The long term goal of thisproject is to understand, at the cellular level, the mechanisms bywhich gastric mucosa protects itself against damage by trauma and systemic sepsis or stress. This proposalfocuses on Zinc as a signal of oxidative stress that occurs in gastric mucosa in response to injury followed by acute inflammation. Our preliminary studies suggest that the intracellular concentration ofZn ([Zn2*]^ is maintained at extraordinarily low levels by the actions of various zinc transporters, vesicular storage sites, and metal binding proteins in the cytoplasm, of which metallothionein (MT) is a major reservoir. Our studies also indicate that exposure to some oxidants leads to substantial increases in [Zn2+]i in epithelial cells of the acid-secreting gastric glands and mucus/HCO3-secreting surface epithelium. Little is known of the mechanisms regulating Zn2* homeostasis in epithelial cells of the gastric mucosa? or in the gastrointestinal tract generally. We hypothesize that hypoxic injury and the ensuing inflammatory response lead to accumulation of Zn2+, in cells of the glands and of the surface epithelium. The downstream consequences of increases in [Zn2+]t include: suppression of acid secretion and enhancement of mucosal protective functions, alterations in second messenger pathways (Ca2+, cAMP/PKA, PKC), restraint of glycolysis and mitochondrial respiration, and containment of the intrinsic pathway of apoptosis. In general, oxidant-induced increases in [Zn2+Ji would be viewed as a protective and anti-apoptotic. However, we also hypothesize that uncontrolled accumulation of[Zn2+]i maycontribute to non-apoptotic, oxidant- induced epithelial cell injury and necrosis.
The Specific Aims of thisproposal are: 1) to identify alterations in the mechanisms of uptake, release and disposal of labile Z?2+ gastric glands and surface epithelium, using in vitro models of oxidative stress; to evaluate Zn2+ as an intra-cellular messenger of oxidative stress, using in vitro and in vivo models of gastric gland and surface epithelial function to monitor responses in signal transduction and apoptosis pathways in response to oxidant-induced alterations in intracellular [Zn2+J signals; and 3) to explore the role of Zn2* as an extra-cellular messenger of oxidative stress, using both in vitro and in vivo models to characterize oxidant-induced disturbances in [Zn2*] in the the lumen and subepithelial spaces of gastric mucosa and their effects on mucosal function and integrity. Theproposed studies promise novel insights into the role of Zn2* as an intracellular signal that regulates epithelialfunction in the gastric mucosa. In addition, these studies may identify therapeutic targets that are effective through control of Zn2+ homeostasis during oxidative stress. Such therapeutic strategies would be applicable not only to injury in the stomach, but to other regions of the GI tract affected bysystemic stress and acute inflammation.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
3R01DK069929-02S1
Application #
7451320
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Program Officer
Hamilton, Frank A
Project Start
2005-09-09
Project End
2010-08-31
Budget Start
2006-09-01
Budget End
2007-08-31
Support Year
2
Fiscal Year
2007
Total Cost
$25,623
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
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