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Published on: July 28, 2023
Calcium/calmodulin-dependent protein kinase IV signaling pathway is upregulated in experimental necrotizing
Mashriq Alganabi1, Haitao Zhu1, Joshua S O'Connell1
1Division of General and Thoracic Surgery, Translational Medicine Program, The Hospital for Sick Children, University of Toronto, 555 University Ave, Toronto, ON, M5G 1X8, Canada.
Purpose:
Activation of calcium/calmodulin-dependent protein kinase IV (CaMKIV) has been shown to increase intestinal injury and inhibit epithelial cell proliferation in dextran sulfate sodium (DSS)-induced colitis mice. However, the role of CaMKIV in necrotizing enterocolitis (NEC) is unknown. We aimed to study the expression and activation of CaMKIV in experimental NEC.
Methods:
Following ethical approval, NEC (n = 10) was induced in C57BL/6 mouse pups by hypoxia, gavage hyperosmolar formula feeding and lipopolysaccharide from postnatal days P5 to 9. Breastfed pups served as control (n = 10). Mouse pups were sacrificed on P9 and the terminal ileum was harvested. Gene NEC injury was scored blindly by three independent investigators. CaMKIV, CREM and IL17 gene expression, and CaMKIV and pCaMKIV protein expression were assessed. The data were compared using Mann-Whitney U test. P < 0.05 was considered significant.
Results:
Intestinal injury was induced in the NEC mice and confirmed by histological scoring and inflammatory cytokine IL6. CaMKIV and its downstream target genes of CREM and IL17 were significantly elevated in NEC mice relative to control. Similarly, phosphorylated-CaMKIV (pCaMKIV), the active form of CaMKIV, was more notably expressed in the NEC ileal tissue relative to control ileal tissue. Elevated pCaMKIV protein expression was also confirmed by western blot.
Conclusion:
CaMKIV expression and activation are upregulated in experimental NEC suggesting a potential contributing factor in the pathogenesis of NEC.
Insights
Necrotizing enterocolitis (NEC) involves increased calcium/calmodulin-dependent protein kinase IV (CaMKIV) expression and activation. This suggests CaMKIV may play a role in NEC development, warranting further investigation into its pathogenic mechanisms.
Area of Science:
- Gastroenterology
- Molecular Biology
- Pediatric Research
Background:
- Calcium/calmodulin-dependent protein kinase IV (CaMKIV) activation exacerbates intestinal injury and hinders epithelial cell proliferation in dextran sulfate sodium (DSS)-induced colitis models.
- The specific role of CaMKIV in necrotizing enterocolitis (NEC) remains uncharacterized.
Purpose of the Study:
- To investigate the expression and activation status of CaMKIV in a mouse model of experimental NEC.
Main Methods:
- Experimental NEC was induced in C57BL/6 mouse pups (n=10) via hypoxia, formula gavage, and lipopolysaccharide exposure from postnatal days 5-9.
- Control pups (n=10) were breastfed. Terminal ileum tissues were harvested on postnatal day 9 for histological scoring and assessment of CaMKIV, CREM, and IL17 gene expression, as well as CaMKIV and phosphorylated CaMKIV (pCaMKIV) protein levels.
- Statistical analysis was performed using the Mann-Whitney U test.
Main Results:
- Histological analysis confirmed intestinal injury in NEC mice, corroborated by elevated Interleukin-6 (IL6) levels.
- Gene expression analysis revealed significant upregulation of CaMKIV, CREM, and IL17 in NEC mice compared to controls.
- Western blot analysis demonstrated notably increased expression of phosphorylated CaMKIV (pCaMKIV), the active form, in the ileal tissue of NEC mice.
Conclusions:
- CaMKIV expression and activation are significantly upregulated in experimental NEC.
- These findings suggest that CaMKIV may be a contributing factor in the pathogenesis of NEC.
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