Abstract
   Lipid peroxides (LOOHs) abound in processed food and have been
   implicated in the pathology of diverse diseases including gut,
   cardiovascular, and cancer diseases. Recently, RNA Sequencing (RNA-seq)
   has been widely used to profile gene expression. To characterize gene
   expression and pathway dysregulation upon exposure to peroxidized
   linoleic acid, we incubated intestinal epithelial cells (Caco-2) with
   100 µM of 13-hydroperoxyoctadecadienoic acid (13-HPODE) or linoleic
   acid (LA) for 24 h. Total RNA was extracted for library preparation and
   Illumina HiSeq sequencing. We identified 3094 differentially expressed
   genes (DEGs) in 13-HPODE-treated cells and 2862 DEGs in LA-treated
   cells relative to untreated cells. We show that 13-HPODE enhanced lipid
   metabolic pathways, including steroid hormone biosynthesis, PPAR
   signaling, and bile secretion, which alter lipid uptake and transport.
   13-HPODE and LA treatments promoted detoxification mechanisms including
   cytochrome-P450. Conversely, both treatments suppressed oxidative
   phosphorylation. We also show that both treatments may promote
   absorptive cell differentiation and reduce proliferation by suppressing
   pathways involved in the cell cycle, DNA synthesis/repair and
   ribosomes, and enhancing focal adhesion. A qRT-PCR analysis of
   representative DEGs validated the RNA-seq analysis. This study provides
   insights into mechanisms by which 13-HPODE alters cellular processes
   and its possible involvement in mitochondrial dysfunction-related
   disorders and proposes potential therapeutic strategies to treat
   LOOH-related pathologies.
   Keywords: lipid peroxidation, gene expression, metabolism
1. Introduction
   Dietary lipids, including vegetable oils, contain different quantities
   of the most common dietary polyunsaturated fatty acid (PUFA), linoleic
   acid (LA), in the form of triglycerides, which are hydrolyzed by bile
   and lipases. This process releases large amounts of free fatty acids
   (FFAs), often in millimolar quantities, that are absorbed by intestinal
   cells [[32]1]. Depending on processing (e.g., deep frying), the
   ingested lipids may contain varying quantities of peroxidized PUFAs and
   their decomposition products [[33]2]. Dietary lipid peroxides (LOOHs)
   are broken down in the gut, resulting in the production of other lipid
   peroxidation products, such as epoxy ketones, and the release of
   peroxidized fatty acids (FAs) that reach the enterocytes, where they
   get absorbed [[34]3]. It has been demonstrated that dietary LOOHs from
   overheated oils contribute to the presence of peroxidized FAs in the
   lipoproteins [[35]4], which indicates that even though dietary LOOHs
   undergo a set of enzymatic digestion, peroxidized FAs reach the
   intestine and get absorbed.
   LOOHs have been strongly linked to disorders of the digestive system,
   including inflammatory bowel disease (IBD) and malignancy [[36]5].
   Studies have demonstrated that while LOOH is efficiently absorbed by
   the fully differentiated (Dif) intestinal epithelial cells and
   transported in the lymph, it is poorly taken up by undifferentiated
   cells [[37]3,[38]6]. In addition, it has been demonstrated that the
   uptake of oxidized FAs by Dif Caco-2 cells is dependent on the presence
   of brush borders and is comparable to the uptake of unoxidized FAs in
   Dif Caco-2 cells [[39]3]. 13-hydroperoxyoctadecadienoic acid (13-HPODE)
   is decomposed by cells rapidly into aldehydes, including
   4-hydroxynonenal (4-HNE) and oxononanoic acid (ONA), which are
   cytotoxic and cause the generation of reactive oxygen species (ROS).
   Previous studies have shown that LOOH caused oxidative stress and the
   loss of cellular integrity in the intestinal epithelium [[40]7].
   Peroxidized fat consumption has also been reported to cause
   pro-inflammatory changes in the intestine [[41]8,[42]9].
   Iron/ascorbate-mediated production of LOOH in Caco-2 cells has been
   shown to result in activation of NF-κB, which regulates inflammatory
   processes [[43]10]. Dietary LOOHs have also been implicated in
   cardiovascular disease [[44]3,[45]11]. Previous studies also showed
   that peroxidized fat was carried in the chylomicrons [[46]12], which
   was correlated with the peroxidized fat content in the diet
   [[47]13]—these are believed to be re-packaged and distributed in the
   lipoproteins. The presence of peroxidized fat in the chylomicrons has
   been shown to increase the atherogenicity of dietary cholesterol
   [[48]14] and promote the absorption of cholesterol [[49]15].
   The Caco-2 cell line is a human intestinal epithelial cell line that is
   derived from human colorectal adenocarcinoma [[50]16]. Under certain
   cultivation conditions, Caco-2 cells differentiate into a cell
   monolayer that possesses absorptive features and brush borders
   resembling human enterocytes. This cell line has been widely used in
   studies involving cellular uptake, transport, and metabolism of drugs
   and food molecules, including lipids [[51]3,[52]15,[53]17]. Using the
   Caco-2 cell line to study lipid transport and metabolism by intestinal
   epithelium is less challenging than using in vivo animal models
   [[54]18]. Previous research has revealed that sub-cytotoxic levels of
   LOOH cause significant injury and mitogenic changes to Caco-2 cells,
   whereas higher concentrations of LOOH promote cell death
   [[55]19,[56]20]. LOOHs have also been suggested to induce redox
   imbalance and disruption of intestinal epithelial turnover [[57]21].
   Accordingly, the response of Caco-2 cells to LOOH depends on the amount
   of LOOH to which intestinal cells are exposed. In addition, LOOH
   reduced cell membrane fluidity and increased permeability in intestinal
   epithelial cells [[58]22]; the latter of which is a reported effect in
   patients with IBD [[59]23]. Changes in membrane fluidity and dynamics
   could affect several cellular processes [[60]24], including lipid
   absorption by enterocytes and secretion into lacteals [[61]25]. In
   addition, LOOH appeared to induce DNA damage as well [[62]7].
