title: Activation of phospholipase A2 is involved in indomethacin-induced damage in Caco-2 cells.
abstract: Nonsteroidal anti-inflammatory drugs (NSAIDs), widely used in clinical practice, cause adverse effects in the gastrointestinal tract. These effects have been attributed to mechanisms such as drug-induced cyclooxygenase inhibition, oxidative stress, mitochondrial dysfunction and changes in cell membrane lipids. Our previous study showed that indomethacin (an NSAID commonly used in toxicity studies) caused activation of cytosolic phospholipase A(2) (cPLA(2)) in the rat small intestine. We hypothesized that activation of cPLA(2) is an important event in the pathogenesis of indomethacin-induced damage in enterocytes. To test this, we incubated enterocyte-like Caco-2 cells with indomethacin, with and without pretreatment with methyl arachidonyl fluorophosphonate (MAFP), an inhibitor of cPLA(2). Cells treated with indomethacin showed decreased viability and evidence of oxidative stress and morphological cell damage. Phospholipids were degraded in these cells, with increases in the levels of lysophospholipids and arachidonic acid. There was no evidence of apoptosis in the cells in response to the drug. Pretreatment of the cells with MAFP attenuated the drug-induced effects seen. This shows that activation of phospholipase A(2) appears to be an important event in the pathogenesis of indomethacin-induced damage in Caco-2 cells. To our knowledge, this is the first report that implicates the involvement of this enzyme in NSAID-induced enteropathy.
authors.affiliation: Department of Biochemistry, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Nageswaran
authors.initials: N
authors.lastname: Sivalingam
authors.forename: Jayasree
authors.initials: J
authors.lastname: Basivireddy
authors.forename: Anna B
authors.initials: AB
authors.lastname: Pulimood
authors.forename: K A
authors.initials: KA
authors.lastname: Balasubramanian
authors.forename: Molly
authors.initials: M
authors.lastname: Jacob
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000633:toxicity*; D016718:Arachidonic Acid / Q000378:metabolism; D001095:Arachidonic Acids / Q000494:pharmacology; D018938:Caco-2 Cells; D002470:Cell Survival / Q000187:drug effects; D004791:Enzyme Inhibitors / Q000494:pharmacology; D006801:Humans; D007213:Indomethacin / Q000633:toxicity*; D008246:Lysophospholipids / Q000378:metabolism; D063065:Organophosphonates / Q000494:pharmacology; D018384:Oxidative Stress / Q000187:drug effects*; D054510:Phospholipases A2, Cytosolic / Q000378:metabolism*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D001095:Arachidonic Acids; D004791:Enzyme Inhibitors; D008246:Lysophospholipids; D063065:Organophosphonates; C104810:methyl arachidonylfluorophosphonate; D016718:Arachidonic Acid; D054510:Phospholipases A2, Cytosolic; D007213:Indomethacin