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ABSTRACT: Introduction
Ste20-related protein proline/alanine-rich kinase (SPAK) affects cell proliferation, differentiation, and transformation, and sodium and chloride transport in the gut. However, its role in gut injury pathogenesis is unclear.Objective
We determined the role of SPAK in chemotherapy-induced intestinal mucositis using in vivo and in vitro models.Methods
Using SPAK-knockout (KO) mice, we evaluated the severity of intestinal mucositis induced by 5-fluorouracil (5-FU) by assessing body weight loss, histological changes in the intestinal mucosa, length of villi in the small intestine, pro-inflammatory cytokine levels, proliferative indices, and apoptotic indices. We also evaluated changes in gut permeability and tight junction-associated protein expression. Changes in cell permeability, proliferation, and apoptosis were assessed in SPAK siRNA-transfected 5FU-treated IEC-6 cells.Results
5-FU-treated SPAK-KO mice exhibited milder intestinal mucositis, reduced pro-inflammatory cytokine expression, increased villus length, good maintenance of proliferative indices of villus cells, decreased apoptotic index of enterocytes, reduced gut permeability, and restoration of tight junction protein expression (vs. 5-FU-treated wild-type mice). Under in vitro conditions, siRNA-mediated SPAK-knockdown in IEC-6 cells decreased cell permeability and maintained homeostasis following 5-FU treatment.Conclusion
SPAK deficiency attenuated chemotherapy-induced intestinal mucositis by modulating gut permeability and tight junction-associated protein expression and maintaining gut homeostasis in murine small intestinal tissues following gut injury. The expression of SPAK may influence the pathogenesis of chemotherapy-induced intestinal mucositis.
SUBMITTER: Huang TY
PROVIDER: S-EPMC8649624 | biostudies-literature | 2021
REPOSITORIES: biostudies-literature
Huang Tien-Yu TY Yang Sung-Sen SS Liao Ching-Len CL Lin Ming-Hong MH Lin Hsuan-Hwai HH Lin Jung-Chun JC Chen Peng-Jen PJ Shih Yu-Lueng YL Chang Wei-Kuo WK Hsieh Tsai-Yuan TY
Frontiers in oncology 20211123
<h4>Introduction</h4>Ste20-related protein proline/alanine-rich kinase (SPAK) affects cell proliferation, differentiation, and transformation, and sodium and chloride transport in the gut. However, its role in gut injury pathogenesis is unclear.<h4>Objective</h4>We determined the role of SPAK in chemotherapy-induced intestinal mucositis using <i>in vivo</i> and <i>in vitro</i> models.<h4>Methods</h4>Using SPAK-knockout (KO) mice, we evaluated the severity of intestinal mucositis induced by 5-flu ...[more]