Background: Colonization of the gastric mucosa with Helicobacter pylori (Hp) leads to the cascade of pathologic events including local inflammation, gastric ulceration, and adenocarcinoma formation. Paracrine loops between tissue cells and Hp contribute to the formation of gastric cancerous loci; however, the specific mechanisms underlying existence of these loops remain unknown. We determined the phenotypic properties of gastric fibroblasts exposed to Hp (cagA+vacA+) infection and their influence on normal epithelial RGM-1 cells.
Materials and Methods: RGM-1 cells were cultured in the media conditioned with Hpactivated gastric fibroblasts. Their morphology and phenotypical changes associated with epithelial-mesenchymal transition (EMT) were assessed by Nomarski and fluorescence microscopy and Western blot analysis. Motility pattern of RGM-1 cells was examined by time-lapse video microscopy and transwell migration assay. The content of TGF-β in Hp-activated fibroblast-conditioned media was determined by ELISA. Results: The supernatant from Hp-activated gastric fibroblasts caused the EMT-like phenotypic diversification of RGM-1 cells. The formation of fibroblastoid cell sub-populations, the disappearance of their collective migration, an increase in transmigration potential with downregulation of E-cadherin and upregulation of N-cadherin proteins, prominent stress fibers, and decreased proliferation were observed. The fibroblast (CAF)-like transition was manifested by increased secretome TGF-β level, α-SMA protein expression, and its incorporation into stress fibers, and the TGF-βR1 kinase inhibitor reduced the rise in Snail, Twist, and E-cadherin mRNA and increased E-cadherin expression induced by CAFs. Conclusion: Gastric fibroblasts which are one of the main targets for Hp infection contribute to the paracrine interactions between Hp, gastric fibroblasts, and epithelial cells. TGF-β secreted by Hp-activated gastric fibroblasts prompting their differentiation toward CAF-like phenotype promotes the EMT-related phenotypic shifts in normal gastric epithelial cell populations. This mechanism may serve as the prerequisite for GC development. K E Y W O R D S cadherin, epithelial-mesenchymal transition, fibroblasts, Helicobacter pylori, transforming growth factor beta | 3 of 14 KRZYSIEK-MACZKA Et Al.
| Isolation of conditioned mediaGastric fibroblasts were co-cultured with Hp (cagA+vacA+) strain for 72 hours. Then, the Hp was washed out from fibroblasts and the medium was changed into DMEM with 10% FBS and antibiotics. The culture dishes were maintained in a humidified atmosphere of 5% CO 2 at 37°C for 4 hours, and then, the incubatory fluid was again replaced with fresh portion of the medium. Fibroblasts were then left in fresh medium for 96 hours. After 96 hours, the supernatant was collected. The same procedure was applied to the control, noninfected fibroblast culture.