   A recently published study demonstrated similar results between Caco-2
   cells treated with 13-HPODE and mice fed with 13-HPODE [[63]26], which
   makes treatment of Caco-2 cells with 13-HPODE a good model of dietary
   LOOH intake. Thus, in this study, we used Caco-2 cells to investigate
   the effects of 13-HPODE, the most common dietary lipid peroxide, on the
   metabolic processes, cellular pathways, and phenotype of the intestinal
   epithelium. We generated gene expression profiles using RNA-seq to gain
   insights into how Caco-2 cells respond to 13-HPODE. We used these data
   to identify molecular mechanisms that may explain the contribution of
   lipid peroxidation to health conditions and their potential role in gut
   pathology. Here, we conducted RNA sequencing of Caco-2 cells treated
   with a specific LOOH, 13-HPODE, a lipoxidase-derived product from LA,
   since LA is the most abundant dietary PUFA [[64]27]. Bioinformatic
   analyses of the generated RNA-seq data provided valuable information on
   dysregulated genes and disrupted pathways in Caco-2 cells in response
   to 13-HPODE, the most common dietary LOOH. We compared the results
   obtained from 13-HPODE-treated cells with the gene expression profile
   of Caco-2 cells treated with LA, which represented non-peroxidized
   lipids. Treatment of Caco-2 cells with LA mimics the intake of
   vegetable oils such as soybean and canola oils and nuts as LA is the
   most common omega-6 PUFA in vegetable oils and in the Western diet
   [[65]28]. In addition, comparable results were seen when intestinal
   culture cells were treated with pure linoleic acid or lipase-digested
   sesame oil [[66]29]. Validation of RNA-seq results was carried out
   using qRT-PCR analysis, which showed consistent results with our
   RNA-seq data. In future works, these investigations could provide
   potential therapeutic strategies to treat diseases associated with the
   consumption of peroxidized linoleic acid.
2. Materials and Methods
2.1. Cell Culture
   Caco-2 cells were purchased from American Type Culture Collection
   (ATCC) (Rockville, MD, USA). Cells were cultured in Dulbecco’s modified
   Eagle’s medium (DMEM; Invitrogen, Carlsbad, USA) supplemented with 15%
   fetal bovine serum (FBS; Invitrogen, Carlsbad, USA), 2 mM L-glutamine
   (Invitrogen, Carlsbad, CA, USA), and 1% penicillin-streptomycin
   (Invitrogen, Carlsbad, CA, USA). After attaining confluence, cells were
   cultured in the same medium supplemented with 7.5% FBS and the same
   concentration of other constituents. Confluent cells were trypsinized
   using 0.25% Trypsin-EDTA solution (Thermo Fisher Scientific, Waltham,
   MA, USA). Caco-2 cells were seeded in 6-well plates and experiments
   were carried out on fully differentiated cells (Dif; Day-14).
2.2. Preparation of Lipid Peroxide
   Stock solution of linoleic acid (LA) (Sigma #W338001-25G, St. Louis,
   MO, USA) was prepared in ethanol, and LA (200 μM) in phosphate-buffered
   saline (PBS; Invitrogen, Carlsbad, CA, USA) was prepared for LA
   treatment of cells. 13-hydroperoxyoctadecadienoic acid (13-HPODE) was
   freshly prepared in PBS as previously described [[67]9,[68]14,[69]30].
   Briefly, LA (200 μM) in PBS (pH 7.4) was oxidized with the addition of
   10 U soybean lipoxygenase (Sigma #L6632-1MU), which can be easily
   miscible with the medium. Conjugated diene formation during oxidation
   was monitored by scanning the absorption between 200 nm and 300 nm
   using a spectrophotometer (Uvikon XL, Biotek Instruments, El Cajon, CA,
   USA), using PBS as the reference. The conversion of linoleic acid into
   its oxidized form was observed as an increase in the optical density at
   234 nm. Peroxide content was determined using a leucomethylene blue
   (LMB) assay [[70]31]. The whole solution of the freshly prepared
   13-HPODE was filter-sterilized to reduce the risk of contamination and
   used for the cell culture experiments within 2 h of preparation to
   minimize spontaneous peroxide decomposition.
2.3. Treatment of Cells with 13-HPODE/LA
   As previously described [[71]26], Dif Caco-2 cells were starved in
   serum-free medium for 3 h prior to treatment. Cells were treated with
   100 µM of either 13-HPODE or LA for 24 h. Untreated control cells were
   maintained with equal amounts of PBS to match the treatments. After 24
   h incubation, cells were rinsed with PBS and harvested into TRIzol for
   total RNA isolation. Experiments were run in triplicate.
2.4. Total RNA Extraction and Quantification
   Cells were lysed directly in the 6-well culture plates using TRIzol
   reagent (Invitrogen, 15596026). Cell lysate was transferred to tubes
   and chloroform was added. The samples were vortexed and incubated at
   room temperature for 3 min then centrifuged at 12,400× g for 15 min.
   The upper aqueous phase, containing RNA, was transferred into fresh
   tubes. Isopropyl alcohol was added to the samples and centrifuged for
   10 min at 12,000× g to precipitate RNA from the aqueous phase. Total
   RNA was washed with ethanol at 7500× g for 5 min and air-dried for 2–3
   min. RNA was resuspended in RNase-free water, then sample
   concentration, purity, and quality were determined using a NanoDrop
   spectrophotometer (Thermo Fisher Scientific, Waltham, MA, USA), which
   showed absorbance ratios of 1.8–2 at 260 nm and 280 nm. Any
   co-extracted DNA was removed from RNA samples using the TURBO DNA-free
   kit (Invitrogen, AM1907, Carlsbad, CA, USA), following the
   manufacturer’s instructions.
2.5. RNA-seq Library Preparation and Sequencing
   We isolated mRNA from total RNA samples using the NEBNext Poly(A) mRNA
   Magnetic Isolation Module (New England Biolabs, E7490S, Ipswich, MA,
   USA) with an approximate input of 500 ng of total RNA per sample.
