PMID- 11051346 OWN - NLM STAT- MEDLINE DCOM- 20001108 LR - 20041117 IS - 0002-9270 (Print) IS - 0002-9270 (Linking) VI - 95 IP - 10 DP - 2000 Oct TI - Implication of NF-kappaB in Helicobacter pylori-associated gastritis. PG - 2768-76 AB - OBJECTIVE: Transcription factor NF-kappaB plays a pivotal role in inflammatory responses by up-regulating mRNA expression of bioactive molecules such as chemokines and adhesion molecules. The present study was designed to elucidate the implication of NF-kappaB in Helicobacter pylori-associated gastritis (HAG). METHODS: We examined 41 patients with HAG and 18 H. pylori-negative control subjects. Expression of activated NF-kappaB was studied in situ by immunohistochemistry using alpha-p65 mouse monoclonal antibody (alpha-p65 mAb), which recognizes activated NF-kappaB. To identify the cell types in which NF-kappaB was activated, we performed immunohistochemical analysis using antibodies against vascular endothelial cells, macrophages, and B and T lymphocytes. We also examined the colocalization of activated NF-kappaB with the of intercellular expression adhesion molecule-1 (ICAM-1) on endothelial cells. We measured the levels of NF-kappaB-dependent chemokines including interleukin-8 (IL-8) and monocyte chemoattractant protein-1 (MCP-1), regulated on activation normal T-cell expressed and secreted (RANTES) and macrophage inflammatory protein-1alpha (MIP-1alpha) in antral mucosa by ELISA (ELISA). RESULTS: Activated NF-kappaB was detected in the nuclei of epithelial cells in antral mucosa, especially of patients with HAG. NF-kappaB positivity index (NF-kappaB PI), representing the percentages of epithelial cells with positive nuclear staining for activated NF-kappaB, was significantly higher in patients with HAG than in H. pylori-negative controls. NF-kappaB PI correlated significantly with histological scores of gastritis. Moreover, activated NF-kappaB was identified in the nuclei of vascular endothelial cells, macrophages, and B lymphocytes within the lamina propria in HAG. Colocalization of activated NF-kappaB with ICAM-1 expression in the same endothelial cells was demonstrated. The IL-8 levels significantly correlated with the NF-kappaB PI. CONCLUSIONS: In addition to epithelial cells, macrophages, vascular endothelial cells, and B lymphocytes contained activated NF-kappaB. In these cells, activated NF-kappaB may be involved in the inflammation process in HAG through the up-regulation of chemokines or adhesion molecules. FAU - Isomoto, H AU - Isomoto H AD - The Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan. FAU - Mizuta, Y AU - Mizuta Y FAU - Miyazaki, M AU - Miyazaki M FAU - Takeshima, F AU - Takeshima F FAU - Omagari, K AU - Omagari K FAU - Murase, K AU - Murase K FAU - Nishiyama, T AU - Nishiyama T FAU - Inoue, K AU - Inoue K FAU - Murata, I AU - Murata I FAU - Kohno, S AU - Kohno S LA - eng PT - Journal Article PL - United States TA - Am J Gastroenterol JT - The American journal of gastroenterology JID - 0421030 RN - 0 (Chemokines) RN - 0 (Cytokines) RN - 0 (NF-kappa B) SB - IM MH - Adult MH - Aged MH - Animals MH - Chemokines/*blood MH - Cytokines/*blood MH - Female MH - Gastric Mucosa/immunology/pathology MH - Gastritis/*immunology/pathology MH - Helicobacter Infections/*immunology/pathology MH - Helicobacter pylori/*immunology MH - Humans MH - Immunity, Cellular/immunology MH - Immunoenzyme Techniques MH - Male MH - Mice MH - Middle Aged MH - NF-kappa B/*physiology EDAT- 2000/10/29 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/10/29 11:00 PHST- 2000/10/29 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/10/29 11:00 [entrez] AID - S0002927000010960 [pii] AID - 10.1111/j.1572-0241.2000.02304.x [doi] PST - ppublish SO - Am J Gastroenterol. 2000 Oct;95(10):2768-76. doi: 10.1111/j.1572-0241.2000.02304.x.