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Am J Physiol Gastrointest Liver Physiol 290: G1105-G1113, 2006. First published December 15, 2005; doi:10.1152/ajpgi.00455.2005
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MUCOSAL BIOLOGY

beta-Casomorphin-7 regulates the secretion and expression of gastrointestinal mucins through a µ-opioid pathway

Sandra Zoghbi,1 Aurélien Trompette,1 Jean Claustre,1 Mahmoud El Homsi,1 Javier Garzón,3 Gérard Jourdan,1 Jean-Yves Scoazec,1 and Pascale Plaisancié1,2

1INSERM, U45, Lyon, IFR62, University Claude Bernard Lyon I, Faculté de Médecine R. Laennec, Lyon; 2INRA, Neuro-Gastroentérologie et Nutrition, Toulouse, France; and 3Department of Neuropharmacology, Cajal Institute, Consejo Superior de Investigaciones Cientificas, Madrid, Spain

Submitted 28 September 2005 ; accepted in final form 8 December 2005


   ABSTRACT
TOP
 ABSTRACT
MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We have recently shown that beta-casomorphin-7, a milk opioid peptide, strongly stimulates mucin secretion in the rat jejunum through a nervous pathway and opioid receptor activation. In this study, the hypothesis that beta-casomorphin-7 may also act directly on intestinal goblet cells was investigated in vitro in rat and human intestinal mucin-producing cells (DHE and HT29-MTX) using quantitative and semiquantitative RT-PCR and ELISA. The presence of µ-opioid receptors was demonstrated in rat goblet cells in the upper half of the colonic crypt and in the two cell lines by immunohistochemistry and RT-PCR. In rat DHE cells, beta-casomorphin-7 increased the expression of rat mucin (rMuc)2 and rMuc3 but not rMuc1, rMuc4, and rMuc5AC. This effect was time and dose dependent, with the maximum of increase in transcripts being noticed for a concentration of 10–4 M after 2 h of stimulation for rMuc2 (225% of controls) and 4 h of stimulation for rMuc3 (208% of controls). Mucin secretion was maximally increased after 8 h of stimulation. Interestingly, these effects were prevented by pretreatment of the cells with the µ-opioid antagonist cyprodime. In human HT29-MTX cells, beta-casomorphin-7 (10–4 M) also increased MUC5AC mRNA levels (219% after 24 h of stimulation) and the secretion of this mucin (169% of controls). In conclusion, beta-casomorphin-7 may contribute significantly to mucin production via a direct effect on intestinal goblet cells and the activation of µ-opioid receptors. Because intestinal mucins have a crucial mucosal protective function, dairy products containing beta-casomorphin-7 may improve intestinal protection and could have dietary and health applications.

rat mucin 2; rat mucin 3; mucin 5AC; mucus; milk bioactive peptides

THE GASTROINTESTINAL MUCUS GEL covering the mucosal surface is a major component of physiological defense mechanisms. Mucus separates mucosal cells from the exterior milieu, provides protection from noxious substances (e.g., acidity, proteolytic enzyme activities, or toxins), and constitutes a local physical barrier against bacteria and pathogens (11). Mucus also regulates epithelial hydration, allows lubrication of the cell surface, and participates indirectly in the immune response due to interactions with secretory immunoglobulins (15). Gastrointestinal mucus owes its properties to secretory mucins of the mucin (MUC) family. Four members of this family are generally thought to be able to form mucus gels: MUC2, MUC5AC, MUC5B, and MUC6 (12). These mucins have distinct expression patterns along the human gastrointestinal tract. Normal stomach mucosa is characterized by the production of MUC5AC, primarily by surface epithelial mucus cells, and of MUC6 by the gastric glands. The epithelium of the small and large intestine contains characteristic goblet cells that produce MUC2. This mucin is the predominant secretory mucin in the healthy intestine of the human, rat, and mouse (4, 47, 48). In recent years, a second class of mucins, membrane-associated mucins, has received increasing attention for its role in the protection of epithelia (5). In the intestine, prominent membrane-associated mucins are MUC1, MUC3, and MUC4 (25). They provide a steric barrier that can limit direct access of pathogens.

Because mucins are strategically positioned between the vulnerable mucosa and the luminal contents of the bowel, any quantitative or qualitative modification of their secretion and/or expression may affect the efficiency of the protective barrier and may have important physiological or pathological implications. Many studies thus support the hypothesis that alterations in mucin synthesis, secretion, and/or degradation may be involved in the initiation or maintainence of intestinal diseases (13). For example, goblet cells are reduced in number and contain less mucin in active ulcerative colitis, thus inducing a loss of the mucus layer (13, 50). In this context, the strengthening of the mucus gel, in particular by nutrients, could be extremely beneficial (19). However, little is known about the potential effects of nutritional factors on intestinal goblet cells as well as on their mechanisms of action. Previous experiments carried out in vivo or in vitro have only shown that dietary fibers and short-chain fatty acids can modify the dynamics of mucus by increasing the secretion or expression of mucins or even the number of goblet cells (2, 18, 31, 39–41, 51). We also showed recently that a family of milk opioid peptides, the beta-casomorphins (beta-CM), induced a strong release of mucin in the jejunum of the rat through the activation of the enteric nervous system and opioid receptors (10, 46). In some other aspect, the presence of opioid receptors on intestinal cells suggests the possibility that beta-CMs, which are produced in the intestinal lumen, might also control the production of mucin via a direct action on epithelial goblet cells. The present study was thus undertaken to evaluate the direct effect of beta-CMs on the function of intestinal goblet cells. For this purpose, we used rat and human intestinal mucus-secreting cell lines as a model to avoid interactions with the nervous system. These cell lines, which are derived from the rat and human intestine, exhibit the characteristics of mucin-producing cells and provide reliable tools for the study of regulation of gastrointestinal mucin expression and secretion (27, 45).