   RNA-seq libraries were prepared from mRNA samples using the NEBNext
   Ultra II Directional RNA Library Prep kit for Illumina (New England
   Biolabs, E7760S) according to the manufacturer’s instructions,
   including NEBNext Sample Purification Bead cleanups to remove
   unincorporated primers and adapters. Samples were fragmented for 15 min
   at 94 °C to achieve a target fragment size of 200 base pairs (bp).
   Indexed adaptors for Illumina sequencing (New England Biolabs, E7710,
   E7730) were ligated to libraries through 8 cycles of PCR. Library
   quality was assessed using High Sensitivity D1000 reagents (Agilent
   Technologies, 5067-5585, Santa Clara, CA, USA) on a TapeStation 2200
   instrument (Agilent Technologies, Santa Clara, CA, USA). Library
   concentrations were determined using the NEBNext Library Quant Kit for
   Illumina (New England Biolabs, E7630S) following the manufacturer’s
   instructions. Three dilutions of each library were prepared (1:1000,
   1:10,000, 1:100,000) and plated in triplicate on a 96-well qPCR plate
   along with manufacturer-supplied standards (20 µL reactions).
   Concentration data were used to ensure equimolar pooling across
   libraries for multiplexing. The final library pool was checked for
   quality using the High Sensitivity D1000 ScreenTape assay, which showed
   good quality with a maximum peak size of 337 bp ([72]Figure S1), and
   sent to GENEWIZ (South Plainfield, NJ, USA) for sequencing (HiSeq4000 2
   × 150 bp). The number of sequencing reads ranged between 48 and 79
   million reads with a mean quality score > 37.
2.6. Sequence Data Processing
   The following pipeline was used to analyze the paired-end sequencing
   reads. We used FastQC (version v0.11.7) to check the quality of reads,
   which were all of good quality scores > 30, and the presence of
   adapters or overrepresented sequences [[73]32]. Trimmomatic (version
   0.36) was used to remove adapters and poor-quality bases [[74]33].
   Hisat2 (version 2.1.0) was used to align the reads to a human reference
   genome (Ensembl/Genome Reference Consortium Human Build 38, GRCh38)
   [[75]34]; all samples showed overall read alignment rates > 90%. Then,
   FeatureCounts (version 1.5.0) was run to count the number of fragments
   mapped to a specific gene/exon [[76]35]. We used DESeq2 (version
   1.30.0), an R-package which uses negative binomial distribution to
   model read counts, to identify differentially expressed genes (DEGs;
   adjusted p < 0.05) between different groups [[77]36]. Gene symbols were
   used from the Ensembl database.
2.7. Enrichment Analyses
   Differentially expressed genes were evaluated further using gene
   ontology and enrichment analyses using the enrichGO function of the
   clusterProfiler (version 3.18.0) R package [[78]37], and Generally
   Applicable Gene-set Enrichment (GAGE, version 2.40.0; also R package)
   [[79]38], respectively. Gene ontology (GO) analysis was carried out by
   running the enrichGO function on the list of DEGs (adjusted p < 0.05)
   (from DESeq2) in the treated cell group to identify enriched GO terms
   including biological processes, molecular functions, and cellular
   components. Pathway and gene set enrichment analyses (GSEA) were
   conducted by running the gage function on the list of DEGs and their
   log2 fold change scores. This generated a list of dysregulated Kyoto
   Encyclopedia of Genes and Genomes (KEGG) pathways, their p values, and
   their direction (downregulated or upregulated).
2.8. Validation via qRT-PCR
   RNA-seq results were technically confirmed via qRT-PCR using the same
   RNA samples used for the RNA-seq study. Fourteen representative DEGs
   were chosen to perform qRT-PCR for 13-HPODE-treated cells and eleven
   DEGs for LA-treated cells. SsoAdvanced^TM Universal SYBR^® Green
   Supermix (BioRad, 1725271), 2.5 μM of primer (forward and reverse
   each), and 0.1 ng of cDNA was used in a 10 μL PCR reaction. The
   protocol was set as 95 °C for 30 s (initial denaturation), and 40
   cycles of 95 °C for 15 s (denaturation) and 60 °C for 30 s
   (annealing/extension). GAPDH was used as a housekeeping gene. Relative
   mRNA expression levels were determined using the
   [MATH: ΔΔ :MATH]
   Ct method. A t-test was used to determine the statistical differences
   between the treated and untreated groups and the data were presented as
   means ± SD. Primer sequences are provided in [80]Table S1.
3. Results
   We incubated Dif Caco-2 cells with 100 µM of 13-HPODE or LA for 24 h.
   We chose these concentrations as the proximal intestine is exposed to
   millimolar concentrations of FA and our preliminary results showed
   little or no cytotoxicity [[81]3,[82]15]. The control (untreated) group
   was maintained in PBS. Experiments were run in triplicate (details are
   explained in the [83]Section 2). Following RNA extraction, processing,
   and sequencing, differential gene expression and enrichment analyses
   were carried out. Principal component analysis showed that replicate
   samples demonstrated similarity in gene expression with respect to
   treatment, and there was good separation between untreated and treated
   groups ([84]Figure S2). The log ratio vs. mean average (MA) plots
   ([85]Figure S3) show that differentially expressed genes (DEGs; red
   dots) with a large mean expression across untreated and treated cell
   groups call for significance.
