{"id":27354,"date":"2024-01-03T21:45:43","date_gmt":"2024-01-03T19:45:43","guid":{"rendered":"https:\/\/hho-bulgaria.com\/h2-rich-medium-improves-barrier-dysfunction-in-caco-2-cells\/"},"modified":"2024-02-04T21:17:00","modified_gmt":"2024-02-04T19:17:00","slug":"h2-rich-medium-improves-barrier-dysfunction-in-caco-2-cells","status":"publish","type":"post","link":"https:\/\/hho-bulgaria.com\/en\/h2-rich-medium-improves-barrier-dysfunction-in-caco-2-cells\/","title":{"rendered":"H2-Rich Medium Improves Barrier Dysfunction in CACO-2 Cells"},"content":{"rendered":"<section id=&quot;ArticleBody&quot;>\n<h2 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;1&quot; id=&quot;O3-16&quot;>INTRODUCTION<\/h2>\n<p id=&quot;O3-16-2&quot;>Defined as the presence of infection together with systemic manifestations, sepsis is a deleterious host response <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R1-16&quot;>(1)<\/a><\/sup>. Sepsis, as well as its adverse consequences, remains to be the primary cause of death in the noncoronary intensive care unit (ICU) <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R1-16 R2-16&quot;>(1, 2)<\/a><\/sup>. The intestine has widely been recognized as a crucial organ during the genesis and development of sepsis, as well as multiple organ dysfunction syndrome (MODS) <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R3-16&quot;>(3)<\/a><\/sup>. The gastrointestinal epithelium is frequently in touch with xenobiotics and various microfloras, and represents a defensive barrier between the organism and the external environment <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R4-16&quot;>(4)<\/a><\/sup>.<\/p>\n<p id=&quot;O3-16-3&quot;>An integrated gut barrier is composed of well differentiated intestinal epithelial cells, which are tightly connected as a monolayer by the apical junctional complex (AJC). The AJC contains tight junctions (TJs) and adherens junctions (AJs), and encircles the apical ends of the lateral membranes of the epithelial cells, determining the selective paracellular permeability of the intestinal barrier <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R5-16&quot;>(5)<\/a><\/sup>. Both TJs and AJs are dynamically modulated in physiological and pathological conditions.<\/p>\n<p id=&quot;O3-16-4&quot;>Among a number of signaling molecules that have been demonstrated to regulate the AJC, Ras homolog gene family (Rho) of small GTPases stands out <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R6-16&quot;>(6)<\/a><\/sup>. RhoA ranks the most studied molecule among the Rho family, regulating the assembly, maintenance, and disassembly of AJC in the intestinal epithelium <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R7-16&quot;>(7)<\/a><\/sup>. Mammalian diaphanous-related formin 1 (mDia1), or interchangeably called DIAPH 1, is a main RhoA effector that modulates barrier via actin polymerization, as well as microtubule organization <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R8-16 R9-16&quot;>(8, 9)<\/a><\/sup>. Hence, the RhoA-mDia1 signaling is supposed as a potential vital target for the treatment of lipopolysaccharide (LPS)-related hyperpermeability in the intestine.<\/p>\n<p id=&quot;O3-16-5&quot;>Molecular hydrogen (H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>), considered as a physiological noble gas before, has currently been identified as a promising medical gas for many diseases <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R10-16 R11-16&quot;>(10, 11)<\/a><\/sup>. Our previous studies have revealed that H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> inhalation at a concentration of 2% or 4% exerts significant curative effects on sepsis and sepsis-related multiple organ damage through reducing uncontrolled inflammation, excessive oxidative stress, irregular apoptosis, and regulating abnormally activated signal pathways <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R12-16 R13-16 R14-16&quot;>(12\u201314)<\/a><\/sup>. Coincidentally, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> treatment can attenuate intestine injury <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R15-16 R16-16 R17-16&quot;>(15\u201317)<\/a><\/sup>. However, whether the protective effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on sepsis is via regulating intestinal barrier integrity or not is still largely unknown.<\/p>\n<p id=&quot;O3-16-6&quot;>On the basis of the studies mentioned above, we utilized an <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>in vitro<\/em> model of intestinal epithelium, Caco-2 cell monolayers, to hypothesize the potential beneficial role of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium in alleviating LPS-caused gut barrier dysfunction, likely through the RhoA-mDia1 signal pathway.<\/p>\n<h2 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;1&quot; id=&quot;O16-16&quot;>MATERIALS AND METHODS<\/h2>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O4-16&quot;>Ethical approval<\/h3>\n<p id=&quot;O4-16-2&quot;>This research was carried out according to the Institutional Animal Care and Use Committee Guide in General Hospital of Tianjin Medical University.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O5-16&quot;>Reagents<\/h3>\n<p id=&quot;O5-16-2&quot;>The whole cell culture reagents and supplements were from GIBCO (Grand Island, NY). Fluorescein-isothiocyanate (FITC)-labeled dextran 4 kDa (FD4) and <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>Escherichia coli<\/em> LPS 0111:B4 (Product number: L4391) were from Sigma-Aldrich (St Louis, MO). Rho inhibitor C3 exoenzyme and RhoA activator CN03 were from Cytoskeleton (Denver, CO).<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O6-16&quot;>Cell culture<\/h3>\n<p id=&quot;O6-16-2&quot;>The human colon cancer cell line Caco-2 were obtained from ATCC (Manassas, VA), and maintained in complete Dulbecco modified Eagle medium (DMEM) with 20% fetal bovine serum, 100 U\/mL penicillin and 100 g\/mL streptomycin, 4 mM glutamine, 10 mM (4-(2-hydroxyethyl)-1-piperazine ethanesulfonic acid), 1 mM sodium pyruvate, and 1% nonessential amino acids, and kept at 37<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00b0<\/sup>C in a humidified atmosphere with 5% CO<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>. Cells were subcultured by 0.25% trypsin solution (containing ethylene diamine tetraacetic acid [EDTA]) every 3 days. Cell culture medium was replaced everyday. Cells from passages 22 to 60 were used for experiments.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O7-16&quot;>Hydrogen treatment and measurement<\/h3>\n<p id=&quot;O7-16-2&quot;>The preparation and storage method for H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium is in accordance with previous studies <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R10-16 R18-16 R19-16&quot;>(10, 18, 19)<\/a><\/sup>. Briefly, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> was produced by a H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> generator, and then was dissolved into DMEM by a special catheter for 4 h under high pressure (0.4 MPa) to a supersaturated level to generate H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium. After production, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium was filtered to remove bacteria, and then immediately used for cell culture. The concentrations of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> in medium were detected by a needle-type Hydrogen Sensor (Unisense A\/S, Aarhus, Denmark) immediately after H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium preparation was finished (0.60 \u00b1 0.03 mM). After 24 h incubation, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> concentration was again detected (0.23 \u00b1 0.01 mM). For treatment, Caco-2 cells were cultured in H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-saturated medium under a humidified condition of 75% H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, 20% O<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, and 5% CO<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>. The pH of the culture medium with or without H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> were, respectively, measured (7.31 \u00b1 0.03 and 7.44 \u00b1 0.01, separately).