Mechanisms of Intestinal Serotonin Transporter (SERT) Upregulation by TGF-β1 Induced Non-Smad Pathways

TGF-beta 1 is an important multifunctional cytokine with numerous protective effects on intestinal mucosa. The influence of TGF-beta 1 on serotonin transporter (SERT) activity, the critical mechanism regulating the extracellular availability of serotonin (5-HT), is not known. Current studies were designed to examine acute effects of TGF-beta 1 on SERT. Model human intestinal Caco-2 cells grown as monolayer's or as cysts in 3D culture and ex vivo mouse model were utilized. Treatment of Caco-2 cells with TGF-beta 1 (10 ng/ml, 60 min) stimulated SERT activity (similar to 2 fold, P<0.005). This stimulation of SERT function was dependent upon activation of TGF-beta 1 receptor (TGFRI) as SB-431542, a specific TGF-beta RI inhibitor blocked the SERT stimulation. SERT activation in response to TGF-beta 1 was attenuated by inhibition of PI3K and occurred via enhanced recruitment of SERT-GFP to apical surface in a PI3K dependent manner. The exocytosis inhibitor brefeldin A (2.5 mu M) attenuated the TGF-beta 1-mediated increase in SERT function. TGF-beta 1 increased the association of SERT with the soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) syntaxin 3 (STX3) and promoted exocytosis of SERT. Caco-2 cells grown as cysts in 3D culture recapitulated the effects of TGF-beta 1 showing increased luminal staining of SERT. Ussing chamber studies revealed increase in H-3-5-HT uptake in mouse ileum treated ex vivo with TGF-beta 1 (10 ng/ml, 1h). These data demonstrate a novel mechanism rapidly regulating intestinal SERT via PI3K and STX3. Since decreased SERT is implicated in various gastro-intestinal disorders e.g IBD, IBS and diarrhea, understanding mechanisms stimulating SERT function by TGF-beta 1 offers a novel therapeutic strategy to treat GI disorders.