Highlights
- •Binge alcohol exposure caused apoptosis of gut enterocytes in rats and WT mice.
- •Binge alcohol exposure reduced the levels of tight junction and adherent junction proteins.
- •Nitration of the junctional proteins led to ubiquitin-dependent degradation.
- •Apoptosis of enterocytes and reduced junctional proteins led to gut leakiness.
- •Binge alcohol-induced gut leakiness was observed in mice, rats and humans.
Background & Aims
Binge alcohol exposure causes gut leakiness, contributing to increased endotoxemia
and inflammatory liver injury, although the molecular mechanisms are still elusive.
This study was aimed at investigating the roles of apoptosis of enterocytes and nitration
followed by degradation of intestinal tight junction (TJ) and adherens junction (AJ)
proteins in binge alcohol-induced gut leakiness.
Methods
The levels of intestinal (ileum) junctional complex proteins, oxidative stress markers
and apoptosis-related proteins in rodents, T84 colonic cells and autopsied human ileums
were determined by immunoblot, immunoprecipitation, immunofluorescence, and mass-spectral
analyses.
Results
Binge alcohol exposure caused apoptosis of gut enterocytes with elevated serum endotoxin
and liver injury. The levels of intestinal CYP2E1, iNOS, nitrated proteins and apoptosis-related
marker proteins were significantly elevated in binge alcohol-exposed rodents. Differential,
quantitative mass-spectral analyses of the TJ-enriched fractions of intestinal epithelial
layers revealed that several TJ, AJ and desmosome proteins were decreased in binge
alcohol-exposed rats compared to controls. Consistently, the levels of TJ proteins
(claudin-1, claudin-4, occludin and zonula occludens-1), AJ proteins (β-catenin and
E-cadherin) and desmosome plakoglobin were very low in binge alcohol-exposed rats,
wild-type mice, and autopsied human ileums but not in Cyp2e1-null mice. Additionally, pretreatment with specific inhibitors of CYP2E1 and iNOS
prevented disorganization and/or degradation of TJ proteins in alcohol-exposed T84
colonic cells. Furthermore, immunoprecipitation followed by immunoblot confirmed that
intestinal TJ and AJ proteins were nitrated and degraded via ubiquitin-dependent proteolysis,
resulting in their decreased levels.
Conclusions
These results demonstrated for the first time the critical roles of CYP2E1, apoptosis
of enterocytes, and nitration followed by ubiquitin-dependent proteolytic degradation
of the junctional complex proteins, in promoting binge alcohol-induced gut leakiness
and endotoxemia, contributing to inflammatory liver disease.
Lay summary
Binge alcohol exposure causes gut leakiness, contributing to increased endotoxemia
and inflammatory liver injury. Our results demonstrated for the first time the critical
roles of apoptosis of enterocytes and nitration followed by ubiquitin-dependent proteolytic
degradation of the junctional complex proteins in promoting this gut leakiness and
endotoxemia. These results provide insight into the molecular mechanisms of alcohol-induced
inflammatory liver disease.
Graphical abstract

Graphical Abstract
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of HepatologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Intestinal CYP2E1: A mediator of alcohol-induced gut leakiness.Redox Biol. 2014; 3: 40-46
- Role for intestinal CYP2E1 in alcohol-induced circadian gene-mediated intestinal hyperpermeability.Am J Physiol Gastrointest Liver Physiol. 2013; 305: G185-G195
- Evidence that chronic alcohol exposure promotes intestinal oxidative stress, intestinal hyperpermeability and endotoxemia prior to development of alcoholic steatohepatitis in rats.J Hepatol. 2009; 50: 538-547
- Leaky gut in alcoholic cirrhosis: a possible mechanism for alcohol-induced liver damage.Am J Gastroenterol. 1999; 94: 200-207
- Microbial translocation is a cause of systemic immune activation in chronic HIV infection.Nat Med. 2006; 12: 1365-1371
- Exposure to HIV-1 directly impairs mucosal epithelial barrier integrity allowing microbial translocation.PLoS Pathog. 2010; 6: e1000852
- Microbial translocation in HIV infection: causes, consequences and treatment opportunities.Nat Rev Microbiol. 2012; 10: 655-666
- Gut microbiota, intestinal permeability, obesity-induced inflammation, and liver injury.JPEN J Parenter Enteral Nutr. 2011; 35: 14S-20S
