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Helicobacter pylori-induced adrenomedullin modulates IFN-?-producing T-cell responses and contributes to gastritis.


ABSTRACT: Adrenomedullin (ADM) is a multifunctional peptide that is expressed by many surface epithelial cells, but its relevance to Helicobacter pylori (H. pylori)-induced gastritis is unknown. Here, we found that gastric ADM expression was elevated in gastric mucosa of H. pylori-infected patients and mice. In H. pylori-infected human gastric mucosa, ADM expression was positively correlated with the degree of gastritis; accordingly, blockade of ADM resulted in decreased inflammation within the gastric mucosa of H. pylori-infected mice. During H. pylori infection, ADM production was promoted via PI3K-AKT signaling pathway activation by gastric epithelial cells in a cagA-dependent manner, and resulted in increased inflammation within the gastric mucosa. This inflammation was characterized by the increased IFN-?-producing T cells, whose differentiation was induced via the phosphorylation of AKT and STAT3 by ADM derived from gastric epithelial cells. ADM also induced macrophages to produce IL-12, which promoted the IFN-?-producing T-cell responses, thereby contributing to the development of H. pylori-associated gastritis. Accordingly, blockade of IFN-? or knockout of IFN-? decreased inflammation within the gastric mucosa of H. pylori-infected mice. This study identifies a novel regulatory network involving H. pylori, gastric epithelial cells, ADM, macrophages, T cells, and IFN-?, which collectively exert a pro-inflammatory effect within the gastric microenvironment.

SUBMITTER: Kong H 

PROVIDER: S-EPMC7078296 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Helicobacter pylori-induced adrenomedullin modulates IFN-γ-producing T-cell responses and contributes to gastritis.

Kong Hui H   You Nan N   Chen Han H   Teng Yong-Sheng YS   Liu Yu-Gang YG   Lv Yi-Pin YP   Mao Fang-Yuan FY   Cheng Ping P   Chen Weisan W   Zhao Zhuo Z   Zou Quan-Ming QM   Guo Gang G   Zhang Jin-Yu JY   Zhuang Yuan Y  

Cell death & disease 20200317 3


Adrenomedullin (ADM) is a multifunctional peptide that is expressed by many surface epithelial cells, but its relevance to Helicobacter pylori (H. pylori)-induced gastritis is unknown. Here, we found that gastric ADM expression was elevated in gastric mucosa of H. pylori-infected patients and mice. In H. pylori-infected human gastric mucosa, ADM expression was positively correlated with the degree of gastritis; accordingly, blockade of ADM resulted in decreased inflammation within the gastric mu  ...[more]

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