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The Journal of Immunology, 1999, 163: 1457-1466.
Copyright © 1999 by The American Association of Immunologists

NF-{kappa}B Is a Central Regulator of the Intestinal Epithelial Cell Innate Immune Response Induced by Infection with Enteroinvasive Bacteria1

Dirk Elewaut2,3, Joseph A. DiDonato3,4, Jung Mogg Kim5, Francis Truong, Lars Eckmann and Martin F. Kagnoff6

Laboratory of Mucosal Immunology, Department of Medicine, University of California at San Diego, La Jolla, CA 92093


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Human intestinal epithelial cells up-regulate the expression of an inflammatory gene program in response to infection with a spectrum of different strains of enteroinvasive bacteria. The conserved nature of this program suggested that diverse signals, which are activated by enteroinvasive bacteria, can be integrated into a common signaling pathway that activates a set of proinflammatory genes in infected host cells. Human intestinal epithelial cell lines, HT-29, Caco-2, and T84, were infected with invasive bacteria that use different strategies to induce their uptake and have different intracellular localizations (i.e., Salmonella dublin, enteroinvasive Escherichia coli, or Yersinia enterocolitica). Infection with each of these bacteria resulted in the activation of TNF receptor associated factors, two recently described serine kinases, I{kappa}B kinase (IKK) {alpha} and IKK{beta}, and increased NF-{kappa}B DNA binding activity. This was paralleled by partial degradation of I{kappa}B{alpha} and I{kappa}B{epsilon} in bacteria-infected Caco-2 cells. Mutant proteins that act as superrepressors of IKK{beta} and I{kappa}B{alpha} inhibited the up-regulated transcription and expression of downstream targets genes of NF-{kappa}B that are key components of the epithelial inflammatory gene program (i.e., IL-8, growth-related oncogene-{alpha}, monocyte chemoattractant protein-1, TNF-{alpha}, cyclooxygenase-2, nitric oxide synthase-2, ICAM-1) activated by those enteroinvasive bacteria. These studies position NF-{kappa}B as a central regulator of the epithelial cell innate immune response to infection with enteroinvasive bacteria.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Epithelial cells that line the intestinal mucosa are an initial site of interaction between enteroinvasive microbial pathogens and the host. After infection with several strains of enteroinvasive bacteria (e.g., Salmonella, enteroinvasive Escherichia coli, Yersinia, Shigella, Listeria), intestinal epithelial cells rapidly (within 2–3 h) up-regulate the expression of a program of host genes, the products of which activate mucosal inflammatory and immune responses and alter epithelial cell functions (1, 2, 3, 4, 5, 6, 7, 8). This epithelial cell inflammatory program includes the up-regulated expression and production of proinflammatory and chemoattractant cytokines (e.g., TNF-{alpha}, IL-8, growth-related oncogene-{alpha} (GRO{alpha}),7 and monocyte chemoattractant protein-1 (MCP-1)), an inducible isoform of cyclooxygenase (COX), COX-2, and prostaglandins E2 and F2{alpha}, an inducible form of nitric oxide synthase (NOS), NOS2, and nitric oxide, and increased surface expression of the adhesion molecule ICAM-1 on the apical cell membrane (1, 2, 3, 4, 5, 7).

Enteroinvasive bacterial pathogens use a variety of strategies to induce their uptake into nonphagocytic intestinal epithelial cells (9). For example, the uptake of Salmonella involves the formation of large membrane folds or ruffles and macropinocytosis (10). In contrast, internalization of Yersinia involves the binding of a bacterial outer membrane protein, invasin, to {beta}1 integrins on the epithelial cell surface and a "zippering" mechanism, which is characterized by the close juxtaposition of the mammalian cell membrane around bacteria that are being internalized (10, 11). In each case, interaction of bacteria with the host epithelial cell results in morphological changes in the epithelial cell membrane and underlying cytoskeleton. After entry into epithelial cells, different strains of bacteria reside in different intracellular localizations (e.g., after entry, Salmonella and Yersinia reside in membrane-bound vesicles, whereas Shigella and Listeria rapidly lyse such vesicles and move freely within the cytoplasm) (10). Despite diverse mechanisms of bacterial invasion and the different intracellular localization of bacteria within the cytoplasm, the array of genes and mediators that are consistently up-regulated as components of the epithelial cell innate immune response is relatively limited (1, 7). This suggested that a common signal transduction pathway might underlie the up-regulated expression of the proinflammatory genes and mediators that are activated in intestinal epithelial cells in response to infection with enteroinvasive bacteria.

Many of the genes that are activated in intestinal epithelial cells after bacterial invasion are target genes of the transcription factor NF-{kappa}B. NF-{kappa}B is a dimeric transcription factor composed of homodimers and heterodimers of Rel proteins, of which there are five family members in mammalian cells (i.e., RelA (p65), c-Rel, RelB, NF-{kappa}B1 (p50), and NF-{kappa}B2 (p52)) (12, 13). NF-{kappa}B dimers are held in the cytoplasm in an inactive state by inhibitory proteins, the I{kappa}Bs. There are seven I{kappa}Bs (i.e., I{kappa}B{alpha}, I{kappa}B{beta}, I{kappa}B{epsilon}, I{kappa}B{gamma}, Bcl-3, p100, and p105) (14) that preferentially associate with various Rel family protein dimers (e.g., I{kappa}B{alpha} and I{kappa}B{beta} predominantly associate with p65/p50 and p50/c-Rel heterodimers, I{kappa}B{epsilon} preferentially associates with p65 and c-Rel homodimers, and Bcl-3 associates with nuclear p50 and p52 homodimers). Heterodimers of p65 and p50 are the predominant NF-{kappa}B subunits that translocate to the nucleus after cytokine stimulation of intestinal epithelial cells (15).

Stimulation of cells with IL-1 or TNF-{alpha} activates a signaling cascade that culminates in the phosphorylation of I{kappa}Bs (16, 17). Two recently described I{kappa}B kinases, I{kappa}B kinase (IKK) {alpha} and IKK{beta}, directly phosphorylate I{kappa}Bs on serine residues and are components of a high molecular weight cytoplasmic IKK complex (16, 18, 19). Activation of IKK appears to be mediated through the mitogen-activated protein-3 (MAP3) kinases, NF-{kappa}B-inducing kinase (NIK), and MEK kinase 1 (MEKK-1) (20, 21, 22, 23, 24). Phosphorylation of I{kappa}Bs on conserved serine residues targets the I{kappa}Bs for subsequent ubiquitination and degradation (25, 26). This frees dimers of NF-{kappa}B (e.g., p65/p50) to translocate to the nucleus where they trans-activate NF-{kappa}B target genes. NF-{kappa}B can also trans-activate transcription of its own inhibitor, I{kappa}B{alpha} (27). This negative feedback loop results in the restoration of I{kappa}B{alpha} protein levels, which complex cytoplasmic NF-{kappa}B and thereby down-regulate NF-{kappa}B activation (28, 29). Activation of NF-{kappa}B in response to extracellular signaling through TNF receptor family members involves TNF receptor-associated factors (TRAFs) that serve as adaptor molecules in these signal transduction pathways (e.g., TRAF2 and TRAF5 are involved in signaling through TNF and lymphotoxin {beta} receptors (LT{beta}R), respectively) (30, 31).