<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O8-16&quot;>Detection of transepithelial electrical resistance (TER) and paracellular permeability<\/h3>\n<p id=&quot;O8-16-2&quot;>The Caco-2 cells were plated on transwell inserts (Millipore, Billerica, MA) with polyethylene terephthalate membrane (0.33 cm<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sup>, 0.4 mm pores) at a density of 1 \u00d7 10<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>5<\/sup> cells\/mL cultured for about 21 days when cells reached confluence and completely differentiated. A transepithelial voltohmeter (World Precision Instruments, FL) was utilized to measure TER according to previous description <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R20-16&quot;>(20)<\/a><\/sup>. Both apical and basolateral sides of the transwell were thrice washed by Hank balanced salt solution (HBSS) before measurement. TER was measured until similar values were recorded for three consecutive measurements. The electrical resistance values were expressed as Ohm\u00b7cm<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sup> (\u03a9\u00b7cm<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sup>). Determinations were repeatedly operated on three different sites per transwell insert, respectively.<\/p>\n<p id=&quot;O8-16-3&quot;>Caco-2 monolayer permeability was measured using FD4, an established paracellular marker. After washed with HBSS, the well-grown Caco-2 monolayers were incubated with serum-free DMEM without phenol red containing 10 mg\/mL FD4 in the presence or absence of different mediators as indicated below. After 2 h incubation of FD4, paracellular flux was assessed by taking 100-mL aliquots from the outer chamber. Fluorescence was measured using fluorescence spectrophotometer (Hitachi, Tokyo, Japan), with excitation and emission at 485 and 535 nm, respectively. For all experimental conditions, the permeability coefficient (<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>E<\/sub>) was calculated by the following formula: <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>E<\/sub> = [(\u0394<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>C<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>A<\/sub>\/\u0394<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>t<\/em>) \u00d7 <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>V<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>A<\/sub>]\/(<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>S<\/em> \u00d7 \u0394<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>C<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>L<\/sub>), where <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>E<\/sub> = diffusive permeability (cm\/s), \u0394<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>C<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>A<\/sub> = change of FD4 concentration, \u0394<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>t<\/em> = change of time, <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>V<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>A<\/sub> = volume of the abluminal medium, <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>S<\/em> = surface area, and \u0394<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>C<\/em><sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>L<\/sub> = constant luminal concentration <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R7-16&quot;>(7)<\/a><\/sup>.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O9-16&quot;>Measurement of cell viability<\/h3>\n<p id=&quot;O9-16-2&quot;>Cell Counting Kit-8 (CCK8) (Dojindo, Tokyo, Japan) assay was introduced to detect Caco-2 cell viability according to manufacturer&#8217;s instructions. This assay is based on conversion of Dojindo highly water-soluble tetrazolium salt-8 (WST-8) to formazan by dehydrogenases. Water solubletetrazolium salts-8 is reduced by dehydrogenases in cells to give a yellow product (formazan), which is soluble in tissue culture medium. The amount of formazan dye generated by the activity of dehydrogenases in cells is directly proportional to the number of live cells. In brief, Caco-2 cells (1 \u00d7 10<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>5<\/sup> cells) were seeded on a 96-well plate. After 24 h LPS or H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> stimulation, 10 \u03bcL cell counting kit-8 (CCK-8) solution was added to each well, and the reaction was allowed to occur in standard culture condition for 1 h. Absorbance was measured at 450 nm using a precision microplate reader (Ke Hua Biology, Shanghai, China).<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O10-16&quot;>Detection of intracellular reactive oxygen species (ROS)<\/h3>\n<p id=&quot;O10-16-2&quot;>Intracellular levels of ROS were detected by using a commercial kit (Beyotime, Shanghai, China) according to the manufacturer&#8217;s instructions. In brief, after treatment, Caco-2 cells cultured in 96 well plates were stained by 2\u2032,7\u2032-dichlorodihydrofluorescein diacetate, a ROS-sensitive probe, for 30 min at 37\u00b0C, after which a precision microplate reader (Ke Hua Biology, Shanghai, China) was utilized to measure intracellular ROS level at 488 nm (excitation) and at 525 nm (emission). A positive control was conducted in per experiment via stimulating Caco-2 cells with H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>O<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> before the addition of 2\u2032,7\u2032-dichlorodihydrofluorescein diacetate. The results were expressed as fluorescence intensity per mg protein and compared to the relative controls.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O11-16&quot;>Western blot analysis<\/h3>\n<p id=&quot;O11-16-2&quot;>Caco-2 cells (1 \u00d7 10<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>5<\/sup> cells) were plated in 6-well plates. Once the experiment was finished, cells were rapidly rinsed with ice-cold PBS, and then were lyzed with radio immunoprecipitation assay (RIPA) lysis buffer (Solarbio, Beijing, China), and scraped. Cell lysates were centrifuged in a Centrifuge (Kubota, Osaka, Japan) to yield clear lysate, and then the supernatant was collected. The protein was quantified using a BCA Protein Assay kit (Beyotime, Shanghai, China). The equal amounts of protein samples were separated by SDS-PAGE, and then transferred to polyvinylidene fluoride (PVDF) membranes (Millipore, Billerica, MA). The membranes were incubated for 2 h in Tris-buffered saline with Tween 20 (TBST) buffer containing 5% skim milk for blocking, and then incubated overnight at 4<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00b0<\/sup>C with appropriate primary antibodies: a 1:500 dilution of a rabbit monoclonal anti-occludin antibody (Invitrogen, Carlsbad, CA), a 1:1,000 dilution of a rabbit monoclonal anti-E-cadherin antibody (Cell Signaling Technology, Boston, MA), a 1:1,000 dilution of a rabbit monoclonal anti-mDia1 antibody (Abcam, Cambridge, UK), and a 1:2,000 dilution of a mouse monoclonal anti-\u03b2-actin antibody (Boster, Wuhan, China). After being rinsed in TBST buffer, the membrane was incubated for 1 h at room temperature with horseradish peroxidase (HRP)-conjugated goat antirabbit or antimouse secondary antibodies (Boster, Wuhan, China). Protein bands were detected using enhanced chemiluminescence (ECL) reagent (Millipore, Billerica, MA), and then visualized and photographed using Gel quantitative Quantity One system (BIO-RAD, Tokyo, Japan). The whole western blot analyses were performed at least three times. Each protein level was normalized to \u03b2-actin, respectively.