PMID- 26984549 OWN - NLM STAT- MEDLINE DCOM- 20170531 LR - 20181113 IS - 1435-5922 (Electronic) IS - 0944-1174 (Linking) VI - 51 IP - 11 DP - 2016 Nov TI - Serotonin disrupts esophageal mucosal integrity: an investigation using a stratified squamous epithelial model. PG - 1040-1049 AB - BACKGROUND: Serotonin regulates gastrointestinal function, and mast cells are a potential nonneuronal source of serotonin in the esophagus. Tight junction (TJ) proteins in the esophageal epithelium contribute to the barrier function, and the serotonin signaling pathway may contribute to epithelial leakage in gastroesophageal reflux disease. Therefore, the aim of this study was to investigate the role of serotonin on barrier function, TJ proteins, and related signaling pathways. METHODS: Normal primary human esophageal epithelial cells were cultured with use of an air-liquid interface system. Serotonin was added to the basolateral compartment, and transepithelial electrical resistance (TEER) was measured. The expression of TJ proteins and serotonin receptor 7 (5-HT(7)) was assessed by Western blotting. The involvement of 5-HT(7) was assessed with use of an antagonist and an agonist. The underlying cellular signaling pathways were examined with use of specific blockers. RESULTS: Serotonin decreased TEER and reduced the expression of TJ proteins ZO-1, occludin, and claudin 1, but not claudin 4. A 5-HT(7) antagonist blocked the serotonin-induced decrease in TEER, and a 5-HT(7) agonist decreased TEER. Inhibition of p38 mitogen-activated protein kinase (MAPK) reduced the serotonin-induced decrease in TEER. Inhibition of p38 MAPK blocked the decrease of ZO-1 levels, whereas extracellular-signal-regulated kinase (ERK) inhibition blocked the decrease in occludin levels. Cell signaling pathway inhibitors had no effect on serotonin-induced alterations in claudin 1 and claudin 4 levels. Serotonin induced phosphorylation of p38 MAPK and ERK, and a 5-HT(7) antagonist partially blocked serotonin-induced phosphorylation of p38 MAPK but not that of ERK. CONCLUSIONS: Serotonin disrupted esophageal squamous epithelial barrier function by modulating the levels of TJ proteins. Serotonin signaling pathways may mediate the pathogenesis of gastroesophageal reflux disease. FAU - Wu, Liping AU - Wu L AD - Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. AD - Department of Gastroenterology, The Third People's Hospital of Chengdu, Chengdu, China. FAU - Oshima, Tadayuki AU - Oshima T AD - Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. t-oshima@hyo-med.ac.jp. FAU - Tomita, Toshihiko AU - Tomita T AD - Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. FAU - Ohda, Yoshio AU - Ohda Y AD - Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. FAU - Fukui, Hirokazu AU - Fukui H AD - Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. FAU - Watari, Jiro AU - Watari J AD - Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. FAU - Miwa, Hiroto AU - Miwa H AD - Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan. LA - eng PT - Journal Article DEP - 20160316 PL - Japan TA - J Gastroenterol JT - Journal of gastroenterology JID - 9430794 RN - 0 (Receptors, Serotonin) RN - 0 (Tight Junction Proteins) RN - 0 (serotonin 7 receptor) RN - 333DO1RDJY (Serotonin) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) SB - IM MH - Cells, Cultured MH - Dose-Response Relationship, Drug MH - Electric Impedance MH - Epithelial Cells/drug effects/metabolism MH - Esophageal Mucosa/cytology/*drug effects/metabolism MH - Humans MH - MAP Kinase Signaling System/drug effects MH - Receptors, Serotonin/metabolism/physiology MH - Serotonin/administration & dosage/*pharmacology MH - Signal Transduction/drug effects MH - Tight Junction Proteins/drug effects/metabolism MH - p38 Mitogen-Activated Protein Kinases/drug effects/metabolism OTO - NOTNLM OT - Air-liquid interface OT - Serotonin OT - Stratified epithelium OT - Tight junction protein OT - Transepithelial electrical resistance EDAT- 2016/10/28 06:00 MHDA- 2017/06/01 06:00 CRDT- 2016/03/18 06:00 PHST- 2015/12/08 00:00 [received] PHST- 2016/03/06 00:00 [accepted] PHST- 2016/10/28 06:00 [pubmed] PHST- 2017/06/01 06:00 [medline] PHST- 2016/03/18 06:00 [entrez] AID - 10.1007/s00535-016-1195-z [pii] AID - 10.1007/s00535-016-1195-z [doi] PST - ppublish SO - J Gastroenterol. 2016 Nov;51(11):1040-1049. doi: 10.1007/s00535-016-1195-z. Epub 2016 Mar 16.