Deletion of p38-alpha mitogen-activated protein kinase within the intestinal epithelium promotes colon tumorigenesis

Derek Wakeman1, John E Schneider, Jingxia Liu

  • 1Division of Pediatric Surgery, Department of Surgery, Washington University School of Medicine, St Louis, MO, USA.

Surgery
|July 26, 2012
PubMed
Abstract

Insights

Deleting p38-Alpha mitogen-activated protein kinase (p38-MAPK) in the intestine increased colon tumor development and burden. This suggests p38-MAPK may be a target for colorectal cancer prevention, especially with inflammatory bowel disease.

Area of Science:

  • Oncology
  • Gastroenterology
  • Molecular Biology

Background:

  • p38-Alpha mitogen-activated protein kinase (p38-MAPK) is a tumor suppressor frequently mutated in human cancers.
  • Its precise function in colorectal cancer (CRC) remains unclear, though prior research indicates it inhibits intestinal epithelial proliferation and promotes apoptosis.
  • This study investigated the hypothesis that disrupting p38-MAPK in the intestine would enhance colon tumorigenesis.

Purpose of the Study:

  • To determine the role of intestinal p38-MAPK in colorectal cancer development.
  • To test if deleting p38-MAPK in the intestinal epithelium increases susceptibility to chemically induced tumors.
  • To explore potential therapeutic strategies targeting p38-MAPK for CRC management.

Main Methods:

  • Utilized a tamoxifen-inducible Cre-lox system to specifically delete p38-MAPK (MAPK14) in the intestinal epithelium of mice (villin-Cre ERT2(+), MAPK14(f/f)).
  • Induced intestinal tumor development using a combined azoxymethane and dextran sodium sulfate (DSS) protocol.
  • Quantified tumor number and size from excised colon specimens using imaging software.

Main Results:

  • While the overall incidence of tumor-bearing mice did not differ significantly between wild-type and p38-MAPK-deleted groups (P = .21).
  • Mice with intestinal epithelial p38-MAPK deletion exhibited a significantly higher number of tumors (3.7 vs 1.1; P = .008) and a fourfold increase in total tumor burden (17.4 vs 4.8 mm²; P = .03).
  • Colon inflammation severity was comparable between both groups, suggesting tumor development was independent of augmented colitis.

Conclusions:

  • Loss of p38-MAPK in the colonic mucosa promotes a hyperplastic state, leading to increased tumor development.
  • The heightened tumorigenesis in p38-MAPK-deficient mice, without increased colitis, points to impaired cell cycle regulation in the colonic epithelium as the likely mechanism.
  • Targeting p38-MAPK activity could represent a novel therapeutic or preventive approach for colorectal cancer, particularly in patients with inflammatory bowel disease.

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