Neutrophil infiltration mediated by
TNF-alpha is associated with various types of gastric injury, whereas PGs play a crucial role in gastric defense. We examined roles of two
isoforms of
cyclooxygenase (COX) and
PGE2 in Helicobacter pylori-induced
gastritis in mice. Mice infected with H. pylori were given selective COX-1 inhibitor
SC-560 (10 mg/kg), selective
COX-2 inhibitor NS-398 (10 mg/kg), or nonselective COX inhibitor
indomethacin (2 mg/kg) with or without 16,16-dimethyl
PGE2 for 1 wk. H. pylori
infection increased levels of
mRNA for COX-1 and -2 in gastric tissue by 1.2-fold and 3.3-fold, respectively, accompanied by a significant increase in
PGE2 production by gastric tissue. H. pylori
infection significantly elevated MPO activity, a marker of neutrophil infiltration, and epithelial cell apoptosis in the stomach.
SC-560 augmented MPO activity and epithelial cell apoptosis with associated reduction in
PGE2 production, whereas
NS-398 had the same effects without affecting
PGE2 production. Inhibition of both COX-1 and -2 by
indomethacin or concurrent treatment with
SC-560 and
NS-398 resulted in a stronger increase in MPO activity and apoptosis than inhibition of either COX-1 or -2 alone. H. pylori
infection elevated
TNF-alpha mRNA expression in the stomach, which was further increased by
indomethacin. Effects of COX inhibitors on neutrophil infiltration, apoptosis, and
TNF-alpha expression in H. pylori-infected mice were abolished by exogenous 16,16-dimethyl
PGE2. In conclusion,
PGE2 derived from either COX-1 or -2 is involved in regulation of gastric mucosal
inflammation and contributes to maintenance of mucosal integrity during H. pylori
infection via inhibition of
TNF-alpha expression.