3.1. 13-HPODE-Treated Caco-2 Cells
3.1.1. Differential Gene Expression
   Using DESeq2, we identified 3094 DEGs (adjusted p < 0.05) between
   13-HPODE-treated cells and untreated cells ([86]Table S2); 1692 genes
   were downregulated and 1402 genes were upregulated in 13-HPODE-treated
   cells relative to untreated cells. Among the upregulated genes were
   genes involved in lipid metabolism such as PLIN2, FABP1, CPT1A, and
   PCK1, which are involved in PPAR signaling, which on one hand has shown
   to exert anti-inflammatory effects in obesity, diabetes, and
   cardiovascular disease [[87]39], but on the other hand, could have both
   anti-proliferative and carcinogenic effects [[88]40]. CPT1A and ACADVL,
   which are involved in mitochondrial beta-oxidation of fatty acids, and
   PDK4 and PCK1, which have a role in lipid and glucose metabolism, were
   upregulated. Induction of these genes may promote both fat metabolism
   and gluconeogenesis. Genes involved in stress response, such as CREB3L3
   and NDRG1, were also induced. Although we observed reduced expression
   of glutathione peroxidases GPX1 and GPX7, there was upregulation of
   GCLC, which is essential for glutathione (GSH) synthesis, which might
   indicate increased GSH contents. Reduced glutathione peroxidase
   activity has been linked with colon cancer [[89]41], cardiovascular
   disease [[90]42], obesity, and insulin resistance [[91]43]. We also
   observed upregulation of some nuclear factor erythroid 2-related factor
   2 (Nrf2) target genes that play a role in the antioxidant defense
   systems such as HMOX1, CAT, UGT2B4, and TXNRD1. Several solute carrier
   (SLC) transporters were upregulated, such as SLC26A3, a chloride
   transporter; SLC38A4, an amino acid transporter; and SLC5A3, a
   myo-inositol transporter, indicating changes in substrate transport
   across the cell membrane. In addition, SLC transporters have been
   implicated in various diseases, including IBD and metabolic diseases
   [[92]44,[93]45]. Other upregulated genes included COL7A1, which forms
   fibrils between epithelial cell basement membrane and extracellular
   matrix, and PDZK1, which regulates epithelial cell surface proteins and
   is involved in cholesterol metabolism. Among the downregulated genes
   were ODC1 and POLD2, which are important for polyamine synthesis and
   DNA replication, respectively. GPCPD1, which is involved in
   glycerophospholipid biosynthesis, and PTGES2, which is involved in
   prostaglandin E synthesis, were also downregulated. 13-HPODE treatment
   also caused the reduction of NOX1, a NADPH oxidase that generates ROS,
   as well as DKK1, which is an inhibitor of Wnt signaling [[94]46].
   [95]Figure 1 shows the top 50 DEGs in 13-HPODE-treated Caco-2 cells
   compared to untreated cells.
Figure 1.
   [96]Figure 1
   [97]Open in a new tab
   Differential gene expression between 13-HPODE-treated cells and
   untreated control cells. Heatmap shows the top 50 differentially
   expressed genes (DEGs; adjusted p < 0.05) in 13-HPODE-treated Caco-2
   cells (14D.H1, 14D.H2, and 14D.H3) compared to untreated control cells
   (14D.C1, 14D.C2, and 14D.C3). Green, upregulated; red, downregulated.
3.1.2. Gene Ontology
   Gene ontology analysis was performed using the enrichGO function of the
   clusterProfiler R-package. The results revealed the enrichment of
   diverse biological processes (adjusted p < 0.05) involved in
   translation, ribosome biogenesis, RNA processing, response to hypoxia
   and oxidative stress, mitochondrial translation, and gene expression.
   Purine nucleoside monophosphate, alcohol, and amino acid metabolic
   processes ([98]Figure 2), as well as carbohydrate and lipid metabolic
   processes (not shown), were also enriched due to 13-HPODE treatment.
Figure 2.
   [99]Figure 2
   [100]Open in a new tab
   Biological process enrichment upon treating Caco-2 cells with 13-HPODE.
   Top enriched gene ontology (GO) biological processes in
   13-HPODE-treated differentiated Caco-2 cells relative to untreated
   control cells (adjusted p < 0.05).
   Among the enriched molecular functions (adjusted p < 0.05) in Caco-2
   cells treated with 13-HPODE were ATPase, oxidoreductase, antioxidant,
   electron transfer, RNA polymerase I, and helicase activities.
   Additionally, coenzyme, carboxylic acid, heat shock protein, and
   cadherin and chaperone binding functions were enriched ([101]Figure
   S4).
   The enriched cellular components (adjusted p < 0.05) included the
   mitochondrial inner membrane, matrix, ribosome, and protein complex, as
   well as ribosomal subunits, the spliceosomal complex, focal adhesion,
   and the cell-substrate adherens junction ([102]Figure S5). The brush
   border and apical plasma membrane were also enriched (not shown).
3.1.3. Pathway Enrichment Analysis
   We used the gage R-package to perform pathway enrichment analysis
   ([103]Table 1). Among the top upregulated KEGG pathways (p < 0.05) in
   13-HPODE-treated cells, relative to untreated cells, were steroid
   hormone biosynthesis, bile secretion, and protein digestion and
   absorption. We also observed upregulation of importantly relevant
   pathways such as metabolism of xenobiotics by cytochrome P450, focal
   adhesion, and PPAR signaling, but with slightly higher p values.
Table 1.
   Pathway enrichment analysis in 13-HPODE-treated Caco-2 cells. Pathway
   enrichment demonstrates upregulated and downregulated Kyoto
   Encyclopedia of Genes and Genomes (KEGG) pathways in 13-HPODE-treated
   Caco-2 differentiated cells relative to untreated cells.
                  KEGG Pathway (Upregulated)                p-Value
           [104]I00140 Steroid hormone biosynthesis          0.018
                  [105]I04976 Bile secretion                 0.029
         [106]I04974 Protein digestion and absorption        0.029
   [107]I00980 Metabolism of xenobiotics by cytochrome P450  0.062
                  [108]I04510 Focal adhesion                 0.069
              [109]I03320 PPAR signaling pathway             0.199
                KEGG Pathway (Downregulated)                p-Value
                   [110]I03040—Spliceosome                   0.0001
              [111]I00240—Pyrimidine metabolism              0.0004
        [112]I03008—Ribosome biogenesis in eukaryotes        0.0005
                  [113]I03013—RNA transport                  0.002
            [114]I00190—Oxidative phosphorylation            0.003
                    [115]I04110—Cell cycle                   0.004
                [116]I00230—Purine metabolism                0.006
            [117]I03420—Nucleotide excision repair           0.009
                  [118]I03020—RNA polymerase                 0.009
                    [119]I03050—Proteasome                   0.014
                 [120]I03030—DNA replication                 0.018
          [121]I04120—Ubiquitin-mediated proteolysis         0.030
               [122]I03410—Base excision repair              0.031
                     [123]I03010—Ribosome                    0.034
   [124]Open in a new tab
   Among the downregulated pathways (p < 0.05) observed for
   13-HPODE-treated cells, relative to untreated cells, were spliceosome,
   RNA transport, ribosome biogenesis, and RNA polymerase pathways, as
   well as purine and pyrimidine metabolism. Oxidative stress can cause
   base modification and DNA damage [[125]47]. Pathways of cell cycle, DNA
   replication, and excision repair appeared to be suppressed as well. The
   proteasomal pathway involved in proteolytic degradation of
   intracellular protein was also downregulated. The results also showed a
   reduction in the oxidative phosphorylation pathway.