The present studies asked whether intestinal epithelial cells use a final common signal transduction pathway to activate the host’s early inflammatory response to a diverse array of enteroinvasive bacteria. NF-{kappa}B is shown herein to be a central regulator of the activation of the intestinal epithelial cell inflammatory response after infection with a spectrum of enteroinvasive bacteria. Moreover, activation of NF-{kappa}B after epithelial cell infection with enteroinvasive bacteria is shown to involve the activation of TRAF2, independent of extracellular signaling through the TNF receptor, and to be preceded by the activation of IKK{alpha} and IKK{beta} and the degradation of I{kappa}Bs. Consistent with this, expression of superrepressor alleles of I{kappa}B{alpha} or IKK{beta} inhibited the up-regulated expression of key components of the epithelial cell-inflammatory gene program (e.g., IL-8, GRO{alpha}, TNF-{alpha}, COX-2, NOS2, ICAM-1) in intestinal epithelial cells infected with enteroinvasive bacteria.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines

HT-29 human colon epithelial cells (American Type Culture Collection (ATCC) HTB 38) and Caco-2 human ileocecal epithelial cells (ATCC HTB 37) were grown in DME (Life Technologies, Gaithersburg, MD) supplemented with 10% FCS, 2 mM glutamine, and 25 mM HEPES. T84 cells were grown in 50% DMEM and 50% Ham’s F-12 medium supplemented with 5% newborn calf serum and 2 mM glutamine, as described before (1, 2).

Bacteria, cytokines, and other reagents

S. dublin lane strain (1) and Yersinia enterocolitica 08 (1) were provided by J. Fierer (University of California, San Diego, CA (UCSD)). Enteroinvasive Escherichia coli (serotype O29:NM) were obtained from the ATCC (No. 43892), and nonpathogenic E. coli DH5{alpha} were purchased from Life Technologies. Recombinant human TNF-{alpha} and IL-1{alpha} were from R&D Systems (Minneapolis, MN). IFN-{gamma} was from BioSource International, Camarillo, CA.

Bacterial infection

Human colon epithelial cell lines were infected with bacteria at multiplicities of infection (MOIs) ranging from 50 to 100 as described before (1, 5, 32). Briefly, cells were grown to confluence in six-well plates containing ~106 cells/well. Cells were incubated with bacteria for up to 1 h, after which whole cell or nuclear extracts were prepared (16, 17, 33). For longer incubations, extracellular bacteria were removed by washing after 1 h, and the cells were incubated for an additional period in the presence of 50 µg/ml gentamicin to kill the remaining extracellular, but not intracellular, bacteria. Those cells were harvested for isolation of total RNA for RT-PCR or for analysis of reporter gene expression (see below).

Plasmids, transfections, chloramphenicol acetyltransferase (CAT) assays, and luciferase assays

A mammalian expression vector encoding a hemagglutinin (HA) epitope-tagged mutant I{kappa}B{alpha} having substitutions of serine residues at positions 32 and 36 with alanine residues was used to block NF-{kappa}B activation (17). The mutant protein cannot be phosphorylated by I{kappa}B kinases at those positions and acts as an I{kappa}B superrepressor. An expression vector that encodes FLAG-tagged IKK{beta} in which lysine present at position 44 is replaced by alanine, which inactivates kinase activity in the mutant molecule and acts as a superrepressor of IKK, was a gift of F. Mercurio (Signal Pharmaceuticals, San Diego, CA) (19). Expression vectors for the superrepressor versions of TRAF2 and TRAF5 (amino-terminal deletions) (34, 35) were gifts from D. Goeddel, (Tularik Corp., South San Francisco, CA) and H. Nakano (Juntendo Univ, Tokyo, Japan), respectively. An expression vector for a NIK catalytic mutant that has a double replacement of alanine residues to lysine residues at positions 429 and 430 and lacks kinase activity (21) was a gift of Z. G. Liu and M. Karin, UCSD. An expression vector for A20 (36) was a gift of G. Natoli. IL-8-luciferase, 2XNF-{kappa}B-luciferase, and RSV-{beta}-galactosidase transcriptional reporters were constructed as described before (33, 37). A full length ICAM-1 promoter construct containing 1.4 kb of ICAM-1 5'-flanking DNA linked to the luciferase gene was provided by K. Roebuck (38). CAT transcriptional reporters containing various 5'-flanking deletions of the IL-8 promoter (39) were a gift of K. Matsushima. Cells in six-well dishes were transfected with 1.5 µg of plasmid DNA, using Lipofectamine Plus (Life Technologies), according to the manufacturer’s instructions. Luciferase activity was determined and normalized relative to {beta}-galactosidase expression as described before (37, 40). CAT-assays were performed with an enzyme immunoassay (CAT ELISA, Boehringer Mannheim, Indianapolis, IN).

Recombinant adenovirus and adenovirus infection

Recombinant adenovirus containing an I{kappa}B{alpha}-AA superrepressor (Ad5I{kappa}B-A32/36) or the E. coli {beta}-galactosidase gene (Ad5LacZ) was constructed as described before (41). Ad5I{kappa}B-A32/36 expresses a HA-epitope tagged mutant form of I{kappa}B{alpha} in which serine residues 32 and 36 are replaced by alanine residues as described above. The mutant I{kappa}B{alpha} cannot be phosphorylated at positions 32 and 36 and acts as a superrepressor. The HA epitope tag enables identification of the exogenous superrepressor with anti-hemagglutinin Abs. Viral titers were determined by plaque assay. Recombinant virus was stored in PBS containing 10% (v/v) glycerol at -80°C.

HT-29 cells grown to confluence in six-well tissue culture plates (Costar, Cambridge, MA) were infected with Ad5I{kappa}B-A32/36 or Ad5LacZ in serum-free media (Opti-MEM, Life Technologies) at MOI 100 for 16 h. At this MOI, Ad5I{kappa}B-A32/36 or Ad5LacZ infected >80% HT-29 cells, and infected cells expressed I{kappa}B{alpha}-A32/36 and {beta}-galactosidase, respectively, at high levels as assessed by staining for {beta}-galactosidase and immunostaining for HA-tagged I{kappa}B-A32/36 (data not shown). After infection, adenovirus was removed by washing, fresh medium containing serum was added, and cells were incubated for an additional 12 h before bacterial infection or stimulation with TNF-{alpha}.

Cell extracts

Cells were harvested, and whole cell and nuclear extracts were prepared as described before (16, 17, 33). Briefly, cell pellets were resuspended and lysed at 4°C for 25 min in whole cell extract lysis buffer (20 mM HEPES, 0.4 M NaCl, 1.5 mM MgCl2, 0.2 mM EDTA, 10% glycerol, and 1 mM DTT containing phosphatase inhibitors (40 mM {beta}-glycerophosphate, 20 mM NaF, 1 mM Na3VO4, 20 mM p-nitrophenyl phosphate (Calbiochem, San Diego, CA)); and protease inhibitors (aprotinin 10 µg/ml, leupeptin 10 µg/ml, bestatin 10 µg/ml, and pepstatin 10 µg/ml) (Calbiochem) and 1 mM phenylmethylsulfonyl chloride (Sigma, St. Louis, MO). Lysates were centrifuged at 13,000 x g for 15 min in the cold, and the resulting supernatants were transferred to fresh tubes. Protein concentrations in the supernatants were determined by the Bradford assay (Bio-Rad, Hercules, CA).

