Neurotensin (NT) is a highly expressed gastrointestinal (GI) neuropeptide, which modulates GI motility, secretion and cell growth as well as intestinal inflammation. Since EGF receptor is highly expressed in human colon cancer cells, we sought to examine whether NT stimulation contributes to the EGFR overexpression using nontransformed colonocyte NCM460 cells. The results show that NT treatment caused a significant increase in EGFR protein expression and gene transcription. Pretreatment with MAP kinase pathway inhibitor PD98059 blocked NT-induced EGFR expression. As the EGFR promoter has a functional Egr-1 site, previously shown to mediate its transcription in response to hypoxia, we examined the role of Egr-1 in the NT response. We first show that NT stimulated Egr-1 expression, which can be inhibited by PD98059. We also determined whether NT increases Egr-1 binding to its site within the EGFR promoter. The data indicate that NT enhanced the amount of Egr-1 binding to the EGFR Egr-1 site and that this binding was significantly decreased by PD98059. To verify that Egr-1 mediated NT-induced EGFR transcription, Egr-1 siRNA was used to knock down its expression. The data show that transfection of Egr-1 siRNA significantly inhibited NT-stimulated EGFR transcription. Together, our results suggest that NT can stimulate MAP kinase-mediated Egr-1 and EGFR gene expression in human colonocytes. Our results may be relevant to the mechanisms by which NT participates in the development of colon cancer. ' 2007 Wiley-Liss, Inc.Key words: neurotensin; early growth response gene-1; EGF receptor Neurotensin (NT) is a 13 amino acid neuropeptide that was initially isolated from bovine hypothalamus by Carraway and Leeman.1 Subsequently, it was found that its highest expression is localized in the gastrointestinal (GI) tract.2 In the small intestine, NT is synthesized and secreted by specific mucosal endocrine cells in response to several different stimuli.3,4 NT modulates GI tract motility, 5-7 stimulates intestinal secretion, 8,9 stimulates growth and regeneration of the intestinal mucosa, 10,11 and has been implicated in the pathophysiology of colon cancer.12,13 Two G-protein coupled receptors have been described for NT; a high affinity (NTR1) and a low affinity (NTR2) receptor 14 in addition to a third, non G-protein coupled receptor. 15 Several studies underlined the importance of NTR1 in several intestinal pathologic conditions, which include immobilization stress responses,
16Clostridium difficile toxin A-mediated acute colitis 17 and intestinal wound healing during chronic inflammation.18 Increased NTR1 expression is evident in the colonic mucosa during these conditions [16][17][18] as well as in colonic carcinoma and derived cell lines.
19NT stimulates several intracellular signaling events as shown in human colonic and pancreatic cell lines expressing endogenous NTR1. 20,21 These include increased intracellular calcium release 22,23 and activation of the mitogen activating protein kinase (MAPK) family member ERK1/2. 24,25 N...