3.2. LA-Treated Caco-2 Cells
3.2.1. Differential Gene Expression
   We identified 2862 DEGs (adjusted p < 0.05) in LA-treated cells
   compared to untreated cells ([126]Table S3); 1179 genes were
   upregulated and 1683 genes were downregulated in LA-treated cells. As
   in 13-HPODE-treated cells, PDZK1 was induced. TTN, which has been
   reported as a key component of intestinal epithelial brush borders
   [[127]48], was also upregulated. Among the downregulated genes in
   LA-treated cells were RGCC, a cell cycle regulator; CYTOR, a long
   non-coding RNA that enhances proliferation; and CEACAM6, which is a
   cell adhesion molecule that promotes tumor progression. HMGCS1,
   involved in cholesterol biosynthesis; DDX47, involved in spliceosome
   and ribosomal RNA processing; EIF5A, a translation elongation factor;
   and ODC1 were suppressed as well. Reduction in the expression of these
   genes may indicate reduced cell proliferation upon LA treatment. Genes
   involved in the regulation of metabolic pathways were also
   downregulated, such as INSIG1, which regulates lipid synthesis and
   glucose homeostasis, and the RPIA gene, involved in carbohydrate
   metabolism. In addition, genes that are involved in the regulation of
   cellular fate and processes were suppressed, such as JUN, a
   transcription factor that regulates gene expression; DUSP4, dual
   specificity phosphatase of mitogen-activated protein kinase; and DKK1.
   Other downregulated genes included PI3, a peptidase inhibitor
   (antimicrobial); SLC2A1, a glucose transporter; and SLC20A1, a
   phosphate transporter [[128]46]. [129]Figure 3 illustrates the top 50
   DEGs in LA-treated Dif Caco-2 cells compared to untreated cells.
Figure 3.
   [130]Figure 3
   [131]Open in a new tab
   Differential gene expression between linoleic acid (LA)-treated cells
   and untreated control cells. Heatmap shows the top 50 DEGs (adjusted p
   < 0.05) in LA-treated Caco-2 cells (14D.LA1, 14D.LA2, and 14D.LA3)
   compared to untreated cells (14D.C1, 14D.C2, and 14D.C3). Green,
   upregulated; red, downregulated.
3.2.2. Gene Ontology
   Among the enriched biological processes in LA-treated cells relative to
   untreated cells were ribosome biogenesis; rRNA and ncRNA processing;
   small molecule, amino acid, and coenzyme metabolic processes;
   ribonucleoprotein complex assembly; and mitochondrial translation and
   gene expression. In addition, the response to decreased oxygen levels,
   purine nucleotide biosynthesis, DNA duplex unwinding, anion transport,
   and carbohydrate metabolic processes were enriched in LA-treated cells
   ([132]Figure 4).
Figure 4.
   [133]Figure 4
   [134]Open in a new tab
   Biological process enrichment upon treating Caco-2 cells with LA. Top
   enriched GO biological processes in LA-treated differentiated Caco-2
   cells relative to untreated cells (adjusted p < 0.05).
   Molecular functions enriched in LA-treated Dif Caco-2 cells included
   organic acid transmembrane transporter activity, helicase, ligase, RNA
   polymerase, and ATPase activities. Moreover, ribonucleoprotein complex,
   cadherin, ATPase, coenzyme, organic acid, cell adhesion molecule, and
   RNA binding were also enriched ([135]Figure S6).
   Among the enriched cellular components in LA-treated cells relative to
   untreated cells were preribosome, and organellar and mitochondrial
   ribosomes. Mitochondrial outer/inner membrane and matrix, cellular and
   organellar outer membrane, and envelop lumen components were also
   enriched. In addition, complexes such as proteasome, spliceosome, and
   endopeptidase complexes were enriched in LA-treated cells, as well as
   focal adhesion and adherens junctions ([136]Figure S7). The brush
   border and apical plasma membrane were also enriched (not shown).
3.2.3. Pathway Enrichment Analysis
   Linoleic acid treatment of Dif Caco-2 caused upregulation (p < 0.05) of
   metabolic processes including retinol, xenobiotic, and drug metabolism
   by cytochrome P450, relative to untreated cells. The protein digestion
   and absorption pathway was also upregulated.
   Among the pathways downregulated (p < 0.05) in LA-treated cells,
   relative to untreated cells, were ribosome biogenesis, spliceosome, RNA
   transport, and RNA polymerase pathways. As in 13-HPODE-treated cells,
   purine and pyrimidine metabolism, oxidative phosphorylation,
   proteasome, cell cycle, and excision repair pathways were also
   suppressed in LA-treated cells. Toll-like receptor signaling, which
   activates innate immunity, was downregulated ([137]Table 2).
Table 2.
   Pathway enrichment analysis in LA-treated Caco-2 cells. Pathway
   enrichment demonstrates upregulated and downregulated KEGG pathways in
   LA-treated Caco-2 differentiated cells relative to untreated cells.