   MATERIALS AND METHODS
TOP
 ABSTRACT
 MATERIALS AND METHODS
RESULTS
 DISCUSSION
 REFERENCES
 
Materials

Media and reagents (DMEM, penicillin-streptomycin, and trypsin), TRIzol, RT-PCR reagents and enzymes, distilled RNAse-free water, and the Random Primers DNA Labeling System were obtained from Invitrogen (Cergy Pontoise, France). The FastStart DNA Master SYBR Green I kit was from Roche diagnostics (Meylan, France). The biotinylated wheat germ agglutinin, biotinylated goat anti-rabbit antibody, and avidin/biotinylated peroxydase complex (Vectastain Elite ABC reagent) were provided by Vector laboratories (Burlingame, CA). Microtiter plates (NUNC-Immunoplate) were obtained from Polylabo (Strasbourg, France). beta-CM-7 and (D-Ala2,N-Me-Phe4,glycinol5)enkephalin (DAMGO) were obtained from Bachem (Bubendorf, Switzerland). Other reagents were provided by Sigma (Saint Louis, MO).

Cell Culture

The DHE cell line, a previously described mucin-producing rat colon adenocarcinoma cell line (45), was a generous gift of F. Martin (INSERM U517, Dijon, France). HT29-MTX, a human colon carcinoma-derived mucin-secreting goblet cell line, was provided by Dr. T. Lesuffleur (INSERM U560, Lille, France) (28). The two cell lines were grown in plastic 25-cm2 culture flasks in DMEM supplemented with 10% FBS and 100 mg/ml penicillin or streptomycin at 37°C in a 5% CO2 atmosphere in a humidified incubator.

To study the effect of beta-CM-7 and DAMGO, cells were seeded in 12-well culture plates. Experiments were performed 3 (DHE cells) or 21 days (HT29-MTX cells) after confluency. Twenty-four hours before the studies, the culture medium was replaced by serum-free medium to starve the cells from serum and to eliminate any interference from extraneous proteins or hormones. The experimental protocol was then the following: the serum-free medium was removed, and the monolayer cultures of DHE or HT29-MTX were washed twice with PBS (37°C). Serum-free medium with or without beta-CM-7 or DAMGO was added to the cells and incubated at 37°C for 30 min to 24 h in a humidified atmosphere. µ-Opioid receptor blockade was performed by preincubating the cells with cyprodime for 30 min before agonist addition. The supernatants were then collected, frozen, and stored at –20°C. Cells were processed with trypsin. The cell numbers per well were determined, and total RNA was isolated. All experiments were performed at least three times in triplicate.

RT-PCR of Mucins, µ-Opioid Receptor, and Cyclophilin

Briefly, total RNA was extracted from the rat colon or DHE or HT29-MTX cells with TRIzol and was reverse transcribed as previously described (45). Mucins and µ-opioid receptor cDNAs were amplified by PCR with primer sequences previously published (Table 1). Cyclophilin was amplified as a reference gene.


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  		Table 1. Primers for semiquantitative and real-time PCR

 
PCR was performed under the thermocycling conditions as follows: 2-min initial denaturation at 94°C, 30-s denaturation at 94°C, 1-min annealing at 60°C, and 1-min extension at 72°C. The last amplification was followed by a final 10-min elongation step at 72°C. The number of cycles was chosen to fall into the exponential phase of amplification. The identity of PCR products was confirmed by sequencing the amplicons (BIOFIDAL, Vaulx en Velin, France).

For semiquantitative analysis of mucin mRNA expression, PCR gels (2% agarose stained with ethidium bromide) were visualized and pixelized with the "Image System" (Quantum Appligene, Pleasanton, CA) and densitometrically analyzed with Scion image version 4.0.2.

Real-Time PCR

Real-time PCR measures were performed with the real-time fluorescence detection method (Roche Diagnostics) using the LightCycler System. Primer sequences were designed with the assistance of computer software Primer3 (Table 1). The reaction mixture contained MgCl2 (80 nmol), forward and reverse primers (8.12 nmol), and 2 µl LightCycler Fast Start DNA Master SYBR Green I Mix in a volume of 10 µl. The reaction mixture was distributed into precooled capillaries and diluted (1:10) cDNAs or purified, and quantified cloned plasmid DNA for mucin (standard curve) in a volume of 10 µl was added as PCR template. The cycling conditions were as follows: initial denaturation at 95°C for 10 min, followed by 40 amplification cycles at 95°C for 10 s, a touchdown (0.5°C/cycle) annealing from 68°C to 60°C for 8 s, and elongation at 72°C for 6 s. Real-time monitoring was achieved by measuring the fluorescence at the end of the elongation phase, and melting curves were acquired at the end of the run.

Immunohistochemical Procedures

Cells (25,000 cells/well) were cultured in eight-well chamber slides (Costar, Cambridge, MA). They were then fixed with 4% neutral buffered formaldehyde for 10 min at room temperature and rinsed with PBS. Cells were then incubated with rabbit polyclonal primary antibody against human or rat µ-opioid receptor (1:200) (17) for 1 h. The slides were then rinsed five times with PBS and exposed to rhodamine-coupled goat anti-rabbit secondary antibody (1:50 in PBS) for 30 min in the dark. The slides were then rinsed, cleared, and mounted.

For demonstration of µ-opioid receptors in rat colonic mucosa, paraffin-embedded sections were deparaffinized in methylcyclohexane and rehydrated through graded alcohols at room temperature. Antigen retrieval was carried out by heating sections in 0.01 M citrate buffer (pH 6.0) by microwave treatment. The sections were treated for 30 min in blocking solution (with 2% BSA and 10% fetal bovine serum in PBS) and then incubated for 60 min at room temperature with rabbit anti-µ-opioid receptor antibody (17) followed by anti-rabbit rhodamine-conjugated secondary antibody (1:100).

To determine whether µ-opioid receptors were localized in mucin-producing cells, we used double fluorescence immunohistochemistry. The sections were incubated 60 min at room temperature with rabbit anti-mucin2 (H-300, 1:250, Santa Cruz Biotechnology, Santa Cruz, CA) antibody and then with anti-rabbit FITC-conjugated secondary antibody (1:100). The slides were rinsed five times with PBS and incubed with rabbit anti-µ-opioid receptor antibody (MOR-1; 1:100, Santa Cruz Biotechnology). The second immune complex was revealed with anti-rabbit rhodamine-conjugated antibody (1:100). The slides were then rinsed, cleared, and mounted.

