Fjeldbo CS, Bakke I, Erlandsen SE, Holmseth J, Laegreid A, Sandvik AK, Thommesen L, Bruland T. Gastrin upregulates the prosurvival factor secretory clusterin in adenocarcinoma cells and in oxyntic mucosa of hypergastrinemic rats. Am J Physiol Gastrointest Liver Physiol 302: G21-G33, 2012. First published October 13, 2011 doi:10.1152/ajpgi.00197.2011We show that the gastric hormone gastrin induces the expression of the prosurvival secretory clusterin (sCLU) in rat adenocarcinoma cells. Clusterin mRNA was still upregulated in the presence of the protein synthesis inhibitor cycloheximide, although at a lower level. This indicates that gastrin induces clusterin transcription independently of de novo protein synthesis but requires de novo protein synthesis of signal transduction pathway components to achieve maximal expression level. Luciferase reporter assay indicates that the AP-1 transcription factor complex is involved in gastrin-mediated activation of the clusterin promoter. Gastrininduced clusterin expression and subsequent secretion is dependent on sustained treatment, because removal of gastrin after 1-2 h abolished the response. Neutralization of secreted clusterin by a specific antibody abolished the antiapoptotic effect of gastrin on serum starvationinduced apoptosis, suggesting that extracellular clusterin is involved in gastrin-mediated inhibition of apoptosis. The clusterin response to gastrin was validated in vivo in hypergastrinemic rats, showing increased clusterin expression in the oxyntic mucosa, as well as higher levels of clusterin in plasma. In normal rat oxyntic mucosa, clusterin protein was strongly expressed in chromogranin A-immunoreactive neuroendocrine cells, of which the main cell type was the histidine decarboxylase-immunoreactive enterochromaffin-like (ECL) cell. The association of clusterin with neuroendocrine differentiation was further confirmed in human gastric ECL carcinoids. Interestingly, in hypergastrinemic rats, clusterin-immunoreactive cells formed distinct groups of diverse cells at the base of many glands. Our results suggest that clusterin may contribute to gastrin's growth-promoting effect on the oxyntic mucosa. apoptosis; AR42J cells; reverse transfection; neuroendocrine cells; carcinoids THE PEPTIDE HORMONE GASTRIN is important in maintenance of architecture and function of the acid-secreting (oxyntic) mucosa of the stomach. It is a well-recognized regulator of gastric acid secretion and exerts a general growth-promoting effect on the gastric mucosa. Prolonged elevated plasma gastrin levels (hypergastrinemia), particularly in conjunction with inflammation, may play a role in gastrointestinal carcinogenesis (12,13,60). The gastric mucosa is under constant renewal, and both proliferation and apoptosis are important components for maintaining homeostasis (21, 46). Although most research has concentrated on gastrin's proliferation-inducing effect (30), recent evidence suggests that it is also a potent inhibitor of cellular apoptosis (33,45,47,54,56). Thus both stimulation o...