                  KEGG Pathway (Upregulated)                p-Value
                [138]I00830—Retinol metabolism               0.010
     [139]I04080—Neuroactive ligand-receptor interaction     0.017
   [140]I00980—Metabolism of xenobiotics by cytochrome P450  0.017
         [141]I00982—Drug metabolism—cytochrome P450         0.039
         [142]I04974—Protein digestion and absorption        0.047
                KEGG Pathway (Downregulated)                p-Value
        [143]I03008—Ribosome biogenesis in eukaryotes        0.0001
                   [144]I03040—Spliceosome                   0.0004
                  [145]I03013—RNA transport                  0.0007
              [146]I00240—Pyrimidine metabolism              0.0009
            [147]I00190—Oxidative phosphorylation            0.016
                  [148]I03020—RNA polymerase                 0.017
                    [149]I03050—Proteasome                   0.020
                [150]I00230—Purine metabolism                0.037
                    [151]I04110—Cell cycle                   0.038
            [152]I03420—Nucleotide excision repair           0.043
       [153]I04620—Toll-like receptor signaling pathway      0.045
   [154]Open in a new tab
3.3. Differential Gene Expression between 13-HPODE-Treated and LA-Treated
Cells
   We identified 291 DEGs (adjusted p < 0.05) between 13-HPODE-treated and
   LA-treated cells ([155]Figure S8; [156]Table S4). We found that genes
   involved in PPAR signaling showed higher expression levels in
   13-HPODE-treated cells compared to LA-treated cells. Among those genes
   were CPT1A, which is involved in FA oxidation; PLIN2, which coats lipid
   droplets; ACSL5 and FABP1, which are involved in FA transport; HMGCS2,
   which is involved in ketogenesis; and PCK1. Upregulation of the latter
   gene and PDK4 could promote gluconeogenesis, as mentioned earlier.
   These results might suggest that 13-HPODE is a more potent activator of
   PPAR signaling than LA, although both oxidized and unoxidized LA have
   been shown in previous studies to activate PPARs [[157]30,[158]49].
   This also indicates a significant effect of 13-HPODE on glucose and
   lipid metabolism and transport as PPAR signaling has been shown to
   regulate metabolic processes including FA and glucose metabolism, as
   well as cell proliferation and differentiation [[159]50,[160]51].
   Additional genes involved in FA oxidation, including SLC25A20 and
   ACADVL, were upregulated in 13-HPODE-treated cells compared to
   LA-treated cells. On the other hand, G6PD, which plays a role in FA and
   cholesterol biosynthesis, also showed higher expression in
   13-HPODE-treated cells relative to LA-treated cells. Lower expression
   of APOH, which has an atheroprotective role by inhibiting the uptake of
   oxidized low density lipoprotein (LDL) [[161]52], was observed in
   13-HPODE-treated cells relative to LA-treated cells. We observed
   increases in the expression of genes involved in defense mechanisms in
   13-HPODE-treated relative to LA-treated cells. Among these were
   CREB3L3; ABCG2, which is a xenobiotic transporter that extrudes toxins
   from cells; and CYP2B6 and AKR1B1, which metabolize xenobiotics and
   aldehydes.
   We observed increased expression of genes that play a role in
   detoxification in LA-treated cells relative to 13-HPODE-treated cells.
   Among these were EPHX2, which is involved in xenobiotic metabolism;
   ADH6, which metabolizes alcohols and lipid peroxidation products; and
   ALDH6A1, which plays a role in protective detoxification of aldehydes.
   Sucrase-isomaltase gene, SI, which is involved in dietary carbohydrate
   digestion and is expressed in the intestinal brush border, showed
   upregulated expression in LA-treated cells relative to 13-HPODE-treated
   cells. Interestingly, cell adhesion molecules CEACAM1/M6/M5, which are
   considered biomarkers of tumor progression and metastasis, showed low
   expression levels in LA-treated cells relative to 13-HPODE-treated
   cells.
3.4. Validation of RNA-Seq Results
   RNA-seq results were verified via qRT-PCR. Different gene sets were
   selected for validation in each treatment according to the differential
   gene expression and pathway analysis in the treated groups relative to
   the untreated group. Fourteen representative DEGs were chosen to
   perform qRT-PCR for 13-HPODE-treated cells and eleven DEGs for
   LA-treated cells. Genes involved in PPAR signaling, as well as
   mitochondrial beta oxidation, such as PLIN2, FABP1, and CPT1A, were
   upregulated in 13-HPODE-treated cells relative to untreated cells
   ([162]Figure 5a,c). PDK4 and PCK1 genes, which play a role in the
   regulation of lipid and glucose metabolism, were also upregulated in
   13-HPODE-treated cells, suggesting enhanced gluconeogenesis in these
   cells relative to untreated cells ([163]Figure 5d,e). CREB3L3,
   inflammatory response gene, and BAAT, involved in bile acid synthesis,
   were upregulated by 13-HPODE compared to untreated cells ([164]Figure
   5f,g). 13-HPODE treatment was associated with increased expression of
   COL7A1, a collagen type VII alpha 1 chain, and VIL1 genes ([165]Figure
   5h,i), involved in focal adhesion and the brush border cytoskeleton,
   respectively, which might indicate enhanced cell differentiation.
   Aldo/keto reductase AKR1C2, which is involved in steroid hormone and
   bile acid synthesis, was induced by 13-HPODE ([166]Figure 5j). CYP2B6
   was also upregulated in 13-HPODE-treated cells ([167]Figure 5k).
   13-HPODE reduced the expression of NADPH oxidase NOX1 ([168]Figure 5l).
   Other genes with reduced expression when treated with 13-HPODE
   treatment included DKK1 and RPP40, which are involved in Wnt signaling
   and rRNA processing, respectively ([169]Figure 5m,n).
Figure 5.
   [170]Figure 5
   [171]Figure 5
   [172]Open in a new tab
   Quantitative Real-time PCR validation of RNA-seq results in
   13-HPODE-treated cells (a–n). qRT-PCR of representative DEGs from
   RNA-seq data. Relative mRNA expression of genes is presented in
   13-HPODE-treated (HPODE) Caco-2 cells with statistical significance of
   * p < 0.05 compared to untreated (control) cells. Results were
   normalized to GAPDH.
