Background
Infection with Helicobacter pylori (H. pylori), a high-risk factor for gastric cancer, is frequently associated with chronic inflammation through activation of NFκB. TFF1 is a constitutively expressed protein in the stomach that has tumor suppressor functions and plays a critical role in maintaining mucosal integrity. In this study, we investigated the role of TFF1 in regulating the proinflammatory response to H. pylori infection.
Methods
For in vitro studies, we performed immunofluorescence, luciferase reporter assay, Western blot, and quantitative real-time PCR (qRT-PCR) to investigate activation of NFκB and its target genes in response to infection with H. pylori strains J166 and 7.13. In addition, we utilized the Tff1 knockout (KO) and Tff1 wild-type (WT) mice for infection with PMSS1 H. pylori strain.
Results
The reconstitution of TFF1 expression in gastric cancer cells significantly suppressed an H. pylori-mediated increase of NFκB-p65 nuclear staining, transcriptional activity and expression of proinflammatory cytokine genes (TNFα, IL1β, CXCL5, and IL4R) that were associated with reduction in expression and phosphorylation of NFκB-p65 and IKKα/β proteins. The in vivo studies using the Tff1-KO mouse model of gastric neoplasia confirmed the in vitro findings. Furthermore, they demonstrated an increase in chronic inflammation scores and frequency of invasive gastric adenocarcinoma in the Tff1-KO mice infected with H. pylori, as compared to uninfected Tff1-KO mice.
Conclusion
These findings underscore an important protective role of TFF1 in abrogating H. pylori-mediated inflammation, a crucial hallmark of gastric tumorigenesis. Therefore, loss of TFF1 expression could be an important step in the H. pylori-mediated gastric carcinogenesis.