- Intestinal barrier disruption as a cause of mortality in combined radiation and burn injury.Shock. 2013; 40: 281-289
- CYP2E1 potentiates binge alcohol-induced gut leakiness, steatohepatitis, and apoptosis.Free Radical Biol Med. 2013; 65: 1238-1245
- Loss of junctional adhesion molecule a promotes severe steatohepatitis in mice on a diet high in saturated fat, fructose, and cholesterol.Gastroenterology. 2016; 151 (e712): 733-746
- Toll-like receptor 4 is involved in the development of fructose-induced hepatic steatosis in mice.Hepatology. 2009; 50: 1094-1104
- Endotoxemia in patients with alcoholic and non-alcoholic cirrhosis and in subjects with no evidence of chronic liver disease following acute alcohol excess.J Hepatol. 1987; 4: 8-14
- Alcohol and mitochondria: a dysfunctional relationship.Gastroenterology. 2002; 122: 2049-2063
- Mitochondrial dysfunction and tissue injury by alcohol, high fat, nonalcoholic substances and pathological conditions through post-translational protein modifications.Redox Biol. 2014; 3: 109-123
- The digestive neuronal-glial-epithelial unit: a new actor in gut health and disease.Nat Rev Gastroenterol Hepatol. 2013; 10: 90-100
- Ethanol-induced barrier dysfunction and its prevention by growth factors in human intestinal monolayers: evidence for oxidative and cytoskeletal mechanisms.J Pharmacol Exp Ther. 1999; 291: 1075-1085
- Nitric oxide and its metabolites mediate ethanol-induced microtubule disruption and intestinal barrier dysfunction.J Pharmacol Exp Ther. 2000; 294: 997-1008
- Role of cytochrome P450 2E1 in protein nitration and ubiquitin-mediated degradation during acetaminophen toxicity.Biochem Pharmacol. 2010; 79: 57-66
- The unravelling of the ubiquitin system.Nat Rev Mol Cell Biol. 2015; 16: 322-324
- Effects of peroxynitrite-induced protein modifications on tyrosine phosphorylation and degradation.FEBS Lett. 1996; 385: 63-66
- Increased sensitivity to binge alcohol-induced gut leakiness and inflammatory liver disease in HIV transgenic rats.PLoS One. 2015; 10: e0140498
- Interactions between the intestinal microbiome and liver diseases.Gastroenterology. 2014; 146: 1513-1524
- Proteomic and bioinformatic analysis of epithelial tight junction reveals an unexpected cluster of synaptic molecules.Biology Direct. 2006; 1: 37
- Amelioration of IFN-gamma and TNF-alpha-induced intestinal epithelial barrier dysfunction by berberine via suppression of MLCK-MLC phosphorylation signaling pathway.PLoS One. 2013; 8: e61944
- Dysbiosis-induced intestinal inflammation activates tumor necrosis factor receptor I and mediates alcoholic liver disease in mice.Hepatology. 2015; 61: 883-894
- Claudins and the modulation of tight junction permeability.Physiol Rev. 2013; 93: 525-569
- C-Jun NH2-terminal kinase-2 mediates osmotic stress-induced tight junction disruption in the intestinal epithelium.Am J Physiol Gastrointest Liver Physiol. 2010; 299: G572-G584
- Alcoholic liver disease: pathogenesis and new therapeutic targets.Gastroenterology. 2011; 141: 1572-1585
- CYP2E1 and oxidant stress in alcoholic and non-alcoholic fatty liver disease.J Hepatol. 2013; 58: 395-398
- Alcoholic liver disease and the gut-liver axis.World J Gastroenterol. 2010; 16: 1321-1329
- Binge alcohol promotes hypoxic liver injury through a CYP2E1-HIF-1alpha-dependent apoptosis pathway in mice and humans.Free Radical Biol Med. 2014; 77: 183-194
- Acetaldehyde-induced barrier disruption and paracellular permeability in Caco-2 cell monolayer.Methods Mol Biol. 2008; 447: 171-183
- L-Glutamine ameliorates acetaldehyde-induced increase in paracellular permeability in Caco-2 cell monolayer.Am J Physiol Gastrointest Liver Physiol. 2004; 287: G510-G517
- The role of miR-212 and iNOS in alcohol-induced intestinal barrier dysfunction and steatohepatitis.Alcohol Clin Exp Res. 2015; 39: 1632-1641
- Glutamine supplementation attenuates ethanol-induced disruption of apical junctional complexes in colonic epithelium and ameliorates gut barrier dysfunction and fatty liver in mice.J Nutr Biochem. 2016; 27: 16-26
- Antibiotics protect against fructose-induced hepatic lipid accumulation in mice: role of endotoxin.J Hepatol. 2008; 48: 983-992
Article info
Publication history
Published online: February 17, 2018
Accepted:
February 7,
2018
Received in revised form:
February 7,
2018
Received:
September 5,
2017
Identification
Copyright
Published by Elsevier B.V. on behalf of European Association for the Study of the Liver.