Enzyme-Linked Lectin Assay

An enzyme-linked lectin assay (ELLA) was used to measure mucinlike glycoprotein secretion as previously described (45). Briefly, wells of a microtiter plate were coated with sample diluted in sodium carbonate buffer (0.5 M, pH 9.6) and incubated overnight at 4°C. The plates were then washed with PBS containing 0.1% Tween (PBS-Tween, pH 7) and blocked with 2% BSA in PBS-Tween for 1 h at 37°C. After samples were washed five times, biotinylated wheat germ agglutinin in PBS-Tween-BSA was added, and the samples were incubated for 1 h at 37°C. Colorimetric determinations using avidin-peroxidase conjugate and o-phenylenediamine dihydrochloride solution were performed at 492 nm.

Mucinlike glycoprotein content of samples was determined from standard curves prepared from DHE or HT29-MTX mucins isolated from 75-cm2 flasks and purified by ultracentrifugation as described previously (45). The amount of mucinlike glycoprotein secreted in the incubation medium was expressed as nanograms of mucinlike glycoprotein per 106 cells, and the results were given as percentages of controls.

ELISA for Human and Rat Mucins

The secretion of rat (r)Muc2 by the DHE cells and of MUC5AC by the HT29-MTX cells was measured by an ELISA using the H-300 and 45M1 primary monoclonal antibodies (Santa Cruz Biotechnology), respectively, as previously described (45). Samples of incubation medium were incubated for 24 h at 37°C in a 96-well plate. Plates were then washed three times with PBS containing 0.1% Tween and blocked with 2% BSA in PBS-Tween for 1 h. They were then washed again and incubated with 50 µl of the mouse monoclonal antibody (1:100) for 1 h. The wells were then incubated with 100 µl of biotinylated goat anti-mouse IgG conjugate (1:10,000) for 1 h. After three washes, 100 µl of avidin-peroxydase conjugate were added, and plates were processed as described for the ELLA. Porcine gastric mucin, previously shown to react strongly with anti-human gastric mucin monoclonal 45M1 antibody (23), or purified rat intestinal mucin was treated in the same way to obtain a mucin standard curve. The results were given as percentages of controls.

Statistical Analysis

Data were compared using repeated-measures ANOVA, followed by the Mann-Whitney U-test when appropriate or Mann-Whitney test alone for single comparisons. Differences with P < 0.05 were considered significant. Data were analyzed by using Statview 4.57 for Windows (Abacus Concept, Berkeley, CA) and are presented as mean ± SE.


   RESULTS
TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
DISCUSSION
 REFERENCES
 
Rat Colonic Goblet Cells and DHE Cells Express the µ-Opioid Receptor

beta-CMs are a family of µ-selective opioid peptides. In this study, we investigated the hypothesis that beta-CMs may act directly on goblet cells of the intestinal tract. We first determined the localization of µ-opioid receptors at the level of the colonic mucosa. Labeling was carried out with the antibody directed against the extracellular domain of the receptor. By immunohistochemistry, we demonstrated that the anti-µ-opioid receptor antibody stained the basolateral membrane of epithelial cells in the upper half of the crypt (Fig. 1A). With anti-MOR-1 antibody (Santa Cruz Biotechnology) and with H-300 anti-Muc2 antibody, we performed double immunostaining. µ-Opioid receptors were evidenced in some goblet cells in the upper half of the crypt (Fig. 1A).


Figure 1
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  		Fig. 1. µ-Opioid receptors (MOR) are expressed in rat colonic epithelium and intestinal DHE cells. A: 4-µm-thick histological sections of rat colonic mucosa. 1, the tissue section was incubated with the anti-MOR antibody followed by an anti-rabbit rhodamine-conjugated secondary antibody. The primary antibody, prepared by J. Garzon, was directed against the extracellular domains of receptors. The immunohistochemical localization of MOR was shown by deposit of fluorescence in the upper half of the crypt. 2, en face preparation of rat colonic mucosa. The immunostaining with the same primary antibody showed the characteristic shape of goblet cells. 3 and 4, double immunostaining of MOR (3) and rMuc2 (4) on rat colonic mucosa. The colonic section was incubated with anti-MOR-1 antibody (Santa Cruz Biotechnology), followed rhodamine-conjugated secondary antibody. The section was then incubated with H-300 anti-Muc2 antibody, followed by FITC-conjugated secondary antibody. The green fluorescent reaction highlighted the presence of rat mucin (rMuc)2 in goblet cells, whereas the red fluorescent reaction showed the presence of MOR in some goblet cells but not in all. B: evidence for MOR mRNA in DHE cells. Electrophoretic PCR gels demonstrating the presence of MOR transcripts in DHE cells. Transcript expression in the rat colon is shown as reference. C: immunocytochemistry of MOR using rhodamine immunofluorescence. Left, evidence of clustered MOR-like immunoreactivity at the surface of DHE cells. Right, negative control with the anti-MOR antibody omitted.

 
To assess the direct effect beta-CM-7 on goblet cells, we used rat intestinal DHE cells, which synthesize and secrete mucins. By RT-PCR, we evidenced the presence of the transcripts of µ-opioid receptors in DHE cells. On the basis of the primers used, the size of the expected amplicons was 569 bp (Fig. 1B), and, after cDNA sequencing, these products were found to be identical to the µ-opioid receptor cDNA sequence. By immunohistochemistry, we also demonstrated the expression of µ-opioid receptors on the DHE cell surface. The staining pattern was located predominantly in clusters on the membranes of DHE cells (Fig. 1C).

beta-CM-7 Stimulates the Secretion of Mucin in DHE Cells

To demonstrate a possible direct effect of beta-CM-7 on mucin secretion, we exposed DHE cultures to beta-CM-7 (10–4 M) for 30 min to 24 h. As shown in Fig. 2, the overall release of mucinlike glycoprotein under the influence of beta-CM-7 was not modified after 30 min of stimulation but raised after 2 h of exposure to beta-CM-7. This effect was maximum after 8 h of stimulation (227 ± 12% of controls, P < 0.05). Using an ELISA for rMuc2, we found that 10–4 M beta-CM-7 induced a rise in rMuc2 secretion after 8 h of treatment (192 ± 4% of controls; P < 0.05).


