Epithelial exposure to hypoxia modulates neutrophil transepithelial migration

S P Colgan1, A L Dzus, C A Parkos

  • 1Center for Experimental Therapeutics and Reperfusion Injury, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Insights

Hypoxia/reoxygenation significantly increases polymorphonuclear leukocyte (PMN) migration across intestinal epithelial cells. This process, mediated by IL-8 and integrins, highlights new crosstalk in intestinal disease pathogenesis.

Area of Science:

  • Gastroenterology
  • Immunology
  • Cell Biology

Background:

  • Polymorphonuclear leukocytes (PMN) are implicated in intestinal diseases like necrotizing enterocolitis and reperfusion injury.
  • Tissue hypoxia is a suspected mediator in these PMN-induced intestinal pathologies.
  • The interaction between intestinal epithelia and PMNs under hypoxic conditions is not well understood.

Purpose of the Study:

  • To investigate the effect of hypoxia/reoxygenation (H/R) on PMN transepithelial migration across intestinal epithelial cells.
  • To elucidate the molecular mechanisms underlying H/R-modulated PMN-epithelial interactions.

Main Methods:

  • T84 human intestinal crypt cell monolayers were exposed to varying degrees of hypoxia (2-21% O2) for up to 72 hours.
  • PMN transmigration across monolayers was assessed under H/R conditions, driven by a chemotactic peptide gradient.
  • Involvement of protein synthesis, beta 2 integrin CD11b/18, CD47, and interleukin-8 (IL-8) was evaluated using inhibitors, antibodies, and antisense oligonucleotides.

Main Results:

  • H/R significantly increased PMN transmigration in a dose- and time-dependent manner (up to 3.5-fold increase at 2% O2 for 48h).
  • H/R did not induce epithelial toxicity or compromise barrier function.
  • Increased PMN transmigration was dependent on protein synthesis and inhibited by antibodies against CD11b/18 and CD47.
  • Hypoxia stimulated epithelial IL-8 production and release, which was associated with the epithelial matrix.
  • IL-8 antisense oligonucleotides reduced PMN association with the monolayer but not transmigration, suggesting a role in PMN recruitment.

Conclusions:

  • Hypoxia/reoxygenation is a potent stimulus that enhances PMN migration across intestinal epithelia.
  • This H/R-induced effect involves protein synthesis, epithelial IL-8 release, and PMN adhesion molecules CD11b/18 and CD47.
  • Novel biochemical crosstalk between epithelia and PMNs is established under H/R conditions, relevant to intestinal disease pathogenesis.