Immunoblotting for I{kappa}Bs

Cell lysates containing 20 µg of protein were electrophoresed on SDS-10% polyacrylamide gels with a 4% polyacrylamide stacking gel. After transfer to Immobilon-P membranes (Millipore, Marlborough, MA), membranes were blocked with a solution of 5% (w/v) dry milk in PBS-T (PBS containing 0.05% Tween 20) for 1 h at room temperature. Membranes were probed with murine mAbs to I{kappa}B{alpha}, I{kappa}B{beta} (Santa Cruz Biotechnology, Santa Cruz, CA), and I{kappa}B{epsilon} (gift of N. Rice) and visualized using an ECL detection kit (Amersham, Arlington Heights, IL) and exposure to x-ray film (XAR5, Eastman Kodak, Rochester, NY).

Electrophoretic mobility shift assays

For electrophoretic mobility shift assays (EMSA), either 20 µg of whole cell extract or 6 µg of nuclear extract were incubated for 30 min at 4°C with 5 µg of polyoligonucleotides (dI-dC) and 2 x 104 cpm (~0.2 ng) of a labeled oligonucleotide probe corresponding to a consensus NF-{kappa}B binding site (33). After incubation, bound and free DNAs were resolved in 5% native polyacrylamide gels as described before (33).

IKK assay

Kinase activity was assayed in 20 mM HEPES, 20 mM {beta}-glycerophosphate, 10 mM MgCl2, 10 mM p-nitrophenyl phosphate, 100 µM Na3VO4, 2 mM DDT, 20 µM ATP, 10 µg/ml aprotinin, 50–200 mM NaCl, pH 7.5, and 1–10 µCi [{gamma}-32P]ATP at 30°C for 30 min. I{kappa}B-substrate proteins were expressed and purified from E. coli as described before (17). IKK{alpha}- and IKK{beta}-containing complexes were immunoprecipitated with specific mAbs to IKK{alpha} (PharMingen, San Diego, CA.) or monospecific rabbit polyclonal Ab to carboxy-terminal IKK{beta}. Immune complexes were isolated and washed in kinase buffer containing 1.5 M urea (16, 18). Kinase activity was determined using GST-I{kappa}B{alpha} (1-54) wild type as substrate as described before (17). Kinase specificity was established with mutant GST-I{kappa}B{alpha} (1-54-AA) in which serines 32 and 36 were substituted with alanines (16). Fold induction of IKK{alpha} and IKK{beta} kinase activities was determined after phosphorimaging of the dried SDS-PAGE-fractionated GST-I{kappa}B protein-containing gels.

Oligonucleotide primers for PCR amplification

Oligonucleotide primers used for PCR amplification and the size of the PCR products obtained from target cellular RNA are shown in Table IGo. Exon-spanning primers were designed to amplify cDNA, but not genomic DNA. Primers were designed and synthesized as described previously (2, 3, 4) or were obtained commercially.


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Table I. Oligonucleotide primers and PCR product sizes

 
Reverse transcription PCR

Total cellular RNA was extracted from cells with Trizol reagent (Life Technologies) and reverse transcribed as described previously (2). PCR amplification consisted of 35 cycles of 1 min denaturation at 95°C, 2.5 min annealing, and extension at 60°C (IL-8, COX-2, GRO{alpha}, ICAM-1, NOS2), 65°C (MCP-1, TGF-{beta}1), or 72°C ({beta}-actin, TNF-{alpha}, TGF-{alpha}). A hot start in which samples were preheated to 95°C before addition of Taq polymerase (Stratagene, San Diego, CA) was used to increase specificity of the amplification. Each experiment included negative controls in which RNA was omitted from the reverse transcription mixture, and cDNA was omitted from the PCR reaction.

Cytokine ELISAs

Cytokines in culture supernatants were assayed by ELISA as described before (2, 3). The IL-8 and the GRO{alpha} ELISAs were sensitive to 20 and 30 pg/ml, respectively.

Flow cytometry

Monolayers of colon epithelial cells were detached by incubation with 0.25% EDTA in calcium- and magnesium-free PBS (pH 7.2) as described before (5). Cell viability was >95% as assessed by trypan blue dye exclusion. For flow cytometry, ~5 x 105 cells were incubated with optimal concentrations of anti-CD54 (ICAM-1) (murine IgG1, AMAC, Westbrook, ME) at 4°C for 60 min after which cells were washed, incubated with an optimal concentration of a PE-labeled goat anti-mouse IgG (H + L) (Southern Biotechnology Associates, Birmingham, AL) at 4°C for 60 min, and analyzed using a flow cytometer (FACScan, Becton Dickinson, Sunnyvale, CA).


    Results
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Enteroinvasive bacteria activate NF-{kappa}B in HT-29, Caco-2, and T84 human colon epithelial cells

The transcription factor NF-{kappa}B has a role in the transcriptional activation of genes the mRNA expression of which is known to be increased by infection of human colon epithelial cells with various enteroinvasive bacteria (e.g., TNF-{alpha}, the C-X-C chemokines IL-8 and GRO{alpha}, the C-C chemokine MCP-1, as well as COX-2 and NOS2) (1, 2, 3, 4, 5, 7, 12, 42, 43). To determine whether enteroinvasive bacteria activate NF-{kappa}B in human colon epithelial cells, DNA binding studies were performed using cell extracts obtained at various times after infection of HT-29, Caco-2, and T84 cells with S. dublin, Y. enterocolitica, or enteroinvasive E. coli. Infection of those cells with each of these enteroinvasive bacteria increased NF-{kappa}B DNA binding, as shown by EMSAs (Fig. 1Go). Maximum binding activity occurred within 30–45 min after bacterial infection. For comparison, maximum binding after stimulation of HT-29 and T84 cells with TNF-{alpha}, a potent activator of NF-{kappa}B, was more rapid (i.e., within 10 min). NF-{kappa}B binding to the NF-{kappa}B oligonucleotide probe was mediated predominantly by heterodimers of p65, as demonstrated in supershift assays in which irrelevant rabbit Ab, anti-p65, or anti-p50 Abs were added to cell extracts (data not shown). Nonpathogenic noninvasive E. coli DH5{alpha} resulted in little if any increase in NF-{kappa}B DNA binding activity in the same epithelial cell lines (Fig. 1Go). These studies showed that activation of NF-{kappa}B parallels activation of the epithelial cell inflammatory program. This suggested that NF-{kappa}B may be an essential transcription factor for integrating the host response of intestinal epithelial cells to infection with a variety of enteroinvasive bacteria that are known to use a spectrum of different receptors and signaling pathways to induce their uptake into these nonphagocytic cells.