Figure 2
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  		Fig. 2. Time-course effect of beta-casomorphin-7 (beta-CM-7) on the secretion of mucinlike glycoprotein in DHE cells. After 24 h of serum starvation, the cells were incubated without (control) or with beta-CM-7 for 30 min to 24 h. The amount of mucinlike glycoprotein in culture media was measured by enzyme-linked lectin assay (ELLA) using biotinylated wheat germ agglutinin. The data are expressed as mucinlike glycoprotein secretion as a percentage of control. Each point represents the mean ± SE of 3 experiments performed in triplicate. *P < 0.05 vs. control.

 
beta-CM-7 Stimulates the Expression of rMuc2 and rMuc3 in DHE Cells

To determine whether beta-CM-7 could raise mucin gene expression, we treated DHE cells with beta-CM-7 at 37°C for 24 h, after which time total RNA was isolated and mucin mRNA levels were analyzed by RT-PCR. Addition of beta-CM-7 (10–4 M) to the incubation medium for 24 h induced an increase in rMuc2 and rMuc3 mRNA levels (Fig. 3). In contrast, beta-CM-7 did not modify the expression of rMuc1, rMuc4, and rMuc5AC. RT-PCR products of cyclophilin A mRNA, used as internal control, were unaffected by beta-CM-7.


Figure 3
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  		Fig. 3. beta-CM-7 (10–4 M) specifically modulates rMuc2 and rMuc3 mRNA expression in the rat intestinal DHE cell line. After overnight serum starvation, the cells were incubated without (CT) or with beta-CM-7 at 37°C for 24 h. Amplified PCR products were separated by electrophoresis on a 2% agarose gel stained with ethidium bromide. Images are representative of 3 separate experiments performed in triplicate. Cyclophilin A mRNA was used as reference.

 
The dose-response effect of beta-CM-7 (10–6 to 10–4 M) on mRNA levels of rMuc2 and rMuc3 was further determined after 24 h of treatment. A representative set of original experimental results is shown in Fig. 4A. RT-PCR analysis using Scion image showed that beta-CM-7 induced a dose-dependant increase in rMuc2 and rMuc3 mRNA levels compared with controls (Fig. 4B). The response obtained with 10–4 M beta-CM-7 was at 183 ± 14 and 172 ± 8% of controls for rMuc2 and rMuc3, respectively.


Figure 4
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  		Fig. 4. beta-CM-7 dose dependently increases the level of rMuc2 and rMuc3 mRNA in DHE cells. A: DHE cells were exposed to beta-CM-7 for 24 h. Total RNA was isolated, and mucin mRNA levels were analyzed by RT-PCR. Amplified PCR fragments were separated by electrophoresis on 2% agarose gel stained with ethidium bromide. Representative gels of 3 experiments performed in triplicate are shown. B: rMuc2 and rMuc3 mRNA levels (expressed as a percentage of associated controls). The gels obtained from semiquantitative RT-PCR were pixelized and densitometrically analyzed with Scion image software. Each point represents the mean ± SE of 3 experiments performed in triplicate. *P < 0.05 vs. control.

 
A time-course response was then performed on the effect of beta-CM-7 (10–4 M) on the expression of rMuc2 and rMuc3. beta-CM-7 increased the level of rMuc2 and rMuc3 mRNA after 2 (225 ± 16% of controls) and 4 h (208 ± 8% of controls) of stimulation, respectively. This effect was maintained after 24 h of treatment (Fig. 5). To precisely quantify the effect of beta-CM-7 on the expression of rMuc2 in DHE cells, we performed quantitative RT-PCR. The level of rMuc2 mRNA was twofold increased following 8 h of treatment with beta-CM-7 (10–4 M; P < 0.05; Fig. 5).


Figure 5
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  		Fig. 5. Time-related effect of 10–4 M beta-CM-7 on the level of rMuc2 and rMuc3 mRNA in DHE cells. Cells were exposed to beta-CM-7 in the medium for 2–24 h. The gels obtained from semiquantitative RT-PCR were pixelized and densitometrically analyzed. rMuc2 from the 8 h-stimulated cells was analyzed by quantitative RT-PCR (Q-RT-PCR) with cyclophilin A as an internal control. The expression of rMuc2 was normalized to cyclophilin A mRNA level in each sample. The results are expressed as a percentage of associated controls (means ± SE). *P < 0.05 vs. control.

 
Mechanisms Involved in beta-CM-7-Induced Mucin Expression in DHE Cells

A µ-opioid agonist increases the expression of mucin genes. To determine whether the µ-opioid receptor was involved in mucin expression and secretion, DHE cells were treated for 8 h with DAMGO, a µ-specific agonist. As shown in Fig. 6, 10–6 M DAMGO induced an increase in rMuc2 mRNA levels. Likewise, the overall release of mucinlike glycoprotein under the influence of DAMGO was significantly increased (173 ± 20% of controls, P < 0.05) and was quite similar to that after beta-CM-7 stimulation.


Figure 6
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  		Fig. 6. Rat mucin-secreting DHE cells are responsive to an µ-opioid agonist. The effect of (D-Ala2,N-Me-Phe4,glycinol5)enkephalin (DAMGO; 10–6 M) on rMuc2 and rMuc3 after 8 h of stimulation was studied with semiquantitative RT-PCR and the effect on rMuc2 was quantified by Q-RT-PCR. The expression of rMuc2 was normalized to cyclophilin A mRNA level in each sample. The results are presented as the percent increase of the untreated control (means ± SE). All results are representative of 3 separate experiments performed in triplicate. *P < 0.05 vs. control.