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O12-16&quot;>Immunofluorescence<\/h3>\n<p id=&quot;O12-16-2&quot;>Caco-2 cells (1 \u00d7 10<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>4<\/sup> cells) were plated on coverslips and cultured. Once the experimental period was completed, cells were washed three times by cold PBS, and then were fixed (4% formaldehyde in PBS) for 15 min and permeabilized (0.5% Triton X-100 in PBS) for 10 min at room temperature. Caco-2 cells were blocked in blocking solution composed of 10% normal goat serum (Solarbio, Beijing, China) for 1 h, and then were incubated at 4<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00b0<\/sup>C overnight with appropriate primary antibodies: 1:250 antirabbit occludin (Invitrogen, Carlsbad, CA), 1:500 antirabbit E-cadherin (Cell Signaling Technology, Boston, MA), and 1:500 anti-mDia1 (Abcam, Cambridge, UK), followed by FITC or (tetramethyl rhodamin isothiocyanate)\u2013TRITC conjugated secondary antibodies (Boster, Wuhan, China) incubation and DAPI (4\u2032,6-diaminidino-2-phenylindole; Sigma-Aldrich, St Louis, Mo) counterstaining. The stained proteins were visualized and images were obtained under a confocal fluorescence microscope (Leica, Wetzlar, Germany).<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O13-16&quot;>RhoA activity detection<\/h3>\n<p id=&quot;O13-16-2&quot;>For measurement of RhoA activation, the respective G-Lisa Activity Assay Biochem Kit (Cytoskeleton, Denver, CO) was used according to manufacturer&#8217;s recommendations as described previously <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R21-16&quot;>(21)<\/a><\/sup>. Briefly, after incubation in presence or absence of different mediators, Caco-2 cells were washed with cold PBS. Ice-cold cell lysis buffer was added, and cell lysates were harvested by centrifugation at 14,000 rpm at 4<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00b0<\/sup>C for 2 min. After rewarming, 50 \u03bcL lysate were added to wells of the GTPase binding plate coated with RhoA-GTP\u2013binding domain. Other wells were added using lysis buffer or nonhydrolyzable RhoA as a negative or positive control, respectively. The plate was shook by a cold orbital shaker (Thermo Scientific, Rockford, IL) at 400 rpm at 4<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00b0<\/sup>C for 30 min. After the plate was washed thrice, RhoA primary antibody diluted at 1:200 was added for 45 min incubation. Then secondary HRP-labeled antibody at 1:100 dilution was added for 45 min, after which HRP detection reagent were added and incubated for 15 min at 37<sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00b0<\/sup>C. Then HRP stop buffer was added. Finally, the signaling was immediately detected at 490 nm using a precision microplate reader (Ke Hua Biology, Shanghai, China).<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O14-16&quot;>RNA interference<\/h3>\n<p id=&quot;O14-16-2&quot;>Lentiviral vectors containing the human-specific shRNA against mDia1 sequence or the nonsilencing shRNA sequence were purchased from GeneCopoeia (Rockville, MD). Virus was produced using Lenti-Pac lentivirus packaging kit (GeneCopoeia), according to the manufacturer&#8217;s instructions. Caco-2 cells were transfected 24 h after seeding, after which the infected cells were selected using puromycin (Solarbio, Beijing, China) for 48 h. Individual cells still growing in the presence of puromycin were isolated, and then were cultured and selected using puromycin to build a stable-transfected cell line.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O15-16&quot;>Statistical analysis<\/h3>\n<p id=&quot;O15-16-2&quot;>SPSS statistical software 21.0 (IBM, Armonk, NY) was used. All data were expressed as means \u00b1 standard deviation (SD). The statistical significance of differences between groups was determined by one-factor analysis of variance (ANOVA), followed by the least significant difference (LSD) <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>t<\/em> test for multiple comparisons. A two-tailed <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> value of less than 0.05 was considered statistically significant.<\/p>\n<h2 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;1&quot; id=&quot;O24-16&quot;>RESULTS<\/h2>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O17-16&quot;>Effects of LPS at different concentrations on Caco-2 intestinal epithelial permeability<\/h3>\n<p id=&quot;O17-16-2&quot;>In the following studies, the effects of different concentrations of LPS (0, 1, 10, and 100 \u03bcg\/mL, and 1 mg\/mL) on gut barrier permeability was determined by measuring TER and mucosal-to-serosal flux rates of FD4 in filter-grown Caco-2 intestinal monolayers for up to 48 h. Increasing concentrations above the 100 \u03bcg\/mL (including 100 \u03bcg\/mL) caused a dose-dependent drop in TER, whereas concentrations below 100 \u03bcg\/mL produced no significant decrease (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F1-16', '00024382-201602000-00016');&quot;>Fig. 1<\/a>A). Exposure of Caco-2 monolayer to 100 \u03bcg\/mL or 1 mg\/mL LPS resulted in a sharp time-dependent decrease in TER between 3 and 24 h, and did not induced significant drop between 24 and 48 h (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F1-16', '00024382-201602000-00016');&quot;>Fig. 1<\/a>A). Accordingly, 100 \u03bcg\/mL and 1 mg\/mL LPS also, respectively, caused a time-dependent increase in the flux of FD4 (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F1-16', '00024382-201602000-00016');&quot;>Fig. 1<\/a>B). These results indicated that LPS at concentrations of 100 \u03bcg\/mL or above induce Caco-2 intestinal barrier dysfunction.<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F1-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F1-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F1-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F1-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F1-16', '00024382-201602000-00016')&quot;>Fig. 1: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>Effects of different concentrations of LPS (0, 1, 10, and 100 \u03bcg\/mL, and 1 mg\/mL) stimulation on TER and FD4 permeability of Caco-2 monolayers.A, Application of 100 \u03bcg\/mL or 1 mg\/mL LPS to Caco-2 monolayers resulted in time-dependent decrease in TER for 3 to 48 h and the most obvious TER drop in 24 h. LPS below 100 \u03bcg\/mL (0, 1, and 10 \u03bcg\/mL) led to no significant TER alterations. B, The paracellular permeability of FD4 was calculated as the permeability coefficient (<em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> <sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>E<\/sub>) of FD4 flux. LPS stimulation (100 \u03bcg\/mL or 1 mg\/mL) led to FD4 flux increase in a time-dependent way between 3 and 48 h, and produced the highest <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> <sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>E<\/sub> in 24 h. LPS under 100 \u03bcg\/mL caused few significant changes in FD4 permeability. C, Effects of LPS (100 \u03bcg\/mL or 1 mg\/mL) on Caco-2 cell viability. LPS (100 \u03bcg\/mL) did not affect cell viability of Caco-2. However, 1 mg\/mL LPS obviously caused cytotoxicity effect on Caco-2 cells. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with 0 \u03bcg\/mL LPS stimulation group. FD4, fluorescein-isothiocyanate\u2013labeled dextran 4 kDa; H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide; TER, transepithelial resistance.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<p id=&quot;O17-16-4&quot;>Previous studies showed that an integrated intestinal barrier function can be destroyed either by leading to enterocyte death or simply by breaking AJC <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R22-16 R23-16 R24-16&quot;>(22\u201324)<\/a><\/sup>. To exclude the possibility that epithelial barrier breakdown in response to LPS resulted from major cell death instead of specific modulation of intercellular junction properties, we next investigated whether 100 \u03bcg\/mL or 1 mg\/mL LPS had a cytotoxic effect on Caco-2 cells. The effect of LPS on Caco-2 cell viability was determined over a 24-h experimental period by CCK8 assay. The results showed that 100 \u03bcg\/mL LPS did not affect cell viability of Caco-2 cells, in contrast to which LPS at 1 mg\/mL was high enough to have a cytotoxic effect on Caco-2 cells (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F1-16', '00024382-201602000-00016');&quot;>Fig. 1<\/a>C). Together, these results demonstrated that LPS at 100 \u03bcg\/mL did not result in cytotoxicity and that the abnormal Caco-2 monolayer permeability is not due to cell death.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O18-16&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> prevents the TER decline and FD4 flux increase induced by LPS in Caco-2 monolayers<\/h3>\n<p id=&quot;O18-16-2&quot;>In consideration of the pathological effects of LPS on intestinal epithelial barrier without Caco-2 cytotoxicity, 100 \u03bcg\/mL LPS was applied for the following studies. To determine the impacts of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on barrier-disrupting effects of LPS, Caco-2 monolayer models were incubated with both H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium and LPS simultaneously for 24 h\u2014a time point when 100 \u03bcg\/mL LPS could extremely cause barrier breakdown. As shown in <a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F2-16', '00024382-201602000-00016');&quot;>Figure 2<\/a>, A and B, in comparison with the group exposed to LPS alone, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium markedly alleviated pathological TER decrease and FD4 flux increase, suggesting a definite role of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> in Caco-2 gut barrier protection.<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F2-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F2-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F2-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F2-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F2-16', '00024382-201602000-00016')&quot;>Fig. 2: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>Effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> treatment on LPS-induced Caco-2 gut barrier dysfunction.A, There existed no significant difference in Caco-2 monolayer TER between control group and single H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> treatment group, and LPS-induced TER decrease was significantly counteracted by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> cotreatment for 24 h. B, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> incubation alone also had few effects on FD4 permeability of Caco-2 monolayers, and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> coincubation for 24 h markedly attenuated <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> <sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>E<\/sub> increase of FD4 in response to LPS. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with control group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>#<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with LPS group. FD4, fluorescein-isothiocyanate\u2013labeled dextran 4 kDa; H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide; <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> <sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>E<\/sub>, permeability coefficient; TER, transepithelial resistance.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O19-16&quot;>Effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on oxidative stress in LPS-stimulated Caco-2 cells<\/h3>\n<p id=&quot;O19-16-2&quot;>Since oxidative stress acts as an important factor for barrier injury, we next investigated the levels of ROS in Caco-2 cells after the administration of LPS and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium. Results in <a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F3-16', '00024382-201602000-00016');&quot;>Figure 3<\/a> showed that 100 \u03bcg\/mL LPS up-regulated the intracellular levels of ROS. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium partly reduced intracellular ROS production (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F3-16', '00024382-201602000-00016');&quot;>Fig. 3<\/a>), suggesting the benefit of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> for Caco-2 barrier is associated with its antioxidant effect.<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F3-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F3-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F3-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F3-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F3-16', '00024382-201602000-00016')&quot;>Fig. 3: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>Impacts of LPS and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on oxidative stress in Caco-2 cells.LPS stimulation (100 \u03bcg\/mL) significantly increased the intracellular production of ROS. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium coincubation partly down-regulated ROS levels in Caco-2 cells stimulated by LPS. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with control group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>#<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with LPS stimulation group. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide; ROS, reactive oxygen species.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O20-16&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> relieves expression and structure changes in epithelial apical junctions induced by LPS<\/h3>\n<p id=&quot;O20-16-2&quot;>The gastrointestinal paracellular barrier is achieved by intercellular junctional structures such as TJ and AJ proteins. Changes in TJ and AJ can lead to perturbations of paracellular permeability. In particular, TJ proteins such as occludin, and AJ proteins such as E-cadherin, play a major role in barrier regulation. Alterations in the expression of these proteins have been constantly discovered in gut barrier dysfunction. We therefore evaluated the effects of LPS and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on expression levels and structures of these junctional proteins. Well grown Caco-2 cells were incubated for three periods (6, 12, and 24 h) with LPS. Western blot revealed that, in line with the time-dependent changes in TER and FITC-dextran flux, the expression levels of occludin and E-cadherin were all down-regulated upon exposure to LPS at these three time points, and the most remarkable changes occurred at 24 h incubation (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F4-16', '00024382-201602000-00016');&quot;>Fig. 4<\/a>, A\u2013I). Simultaneous cotreatment with H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium partly restored alterations of these TJ and AJ proteins, whereas H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> exposure alone did not affect their abundance (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F4-16', '00024382-201602000-00016');&quot;>Fig. 4<\/a>, A\u2013I).