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FIGURE 1. Enteroinvasive bacteria activates NF-{kappa}B in human colon epithelial cells. Human colon epithelial cell lines HT-29 (top), Caco-2 (middle), or T84 (bottom) were infected with the enteroinvasive bacterial strains S. dublin, Y. enterocolitica or E. coli O29:NM, the noninvasive bacterial strain E. coli DH5{alpha}, or stimulated with TNF-{alpha} as a control. NF-{kappa}B DNA binding activity was assessed by EMSA at the indicated times up to 60 min after infection. Background levels of NF-{kappa}B binding at time 0, immediately before infection, are shown immediately adjacent to the column for TNF-{alpha} stimulation. Immunoblots (IB) showing concurrent I{kappa}B{alpha} and I{kappa}B{epsilon} levels under the same set of conditions are provided beneath each EMSA time point. The single major band for I{kappa}B{alpha} represents the nonphosphorylated molecule, whereas the second closely running band noted at 45 and 60 min after S. dublin infection of Caco-2 cells represents phosphorylated I{kappa}B{alpha}. I{kappa}B{epsilon} exists as two closely related phosphoisoforms as most clearly shown for Caco-2 cells. Caco-2 cells show little, if any, response to TNF-{alpha} stimulation (44 ) and, consistent with this, TNF-{alpha} stimulation was a weak activator of I{kappa}B{alpha} degradation and NF-{kappa}B DNA binding in Caco-2 cells. The results are representative of three or more repeated experiments.

 
Degradation of I{kappa}B{alpha} in human colon epithelial cells after infection with enteroinvasive bacteria

One of the major pathways for NF-{kappa}B activation involves the phosphorylation of I{kappa}B{alpha} on serine residues 32 and 36, which is followed by I{kappa}B{alpha} degradation and the subsequent migration of NF-{kappa}B dimers from the cytoplasm to the nucleus. To determine whether this is also the major pathway for NF-{kappa}B activation after bacterial infection of human intestinal epithelial cells, we assayed the kinetics of I{kappa}B{alpha} degradation, as well as the degradation of I{kappa}B{epsilon} and I{kappa}B{beta}, by immunoblot analysis, in HT-29, Caco-2, and T84 cells after infection with S. dublin, Y. enterocolitica, and enteroinvasive E. coli, or the nonpathogenic E. coli DH5{alpha}. Infection of Caco-2 cells with S. dublin or Y. enterocolitica resulted in the rapid but transient degradation of I{kappa}B{alpha}, whereas the kinetics of I{kappa}B{alpha} degradation was slower after enteroinvasive E. coli infection (Fig. 1Go). Further, relative to I{kappa}B{alpha}, I{kappa}B{epsilon} was more slowly degraded in those cells. Consistent with the known lack of response of Caco-2 cells to TNF-{alpha} stimulation (44), little degradation of I{kappa}B{alpha} and I{kappa}B{epsilon} was seen in TNF-{alpha}-stimulated Caco-2 cells. I{kappa}B{alpha} and I{kappa}B{epsilon} degradation was less marked and incomplete in bacteria-infected HT-29 and T84 cells (Fig. 1Go). The latter findings are consistent with the incomplete degradation of I{kappa}B{alpha} in IL-1-stimulated HT-29 and T84 cells (15). In contrast, however, TNF-{alpha} stimulation of HT-29 and T84 cells resulted in rapid and nearly complete degradation of I{kappa}B{alpha} (Fig. 1Go). In HT-29 or T84 cells, I{kappa}B{beta} was not degraded in response to infection with the enteroinvasive bacteria, although it was partially degraded in Caco-2 cells (data not shown). Taken together, the data show that NF-{kappa}B is activated in each cell line in response to infection with several different enteroinvasive bacteria and in HT-29 and T84 cells stimulated with TNF-{alpha}, despite differences among the cell lines in the extent of degradation of I{kappa}Bs in response to different stimuli. Infection of the cell lines with nonpathogenic E. coli DH5{alpha} resulted in little if any degradation of I{kappa}B{alpha}, I{kappa}B{epsilon}, or I{kappa}B{beta} (Fig. 1Go and data not shown).

Activation of IKK precedes NF-{kappa}B activation

IKK contains two subunits, IKK{alpha} and IKK{beta}, that can directly phosphorylate I{kappa}Bs (45). Therefore, we assessed whether IKK{alpha} and IKK{beta} were activated in intestinal epithelial cells in response to infection with enteroinvasive bacteria. Kinase activity was determined with a GST-I{kappa}B{alpha} fusion protein as a substrate that can be phosphorylated by IKK on serine residues 32 and 36. A GST-I{kappa}B{alpha} fusion protein with alanine substitutions at positions 32 and 36, which cannot be phosphorylated by IKK, was used in parallel to demonstrate IKK specificity. As shown in Fig. 2Go, IKK{alpha} and IKK{beta} were activated within 15 min after infection of HT-29, Caco-2, and T84 cells with S. dublin, Y. enterocolitica or enteroinvasive E. coli. Moreover, the time course of IKK{alpha} and IKK{beta} activation in response to infection with these bacteria preceded the time course of I{kappa}B{alpha} degradation, as shown in Fig. 1Go. IKK{alpha} and IKK{beta} were activated weakly, if at all, above baseline after infection with nonpathogenic E. coli DH5{alpha}.



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FIGURE 2. Enteroinvasive bacteria activate IKK{alpha} and IKK{beta} kinase activity. HT-29 (top), Caco-2 (middle), and T84 (bottom) cells were infected with the enteroinvasive bacterial strains S. dublin, Y. enterocolitica, or E. coli O29:NM, the noninvasive bacterial strain E. coli DH5{alpha}, or stimulated with TNF-{alpha} (20 ng/ml) as a control. Whole cell lysates were obtained before or up to 60 min after infection or TNF-{alpha} stimulation as indicated, and IKK{alpha} and IKK{beta} were isolated from cell lysates by immunoprecipitation as described in Materials and Methods. I{kappa}B kinase activity of each specific immunocomplex was determined using GST- I{kappa}B{alpha} (1-54) as a substrate. A GST-I{kappa}B-A32/36 fusion protein that contains alanine substitutions at residues 32 and 36 and is not phosphorylated by IKK{alpha} and IKK{beta} was used as a specificity control, and data using this substrate are shown in the right lane for lysates obtained 10 min after TNF-{alpha} stimulation (10AA). Consistent with the lack of response of Caco-2 cells to TNF-{alpha} stimulation, IKK{alpha} and IKK{beta} were not activated after TNF-{alpha} stimulation of those cells. WT, wild type.

