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PARENTERAL NUTRITION (PN) IMPAIRS LYMPHOTOXIN ß RECEPTOR (LTßR) SIGNALING VIA NF-?B
JINGGANG LAN, PhD, Aaron F HENEGHAN, PhD, YOSHIFUMI SANO, MD, MARK JONKER, MD, JIRO OMATA, MD, YANG-XIN FU, MDPhD, WENTONG XU, MD, JOE PIERRE, BA, KENNETH ALLAN KUDSK, MD, UW-MADISON

Introduction: Lymphotoxin (LT) normally stimulates LTßR in Peyer’s patches (PP) to activate NF-?B via the non-canonical pathway to produce adhesion molecules (MAdCAM-1), cytokines, and chemokines critical to mucosal immune cell entry & function. Without LTßR, mice lack PP & lymph nodes and have less expression of MAdCAM-1, CCL-20, CCL25, CXCL13 and lower IL-4, IL-10 & IgA. PN decreases LTßR, MAdCAM-1 & these chemokines in PP and also lowers gut IgA compared to chow. The normal LT/ LTßR interaction activates the non-canonical NF-?B pathway to process the p100/RelB precursor and yield p52/RelB. Through an inflammatory canonical path, TNFa, IL-1ß, & bacterial products (via TLR) stimulate NF-?B producing p65/p50 and c-Rel/p50 heterodimers. Inflammation increases gut IgA levels. This work determines effects of PN, exogenous LTßR stimulation & exogenous LTßR blockade on both NF-?B activation pathways.

Methods: Expt 1: Phosphorylated canonical (p50& p65) and non-canonical (p52 & Rel B) NF-?B proteins in PP were analyzed by TransAM NF-?B Family kit after 5 days of chow (n=19) or PN (n=16). Expt 2: For 2 days, mice received chow (n=13), PN+ 5 µg of an LTßR-stimulating antibody BID, i.v(PN-LTßR,n=17)) or PN + control antibody (PN-control n=18) with Phosphorylated NF-?B proteins in PP analyzed as Expt 1. Expt 3: For 3 days mice received Chow + control Ig (Chow n=9), Chow + blocking LTßR-Ig fusion protein (100 ?g i.v.) (Chow- anti LTßR. N=10), or PN + control Ig (PN, n=8) to analyze Phosphorylated NF-?B in PP as Expt 1.

Results: PN significantly reduced all NF-?B proteins in PP compared with chow (p<0.01 for all except Rel B(p<0.05)) . LTßR stimulation with PN increased p50 (p<0.01), p52 (p<0.01), and Rel B(p<0.01) in PP vs PN alone with no differences vs chow in p65, p52 and Rel B; only p50(p<0.01) remained depressed in PN-LTßR vs chow. LTßR blockade of chow mice reduced non-canonical pathway (p52; p<0.01) and Rel B; p<0.01)) to PN levels but not the inflammatory path (p50 and p65).

Conclusion: Lack of enteral stimulation during PN decreases canonical and non-canonical NF-?B pathways in PP. LTßR stimulation during PN completely restores PP non-canonical NF-?B activity & partly restores the canonical pathway. LTßR blockade decreases non-canonical PP NF-?B activity but not canonical.

Table 1. NF-?B Activities in PP (Mean OD±SD)
p50 p65 p52 Rel B
Expt 1 Chow .19±.13 .09±.04 .67±.33 .08±.03
PN.08 ±.05 a .04± .02 a .25±.2 a.06±.02*
Expt 2 Chow.58±.07 .26±.06 .16±.05 11±.03
PN-Control.34±.13 a .21±.05*.13±.05*.07±.04*
PN-LTßR.47±.17*b .25±.06.17±.03b.13±.08b
Expt 3 Chow.33±.03 .39±.09 .78±.26 .16±.04
PN.26±.07 a .32±.06*.60±.11* .09±.04 a
Chow anti- LTßR.32±.04 b.35±.07 .51±.16 a .11±.03a


*p<0.05 vs chow; a p<0.01 vs chow; b p<0.01 vs PN .


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