<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F4-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F4-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F4-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F4-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F4-16', '00024382-201602000-00016')&quot;>Fig. 4: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>Effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on LPS-induced pathological expressions of both occludin and E-cadherin.A\u2013I, LPS exposure alone respectively decreased protein expression levels of occludin and E-cadherin at 6 h (A\u2013C), 12 h (D\u2013F), and 24 h (G\u2013I), showing a time-dependent down-regulation. When coincubated with H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, the down-regulated expressions of occludin and E-cadherin were partly reversed. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with control group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>#<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with LPS stimulation group. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<p id=&quot;O20-16-4&quot;>Next we investigated whether the structures of these AJCs suffered the parallel alterations or not. Immunofluorescence staining of normal Caco-2 monolayers showed that both occludin and E-cadherin were regularly distributed along the cell borders, presenting a typical \u201cchicken wire\u201d labeling pattern (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F5-16', '00024382-201602000-00016');&quot;>Fig. 5<\/a>). In line with the aggravated decline in expression levels, stimulation of Caco-2 with LPS for 24 h profoundly disrupted architectures of both occludin and E-cadherin by interrupting continuous band pattern and reorganizing the distribution of these proteins (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F5-16', '00024382-201602000-00016');&quot;>Fig. 5<\/a>). Concurrent administration of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium substantially reversed these LPS-induced alterations (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F5-16', '00024382-201602000-00016');&quot;>Fig. 5<\/a>).<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F5-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F5-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F5-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F5-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F5-16', '00024382-201602000-00016')&quot;>Fig. 5: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>Effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on LPS-caused structural disruptions of both occludin and E-cadherin.Normal morphology of occludin (red) and E-cadherin (green) in Caco-2 monolayers stained by immunofluorescence showed \u2018chicken wire\u2019-like pattern. LPS stimulation disrupted the localization and distribution of occludin and E-cadherin. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> cotreatment for 24 h effectively eliminated these pathological morphological alterations of occludin and E-cadherin. Scale bar = 10 \u03bcm. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O21-16&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> alleviates LPS-caused Caco-2 barrier dysfunction by mediating the activation of RhoA<\/h3>\n<p id=&quot;O21-16-2&quot;>On the basis of accumulating evidences that RhoA GTPase acted as a major regulator for the AJC formation and disassembly, impacts of both LPS and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on the RhoA activation were examined by G-Lisa assay <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R25-16 R26-16 R27-16&quot;>(25\u201327)<\/a><\/sup>. Results shown in <a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F6-16', '00024382-201602000-00016');&quot;>Figure 6<\/a>A revealed that LPS administration for 24 h dramatically activated GTP-binding RhoA in Caco-2 cells, whereas simultaneous addition of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium effectively calmed down GTP-RhoA activity and kept it at a lower but still activated level, implying a potential role of RhoA in H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-mediated intestinal barrier protection.<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F6-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F6-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F6-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F6-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F6-16', '00024382-201602000-00016')&quot;>Fig. 6: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> regulates RhoA signaling to exert protective effects on Caco-2 barrier function.A, RhoA activity was detected by G-Lisa assay. LPS dramatically elevated levels of RhoA activation, and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> coincubation effectively dropped RhoA activity to a moderate level. B and C, Compared with the ameliorative Caco-2 barrier protected by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> cotreatment, CN03 pretreatment eliminated these H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-exerted gut barrier benefits. Compared with the down-regulated transepithelial\/endothelial electrical resistance (TEER) and up-regulated FD4 permeability of Caco-2 monolayers caused by LPS, C3 exoenzyme pretreatment attenuated these pathological barrier functions. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with control group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>#<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with LPS stimulation group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00a7<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> cotreatment (LPS + H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>) group. FD4, fluorescein-isothiocyanate\u2013labeled dextran 4 kDa; H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide; RhoA, Ras homolog gene family member A.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<p id=&quot;O21-16-4&quot;>To further evaluate involvements of RhoA in H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-induced barrier benefits, both RhoA activator CN03 and Rho inhibitor C3 exoenzyme were applied, respectively. Caco-2 monolayers were preincubated with 1 \u03bcg\/mL CN03 for 3 h before cotreatment of LPS and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium. <a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F6-16', '00024382-201602000-00016');&quot;>Figure 6<\/a>B and C demonstrated that CN03 addition remarkably counteracted the beneficial effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on TER and FD4 flux. In addition, pretreatment with 2.5 \u03bcg\/mL C3 exoenzyme for 1 h before LPS stimulation mitigated the pathological permeability disrupted by LPS (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F6-16', '00024382-201602000-00016');&quot;>Fig. 6<\/a>, B and C). Thus, these observations suggested that H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> may exert protective effects on LPS-induced barrier dysfunction of Caco-2 monolayers via down-regulating RhoA activation.