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, Hydrogen Peroxide, and Nitric Oxide by Colonic Mucosa Decreases Sigmoid Smooth Muscle Contractility in Ulcerative Colitis
1 Department of Medicine, Rhode Island Hospital and Brown Medical School, Providence, Rhode Island, USA; Department of Surgery, Rhode Island Hospital and Brown Medical School, Providence, Rhode Island, USA
2 Division of Gastroenterology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
3 Department of Surgery, Rhode Island Hospital and Brown Medical School, Providence, Rhode Island, USA
* To whom correspondence should be addressed. E-mail: Weibiao_Cao{at}brown.edu.
We have previously shown that sigmoid circular muscle cells from ulcerative colitis (UC) patients exhibit reduced contraction and Ca2+ signaling in response to the endogenous neurotransmitter neurokinin A (NKA), and that IL-1
and H2O2 are elevated in UC circular muscle and may contribute to reduced contraction and impaired Ca2+ signaling in UC. In addition, we found that nitric oxide (NO) levels were significantly increased in UC circular muscle.
To establish the site of origin for IL-1
, H2O2 and NO, we assembled an in vitro system where normal or UC "mucosa" were sealed between two chambers filled with oxygenated Krebs' solution. Because the "mucosa" consists of full thickness mucosa and submucosa, it is expected that whatever is released into the undernatant from the submucosal side may diffuse to the circular muscle layer in the intact colon. Treatment for two hours of normal sigmoid circular muscle cells with undernatants collected from the UC submucosal side (US-S) significantly decreased contraction induced by NKA and thapsigargin, and the NKA- and caffeine-induced Ca2+ signal in Ca2+ free medium. In addition, UC mucosa released significantly more H2O2, IL-1
and NO into the undernatant on its submucosal side than normal mucosa. The reduction in contraction and Ca2+ signal induced by UC-S was partially reversed by pretreatment with an IL-1
antibody or with the H2O2 scavenger catalase. The NO scavenger hemoglobin partially prevented UC-S-induced reduction in contraction and Ca2+ signal in response to NKA, but not the reduced response to thapsigargin or caffeine. Sodium nitroprusside inhibited the NKA, but not the caffeine -induced Ca2+ signal. We conclude that in UC the mucosa produces IL-1
, H2O2 and NO and that these products may contribute to the impaired Ca2+ release and altered sigmoid muscle contractility typically observed in UC.
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