   The relative expression of PCK1 and DKK1 in LA-treated cells was
   similar to that of 13-HPODE-treated cells when both were compared to
   untreated cells ([173]Figure 6a,b). In addition, CYP2C9, a cytochrome
   P450 mono-oxygenase; UGT2B4, a detoxifying UDP glucuronosyltransferase;
   and COL7A1 were upregulated in LA-treated cells relative to untreated
   cells ([174]Figure 6c–e). Reduced expression of RGCC and ODC1 could be
   attributable to reduced proliferative potential and enhanced
   differentiation ([175]Figure 6f,g). LA treatment led to downregulation
   of INSIG1 and TOMM5 genes, which might affect metabolic processes and
   mitochondrial function ([176]Figure 6h,i). DUSP4, as well as cell
   adhesion molecule CEACAM6, was reduced in LA-treated cells as well,
   which could be a protective response against tumor progression
   ([177]Figure 6j,k). These results are consistent with the RNA-seq data.
Figure 6.
   [178]Figure 6
   [179]Figure 6
   [180]Open in a new tab
   Quantitative Real-time PCR validation of RNA-seq results in LA-treated
   cells (a–k). qRT-PCR of representative DEGs from RNA-seq data. Relative
   mRNA expression of genes is presented in LA-treated (LA) Caco-2 cells
   with statistical significance of * p < 0.05 compared to untreated
   (control) cells. Results were normalized to GAPDH.
4. Discussion
   LA, an essential PUFA consumed through the human diet, is an important
   cellular component. It is a precursor of lipid peroxides including
   hydroxyoctadecadienoic acid (HODE), the reduced form of 13-HPODE
   [[181]53]. LOOHs have been linked to several pathological conditions
   including cardiovascular disease, degenerative disease, and malignancy
   [[182]54]. Diet is a major source of LOOH, and dietary peroxides are
   absorbed, transported, and incorporated into lipoproteins that carry
   these lipids into cells and tissues. We used mRNA sequencing to
   investigate how the most common dietary LOOH, 13-HPODE, modulates the
   gene expression profile in Dif Caco-2 cells, the results of which could
   provide insights into changes in the physiological processes of cells
   and the mechanisms by which 13-HPODE may contribute to disease.
   Treating Caco-2 cells with 13-HPODE, a peroxidized LA, significantly
   alters metabolic and signaling pathways, as well as different cellular
   processes.
   In the current study, we have demonstrated that 13-HPODE increased the
   expression of aldo/keto reductases, such as AKR1C2, that are essential
   for steroid hormone synthesis. Studies have reported the ability of the
   intestine to synthesize steroid hormones [[183]55,[184]56]. Steroid
   hormones have been shown in a previous study to play a role in
   maintaining the intestinal epithelial barrier [[185]57]; on the other
   hand, they may not only cause inhibition of T-cell response [[186]55],
   but may also promote immune function [[187]58], which might contribute
   to inflammatory disease. It has been reported previously that oxidized
   LA can induce steroid hormone synthesis in rat and human adrenal cells
   [[188]59,[189]60]. Upregulated aldo/keto reductases might indicate that
   13-HPODE could be converted to aldehydic products in intestinal
   epithelial cells and promote the detoxification of reactive carbonyl
   species and the reduction of 4-HNE, which may enhance adaptive response
   [[190]61]. In addition, oxidized LA metabolites have been linked to
   obesity and shown to induce synthesis of steroids [[191]62]. Oxidized
   LA may possess bile acid activity and the ability to form mixed
   micelles with fat, which increases cholesterol solubilization and
   absorption [[192]15]. Although bile secretion occurs in the liver, our
   pathway analysis showed that this pathway was enriched in Caco-2 cells
   treated with 13-HPODE. We found that the BAAT gene, which is
   responsible for bile acid conjugation that enhances fat solubility, was
   upregulated in 13-HPODE-treated cells. This could propose another
   mechanism by which 13-HPODE increases lipid solubilization. A previous
   study demonstrated that bile secretion in response to a high-fat diet
   could injure the intestinal epithelium and that secondary bile acids
   produced by intestinal flora may induce tumor formation [[193]63]; this
   might be studied as an indirect mechanism by which LOOH could
   contribute to malignancy. On the other hand, the BAAT gene was not
   differentially expressed in LA-treated cells relative to untreated
   cells. It is also worth mentioning that both 13-HPODE and LA treatments
   enhanced the expression of APOB, apolipoprotein B, which is a major
   component of chylomicron and LDL, along with A1CF, a complementation
   factor of ApoB mRNA editing enzyme complex essential for the generation
   of ApoB48, which promotes dietary fat absorption [[194]64].
   Although upregulation of the PPAR signaling pathway upon treating cells
   with 13-HPODE had a slightly higher p-value of 0.1, several downstream
   genes involved in fatty acid and lipid homeostasis were among the top
   differentially upregulated genes (adjusted p < 0.05) in
   13-HPODE-treated cells relative to untreated cells. Among those were
   PLIN2, which forms the lipid droplet coat, and FABP1, which may promote
   cholesterol uptake and protect against oxidative stress caused by LOOH
   [[195]65]. HMGCS2, which is involved in ketogenesis and has been found
   to promote cellular differentiation of Caco-2 cells [[196]66], was also
   upregulated. CPT1A and PCK1 were also among the differentially
   upregulated genes of PPAR signaling which may indicate promoted fatty
   acid oxidation, as well as gluconeogenesis. As oxidized LA is
   considered a ligand that activates PPAR signaling, which plays multiple
   roles ranging between metabolism, anti-inflammatory, and anti- and
   pro-carcinogenic effects, PPAR signaling should be considered a
   powerful form of crosstalk between 13-HPODE and peroxidized
   lipid-related diseases and should be studied further. Moreover,
   CREB3L3, a transcription factor that works with PPAR
   [MATH: α :MATH]
   in an auto-loop manner [[197]67] and is involved in unfolded stress
   response and lipid metabolism, was upregulated in 13-HPODE-treated
   cells. Although we observed upregulation of several genes involved in
   PPAR signaling and FA oxidation, including PLIN2, PCK1, and CPT1A in
   LA-treated cells, the expression of these genes appeared to be higher
   in 13-HPODE-treated cells compared to LA-treated cells. This suggests
   that 13-HPODE may have a more powerful effect on PPAR signaling and FA
   oxidation than non-peroxidized LA. We also observed higher expression
   of G6PD, required for FA and cholesterol biosynthesis, and a lower
   expression of atheroprotective APOH in 13-HPODE-treated cells compared
   to LA-treated cells, which could propose a mechanism by which LOOHs
   contribute to the development of cardiovascular disease.