<\/p>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O22-16&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> attenuated LPS-induced disruptions of the epithelial AJC by suppressing RhoA activity<\/h3>\n<p id=&quot;O22-16-2&quot;>Since RhoA was identified as playing a pivotal role in H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-induced restoration of Caco-2 barrier function, we further investigated involvements of RhoA in H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-mediated protection on TJ and AJ. Western blot analysis showed that, in agreement with functional changes in barrier permeability, robust RhoA activation by CN03 largely abrogated benefits for occludin and E-cadherin expression exerted by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> upon LPS stimulation, and RhoA inhibition by C3 exoenzyme alleviated LPS-caused down-regulated expressions of TJ and AJ (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F7-16', '00024382-201602000-00016');&quot;>Fig. 7<\/a>, A\u2013C). Likewise, immunofluorescence in <a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F8-16', '00024382-201602000-00016');&quot;>Figure 8<\/a> revealed that CN03 preadministration observably eliminated H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-modulated reconstruction of continuous and integrated band pattern of occludin and E-cadherin, and C3 exoenzyme preaddition reversed LPS-induced abnormal alterations in structures of occludin and E-cadherin, hinting that RhoA is necessary for the AJC protection by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>. On the basis of the above discussion, a perspective was upheld that H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> down-regulates RhoA activity to a mild level, therefore providing antihyperpermeability effects in the presence of LPS.<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F7-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F7-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F7-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F7-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F7-16', '00024382-201602000-00016')&quot;>Fig. 7: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> lightens LPS-disrupted down-regulated expressions of both TJ and AJ via modulating RhoA activation.A\u2013C, Compared with LPS and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> coincubation, CN03 preaddition down-regulated occludin and E-cadherin. Compared with single LPS stimulation, C3 exoenzyme pretreatment partly up-regulated expressions of these AJC expressions. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with control group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>#<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with LPS stimulation group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00a7<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> cotreatment (LPS + H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>) group. AJC, apical junctional complex; H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide.<\/div>\n<\/figcaption><\/figure>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F8-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F8-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F8-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F8-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F8-16', '00024382-201602000-00016')&quot;>Fig. 8: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> alleviates LPS-induced disturbed distributions of occludin and E-cadherin by regulating RhoA activity.Distributions of occludin (red) and E-cadherin (green) cured by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> were again disrupted by CN03 pretreatment. Pathological structures of the AJC caused by LPS were reversed by C3 exoenzyme preaddition. Scale bar = 10 \u03bcm. AJ, adherens junction; AJC, apical junctional complex; H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide; RhoA, Ras homolog gene family member A; TJ, tight junction.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<h3 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;2&quot; id=&quot;O23-16&quot;>mDia1, a downstream of RhoA, is required for H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> to counteract LPS-induced barrier dysfunction and the AJC disruptions<\/h3>\n<p id=&quot;O23-16-2&quot;>In search for downstream effectors of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>\/RhoA, we next investigated the potential role of a typical RhoA target mDia1, which assembles actin filaments and modulates microtubule dynamics to establish and maintain intercellular junctional complex <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R8-16 R9-16&quot;>(8, 9)<\/a><\/sup>. First we noticed that LPS stimulation alone decreased mDia1 expression in Caco-2 cells (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F9-16', '00024382-201602000-00016');&quot;>Fig. 9<\/a>, A and B). The concurrent treatment with LPS and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium, which maintained mild RhoA activation, distinctly improved the abundance of mDia1 (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F9-16', '00024382-201602000-00016');&quot;>Fig. 9<\/a>, A and B). Then we investigated whether mDia1 participated in H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-exerted interference with intestinal barrier dysfunction caused by LPS. As is shown in <a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F9-16', '00024382-201602000-00016');&quot;>Figure 9<\/a>D and E, knocking down of mDia1 by siRNA restored the ability of LPS to wreck the normal TER and FD4 flux of the Caco-2 monolayers, which were previously blocked by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>. Caco-2 barrier function was also impaired by mDia1 knockdown without LPS stimulation, suggesting the necessity of mDia1 for barrier maintenance. Furthermore, the down-expression of mDia1 eliminated the effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium on expression levels of occludin and E-cadherin (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F10-16', '00024382-201602000-00016');&quot;>Fig. 10<\/a>, A\u2013C). Accordingly, mDia1 knockdown counteracted the beneficial effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on structures of TJ and AJ (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F11-16', '00024382-201602000-00016');&quot;>Fig. 11<\/a>). Single mDia1 knockdown without LPS treatment destroyed both TJ and AJ (<a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F10-16', '00024382-201602000-00016');&quot;>Fig. 10<\/a>, A\u2013C and <a href=&quot;javascript:void(0)&quot; onclick=&quot;javascript:showSlideShowByImageID('F11-16', '00024382-201602000-00016');&quot;>Fig. 11<\/a>). Together, these findings support an emerging notion that, in an <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>in vitro<\/em> Caco-2 monolayer barrier, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> can modulate LPS-stimulated robust RhoA activation to a down-regulated but still moderately activated level, which next increases mDia1 expression level, thereby preventing the destruction of both TJ and AJ, and enhancing the intestinal epithelial barrier function.