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VIII. <strong>Inflammation</strong> specific <strong>signaling</strong> Poster VIII, 18<br />

Molecular mechanisms underlying inflammatory responses to Helicobacter pylori<br />

infection<br />

Jeong-Sang Lee1, Ki-Baik Hahm2, Jeffrey A. Johnson3, <strong>and</strong> Young-Joon Surh1<br />

1National Research Laboratory of Molecular Carcinogenesis <strong>and</strong> Chemoprevention,<br />

College of Pharmacy, Seoul National University. Seoul 151-742, 2Genomic Research<br />

Center for Gastroenterology, School of Medicine, Ajou University, Suwon 442-749,<br />

South Korea, <strong>and</strong> 3School of Pharmacy, University of Wisconsin, Madison, WI, USA<br />

The Helicobacter pylori (H. pylori) were identified by Marshall <strong>and</strong> Warren in 1983. The H.<br />

pylori survive in the forbidding harsh acid environment of the stomach <strong>and</strong> duodenum by<br />

hiding in the mucus layer <strong>and</strong> neutralizing stomach acid in its local surrounding environment.<br />

Multiple lines of evidences suggest that H. pylori infection is one of the primary causes of<br />

gastritis <strong>and</strong> peptic ulcer, which are provoked by oxidative stress <strong>and</strong> inflammation. More<br />

than 50% of the world's population is infected by this bacterium. The H. pylori–induced<br />

inflammation has been implicated in the pathogenesis <strong>and</strong> progression of gastric cancer. In the<br />

present study, we investigated molecular mechanisms responsible for H. pylori-induced<br />

inflammation in human gastric cancer (AGS) cells. H. pylori induced inflammatory response<br />

accompanied up-regulation of cyclooxygenase-2 (COX-2) <strong>and</strong> inducible nitric oxide synthase<br />

(iNOS), <strong>and</strong> both the secretion <strong>and</strong> protein expression of interleukin-8 (IL-8) in AGS cells.<br />

The nuclear translocation <strong>and</strong> subsequent DNA binding of nuclear factor-kappaB (NF-!B), a<br />

eukaryotic transcription factor known to regulate aforementioned pro-inflammatory enzymes<br />

<strong>and</strong> mediators, were increased after H. pylori treatment. Similarly, the DNA binding of<br />

eukaryotic transcription factor activator protein-1 (AP-1) was induced by H. pylori treatment.<br />

In addition, c-Jun that is the major component of AP-1 was detected by super shift assay, <strong>and</strong><br />

the level of phospho-c-Jun was found to be increased. H. pylori infection accelerated the<br />

DNA binding of another transcription factor CREB, whose interacting partners were detected<br />

as CREB <strong>and</strong> CBP as determined by the super shift assay. In another experiment, H. pylori –<br />

infected AGS cells exhibited increased phosphorylation of upstream kinases, ERK <strong>and</strong> AKT.<br />

However, long term administration of H. pylori resulted in the activation of proliferating cell<br />

nuclear antigens (PCNA) <strong>and</strong> Terminal deoxynucleotidyl Transferase Biotin-dUTP Nick End<br />

Labeling (TUNEL) in C57BL6 mice, suggesting that H. pylori infection may create a balance<br />

between proliferation <strong>and</strong> apoptotic process in the stomach. Taken together, H. pylori<br />

treatment can cause the inflammatory response through up-regulation of proteins involved in<br />

pro-inflammatory signal transduction.<br />

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