Genetic ablation of carbonic anhydrase IX disrupts gastric barrier function via claudin‐18 downregulation and acid backflux

• Published in: Acta Physiologica Vol. 222; no. 4; pp. e12923 - n/a
• Main Authors: Li, T., Liu, X., Riederer, B., Nikolovska, K., Singh, A. K., Mäkelä, K. A., Seidler, A., Liu, Y., Gros, G., Bartels, H., Herzig, K. H., Seidler, U.
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.04.2018; John Wiley and Sons Inc
• Subjects: Acids; Animals; Carbon dioxide; carbonic anhydrase; Carbonic Anhydrase IX - metabolism; Carbonic anhydrases; claudins; Claudins - metabolism; Confocal microscopy; Cytokines; Down-Regulation; Epithelial cells; gastric acid; Gastric Acid - metabolism; Gastric mucosa; Gastric Mucosa - metabolism; gastric mucosal defence; Gastrin; Gastrointestinal Physiology; Hydrogen-Ion Concentration; Hyperplasia; IL-1β; Inflammation; Mice; Mice, Inbred C57BL; Mice, Knockout; Molecular modelling; Mucous membrane; Nitric-oxide synthase; Parietal cells; Parietal Cells, Gastric - metabolism; pHi regulation; Protons; Regular Paper; Rodents; tight junctions; Weaning; carbonic anhydrase; gastric mucosal defence; gastric acid; tight junctions; claudins; pHi regulation
• ISSN: 1748-1708; 1748-1716
• DOI: 10.1111/apha.12923

Aim This study aimed to explore the molecular mechanisms for the parietal cell loss and fundic hyperplasia observed in gastric mucosa of mice lacking the carbonic anhydrase 9 (CAIX). Methods We assessed the ability of CAIX‐knockout and WT gastric surface epithelial cells to withstand a luminal acid load by measuring the pHi of exteriorized gastric mucosa in vivo using two‐photon confocal laser scanning microscopy. Cytokines and claudin‐18A2 expression was analysed by RT‐PCR. Results CAIX‐knockout gastric surface epithelial cells showed significantly faster pHi decline after luminal acid load compared to WT. Increased gastric mucosal IL‐1β and iNOS, but decreased claudin‐18A2 expression (which confer acid resistance) was observed shortly after weaning, prior to the loss of parietal and chief cells. At birth, neither inflammatory cytokines nor claudin‐18 expression were altered between CAIX and WT gastric mucosa. The gradual loss of acid secretory capacity was paralleled by an increase in serum gastrin, IL‐11 and foveolar hyperplasia. Mild chronic proton pump inhibition from the time of weaning did not prevent the claudin‐18 decrease nor the increase in inflammatory markers at 1 month of age, except for IL‐1β. However, the treatment reduced the parietal cell loss in CAIX‐KO mice in the subsequent months. Conclusions We propose that CAIX converts protons that either backflux or are extruded from the cells rapidly to CO2 and H2O, contributing to tight junction protection and gastric epithelial pHi regulation. Lack of CAIX results in persistent acid backflux via claudin‐18 downregulation, causing loss of parietal cells, hypergastrinaemia and foveolar hyperplasia.