Cytotoxic chemotherapy upregulates pro-apoptotic Bax and Bak in the small intestine of rats and humans

Aims: Small intestinal crypt cells rapidly undergo apoptosis in response to cytotoxic drug treatment that results in gastrointestinal toxicity. The Bcl-2 family have been implicated in both positive and negative regulation of intestinal cell apoptosis. The aim of this study was to examine the effect...

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Veröffentlicht in:Pathology 2005-02, Vol.37 (1), p.56-62
Hauptverfasser: Bowen, Joanne M., Gibson, Rachel J., Keefe, Dorothy M., Cummins, Adrian G.
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container_title Pathology
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creator Bowen, Joanne M.
Gibson, Rachel J.
Keefe, Dorothy M.
Cummins, Adrian G.
description Aims: Small intestinal crypt cells rapidly undergo apoptosis in response to cytotoxic drug treatment that results in gastrointestinal toxicity. The Bcl-2 family have been implicated in both positive and negative regulation of intestinal cell apoptosis. The aim of this study was to examine the effect of cytotoxic treatment on Bcl-2 protein expression in patients and rats with tumours. Methods: Four pro- and four anti-apoptotic members of the Bcl-2 family, caspase-3 and p53 were examined in small intestinal crypts before and after treatment in rats and humans. Immunohistochemistry identified changes in protein expression over time, while relative RT-PCR was used to investigate mRNA expression in rat small intestine. Results: Cytotoxic treatment increased p53 and caspase-3 which coincided with elevated levels of apoptosis. Bax and Bak protein and mRNA expression also significantly increased at 6 hours following treatment in rats. Bax and Bak protein increased at day 1 after treatment in humans. Anti-apoptotic Mcl-1 protein decreased within 24 hours. Other Bcl-2 family members showed only modest changes. Conclusion: Increased expression of Bax and Bak but not other Bcl-2 family members is associated with apoptosis in small intestinal crypts and may amplify the sensitivity and susceptibility of crypt cells to chemotherapy-induced enteropathy.
doi_str_mv 10.1080/00313020400023461
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The Bcl-2 family have been implicated in both positive and negative regulation of intestinal cell apoptosis. The aim of this study was to examine the effect of cytotoxic treatment on Bcl-2 protein expression in patients and rats with tumours. Methods: Four pro- and four anti-apoptotic members of the Bcl-2 family, caspase-3 and p53 were examined in small intestinal crypts before and after treatment in rats and humans. Immunohistochemistry identified changes in protein expression over time, while relative RT-PCR was used to investigate mRNA expression in rat small intestine. Results: Cytotoxic treatment increased p53 and caspase-3 which coincided with elevated levels of apoptosis. Bax and Bak protein and mRNA expression also significantly increased at 6 hours following treatment in rats. Bax and Bak protein increased at day 1 after treatment in humans. Anti-apoptotic Mcl-1 protein decreased within 24 hours. Other Bcl-2 family members showed only modest changes. Conclusion: Increased expression of Bax and Bak but not other Bcl-2 family members is associated with apoptosis in small intestinal crypts and may amplify the sensitivity and susceptibility of crypt cells to chemotherapy-induced enteropathy.</description><identifier>ISSN: 0031-3025</identifier><identifier>EISSN: 1465-3931</identifier><identifier>DOI: 10.1080/00313020400023461</identifier><identifier>PMID: 15875735</identifier><language>eng</language><publisher>London: Informa UK Ltd</publisher><subject>Animals ; Antineoplastic Agents - therapeutic use ; Apoptosis - drug effects ; bcl-2 Homologous Antagonist-Killer Protein ; bcl-2-Associated X Protein ; Biological and medical sciences ; Caspase 3 ; Caspases - drug effects ; Female ; Humans ; Immunohistochemistry ; Intestinal Mucosa - drug effects ; Intestinal Neoplasms - drug therapy ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Membrane Proteins - drug effects ; Pathology. Cytology. 