PMID- 29950141 OWN - NLM STAT- MEDLINE DCOM- 20191028 LR - 20200930 IS - 1551-4005 (Electronic) IS - 1538-4101 (Print) IS - 1551-4005 (Linking) VI - 17 IP - 11 DP - 2018 TI - TNF-alpha induces autophagy through ERK1/2 pathway to regulate apoptosis in neonatal necrotizing enterocolitis model cells IEC-6. PG - 1390-1402 LID - 10.1080/15384101.2018.1482150 [doi] AB - Necrotizing enterocolitis (NEC) is a potentially fatal illness in premature neonates. Tumor necrosis factor-alpha (TNF-alpha) and autophagy are associated with the pathogenesis of NEC. This study aimed to explore whether TNF-alpha might regulate apoptosis in neonatal NEC model cells IEC-6 via regulation of autophagy. NEC rat model was induced by hand feeding and exposure to asphyxia/cold-stress for histologic examination. The NEC in vitro model (IEC-6/NEC cells) was established by stimulating the intestinal epithelial cell line IEC-6 with lipopolysaccharide (LPS, 100 mug/mL) for 3 h to investigate the effects of TNF-alpha on IEC-6 proliferation and apoptosis. In this study, NEC rats showed decreased proliferating cell nuclear antigen (PCNA) expression, increased TUNEL-positive cells, higher expression of TNF-alpha, p-ERK1/2, and autophagy-related proteins in rat small intestine compared with their controls. Additionally, the LPS-stimulated IEC-6/NEC cells showed a significantly decreased proliferation and increased apoptosis compared with the control cells. Furthermore, the LPS-stimulated IEC-6/NEC cells exhibited enhanced autophagy level, as evidenced by a dose-dependent increase in Beclin-1 protein expression, LC3II/LC3I ratio and accumulation of MDC-positive autophagic vacuoles. Moreover, inhibition of autophagy by wortmannin or LY294002 significantly abolished the LPS-mediated decreased proliferation and increased apoptosis of IEC-6/NEC cells. Results also showed that inhibition of ERK1/2 pathway using U0126 significantly inhibited TNF-alpha-induced autophagy. Furthermore, the TNF-alpha-mediated inhibition of IEC-6 proliferation and promotion of IEC-6 apoptosis was abolished by U0126. Our findings demonstrated that TNF-alpha might induce autophagy through ERK1/2 pathway to regulate apoptosis in neonatal NEC cells IEC-6. Our study enhances our understanding of neonatal NEC pathogenesis. FAU - Yuan, Yuhang AU - Yuan Y AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Ding, Daokui AU - Ding D AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Zhang, Ning AU - Zhang N AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Xia, Ziqiang AU - Xia Z AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Wang, Jiaxiang AU - Wang J AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Yang, Heying AU - Yang H AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Guo, Fei AU - Guo F AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. FAU - Li, Bing AU - Li B AD - a Department of Pediatric Surgery , The First Affiliated Hospital of Zhengzhou University , Zhengzhou , China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180723 PL - United States TA - Cell Cycle JT - Cell cycle (Georgetown, Tex.) JID - 101137841 RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) SB - IM MH - Animals MH - Animals, Newborn MH - *Apoptosis MH - *Autophagy MH - Cell Line MH - Cell Proliferation MH - Enterocolitis, Necrotizing/*enzymology/*pathology MH - Extracellular Signal-Regulated MAP Kinases/*metabolism MH - Intestine, Small/pathology MH - *MAP Kinase Signaling System/drug effects MH - *Models, Biological MH - Phosphorylation MH - Rats, Sprague-Dawley MH - Tumor Necrosis Factor-alpha/*metabolism PMC - PMC6110600 OTO - NOTNLM OT - IEC-6 OT - TNF-alpha OT - apoptosis OT - autophagy OT - neonatal necrotizing enterocolitis EDAT- 2018/06/29 06:00 MHDA- 2019/10/29 06:00 PMCR- 2019/07/23 CRDT- 2018/06/29 06:00 PHST- 2018/06/29 06:00 [pubmed] PHST- 2019/10/29 06:00 [medline] PHST- 2018/06/29 06:00 [entrez] PHST- 2019/07/23 00:00 [pmc-release] AID - 1482150 [pii] AID - 10.1080/15384101.2018.1482150 [doi] PST - ppublish SO - Cell Cycle. 2018;17(11):1390-1402. doi: 10.1080/15384101.2018.1482150. Epub 2018 Jul 23.