP2/ERK and JAK/STAT signal transduction pathways in gastric epithelial cells. J Biol Chem. 2010;285:16042–16050. doi: 10.1074/jbc.M110.111054. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Cho SO, Lim JW, Kim H. Red ginseng extract inhibits the expression of MCP-1 and iNOS in Helicobacter pylori-infected gastric epithelial cells by suppressing the activation of NADPH oxidase and Jak2/Stat3. J Ethnopharmacol. 2013;150:761–764. doi: 10.1016/j.jep.2013.09.013. [DOI] [PubMed] [Google Scholar]
- 24.Cha B, Lim JW, Kim KH, Kim H. 15-deoxy-D12,14-prostaglandin J2 suppresses RANTES expression by inhibiting NADPH oxidase activation in Helicobacter pylori-infected gastric epithelial cells. J Physiol Pharmacol. 2011;62:167–174. [PubMed] [Google Scholar]
- 25.Ritter B, Kilian P, Reboll MR, Resch K, DiStefano JK, Frank R, et al. Differential effects of multiplicity of infection on Helicobacter pylori-induced signaling pathways and interleukin-8 gene transcription. J Clin Immunol. 2011;31:60–68. doi: 10.1007/s10875-010-9467-5. [DOI] [PubMed] [Google Scholar]
- 26.Jang SH, Lim JW, Kim H. Beta-carotene inhibits Helicobacter pylori-induced expression of inducible nitric oxide synthase and cyclooxygenase-2 in human gastric epithelial AGS cells. J Physiol Pharmacol. 2009;60(Suppl 7):131–137. [PubMed] [Google Scholar]
- 27.Cho SO, Lim JW, Kim KH, Kim H. Involvement of Ras and AP-1 in Helicobacter pylori-induced expression of COX-2 and iNOS in gastric epithelial AGS cells. Dig Dis Sci. 2010;55:988–996. doi: 10.1007/s10620-009-0828-y. [DOI] [PubMed] [Google Scholar]
- 28.Cha B, Lim JW, Kim KH, Kim H. HSP90beta interacts with Rac1 to activate NADPH oxidase in Helicobacter pylori-infected gastric epithelial cells. Int J Biochem Cell Biol. 2010;42:1455–1461. doi: 10.1016/j.biocel.2010.04.015. [DOI] [PubMed] [Google Scholar]
- 29.Wang T, Zhang X, Li JJ. The role of NF-kappaB in the regulation of cell stress responses. Int Immunopharmacol. 2002;2:1509–1520. doi: 10.1016/s1567-5769(02)00058-9. [DOI] [PubMed] [Google Scholar]
- 30.Singha B, Gatla HR, Manna S, Chang TP, Sanacora S, Poltoratsky V, et al. Proteasome inhibition increases recruitment of IκB kinase β (IKKβ), S536P-p65, and transcription factor EGR1 to interleukin-8 (IL-8) promoter, resulting in increased IL-8 production in ovarian cancer cells. J Biol Chem. 2014;289:2687–2700. doi: 10.1074/jbc.M113.502641. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Giannoni E, Buricchi F, Raugei G, Ramponi G, Chiarugi P. Intracellular reactive oxygen species activate Src tyrosine kinase during cell adhesion and anchorage-dependent cell growth. Mol Cell Biol. 2005;25:6391–6403. doi: 10.1128/MCB.25.15.6391-6403.2005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Mueller D, Tegtmeyer N, Brandt S, Yamaoka Y, De Poire E, Sgouras D, et al. c-Src and c-Abl kinases control hierarchic phosphorylation and function of the CagA effector protein in Western and East Asian Helicobacter pylori strains. J Clin Invest. 2012;122:1553–1566. doi: 10.1172/JCI61143. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Kwok T, Zabler D, Urman S, Rohde M, Hartig R, Wessler S, et al. Helicobacter exploits integrin for type IV secretion and kinase activation. Nature. 2007;449:862–866. doi: 10.1038/nature06187. [DOI] [PubMed] [Google Scholar]
- 34.Talbot JJ, Song X, Wang X, Rinschen MM, Doerr N, LaRiviere WB, et al. The cleaved cytoplasmic tail of polycystin-1 regulates Src-dependent STAT3 activation. J Am Soc Nephrol. 2014;25:1737–1748. doi: 10.1681/ASN.2013091026. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Nam S, Wen W, Schroeder A, Herrmann A, Yu H, Cheng X, et al. Dual inhibition of Janus and Src family kinases by novel indirubin derivative blocks constitutively-activated Stat3 signaling associated with apoptosis of human pancreatic cancer cells. Mol Oncol. 2013;7:369–378. doi: 10.1016/j.molonc.2012.10.013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Lin CH, Yu MC, Chiang CC, Bien MY, Chien MH, Chen BC. Thrombin-induced NF-κB activation and IL-8/CXCL8 release is mediated by c-Src-dependent Shc, Raf-1, and ERK pathways in lung epithelial cells. Cell Signal. 2013;25:1166–1175. doi: 10.1016/j.cellsig.2013.01.018. [DOI] [PubMed] [Google Scholar]