<\/p>\n<section class=&quot;ejp-r-article-images&quot;>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F9-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F9-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F9-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F9-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F9-16', '00024382-201602000-00016')&quot;>Fig. 9: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> protects barrier permeability of Caco-2 monolayers by up-regulating mDia1.A and B, LPS decreased mDia1 expression in Caco-2 cells, whereas H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> coincubation up-regulated mDia1 abundance. C, Expression of mDia1 in Caco-2 cells was decreased by RNA interference. D and E, Protective effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on TER and FD4 flux were eliminated by mDia1 knockdown in Caco-2 monolayers. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with control group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>#<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with LPS stimulation group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00a7<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> co-treatment (LPS + H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>) group. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; FD4, fluorescein-isothiocyanate\u2013labeled dextran 4 kDa; LPS, lipopolysaccharide; TER, transepithelial resistance.<\/div>\n<\/figcaption><\/figure>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F10-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F10-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F10-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F10-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F10-16', '00024382-201602000-00016')&quot;>Fig. 10: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> attenuates pathological expressions of the AJC via mDia1 up-regulation.A, In Caco-2 cells of mDia1 knockdown, expression levels of occludin and E-cadherin were dropped, and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-induced benefits for expressions of TJ and AJ were partly eliminated. <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>*<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with control group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>#<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with LPS stimulation group; <sup xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>\u00a7<\/sup> <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>P<\/em> &lt; 0.05 compared with H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> co-treatment (LPS + H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>) group. AJ, adherens junction; AJC, apical junctional complex; H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas; LPS, lipopolysaccharide; TJ, tight junction.<\/div>\n<\/figcaption><\/figure>\n<figure class=&quot;ejp-r-article-images__figure&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__image-link&quot; onclick=&quot;showSlideShowByImageID('F11-16', '00024382-201602000-00016')&quot;><img class=&quot;ejp-r-article-images__img js-lazy-load lazy-load&quot; src=&quot;javascript:void(0);&quot; data-src=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview.00024382-201602000-00016.F11-16.jpeg&quot; data-srcset=&quot;https:\/\/images.journals.lww.com\/shockjournal\/ArticleViewerPreview@2.00024382-201602000-00016.F11-16.jpeg 2x&quot; srcset=&quot;&quot; alt=&quot;F11-16&quot;><\/a><figcaption class=&quot;ejp-r-article-images__figcaption&quot;><a href=&quot;javascript:void(0)&quot; class=&quot;ejp-r-article-images__figcaption-link&quot; onclick=&quot;showSlideShowByImageID('F11-16', '00024382-201602000-00016')&quot;>Fig. 11: <\/a><\/p>\n<div class=&quot;ejp-r-article-images__figcaption-text&quot;>H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> ameliorates pathological structures of occludin and E-cadherin via up-regulating mDia1.The mDia1 knockdown disrupted normal structures of occludin (red) and E-cadherin (green). H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-induced protective effects on occludin and E-cadherin were impaired by mDia1 knockdown. Scale bar = 10 \u03bcm. H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, hydrogen gas.<\/div>\n<\/figcaption><\/figure>\n<\/section>\n<h2 class=&quot;ejp-article-outline-heading&quot; data-level=&quot;1&quot; id=&quot;O25-16&quot;>DISCUSSION<\/h2>\n<p id=&quot;O25-16-2&quot;>The gut epithelium offers a crucial physical barrier against the access of hostile substances from the external environment. TJs and AJs, collectively known as the AJC, seal the paracellular gaps between adjacent enterocytes, and thereby form multifunctional structures, guarding the internal environment against luminal components <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R3-16 R5-16&quot;>(3, 5)<\/a><\/sup>. Intestinal epithelial barrier dysfunction is widely accepted as a major origin or final pathway contributing to sepsis, septic shock, and MODS <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R28-16&quot;>(28)<\/a><\/sup>.<\/p>\n<p id=&quot;O25-16-3&quot;>Lipopolysaccharide\u2014a main component from cell wall of Gram-negative bacteria\u2014is one of the most potent innate oxidative stress-activating stimuli <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R22-16&quot;>(22)<\/a><\/sup>. Previous experiments have discovered that, when infected by LPS,, the intestinal barrier becomes pathologically hyperpermeable <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R22-16 R23-16&quot;>(22, 23)<\/a><\/sup>. The human intestinal Caco-2 cell line, which is originally obtained from human adenocarcinoma and expresses typical morphological and functional features of mature enterocyte after differentiation, has been widely utilized as a validated <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>in vitro<\/em> model for the gut barrier <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R29-16&quot;>(29)<\/a><\/sup>. Previous experiments have revealed that, different doses of LPS show distinct effects on Caco-2 monolayers <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R22-16 R28-16&quot;>(22, 28)<\/a><\/sup>. In the present study, we reconfirmed that LPS at a concentration of 100 \u03bcg\/mL observably showed its barrier-breaker role by disturbing the expressions and distributions of TJ and AJ, without affecting Caco-2 viability. Actually, the physiologically and clinically relevant concentration of LPS is about 0 to 10 ng\/mL, and LPS at 1 \u03bcg\/mL can markedly activate cultured cells <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R22-16&quot;>(22)<\/a><\/sup>. However, the present study supported that LPS at lower concentrations (0\u201310 \u03bcg\/mL) hardly affected barrier function.