Cyclosporine regulates intestinal epithelial apoptosis via TGF-beta-related signaling

Am J Physiol Gastrointest Liver Physiol. 2009 Sep;297(3):G514-9. doi: 10.1152/ajpgi.90608.2008. Epub 2009 Jul 16.

Abstract

Cyclosporine is a potent immunomodulator and has a beneficial effect in the treatment of ulcerative colitis (UC). We analyzed the mechanism of the effects of cyclosporine on the regulation of epithelial apoptosis via TGF-beta-related signaling, because the balance between the apoptosis and regeneration of epithelial cells seems to be a key factor to maintain the intestinal homeostasis. For this purpose, colitis was induced by treatment of 4% dextran sulfate sodium (DSS), and the effect of treatment with cyclosporine and anti-TGF-beta antibody was assessed. Treatment with cyclosporine ameliorated body weight loss, mucosal destruction, and epithelial apoptosis in DSS-induced colitis. Cyclosporine was shown to upregulate the expression of TGF-beta in the colonic tissue, enhance the expression of p-Smad2 and cFLIP in epithelial cells, and inhibit caspase-8 activity but not caspase-1 or -9. Upregulation of cFLIP in the colonic epithelial cells, amelioration of body weight loss, and mucosal destruction by cyclosporine were attenuated by anti-TGF-beta antibody treatment. These results indicated that cyclosporine could have a protective role against epithelial apoptosis associated with upregulation of TGF-beta-related signaling.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies / pharmacology
  • Apoptosis / drug effects*
  • Body Weight
  • CASP8 and FADD-Like Apoptosis Regulating Protein / metabolism
  • Caspase 8 / metabolism
  • Colitis / chemically induced
  • Colitis / metabolism
  • Colitis / pathology
  • Colitis / prevention & control*
  • Colon / drug effects*
  • Colon / metabolism
  • Colon / pathology
  • Cyclosporine / pharmacology*
  • Dextran Sulfate
  • Disease Models, Animal
  • Female
  • Immunosuppressive Agents / pharmacology*
  • Intestinal Mucosa / drug effects*
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / pathology
  • Mice
  • Mice, Inbred C57BL
  • Phosphorylation
  • Signal Transduction / drug effects*
  • Smad2 Protein / metabolism
  • Time Factors
  • Transforming Growth Factor beta / immunology
  • Transforming Growth Factor beta / metabolism*
  • Up-Regulation

Substances

  • Antibodies
  • CASP8 and FADD-Like Apoptosis Regulating Protein
  • Immunosuppressive Agents
  • Smad2 Protein
  • Smad2 protein, mouse
  • Transforming Growth Factor beta
  • Cyclosporine
  • Dextran Sulfate
  • Casp8 protein, mouse
  • Caspase 8