 
Cyprodime inhibits the increase in the expression of rMuc2 and rMuc3 induced by beta-CM-7. We then studied the effect of a µ-opioid antagonist (cyprodime; 10–5 M) on the rise in rMuc2 and rMuc3 mRNA levels induced by beta-CM-7 in DHE cells. The cells were pretreated for 30 min at 37°C with cyprodime before the addition of beta-CM-7 (10–4 M, 8 h). Data obtained with quantitative RT-PCR showed that the effect of beta-CM-7 on rMuc2 expression was inhibited by cyprodime, whereas the antagonist alone had no effect on the rMuc2 mRNA level (Fig. 7A). Cyprodime also inhibited the rise in the rMuc3 mRNA level induced by beta-CM-7 (analysis with Scion image, data not shown). As shown in Fig. 7B, cyprodime blocked beta-CM-7-induced mucinlike glycoprotein secretion. Comparable cyprodime inhibitions were obtained after stimulation with DAMGO (data not shown).


Figure 7
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  		Fig. 7. Rat mucus-secreting DHE cells are responsive to beta-CM-7 through a µ-opioid-dependent pathway. DHE cells were incubated for 30 min with the µ-opioid antagonist cyprodime (10–5 M) either alone or in association with beta-CM-7 (10–4 M) for 8 h. A: rMuc2 mRNA levels in DHE cells. rMuc2 was analyzed by Q-RT-PCR with cyclophilin A as an internal control. The expression of rMuc2 was normalized to cyclophilin A mRNA level in each sample. The results are presented as the percent increase with respect to the untreated control (means ± SE). B: mucinlike glycoprotein secretion was determined by ELLA. Each point represents the mean ± SE of 3 experiments performed in triplicate. *P < 0.05 vs. control; &P < 0.05 vs. agonist alone.

 
beta-CM-7 Stimulates MUC5AC Expression and Mucin Secretion in HT29-MTX Cells

To establish whether beta-CM-7 can also modulate mucins in humans, we extended our study to HT29-MTX cells, a human colonic cell line known to synthesize and secrete mucins. We first found that, as with DHE cells, HT29-MTX cells exhibited immunopositivity for µ-opioid receptors on their cell membranes (Fig. 8A). By RT-PCR, the transcripts of µ-receptors were also evidenced (data not shown). The major mucin produced by HT29-MTX cells is MUC5AC. As shown in Fig. 8B, time-course experiments showed that the addition of beta-CM-7 (10–4 M) into the incubation medium of HT29-MTX cells elicited an increase in the level of MUC5AC mRNA. By quantitative RT-PCR, we determined that the maximal response was at 176 ± 14% (P < 0.05) after 24 h of treatment.


Figure 8
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  		Fig. 8. HT29-MTX cells are responsive to beta-CM-7 (10–4 M). A: immunocytochemistry of the MOR using rhodamine immunofluorescence. B: effect of beta-CM-7 (10–4 M) on mucin (MUC)5AC mRNA level after 4–24 h of exposure. Total RNA was extracted and then submitted to semiquantitative RT-PCR. Gels were analyzed by Scion image software. MUC5AC was also determined by Q-RT-PCR after a 24-h exposure. All results are representative of 3 separate experiments performed in triplicate. Inset, PCR products after electrophoresis in a 2% agarose gel. C: overall release of mucinlike glycoprotein analyzed by ELLA. All results are representative of 3 separate experiments performed in triplicate. *P < 0.05 vs. control.

 
beta-CM-7 (10–4 M) also induced mucinlike glycoprotein secretion (Fig. 8C). The maximal response was obtained after 8 h of stimulation with beta-CM-7 (163 ± 9% of controls; P < 0.05). Using an ELISA for MUC5AC, we detected a similar rise in the secretion of this mucin (169 ± 3% of controls; P < 0.05).


   DISCUSSION
TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
REFERENCES
 
The present study provides original data about the in vitro effect of a milk bioactive peptide, beta-CM-7, on mucin expression and secretion in rat and human colon gobletlike cells. This beta-CM-7 stimulation is dependent on µ-opioid receptor activation. As far as we are aware, this is the first report that an alimentary peptide, as well as an opioid agonist, directly activates intestinal mucin-secreting gobletlike cells. It is of note that luminal concentrations of beta-CM-7 after an ingestion of milk have not been determined, but the dose of beta-CM-7 used in our study (10–4 M) was equivalent to what could be theoretically obtained from casein hydrolysates at a concentration of 0.5% in the intestinal lumen.

beta-CMs are a family of opioid peptides derived from bovine beta-casein. These peptides, which are encrypted within the sequence of the parent protein, are released by enzymatic proteolysis during gastrointestinal digestion or during food processing (33–35). Identical sequences exist in ovine beta-casein, and peptides with similar activity are derived from human beta-casein (33–35). Interestingly, beta-CMs, which have been detected in the small intestine of adult humans and in the plasma of newborn calves after the ingestion of bovine milk (49), are resistant to the actions of gastrointestinal enzymes due to a high content of proline residues. They could thus elicit physiological effects and may represent natural agonists for opioid receptors. In the present study, we demonstrated the presence of µ-opioid receptors on the basolateral membrane of goblet cells in the upper half of the colonic crypt, where cells achieve differentiation, as well as in cell lines. These receptors were clustered, which suggests proper targeting and anchoring to the cytoplasmic membrane, a prerequisite for the receptor to be functional (22). Consistent with this assumption, beta-CM-7 increased the levels of rMuc2 and rMuc3 mRNA in DHE cells as well as the overall discharge of mucin after 2 h of treatment. These findings were reproduced by the µ-agonist DAMGO. Finally, pretreatment of the cells with a specific µ-opioid antagonist, cyprodime, inhibited the effect of beta-CM-7 or DAMGO on the expression of rMuc2 and on the secretion of mucin, confirming the involvement of µ-opioid receptors in the response of DHE. Consequently, it is conceivable that opioid peptides released by the digestion of milk protein in the intestinal lumen could act locally on mucus cells to protect the colonic mucosa.