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The Bcl-2 family have been implicated in both positive and negative regulation of intestinal cell apoptosis. The aim of this study was to examine the effect of cytotoxic treatment on Bcl-2 protein expression in patients and rats with tumours. Methods: Four pro- and four anti-apoptotic members of the Bcl-2 family, caspase-3 and p53 were examined in small intestinal crypts before and after treatment in rats and humans. Immunohistochemistry identified changes in protein expression over time, while relative RT-PCR was used to investigate mRNA expression in rat small intestine. Results: Cytotoxic treatment increased p53 and caspase-3 which coincided with elevated levels of apoptosis. Bax and Bak protein and mRNA expression also significantly increased at 6 hours following treatment in rats. Bax and Bak protein increased at day 1 after treatment in humans. Anti-apoptotic Mcl-1 protein decreased within 24 hours. Other Bcl-2 family members showed only modest changes. Conclusion: Increased expression of Bax and Bak but not other Bcl-2 family members is associated with apoptosis in small intestinal crypts and may amplify the sensitivity and susceptibility of crypt cells to chemotherapy-induced enteropathy.</description><subject>Animals</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Apoptosis - drug effects</subject><subject>bcl-2 Homologous Antagonist-Killer Protein</subject><subject>bcl-2-Associated X Protein</subject><subject>Biological and medical sciences</subject><subject>Caspase 3</subject><subject>Caspases - drug effects</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Intestinal Mucosa - drug effects</subject><subject>Intestinal Neoplasms - drug therapy</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Membrane Proteins - drug effects</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>Proto-Oncogene Proteins c-bcl-2 - drug effects</topic><topic>Rats</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>RNA, Messenger - analysis</topic><topic>Tumor Suppressor Protein p53 - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bowen, Joanne M.</creatorcontrib><creatorcontrib>Gibson, Rachel J.</creatorcontrib><creatorcontrib>Keefe, Dorothy M.</creatorcontrib><creatorcontrib>Cummins, Adrian G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bowen, Joanne M.</au><au>Gibson, Rachel J.</au><au>Keefe, Dorothy M.</au><au>Cummins, Adrian G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytotoxic chemotherapy upregulates pro-apoptotic Bax and Bak in the small intestine of rats and humans</atitle><jtitle>Pathology</jtitle><addtitle>Pathology</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>37</volume><issue>1</issue><spage>56</spage><epage>62</epage><pages>56-62</pages><issn>0031-3025</issn><eissn>1465-3931</eissn><abstract>Aims: Small intestinal crypt cells rapidly undergo apoptosis in response to cytotoxic drug treatment that results in gastrointestinal toxicity. The Bcl-2 family have been implicated in both positive and negative regulation of intestinal cell apoptosis. The aim of this study was to examine the effect of cytotoxic treatment on Bcl-2 protein expression in patients and rats with tumours. Methods: Four pro- and four anti-apoptotic members of the Bcl-2 family, caspase-3 and p53 were examined in small intestinal crypts before and after treatment in rats and humans. Immunohistochemistry identified changes in protein expression over time, while relative RT-PCR was used to investigate mRNA expression in rat small intestine. Results: Cytotoxic treatment increased p53 and caspase-3 which coincided with elevated levels of apoptosis. Bax and Bak protein and mRNA expression also significantly increased at 6 hours following treatment in rats. Bax and Bak protein increased at day 1 after treatment in humans. Anti-apoptotic Mcl-1 protein decreased within 24 hours. Other Bcl-2 family members showed only modest changes. Conclusion: Increased expression of Bax and Bak but not other Bcl-2 family members is associated with apoptosis in small intestinal crypts and may amplify the sensitivity and susceptibility of crypt cells to chemotherapy-induced enteropathy.</abstract><cop>London</cop><pub>Informa UK Ltd</pub><pmid>15875735</pmid><doi>10.1080/00313020400023461</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Taylor & Francis Journals Complete; Alma/SFX Local Collection
subjects Animals
Antineoplastic Agents - therapeutic use
Apoptosis - drug effects
bcl-2 Homologous Antagonist-Killer Protein
bcl-2-Associated X Protein
Biological and medical sciences
Caspase 3
Caspases - drug effects
Female
Humans
Immunohistochemistry
Intestinal Mucosa - drug effects
Intestinal Neoplasms - drug therapy
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Membrane Proteins - drug effects
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Proto-Oncogene Proteins c-bcl-2 - drug effects
Rats
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - analysis
Tumor Suppressor Protein p53 - drug effects
title Cytotoxic chemotherapy upregulates pro-apoptotic Bax and Bak in the small intestine of rats and humans
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