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2014 ; 20
(9
): 1530-47
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Implications of the colonic deposition of free hemoglobin-? chain: a previously
unknown tissue by-product in inflammatory bowel disease
#MMPMID25078150
Myers JN
; Schäffer MW
; Korolkova OY
; Williams AD
; Gangula PR
; M'Koma AE
Inflamm Bowel Dis
2014[Sep]; 20
(9
): 1530-47
PMID25078150
show ga
BACKGROUND: We analyzed inflamed mucosal/submucosal layers of ulcerative colitis
(UC = 63) and Crohn's colitis (CC = 50), and unexpectedly, we unveiled a pool of
free hemoglobin alpha (Hb-?) chain. Patients with colitides have increased
reactive oxidative stress (ROS), DNA oxidation products, free iron in mucosa, in
preneoplastic, and in colitis-cancers and increased risks of developing
colorectal cancer. All inflammatory bowel disease-related colorectal cancer
lesions are found in segments with colitis. Linking this information, we
investigated whether free Hb-? is key transformational stepping that increases
colitis-related colorectal cancer vulnerability. METHODS: UC/CC samples were
profiled using matrix-assisted laser desorption/ionization mass spectrometry;
protein identification was made by liquid chromatography. Diverticulitis was used
as control (Ctrl). The presence of Hb(n) (n = ?, ?, or hemin)/Hb was validated by
Western blotting and immunohistochemistry. We tested for DNA damage (DNAD) by
exposing normal colonic epithelial cell line, NCM460, to 10 ?M and 100 ?M of
Hb(n)/Hb, individually for 2, 6, and 12 hours. Quantification of Hb-? staining
was done by Nikon Elements Advance Research Analysis software. ROS was measured
by the production of 8-OHdG. DNAD was assessed by Comet assay. Colonic tissue
homogenate antioxidants Nrf2-, CAT-, SOD-, and GPx-expressions were analyzed
densitometrically/normalized by ?-actin. RESULTS: Immunohistochemistry of CC/UC
mucosal/submucosal compartments stained strongly positive for Hb-? and
significantly higher versus Ctrl. NCM460 exposed to Hb(n)/Hb exhibited steadily
increasing ROS and subsequent DNAD. DNAD was higher in 10 ?M than 100 ?M in
Hb-?/hemin the first 2 hours then plateaued followed by DNAD repair. This may be
likely due to apoptosis in the later concentration. Nrf2 enzyme activities among
UC, CC, and ulcerative colitis-associated colon cancer (UCAC) were observed
impaired in all inflammatory bowel disease subjects. Decreased levels of Nrf2
among patients with UC versus patients with CC with active disease were
insignificant as well as versus Ctrls but significantly lower in UCAC versus
Ctrl. SOD was decreased in UC and UCAC and GPx in CC but statistically not
significant. Comparing CC versus UC, SOD was significantly lower in CC (P <
0.05). CAT was observed increased among patients with CC/UC/UCAC and GPx in UC
and UCAC versus Ctrl, respectively, and significantly increased in CC versus Ctrl
(P < 0.01). CONCLUSIONS: In the colitides, mucosal/submucosal tissue
microenvironments demonstrated pool of free Hb-? chain. In vitro exposure of
NCM460 cells to Hb(n)/Hb induced ROS and DNAD. Toxic effect of free Hb-?, in
colonic epithelial cells, is therefore through production of ROS formation
modulated by impairment of antioxidant effects. Targeting
reduction-oxidation-sensitive pathways and transcription factors may offer
options for inflammatory bowel disease-management and colitis-related cancer
prevention.