 
Enteroinvasive bacteria activate IL-8 and ICAM reporter genes

We previously showed that infection of HT-29, Caco-2, and T84 cells with S. dublin, Y. enterocolitica, or enteroinvasive E. coli, up-regulated IL-8 and ICAM-1 mRNA levels, as well as IL-8 secretion and membrane ICAM-1 expression (1, 2, 5). To determine whether increased IL-8 and ICAM-1 expression in response to bacterial infection was paralleled by activation of those genes, HT-29 cells were transiently transfected with IL-8-luciferase (37), ICAM-1-luciferase (38) or NF-{kappa}B-luciferase transcriptional reporter genes (33), after which cells were infected with S. dublin, Y. enterocolitica, or enteroinvasive E. coli. As shown in Table IIGo, infection with those enteroinvasive bacteria markedly increased luciferase activity in cells transfected with the IL-8, ICAM-1, and 2x NF-{kappa}B promoter plasmids, but not in cells transfected with a control {beta}-actin-luciferase reporter gene construct. Nonpathogenic E. coli DH5{alpha} did not significantly activate expression of the tested reporter constructs.


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Table II. Activation of reporter genes by enteroinvasive bacteria is inhibited by I{kappa}B{alpha} and IKK{beta} superrepressors1

 
Activation of IL-8 and ICAM-1 reporter genes in response to enteroinvasive bacterial infection is inhibited by I{kappa}B{alpha} and IKK{beta} superrepressors

We asked whether activation of IKKs and degradation of I{kappa}B{alpha} were components of the signaling pathway that culminates in increased IL-8 and ICAM-1 expression following infection of human colon epithelial cells with enteroinvasive bacteria. For these studies, IL-8-, ICAM-1-, and NF-{kappa}B-luciferase reporters were transiently transfected into HT-29 cells alone, or together with either an IKK{beta}-AA expression plasmid that encodes a catalytically inactive IKK{beta} that acts as a superrepressor or an I{kappa}B{alpha}-A32/36 expression plasmid that encodes a mutant I{kappa}B{alpha} in which serine residues at positions 32 and 36 are replaced by alanine residues to prevent its stimulus-induced phosphorylation and subsequent degradation. Activation of the IL-8, ICAM-1, and NF-{kappa}B transcriptional reporters was inhibited in cells cotransfected with the IKK{beta} and I{kappa}B{alpha} superrepressor plasmids (Table IIGo), but not in cells cotransfected with control plasmid (data not shown).

The IL-8 promoter contains a binding site for NF-{kappa}B which is located between nucleotides -80 to -69. However, 5' of the NF-{kappa}B-binding site, the IL-8 promoter also contains binding sites for other transcription factors (39, 46) that might play a role in transcriptional activation of the IL-8 promoter. We therefore determined whether the nucleotide sequences in the IL-8 promoter that encompass the NF-{kappa}B-binding site were required for the activation of the IL-8 promoter following bacterial infection, or whether 5' upstream sequences that encoded an activator protein 1 (AP-1) binding site (-120 to -126), a glucocorticoid response element (-325 to -330), and an IFN regulatory factor-1 binding site (-420 to -425) were also required. A series of IL8-CAT transcriptional reporters containing 5' flanking region deletions, as shown in Table IIIGo, were transiently transfected into HT-29 cells, after which cells were infected with S. dublin or Y. enterocolitica or stimulated with TNF-{alpha}. Increased CAT expression in response to bacterial infection was greatest in cells transfected with the -98-CAT deletion mutant, that contains the NF-{kappa}B binding site required for IL-8 gene transcription and a NF-IL6 binding site, but lacks the AP-1 binding site located at nucleotides -120 to -126 and other upstream elements. No increase in CAT activity was seen when all 5' sequence upstream of -8 was deleted. Parallel findings were seen after TNF-{alpha} stimulation (Table IIIGo).


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Table III. Activity of IL-8 transcriptional reporter deletion mutants in HT-29 cells infected with enteroinvasive bacteria or stimulated with TNF-{alpha}1

 
An I{kappa}B{alpha} superrepressor blocks expression of IL-8, GRO{alpha}, MCP-1, ICAM-1, COX-2, NOS2, and TNF-{alpha} in response to bacterial infection

We next evaluated whether blocking NF-{kappa}B activation decreased the expression of endogenous genes that are known to be major components of the epithelial cell response to infection with invasive bacteria. HT-29 cells were infected with a recombinant replication-deficient adenovirus containing either a I{kappa}B{alpha} superrepressor, termed Ad5I{kappa}B-A32/36 (Ad5-I{kappa}B/AA) or the E. coli {beta}-galactosidase gene, termed Ad5LacZ, as a control. Ad5-I{kappa}B-AA partially to almost completely inhibited the up-regulated expression of ICAM-1, IL-8, GRO{alpha}, MCP-1, and COX-2 mRNA (Fig. 3Go), as well as NOS2 and TNF-{alpha} mRNA (data not shown), in response to infection with enteroinvasive bacteria, but did not block mRNA expression of TGF{beta}1, {beta}-actin (Fig. 3Go) or TGF{alpha} (data not shown).



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FIGURE 3. An I{kappa}B{alpha} superrepressor inhibits the up-regulated expression of major components of the host’s endogenous epithelial cell proinflammatory gene program. HT-29 cells were infected with Ad5I{kappa}B-A32/36 which expresses an I{kappa}B{alpha} superrepressor or, as a control, Ad5LacZ which expresses {beta}-galactosidase. Twenty-four hours after viral infection, cells were left untreated or were infected with S. dublin or stimulated with TNF-{alpha} as a positive control to up-regulate NF-{kappa}B target genes. Three hours later, the expression of genes known to be components of the proinflammatory program in bacteria-infected human intestinal epithelial cells, and control genes that are not components of that program, were assessed by RT-PCR. The I{kappa}B{alpha} superrepressor inhibited, partially to almost completely, the up-regulated expression of IL-8, GRO{alpha}, MCP-1, ICAM-1, and COX-2 (Fig. 3Go) as well as NOS2 and TNF-{alpha} (not shown) which are components of the epithelial cell proinflammatory program. In contrast, the superrepressor did not inhibit expression of the control genes TGF-{beta}1 or {beta}-actin or TGF-{alpha} (not shown) in S. dublin-infected or TNF-{alpha}-stimulated cells. The results are representative of two or more repeated experiments.

 
IL-8 and GRO{alpha} secretion in response to S. dublin infection or TNF-{alpha} stimulation of HT-29 cells infected with Ad5I{kappa}B-A32/36 or the Ad5LacZ control virus was also assessed. As shown in Table IVGo, IL-8 and GRO{alpha} secretion was markedly inhibited by the I{kappa}B{alpha}-AA superrepressor. The low levels of IL-8 and GRO{alpha} in Ad5I{kappa}B infected cultures may reflect production by the 20% residual cells that were not infected by the adenovirus vector or a low level of activation of those mediators via other signal-transduction pathways. Further, as shown in Fig. 4Go, increased cell surface ICAM-1 expression in response to infection with enteroinvasive bacteria, but not in response to IFN-{gamma} stimulation, was inhibited by the I{kappa}B{alpha}-A32/36 superrepressor.