The prominent localization of opioid receptors in the gut is the myenteric and submucosal plexus (1). It is interesting to note, however, that, in keeping with our results, the presence of µ-opioid receptors has also been demonstrated on epithelial cells of the rat, pig, and guinea pig (26, 30, 36, 38), suggesting that opioid agonists may act directly on the intestinal epithelium to regulate its functions. Supporting this hypothesis, it was previously demonstrated that opioid peptides can regulate hydroelectrolytic secretion by both acting on enteric neurons and a direct effect on epithelial cells (21, 26, 36). Similarly, we recently showed in a rat model of the isolated vascularly perfused jejunum that beta-CM-7 induced a strong and fast (in the first 30 min of stimulation) secretion of intestinal mucus through activation of the enteric nervous system and opioid receptors (10, 46). beta-CMs could thus regulate the function of intestinal goblet cells via two distinct but complementary modes of action: by a direct pathway to increase the expression of the intestinal mucin genes and by an indirect nervous pathway to induce a rapid increase of the secretory activity of intestinal goblet cells. The complementary effects of opioid peptides on goblet cells might be an important facet of intestinal defense. Thus opioid peptides induce a strong and rapid secretion of mucus, but they also help to reconstitute the intracellular store of goblet cells by increasing mucin gene expression and maintaining the potential of intestinal defense. It may be assumed that the elaborate way of control of goblet cells we observed with beta-CM-7 also triggers the effects of other opioid peptides from milk (other casomorphins, lactorphins, etc.) but also from endogenous origin.

What is the physiological meaning of the localization of opioid receptor on mucin-producing cells? In the gastrointestinal tract, opioid peptides (beta-endorphin, enkephalins, and dynorphin) are primarily expressed in neurons of the myenteric and submucous plexus, and some opioid-immunoreactive fibers have been observed through the different areas of the mucosa, especially around crypts (1, 16). Endogenous opioid peptides also appear to be present in immune cells (1, 44) and in enteroendocrine cells, including enterochromaffin cells of the intestine and gastrin cells of the antrum (6, 37, 42). Accordingly, the regulation of mucins we observed here with opioid agonists should also be relevant in situations of physiological activation of the enteric nervous system as well as of enteroendocrine cells or immune cells.

In DHE cells, beta-CM-7 and DAMGO increased the level of transcripts of rMuc2 and rMuc3 but did not alter rMuc1, rMuc4, and rMuc5AC mRNAs. rMuc2 is the main mucin secreted by goblet cells in the gut and is expressed at a high level in the ileum and colon (32). With rMuc1 and rMuc4, rMuc3 is one of the prominent membrane-associated mucins expressed in the rat intestine and colon (14, 45). beta-CM-7 thus increased the mRNA level of two components of the mucosal protection: a membrane-associated mucin and a secreted mucin. In our study, rMuc2 mRNA was readily increased on beta-CM-7 stimulation, whereas rMuc3 was increased after only 4 h, thus suggesting the involvement of specific mechanisms of activation. A faster rMuc2 than rMuc3 gene activation is not surprising considering that goblet cells have to prevent the depletion of their mucus stores, whereas membrane-associated mucins provide a more static protection of the intestinal mucosa.

Interestingly, we could extend our data obtained in a rat cell line to human gobletlike HT29-MTX cells (28). Indeed, beta-CM-7 induced an increase of MUC5AC expression, the major secreted mucin of this cell line, as well as secretion of mucin in the medium, thus suggesting that these responses may take place in several species. These findings may have health implications. Because milk constitutes the only source of protein for neonates, the biological consequences of the increase in mucin expression by beta-CMs may be to reinforce or to facilitate the development of a protective mucus gel.

In conclusion, this study demonstrates that an opioid peptide from milk, beta-CM-7, induces the secretion of mucin as well as the expression of rMuc2 and rMuc3 in DHE rat cells and the expression of MUC5AC in HT29-MTX human colonic gobletlike cells. These effects in DHE cells were reproduced by the µ-opioid agonist DAMGO and were mediated through a µ-opioid pathway. These results suggest that, in vivo, beta-CM-7 can modulate intestinal mucins through a direct effect on goblet cells. Milk opioid-derived peptides could thus provide new dietary prospects for improving gastrointestinal protection in the neonate but also in the adult. Our data also support the growing evidence that the µ-opioid pathway is important in intestinal defense.


   FOOTNOTES
 

Address for reprint requests and other correspondence: P. Plaisancié, INSERM U45, Faculté de Médecine R, Laennec, 7, rue Guillaume Paradin, 69008 Lyon, France (e-mail: plaisancie{at}lyon.inserm.fr)

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.


