Tumor necrosis factor (TNF)-␣, a homotrimeric, pleiotropic cytokine, is secreted in response to inflammatory stimuli in diseases such as rheumatoid arthritis and inflammatory bowel disease. TNF-␣ mediates both apoptosis and inflammation, stimulating an inflammatory cascade through the non-canonical pathway of NF-B activation, leading to increased nuclear RelB and p52. In contrast, the common food additive carrageenan (CGN) stimulates inflammation through both the canonical and non-canonical pathways of NF-B activation and utilizes the adaptor molecule BCL10 (B-cell leukemia/lymphoma 10). In a series of experiments, colonic epithelial cells and mouse embryonic fibroblasts were treated with TNF-␣ and carrageenan in order to simulate the possible effects of exposure to dietary CGN in the setting of a TNF-␣-mediated inflammatory disease process. A marked increase in secretion of IL-8 occurred, attributable to synergistic effects on phosphorylated NF-B-inducing kinase (NIK) in the non-canonical pathway. TNF-␣ induced the ubiquitination of TRAF2 (TNF receptor-associated factor 2), which interacts with NIK, and CGN induced phosphorylation of BCL10, leading to increased NIK phosphorylation. These results suggest that TNF-␣ and CGN in combination act to increase NIK phosphorylation, thereby increasing activation of the non-canonical pathway of NF-B activation. In contrast, the apoptotic effects of TNF-␣, including activation of caspase-8 and PARP-1 (poly(ADP-ribose) polymerase 1) fragmentation, were markedly reduced in the presence of CGN, and CGN caused reduced expression of Fas. These findings demonstrate that exposure to CGN drives TNF-␣-stimulated cells toward inflammation rather than toward apoptotic cell death and suggest that CGN exposure may compromise the effectiveness of anti-TNF-␣ therapy.
Carrageenan (CGN),2 a polysaccharide composed of sulfated galactose residues in ␣-1,3 and -1,4 linkages, has been widely used for decades as a thickener, stabilizer, or emulsifying agent in many processed food products in the Western diet, including in dairy products (chocolate milk, ice cream, cottage cheese, yogurt, etc.), processed meats, soymilk, and infant formula. It is also widely used in a variety of non-food products, including cosmetics, toothpaste, room deodorizers, and pharmaceuticals (1-3). Current data suggest average consumption of 250 mg/day in the United States (5) (see the Encyclopaedia Britannica Online Web site). CGNs are derived by alkaline extraction from red seaweed (Rhodophycae) and structurally mimic the naturally occurring sulfated glycosaminoglycans (6). Multiple studies in mammals have demonstrated that CGN ingestion causes adverse effects on the intestine, including development of ulcerations, polyps, colitis, and colorectal tumors, and predictably induces inflammation in other sites in animal models, including in pleura, peritoneum, hind paw, and subcutaneous blebs (1-3, 7-10).Investigation of CGN-related inflammatory processes in human colonic cell lines has demonstrated that CGN induces NF-B ...