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Table IV. Ad5I{kappa}B-AA superrepressor inhibits IL-8 and GRO{alpha} secretion by S. dublin-infected or TNF-{alpha}-stimulated HT-29 cells1

 


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FIGURE 4. Flow cytometric analysis of ICAM-1 expression by HT-29 cells. HT-29 cells were infected with Ad5I{kappa}B-A32/36 (Ad5I{kappa}B) which expresses an I{kappa}B{alpha} superrepressor (middle column), with Ad5LacZ which expresses {beta}-galactosidase (right column), or were not infected with adenovirus (control, left column). Twenty-four hours after viral infection, cells were infected with S. dublin (top row) or Y. enterocolitica (second row) or stimulated with TNF-{alpha} (20 ng/ml, third row) or IFN-{gamma} (40 ng/ml, bottom row). After 9 h, cells were detached from the plates, stained, and analyzed by flow cytometry as outlined in Materials and Methods. Shaded area in each panel represents ICAM-1 staining of cells that were not bacteria infected or stimulated with cytokines. The unshaded area outlined by the darker line represents ICAM-1 staining in bacteria-infected or cytokine-stimulated cells. As shown, the I{kappa}B superrepressor inhibited increased ICAM-1 expression in bacteria-infected or TNF-{alpha}-stimulated cells, but not in IFN-{gamma}-stimulated cells.

 
Bacteria-induced activation of NF-{kappa}B requires intracellular signaling molecules that are also components of pathways activated by TNF receptor family members

Differences in I{kappa}B degradation in bacteria-infected, compared with TNF-{alpha}-stimulated HT-29 cells, suggested differences in the pathways leading to activation of NF-{kappa}B in response to these stimuli. Nonetheless, many of the NF-{kappa}B target genes that are activated in response to bacterial infection of human intestinal epithelial cells, including IL-8, are also activated by signaling through TNF, IL-1 or LT{beta}R. We assessed, therefore, whether molecules that play a more proximal role in the signal transduction pathway leading to IKK activation following agonist stimulation via TNF receptors, such as TRAF2 or NIK, a mitogen-activated MAP-3 kinase which mediates the phosphorylation and activation of IKK (21, 22), are also required for activation of the NF-{kappa}B target gene IL-8 in bacteria infected cells. For these studies, an IL-8-luciferase transcriptional reporter was cotransfected into HT-29 cells with a TRAF2 superrepressor plasmid (30), or with a plasmid that expresses a mutant of NIK that is catalytically inactive (21). In addition, some cultures were cotransfected with the IL-8-luciferase reporter together with a plasmid expressing A20, a protein that blocks TRAF2-mediated NF-{kappa}B activation (36) or with a plasmid expressing a superrepressor of TRAF5, a protein that is important for the activation of NF-{kappa}B following signal transduction through the LT{beta}R (31). Cultures were subsequently infected with enteroinvasive S. dublin, Y. enterocolitica, or enteroinvasive E. coli or stimulated with TNF-{alpha} as a control. As shown in Table VGo, increased luciferase activity in response to stimulation of cells with TNF-{alpha} was markedly inhibited by blocking TRAF2, and to a lesser extent by blocking NIK or TRAF5. Blocking of NIK also partially inhibited bacteria induced activation of the IL-8 reporter. Inhibition of TRAF5 was as effective as inhibition of TRAF2 in blocking S. dublin or enteroinvasive E. coli, but not Y. enterocolitica induced activation of the IL-8 reporter. Consistent with the results of TRAF2 inhibition described above, expression of A20, which inhibits TRAF2 mediated NF-{kappa}B activation, also inhibited bacteria, and TNF-{alpha} induced activation of the IL-8 reporter.


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Table V. Activation of IL-8 luciferase reporter gene by enteroinvasive bacteria is inhibited by NIK, TRAF2, and TRAF5 superrepressors1

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Salmonella, enteroinvasive E. coli, and Yersinia use different strategies, and activate different signaling pathways, to induce their uptake into nonphagocytic epithelial cells (10, 32). Nonetheless, in the early period following infection with those pathogens, intestinal epithelial cells up-regulate the expression of a conserved set of proinflammatory genes and the production of mediators that can signal the onset of mucosal inflammation and alter epithelial cell functions (1, 2, 3, 4, 5, 7). The studies herein define NF-{kappa}B as a central regulator for the activation of essential components of the intestinal epithelial cell innate immune response following infection with a spectrum of enteroinvasive bacterial pathogens.

IKK (16, 18, 19) was shown to be a key intermediate in the epithelial cell signal transduction pathway leading to NF-{kappa}B activation following infection with enteroinvasive bacteria. Although IKK{alpha} and IKK{beta} were activated with a similar time course, an IKK{beta} superrepressor alone was sufficient to inhibit the activation of IL-8 and ICAM-1 transcriptional reporters and was more efficient than an IKK{alpha} superrepressor in this regard (data not shown). These findings are consistent with the physiologic role IKK{beta} is known to have in I{kappa}B phosphorylation and NF-{kappa}B activation (18, 19, 45, 46). IKK{beta} in the large m.w. IKK complex may function either as an IKK{beta} homo- or IKK{alpha}{beta} heterooligomer (18, 19, 45, 46).

The promoter regions of the epithelial cell proinflammatory genes studied herein contain binding sites for several transcription factors in addition to NF-{kappa}B. For example, the IL-8 promoter has binding sites for AP-1 and NF-IL6 that are functionally important for IL-8 gene activation in several cell types (39, 47). However, the AP-1 binding site was not required for S. dublin or Y. enterocolitica induced IL-8 promoter activity in the three intestinal epithelial cell lines studied herein, because a transcriptional IL-8 reporter that lacks the AP-1 binding site was readily activated in those cells after infection with those bacteria. In contrast, there appears to be a requirement for both NF-{kappa}B and AP-1 for transcriptional activation of the IL-8 promoter in S. typhimurium-infected Henle-407 cells (48). Although NF-{kappa}B has an essential role in integrating the host intestinal epithelial cell response to infection with enteroinvasive bacteria, additional transcription factors are known to positively modify the transcription of many of the genes that comprise the epithelial cell innate immune response.

NF-{kappa}B was activated in three human colon epithelial cell lines infected with three different stains of enteroinvasive bacteria, but not after infection with noninvasive E. coli. Consistent with this, NF-{kappa}B was not activated in T84 cells cultured with a different nonpathogenic strain of E. coli although activation was noted in cells infected with an enteropathogenic E. coli (49). Activation of NF-{kappa}B in the cytoplasm involves the inducible phosphorylation of I{kappa}Bs, which then undergo ubiquitin-mediated proteolysis, thereby releasing NF-{kappa}B dimers to translocate to the nucleus (33, 42, 50). We noted marked differences in the extent of I{kappa}B{alpha} and I{kappa}B{epsilon} degradation among the cell lines, with degradation being more complete in enteroinvasive bacteria-infected Caco-2 than in HT-29 or T84 cells. This finding parallels that reported for NF-{kappa}B activation and I{kappa}B{alpha} degradation after IL-1{beta} stimulation of the same cell lines (15), in which case incomplete degradation of I{kappa}B{alpha} was also sufficient for significant activation of NF-{kappa}B.