   REFERENCES
TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

  1. Bagnol D, Mansour A, Akil H, and Watson SJ. Cellular localization and distribution of the cloned µ- and {kappa}-opioid receptors in rat gastrointestinal tract. Neuroscience 81: 579–591, 1997.[CrossRef][ISI][Medline]
  2. Barcelo A, Claustre J, Moro F, Chayvialle JA, Cuber JC, and Plaisancie P. Mucin secretion is modulated by luminal factors in the isolated vascularly perfused rat colon. Gut 46: 218–224, 2000.[Abstract/Free Full Text]
  3. Briscini L, Corradini L, Ongini E, and Bertorelli R. Up-regulation of ORL-1 receptors in spinal tissue of allodynic rats after sciatic nerve injury. Eur J Pharmacol 447: 59–65, 2002.[CrossRef][ISI][Medline]
  4. Buisine MP, Devisme L, Savidge TC, Gespach C, Gosselin B, Porchet N, and Aubert JP. Mucin gene expression in human embryonic and fetal intestine. Gut 43: 519–524, 1998.[Abstract/Free Full Text]
  5. Carraway KL, Ramsauer VP, Haq B, and Carothers Carraway CA. Cell signaling through membrane mucins. Bioessays 25: 66–71, 2003.[CrossRef][ISI][Medline]
  6. Cetin Y. Enterochromaffin (EC-) cells of the mammalian gastro-entero-pancreatic (GEP) endocrine system: cellular source of pro-dynorphin-derived peptides. Cell Tissue Res 253: 173–179, 1988.[ISI][Medline]
  7. Chao CC, Hu S, Shark KB, Sheng WS, Gekker G, and Peterson PK. Activation of mu opioid receptors inhibits microglial cell chemotaxis. J Pharmacol Exp Ther 281: 998–1004, 1997.[Abstract/Free Full Text]
  8. Chen L, Segal DM, and Mash DC. Semi-quantitative reverse-transcriptase polymerase chain reaction: an approach for the measurement of target gene expression in human brain. Brain Res Protoc 4: 132–139, 1999.[CrossRef][Medline]
  9. Cho HY. Inflammatory and epithelial responses during the development of ozone-induced mucous cell metaplasia in the nasal epithelium of rats. Toxicol Sci 51: 135–145, 1999.[Abstract/Free Full Text]
  10. Claustre J, Toumi F, Trompette A, Jourdan G, Guignard H, Chayvialle JA, and Plaisancie P. Effects of peptides derived from dietary proteins on mucus secretion in rat jejunum. Am J Physiol Gastrointest Liver Physiol 283: G521–G528, 2002.[Abstract/Free Full Text]
  11. Deplancke B and Gaskins HR. Microbial modulation of innate defense: goblet cells and the intestinal mucus layer. Am J Clin Nutr 73: 1131S–1141S, 2001.[ISI][Medline]
  12. Desseyn JL, Aubert JP, Porchet N, and Laine A. Evolution of the large secreted gel-forming mucins. Mol Biol Evol 17: 1175–1184, 2000.[Abstract/Free Full Text]
  13. Einerhand AW, Renes IB, Makkink MK, van der Sluis M, Buller HA, and Dekker J. Role of mucins in inflammatory bowel disease: important lessons from experimental models. Eur J Gastroenterol Hepatol 14: 757–765, 2002.[CrossRef][ISI][Medline]
  14. Faure M, Moennoz D, Montigon F, Mettraux C, Mercier S, Schiffrin EJ, Obled C, Breuille D, and Boza J. Mucin production and composition is altered in dextran sulfate sodium-induced colitis in rats. Dig Dis Sci 48: 1366–1373, 2003.[CrossRef][ISI][Medline]
  15. Forstner FG. Gastrointestinal mucus. In: Physiology of the Gastrointestinal Tract, edited by L. R. Johnson. New York: Raven, 1994, p. 1255–1283.
  16. Furness JB. Types of neurons in the enteric nervous system. J Auton Nerv Syst 81: 87–96, 2000.[CrossRef][ISI][Medline]
  17. Garzon J and Sanchez-Blazquez P. In vivo injection of antibodies directed against the cloned mu opioid receptor blocked supraspinal analgesia induced by µ-agonists in mice. Life Sci 56: L237–L242, 1995.
  18. Gaudier E, Jarry A, Blottiere HM, De Coppet P, Buisine MP, Aubert J, Laboisse C, Cherbut C, and Hoebler C. Butyrate specifically modulates MUC gene expression in intestinal epithelial goblet cells deprived of glucose. Am J Physiol Gastrointest Liver Physiol 287: G1168–G1174, 2004.[Abstract/Free Full Text]
  19. Gibson PR and Muir JG. Reinforcing the mucus: a new therapeutic approach for ulcerative colitis? Gut 54: 900–903, 2005.[Free Full Text]
  20. Gouyer V, Wiede A, Buisine MP, Dekeyser S, Moreau O, Lesuffleur T, Hoffmann W, and Huet G. Specific secretion of gel-forming mucins and TFF peptides in HT-29 cells of mucin-secreting phenotype. Biochim Biophys Acta 1539: 71–84, 2001.[Medline]
  21. Greenwood-Van Meerveld B, Gardner CJ, Little PJ, Hicks GA, and Dehaven-Hudkins DL. Preclinical studies of opioids and opioid antagonists on gastrointestinal function. Neurogastroenterol Motil 16: 46–53, 2004.[CrossRef][Medline]
  22. Hibino H, Inanobe A, Tanemoto M, Fujita A, Doi K, Kubo T, Hata Y, Takai Y, and Kurachi Y. Anchoring proteins confer G protein sensitivity to an inward-rectifier K+ channel through the GK domain. EMBO J 19: 78–83, 2000.[CrossRef][ISI][Medline]
  23. Hutton DA, Fogg FJ, Kubba H, Birchall JP, and Pearson JP. Heterogeneity in the protein cores of mucins isolated from human middle ear effusions: evidence for expression of different mucin gene products. Glycoconj J 15: 283–291, 1998.[CrossRef][ISI][Medline]
  24. Inatomi T, Tisdale AS, Zhan Q, Spurr-Michaud S, and Gipson IK. Cloning of rat Muc5AC mucin gene: comparison of its structure and tissue distribution to that of human and mouse homologues. Biochem Biophys Res Commun 236: 789–797, 1997.[CrossRef][ISI][Medline]
  25. Jass JR and Walsh MD. Altered mucin expression in the gastrointestinal tract: a review. J Cell Mol Med 5: 327–351, 2001.[ISI][Medline]
  26. Lang ME, Davison JS, Bates SL, and Meddings JB. Opioid receptors on guinea-pig intestinal crypt epithelial cells. J Physiol 497: 161–174, 1996.[Abstract/Free Full Text]
