IL-8/CXC ligand (CXCL) 8 is ingested in high concentrationsby the human fetus/neonate with amniotic fluid and human milk, and is also produced constitutively by intestinal epithelial cells (IEC). We have shown that recombinant human IL-8/CXCL8 (rhIL-8/CXCL8) protects cultured IEC against tumor necrosis factor (TNF)-␣ and cycloheximide-induced cytotoxicity. In view of its constitutive production, we hypothesized that IL-8/CXCL8 might play an autocrine role in fetal enterocyte maintenance. In this study, we measured IL-8/CXCL8 mRNA concentrations in fetal intestine (11-22 wk gestation), sought the presence of the protein by immunohistochemistry in fetal stomach and intestine (9 -24 wk), measured IL-8/CXCL8 in neonatal gastric secretions, and studied constitutive and stimulated IL-8/CXCL8 expression in cultured IEC. We found that IL-8/CXCL8 is consistently transcribed and expressed in fetal intestinal tissue, in a developmentally regulated inverse relationship with gestational maturation. The cognate receptors for IL-8/CXCL8 are also expressed abundantly in the fetal intestine, and, therefore, we sought to determine whether the expressed IL-8/CXCL8 would complete an autocrine loop. Neutralization of IL-8/CXCL8 resulted in increased cell death in cultured IEC in the presence of TNF-␣.This effect is specifically mediated through the CXCR2 receptors. We speculate that IL-8/CXCL8 secretion during cytotoxic stress reflects a cellular self-defense mechanism. The human fetus and the neonate ingest biologically significant concentrations of IL-8/CXCL8 in amniotic fluid and human milk (1-5). We have shown recently that IL-8/CXCL8 remains intact through in vitro simulations of neonatal gastric digestion, and that it has a wide range of effects on cultured IEC (5, 6). Several investigators have also demonstrated both constitutive and regulated IL-8/CXCL8 expression in cultured IEC and intestinal organ culture, with evidence that such secretion is dynamically influenced by other cytokines and peptide growth factors (7)(8)(9)(10)(11).In this study, we studied IL-8/CXCL8 expression in the fetal/neonatal intestine by several modalities, and attempted to identify relationships, if any, with gestational age and IEC differentiation. We have previously shown that both the cognate receptors for IL-8/CXCL8, CXCR1 and CXCR2, are expressed in the fetal intestine as well as on several IEC lines. It is interesting that whereas TNF-␣ is a potent inducer of IL-8/CXCL8 secretion in IEC (7-11), its toxicity (in combination with cycloheximide) in these cells can be limited in vitro by rhIL-8/CXCL8 (5). We hypothesized that endogenously produced IL-8/CXCL8 plays an autocrine role in the intestinal mucosa with similar cytoprotective effects, and tested it in neutralization experiments.
MATERIALS AND METHODS
IL-8/CXCL8 Expression