In contrast to bacterial infection (data herein) or IL-1{beta} stimulation (15), degradation of I{kappa}B{alpha} was almost complete in TNF-{alpha}-stimulated HT-29 and T84 cells. The difference between bacterial infection and TNF stimulation may reflect the fact that only a fraction of cells are infected by enteroinvasive bacteria (e.g., 10–50% of HT-29 and T84 cells are infected by S. dublin at the MOI’s used herein). In this case, even complete degradation of I{kappa}B{alpha} in bacteria-infected cells would be obscured by the lack of degradation in uninfected cells. This would not apply to a soluble cytokine like TNF-{alpha}, which presumably can stimulate a larger fraction of the cells. Alternatively, differences in I{kappa}B{alpha} degradation in response to bacterial infection, compared with TNF-{alpha} stimulation, may reflect an interplay between the different signaling pathways activated by these stimuli, and the relative importance of those pathways, as also suggested by our findings using superrepressors of TRAF2 and TRAF5.

Infection of Caco2 cells with bacteria but not stimulation with TNF-{alpha} activated NF-{kappa}B, indicating that activation of NF-{kappa}B likely is independent of signaling through the extracellular domain of the TNF receptor. Whereas our findings with bacterial infection of human intestinal cells are consistent with those showing activation of NF-{kappa}B in a human cervical epithelial cell line, HeLa, infected with Shigella flexneri (51), our findings with Y. enterocolitica infection of human intestinal epithelial cells differ markedly from those in mouse macrophages, where Y. enterocolitica prevented NF-{kappa}B activation (52)

The various I{kappa}Bs can differentially associate and regulate the activation of NF-{kappa}B (53) and the transcriptional activation of various NF-{kappa}B target genes by virtue of binding to different populations of NF-{kappa}B dimers in the cytoplasm. I{kappa}B{epsilon} is widely expressed in different human tissues, is known to interact preferentially with p65 and c-Rel members and appears to affect a subset of NF-{kappa}B genes apparently regulated by p65 homodimers (54, 55). ICAM-1 and GM-CSF promoters contain NF-{kappa}B-binding sites that bind only p65/c-Rel heterodimers in vitro (56), and the NF-{kappa}B site of the IL-8 promoter optimally binds and is activated by p65 homodimers rather than p50 homodimers or p50/p65 heterodimers (57). Our finding of partial I{kappa}B{epsilon} degradation after bacterial infection of intestinal epithelial cells suggests a role for I{kappa}B{epsilon} in the activation of several NF-{kappa}B target genes that are up-regulated in response to bacterial infection of intestinal epithelial cells. A similar situation may exist for the antimicrobial response in Drosophila, where different NF-{kappa}B family members are differentially activated and imported into the nucleus where they activate selective peptide (cecropin) genes (58).

Human intestinal epithelial cells rapidly activate NF-{kappa}B and a proinflammatory gene program within a few hours of infection with enteroinvasive bacteria. However, in the later period after infection (e.g., 12–18 h) human colon epithelial cell lines undergo apoptosis (59). The delayed onset of apoptosis may provide invading bacteria sufficient time to adapt to the intracellular epithelial cell environment and multiply, before invading deeper mucosal layers. Moreover, the delayed onset of apoptosis might be partly explained by the activation of NF-{kappa}B after bacterial entry, because NF-{kappa}B target genes suppress signals for cell death as shown for mouse cell lines stimulated with TNF-{alpha} (60, 61) and for endothelial cells infected by Rickettsia rickettsii (62).

NF-{kappa}B activation in bacteria-infected cells appears to be independent of signaling through the extracellular domain of the TNF receptor. Nonetheless, our data indicate that molecules that are integral components of the signal transduction pathway leading to NF-{kappa}B activation after signaling through members of the TNF receptor family were involved in signal transduction leading to the activation of the NF-{kappa}B target gene, IL-8, in bacteria-infected cells. Activation of IKK{alpha} and IKK{beta} requires their phosphorylation, which has been reported to be mediated by the MAP3 kinases, NIK and MEKK-1 (20, 21, 22, 23, 24). As shown herein, NIK appears to play a role in NF-{kappa}B activation after bacterial infection, given that overexpression of a catalytically inactive NIK protein partially inhibited transcriptional activation of an IL-8 reporter in response to bacterial infection. Further upstream in the signal transduction pathway activated by TNF-{alpha}, NIK interacts with TRAF2, an adaptor protein known to associate with the TNF receptor family of proteins (23, 30, 63). Recently, TRAF2 was reported to be involved in TNF-{alpha} and IL-1{beta} signaling cascades leading to NF-{kappa}B activation and IL-8 expression in HT-29 cells (64). Interference of TRAF2 signaling by transfection of a superrepressor of TRAF2, or with A20, which interacts with TRAF2 and blocks TRAF2-mediated NF-{kappa}B activation (36), markedly inhibited IL-8 reporter gene activity in response to bacterial infection. Blocking TRAF5, an adaptor molecule important in signaling through other TNF receptor family members (e.g., LT{beta}R), also partially blocked IL-8 reporter gene activity. Taken together, our findings suggest that bacterial infection may activate a number of different intracellular signaling pathways also used by TNF and perhaps IL-1 receptor family members, that culminate in the activation of NF-{kappa}B and its target genes.

Intestinal epithelial cells act as sensors of microbial infection and produce proinflammatory signals that can activate the host’s mucosal inflammatory response. The data herein demonstrate that NF-{kappa}B is an essential transcription factor for integrating the host epithelial cell proinflammatory response to infection with a spectrum of enteroinvasive bacteria. Studies in a murine model of intestinal inflammation (65) and in human intestinal xenografts infected with E. histolytica (66) showed that blocking NF-{kappa}B activation in the intestinal mucosa can markedly decrease intestinal inflammation. Our studies in epithelial cells indicate that signal transduction through NF-{kappa}B is a key element in the activation of the epithelial cell innate immune response after bacterial infection and suggest novel therapeutic targets for the prevention and treatment of intestinal inflammation.


    Acknowledgments
 
We thank J. Smith for expert technical help and R. Lara for assistance in preparation of the manuscript. We also thank Drs. M. Karin, F. Mercurio, D. Goeddel, H. Nakano, M. Levrero, G. Natoli, Z.G. Liu, and N. Rice for gifts of plasmids and Ab, and D. Brenner for sharing the recombinant adenoviruses.


    Footnotes
 
1 This work was supported by National Institutes of Health Grant DK35108. D.E. was supported by the Belgian American Educational Foundation, D. Collen Research Foundation, and the Francqui Foundation. L.E. was supported by a Career Development Award from the Crohn’s and Colitis Foundation of America. Back

2 Current address: La Jolla Institute for Allergy and Immunology, La Jolla, CA. Back

3 D.E. and J.A.D. contributed equally to this work. Back

4 Current address: Department of Cancer Biology, Cleveland Clinic Foundation, Cleveland, OH. Back

5 Current address: Department of Microbiology, Hanyang University, Seoul, Korea. Back

6 Address correspondence and reprint requests to Dr. Martin F. Kagnoff, Laboratory of Mucosal Immunology, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0623. E-mail address: Back

7 Abbreviations used in this paper: GRO{alpha}, growth-related oncogene-{alpha}; MCP-1, monocyte chemoattractant protein-1; COX, cyclooxygenase; NOS2, nitric oxide synthase-2; IKK, I{kappa}B kinase; MAP3, mitogen-activated protein-3; NIK, NF-{kappa}B-inducing kinase; MEKK-1, MEK kinase 1; TRAF, TNF receptor-associated factor; UCSD, University of California, San Diego; MOI, multiplicity of infection; CAT, chloramphenicol acetyltransferase; HA, hemagglutinin; EMSA, electrophoretic mobility shift assay; AP-1, activator protein 1; LT{beta}R, lymphotoxin {beta} receptor . Back

Received for publication March 22, 1999. Accepted for publication May 17, 1999.