<\/p>\n<p id=&quot;O25-16-4&quot;>Nowadays, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> has been recognized as a medical gas with promising potentials to prevent or cure a series of diseases, such as ischemia\/reperfusion injury, neurodegeneration, metabolic syndrome, inflammation, mitochondrial diseases, and even cancers <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R11-16 R30-16 R31-16&quot;>(11, 30, 31)<\/a><\/sup>. Our researches published previously have revealed that 2% or 4% H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> inhalation effectively improves survival rates of septic animals and relieves sepsis-related organ injuries <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R12-16 R13-16&quot;>(12, 13)<\/a><\/sup>. However, studies about the hypothesis whether these mentioned protections against sepsis induced by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> is in relation to the intestine have seldom been reported. In fact, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> administration with different methods has been proved definitely effective for several intestinal diseases <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R15-16 R16-16 R32-16&quot;>(15, 16, 32)<\/a><\/sup>. Consistent with these benefits for the intestine, in the present study, we proved the protective role of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium in LPS-disrupted gut barrier model <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>in vitro<\/em>. The excessive oxidative stress has been reported to be associated with gut barrier dysfunction <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R33-16&quot;>(33)<\/a><\/sup>. In consideration of antioxidant effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>, we examined the oxidative stress, and confirmed that H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> could lower intracellular ROS production, hinting that the advantages for gut barrier by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> may be related to antioxidation.<\/p>\n<p id=&quot;O25-16-5&quot;>Hydrogen gas can also protect against sepsis by modulating many signal pathways <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R14-16 R20-16 R30-16&quot;>(14, 20, 30)<\/a><\/sup>. Therefore, experiments were conducted to elucidate mechanisms by which H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> modulated Caco-2 barrier function. Since the present results revealed involvements of RhoA-mDia1 in LPS-stimulated gut barrier breakdown, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> effects on this signal pathway were explored. Our current results found that H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> suppressed RhoA activity. Furthermore, RhoA activator eliminated the protections of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on barrier integrity and AJC, and RhoA inhibitor reversed LPS-disrupted gut barrier, suggesting the protective effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> against barrier dysfunction is dependent on the decrease of RhoA activity. In physiological conditions, TJ and AJ undergo dynamic regulations between assembly and disassembly, and appropriate Rho activity plays a crucial role in this dynamics, thereby maintaining the AJC at a stable state <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R8-16 R34-16&quot;>(8, 34)<\/a><\/sup>. Instead of suppressing RhoA activity below a physiological degree, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> kept it at a moderately activated level in LPS-stimulated Caco-2 cells, which may explain how H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> served as a rescuer for gut permeability.<\/p>\n<p id=&quot;O25-16-6&quot;>Previous investigations have indicated that the complicated connections between RhoA and the AJC can be elucidated by two different downstream effectors, Rho-associated coiled-coil protein kinase (ROCK) and mDia1 <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R6-16&quot;>(6)<\/a><\/sup>. Under physiological circumstance, ROCK promotes actomyosin contraction and actin polymerization, whereas mDia1 facilitates actin polymerization and microtubule organization <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R6-16 R9-16&quot;>(6, 9)<\/a><\/sup>. Sahai et al. confirmed that RhoA activation in low degree selectively transmits signals through mDia to stabilize the AJC, whereas robust RhoA activity tends to favor ROCK-dependent AJ destruction <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R8-16&quot;>(8)<\/a><\/sup>. Gavard et al. also found that both intensity and space distribution of active RhoA impact options of downstream signaling <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R35-16&quot;>(35)<\/a><\/sup>. Additionally, our previous findings have demonstrated that H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium decreases expression of ROCK to attenuate LPS-caused vascular endothelial hyperpermeability and vascular endothelial-cadherin disruption <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R20-16&quot;>(20)<\/a><\/sup>. Thus, in the present study, we supposed whether an alternative downstream target, mDia1, participated in mild RhoA activation-dependent protection of intestinal barrier by H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium. Results showed that, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> could effectively increase mDia1 expression in LPS-exposed Caco-2 cells, whereas H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> treatment alone did not affect mDia1, conforming mDia1 as a downstream of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-modulated RhoA. Further, in mDia1-interfered Caco-2 monolayers, H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> lost its protective effects on gut barrier permeability, and both expressions and structures of occludin and E-cadherin were again disrupted by endotoxin, suggesting that H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-induced advantages for intestine was mDia1-dependent.<\/p>\n<p id=&quot;O25-16-7&quot;>However, there are two limitations in this study. First of all, 100 \u03bcg\/mL LPS used in the present study is so high that this concentration could be unlikely achieved <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>in vivo<\/em>. In addition, the employment of immortalized cancer cell line as an <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>in vitro<\/em> gut model is another limitation in this study. On the basis of these two limitations, an <em xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>in vivo<\/em> model of the LPS-induced increase in mouse intestinal permeability as previously described should be introduced for further investigation <sup><a class=&quot;ejp-citation-link js-ejp-citation-link&quot; data-reference-links=&quot;R22-16&quot;>(22)<\/a><\/sup>.<\/p>\n<p id=&quot;O25-16-8&quot;>To sum up, our researches illuminated that, in Caco-2 monolayers, 100 \u03bcg\/mL LPS caused pathological RhoA signal activation which then damaged barrier permeability, and H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub>-rich medium could stabilize RhoA activity at a mild but still active level to increase mDia1 expression, therefore mitigating disruptions of cell\u2013cell junctions and enhancing the intestinal epithelial barrier function. These findings may provide a possible mechanism for curative effects of H<sub xmlns_mrws=&quot;http:\/\/webservices.ovid.com\/mrws\/1.0&quot;>2<\/sub> on sepsis.<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Hydrogen-Rich Medium Ameliorates Lipopolysaccharide-Induced Barrier Dysfunction via Rhoa-Mdia1 Signaling in CACO-2 Cells<\/p>\n","protected":false},"author":1,"featured_media":17899,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[130],"tags":[],"disease":[843],"body-organ":[1025],"applications":[688],"test_subjects":[1520],"report-topic":[1329],"class_list":["post-27354","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hydrogen-health","disease-sepsis-2","body-organ-intestine-2","applications-culture-media-2","test_subjects-cell-culture-2","report-topic-multiple-organ-dysfunction-syndrome-mods-2"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>H2-Rich Medium Improves Barrier Dysfunction in CACO-2 Cells<\/title>\n<meta name=\"description\" content=\"Hydrogen-Rich Medium Ameliorates Lipopolysaccharide-Induced Barrier Dysfunction via Rhoa-Mdia1 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