  27. Lesuffleur T, Porchet N, Aubert JP, Swallow D, Gum JR, Kim YS, Real FX, and Zweibaum A. Differential expression of the human mucin genes MUC1 to MUC5 in relation to growth and differentiation of different mucus-secreting HT-29 cell subpopulations. J Cell Sci 106: 771–83, 1993.[Abstract]
  28. Lesuffleur T, Porchet N, Aubert JP, Swallow D, Gum JR, Kim YS, Real FX, and Zweibaum A. Differential expression of the human mucin genes MUC1 to MUC5 in relation to growth and differentiation of different mucus-secreting HT-29 cell subpopulations. J Cell Sci 106: 771–83., 1993.[Abstract]
  29. Lin J, Ho S, Shekels L, Paparella MM, and Kim Y. Mucin gene expression in the rat middle ear: an improved method for RNA harvest. Ann Otol Rhinol Laryngol 108: 762–768, 1999.[ISI][Medline]
  30. Lopez-Ruiz MP and Prieto JC. Specific binding of Leu-enkephalin to small and large intestinal epithelial cells from guinea-pig. Comp Biochem Physiol C 85: 215–218, 1986.[Medline]
  31. Lundin E, Zhang JX, Huang CB, Reuterving CO, Hallmans G, Nygren C, and Stenling R. Oat bran, rye bran, and soybean hull increase goblet cell volume density in the small intestine of the golden hamster. A histochemical and stereologic light-microscopic study. Scand J Gastroenterol 28: 15–22, 1993.[ISI][Medline]
  32. Matsuoka Y, Pascall JC, and Brown KD. Quantitative analysis reveals differential expression of mucin (MUC2) and intestinal trefoil factor mRNAs along the longitudinal axis of rat intestine. Biochim Biophys Acta 1489: 336–344, 1999.[Medline]
  33. Meisel H. Biochemical properties of regulatory peptides derived from milk proteins. Biopolymers 43: 119–128, 1997.[CrossRef][ISI][Medline]
  34. Meisel H and Bockelmann W. Bioactive peptides encrypted in milk proteins: proteolytic activation and thropho-functional properties. Antonie Van Leeuwenhoek 76: 207–215, 1999.[CrossRef][ISI][Medline]
  35. Meisel H and FitzGerald RJ. Opioid peptides encrypted in intact milk protein sequences. Br J Nutr 84, Suppl 1: S27–S31, 2000.[Medline]
  36. Nano JL, Fournel S, and Rampal P. Characterization of delta-opioid receptors and effect of enkephalins on IRD 98 rat epithelial intestinal cell line. Pflügers Arch 439: 547–554, 2000.[CrossRef][ISI][Medline]
  37. Porcher C, Jule Y, and Henry M. A qualitative and quantitative study on the enkephalinergic innervation of the pig gastrointestinal tract. J Histochem Cytochem 48: 333–344, 2000.[Abstract/Free Full Text]
  38. Quito FL, Seybold VS, and Brown DR. Opiate binding sites in mucosa of pig small intestine. Life Sci 49: L219–L222, 1991.
  39. Sakata T and von Engelhardt W. Influence of short-chain fatty acids and osmolality on mucin release in the rat colon. Cell Tissue Res 219: 371–377, 1981.[CrossRef][ISI][Medline]
  40. Satchithanandam S, Vargofcak-Apker M, Calvert RJ, Leeds AR, Cassidy MM, Vahouny GV, Le T, and Ifrim I. Alteration of gastrointestinal mucin by fiber feeding in rats. J Nutr 120: 1179–1184, 1990.[Abstract/Free Full Text]
  41. Shimotoyodome A, Meguro S, Hase T, Tokimitsu I, and Sakata T. Short chain fatty acids but not lactate or succinate stimulate mucus release in the rat colon. Comp Biochem Physiol A 125: 525–531, 2000.[CrossRef][Medline]
  42. Sternini C, Patierno S, Selmer IS, and Kirchgessner A. The opioid system in the gastrointestinal tract. Neurogastroenterol Motil 16: 3–16, 2004.[ISI][Medline]
  43. Tei M, Spurr-Michaud SJ, Tisdale AS, and Gipson IK. Vitamin A deficiency alters the expression of mucin genes by the rat ocular surface epithelium. Invest Ophthalmol Vis Sci 41: 82–88, 2000.[Abstract/Free Full Text]
  44. Torres BA and Johnson HM. Neuroendocrine peptide hormone regulation of immunity. Chem Immunol 69: 155–184, 1997.[ISI][Medline]
  45. Trompette A, Blanchard C, Zoghbi S, Bara J, Claustre J, Jourdan G, Chayvialle JA, and Plaisancie P. The DHE cell line as a model for studying rat gastro-intestinal mucin expression: effects of dexamethasone. Eur J Cell Biol 83: 347–358, 2004.[CrossRef][ISI][Medline]
  46. Trompette A, Claustre J, Caillon F, Jourdan G, Chayvialle JA, and Plaisancie P. Milk bioactive peptides and beta-casomorphins induce mucus release in rat jejunum. J Nutr 133: 3499–3503, 2003.[Abstract/Free Full Text]
  47. Tytgat KM, Bovelander FJ, Opdam FJ, Einerhand AW, Buller HA, and Dekker J. Biosynthesis of rat MUC2 in colon and its analogy with human MUC2. Biochem J 309: 221–229, 1995.[Medline]
  48. Tytgat KM, Buller HA, Opdam FJ, Kim YS, Einerhand AW, and Dekker J. Biosynthesis of human colonic mucin: Muc2 is the prominent secretory mucin. Gastroenterology 107: 1352–1363, 1994.[ISI][Medline]
  49. Umbach M, Teschemacher H, Praetorius K, Hirschhauser R, and Bostedt H. Demonstration of a beta-casomorphin immunoreactive material in the plasma of newborn calves after milk intake. Regul Pept 12: 223–230, 1985.[CrossRef][ISI][Medline]
  50. Van Seuningen I, Pigny P, Perrais M, Porchet N, and Aubert JP. Transcriptional regulation of the 11p15 mucin genes. Towards new biological tools in human therapy, in inflammatory diseases and cancer? Front Biosci 6: D1216–D1234, 2001.[ISI][Medline]
  51. Willemsen LE, Koetsier MA, van Deventer SJ, and van Tol EA. Short chain fatty acids stimulate epithelial mucin 2 expression through differential effects on prostaglandin E(1) and E(2) production by intestinal myofibroblasts. Gut 52: 1442–1447, 2003.[Abstract/Free Full Text]
  52. Wu K, Fregien N, and Carraway KL. Molecular cloning and sequencing of the mucin subunit of a heterodimeric, bifunctional cell surface glycoprotein complex of ascites rat mammary adenocarcinoma cells. J Biol Chem 269: 11950–11955, 1994.[Abstract/Free Full Text]



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