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 Results
 Discussion
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Production of MDC/CCL22 by human intestinal epithelial cells
Am J Physiol Gastrointest Liver Physiol, June 1, 2001; 280(6): G1217 - G1226.
[Abstract] [Full Text] [PDF]


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J Med MicrobiolHome page
D. DRUDY, D.P. O'DONOGHUE, A. BAIRD, L. FENELON, and C. O'FARRELLY
Flow cytometric analysis of Clostridium difficile adherence to human intestinal epithelial cells
J. Med. Microbiol., June 1, 2001; 50(6): 526 - 534.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. Deb, S. J. Haque, T. Mogensen, R. H. Silverman, and B. R. G. Williams
RNA-Dependent Protein Kinase PKR Is Required for Activation of NF-{{kappa}}B by IFN-{{gamma}} in a STAT1-Independent Pathway
J. Immunol., May 15, 2001; 166(10): 6170 - 6180.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
W. F. Stenson, Z. Zhang, T. Riehl, and S. L. Stanley Jr.
Amebic Infection in the Human Colon Induces Cyclooxygenase-2
Infect. Immun., May 1, 2001; 69(5): 3382 - 3388.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Cell Mol. Bio.Home page
M. Cecilia Berin, L. Eckmann, D. H. Broide, and M. F. Kagnoff
Regulated Production of the T Helper 2-Type T-Cell Chemoattractant TARC by Human Bronchial Epithelial Cells In Vitro and in Human Lung Xenografts
Am. J. Respir. Cell Mol. Biol., April 1, 2001; 24(4): 382 - 389.
[Abstract] [Full Text]


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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
A. Izadpanah, M. B. Dwinell, L. Eckmann, N. M. Varki, and M. F. Kagnoff
Regulated MIP-3{alpha}/CCL20 production by human intestinal epithelium: mechanism for modulating mucosal immunity
Am J Physiol Gastrointest Liver Physiol, April 1, 2001; 280(4): G710 - G719.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
G. T.-J. Huang, D. Kim, J. K.-H. Lee, H. K. Kuramitsu, and S. K. Haake
Interleukin-8 and Intercellular Adhesion Molecule 1 Regulation in Oral Epithelial Cells by Selected Periodontal Bacteria: Multiple Effects of Porphyromonas gingivalis via Antagonistic Mechanisms
Infect. Immun., March 1, 2001; 69(3): 1364 - 1372.
[Abstract] [Full Text] [PDF]


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ScienceHome page
A. S. Neish, A. T. Gewirtz, H. Zeng, A. N. Young, M. E. Hobert, V. Karmali, A. S. Rao, and J. L. Madara
Prokaryotic Regulation of Epithelial Responses by Inhibition of Ikappa B-alpha Ubiquitination
Science, September 1, 2000; 289(5484): 1560 - 1563.
[Abstract] [Full Text]


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FASEB J.Home page
R. SCHULTE, G. A. GRASSL, S. PREGER, S. FESSELE, C. A. JACOBI, M. SCHALLER, P. J. NELSON, and I. B. AUTENRIETH
Yersinia enterocolitica invasin protein triggers IL-8 production in epithelial cells via activation of Rel p65-p65 homodimers
FASEB J, August 1, 2000; 14(11): 1471 - 1484.
[Abstract] [Full Text]


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J. Immunol.Home page
D. J. Philpott, S. Yamaoka, A. Israel, and P. J. Sansonetti
Invasive Shigella flexneri Activates NF-{kappa}B Through a Lipopolysaccharide-Dependent Innate Intracellular Response and Leads to IL-8 Expression in Epithelial Cells
J. Immunol., July 15, 2000; 165(2): 903 - 914.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. Eckmann, J. R. Smith, M. P. Housley, M. B. Dwinell, and M. F. Kagnoff
Analysis by High Density cDNA Arrays of Altered Gene Expression in Human Intestinal Epithelial Cells in Response to Infection with the Invasive Enteric Bacteria Salmonella
J. Biol. Chem., May 5, 2000; 275(19): 14084 - 14094.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
U. Bocker, A. Schottelius, J. M. Watson, L. Holt, L. L. Licato, D. A. Brenner, R. B. Sartor, and C. Jobin
Cellular Differentiation Causes a Selective Down-regulation of Interleukin (IL)-1beta -mediated NF-kappa B Activation and IL-8 Gene Expression in Intestinal Epithelial Cells
J. Biol. Chem., April 14, 2000; 275(16): 12207 - 12213.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
D. F. McCole, L. Eckmann, F. Laurent, and M. F. Kagnoff
Intestinal Epithelial Cell Apoptosis following Cryptosporidium parvum Infection
Infect. Immun., March 1, 2000; 68(3): 1710 - 1713.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
C. Jobin and R. B. Sartor
The Ikappa B/NF-kappa B system: a key determinant of mucosal inflammation and protection
Am J Physiol Cell Physiol, March 1, 2000; 278(3): C451 - C462.
[Abstract] [Full Text] [PDF]


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Mol. Cell. Biol.Home page
M. Zamanian-Daryoush, T. H. Mogensen, J. A. DiDonato, and B. R. G. Williams
NF-kappa B Activation by Double-Stranded-RNA-Activated Protein Kinase (PKR) Is Mediated through NF-kappa B-Inducing Kinase and Ikappa B Kinase
Mol. Cell. Biol., February 15, 2000; 20(4): 1278 - 1290.
[Abstract] [Full Text]


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Mol. Biol. CellHome page
B. S. Hall, W. Tam, R. Sen, and M. E. A. Pereira
Cell-specific Activation of Nuclear Factor-kappa B by the Parasite Trypanosoma cruzi Promotes Resistance to Intracellular Infection
Mol. Biol. Cell, January 1, 2000; 11(1): 153 - 160.
[Abstract] [Full Text]


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J. Immunol.Home page
D. A. O'Neil, E. M. Porter, D. Elewaut, G. M. Anderson, L. Eckmann, T. Ganz, and M. F. Kagnoff
Expression and Regulation of the Human {beta}-Defensins hBD-1 and hBD-2 in Intestinal Epithelium
J. Immunol., December 15, 1999; 163(12): 6718 - 6724.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
O. Steele-Mortimer, L. A. Knodler, S. L. Marcus, M. P. Scheid, B. Goh, C. G. Pfeifer, V. Duronio, and B. B. Finlay
Activation of Akt/Protein Kinase B in Epithelial Cells by the Salmonella typhimurium Effector SigD
J. Biol. Chem., November 22, 2000; 275(48): 37718 - 37724.
[Abstract] [Full Text] [PDF]


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