   Our results indicate that 13-HPODE may enhance detoxification by
   cytochrome P450 enzymes, which play a role in the metabolism of
   ingested drugs and toxins, and in the synthesis of steroid hormones,
   bile acids, and some other fats [[198]68,[199]69]. Upregulated
   CYP1B1/2C9/2B6 may be a protective response against 13-HPODE treatment
   as it is considered a harmful metabolite of oxidized LA. in addition to
   aldo/keto reductases’ function in steroid hormone synthesis, they are
   also involved in xenobiotic metabolism by cytochrome P450, as well as
   bile acid synthesis and transport [[200]70,[201]71]. In the current
   study, LA also induced cytochrome P450 enzymes, including CYP2C9.
   Moreover, LA treatment resulted in higher expression of alcohol and
   aldehyde dehydrogenases ADH6 and ALDH6A1 in LA-treated cells compared
   to 13-HPODE-treated cells, which could indicate a protective effect of
   LA against lipid peroxidation products, including aldehydes. This may
   also suggest that LA could undergo oxidation in the intestinal cells to
   which the cells respond by enhancing the detoxification mechanism.
   As 13-HPODE comes in contact with the cell membrane, we could expect
   oxidation of vitamin E (Tocopherol; TP) and the formation of tocopheryl
   quinone (TQ), which is anti-androgenic [[202]72] and has an apoptotic
   effect that has been reported to inhibit colon cancer cell growth
   [[203]73]. Moreover, since we observed that 13-HPODE caused
   downregulation of glutathione peroxidases GPX1 and GPX7 and
   upregulation of the catalytic subunit of glutamate-cysteine ligase,
   GCLC, essential for glutathione (GSH) synthesis, the cells could
   accumulate GSH. The latter has previously shown to convert the
   tocopheroxyl radical back to TP to maintain its scavenging effect on
   reactive oxygen species (ROS) via oxidation of vitamin E, thus
   preventing further lipid oxidation and inhibiting cell proliferation
   [[204]74]. TP regeneration has been also linked to thioredoxin
   reductase [[205]75], which was upregulated in 13-HPODE-treated cells.
   TP has been shown to reduce chemokines in human aortic endothelial
   cells (HAECs) [[206]76], and has been shown to reduce expression of the
   chemokine CXCL1 [[207]77]. In our study, we observed downregulation of
   CXCL1, CXCL8 (IL-8), and CCL20 chemokines in 13-HPODE-treated cells. It
   has been suggested that tocopheryl hydroquinone (TQH) is a more
   powerful antioxidant than TQ [[208]78,[209]79]. In our study,
   upregulation of cytochrome p450 oxidoreductase (POR gene) [[210]78],
   which is reported to catalyze the formation of TQH, was observed in
   13-HPODE-treated cells. TQ has been shown to induce apoptosis via
   activation of the caspase 3 cascade and to reduce anti-apoptotic Bcl-2
   [[211]80]. In this context, we observed upregulation of CASP3 and a
   number of Bcl family members that have apoptotic activity, such as BMF,
   BCL2L11, and BNIP5 (this gene has not been studied yet), and
   downregulation of the anti-apoptotic BAG1 gene in 13-HPODE cells. This
   is consistent with a recently published study [[212]26] which
   demonstrated reduced cell viability on annexin V staining of Caco-2
   cells treated with 100 μM 13-HPODE.
   Although we did not observe expression changes in members of activator
   protein-1 (AP-1) or NFE2L2 (Nrf2), we did observe upregulation of some
   target genes that play a role in the antioxidant defense systems,
   including HMOX1, CAT, UGT2B4, and TXNRD1, as well as downregulation of
   SOD1 in 13-HPODE-treated cells. This indicates that a degree of the
   antioxidant protective response was enhanced by 13-HPODE. Moreover, we
   observed increased expression of FOXO3 and FOXO4 transcription factors,
   by which 13-HPODE could modulate insulin signaling and the antioxidant
   response and could trigger apoptosis [[213]81]. In addition to CAT,
   another FOXO-regulated gene, CDKN1A (p21), which inhibits cell
   proliferation in response to DNA damage, was also upregulated in
   13-HPODE-treated cells.
   13-HPODE treatment caused the downregulation of events that have been
   reported to be reduced during Caco-2 cell differentiation [[214]82].
   Among the pathways downregulated due to 13-HPODE treatment were RNA
   transport, spliceosome, and translation machinery. In parallel with
   this, events of the cell cycle, DNA replication and repair, and protein
   degradation, including the proteasomal pathway, were also suppressed.
   Under culture conditions, Caco-2 cells undergo extensive genetic
   reprogramming during differentiation and lose their tumorigenic
   phenotype [[215]16]. This genetic reprogramming includes downregulation
   of genes involved in cell cycle progression, DNA replication/repair, as
   well as genes involved in RNA splicing/transport and protein
   degradation, which indicates reduced proliferation; this was reported
   by Mariadason et al. [[216]82]. Hence, downregulation of these events
   upon treating the cells with 13-HPODE or LA, as we observed in the
   current study, may suggest a further reduction in the proliferative
   potential and a shift towards differentiation. Among downregulated
   genes in both 13-HPODE-treated and LA-treated cells were POLD2, MCM7,
   and PCNA, which are involved in DNA replication; CDC25A, which is
   important for cell cycle progression; and RPP40 and EIF5A, which are
   involved in RNA processing and translation. On the other hand, tumor
   suppressor genes including APC, KLF4, and FOXO4 were upregulated in
   13-HPODE-treated cells. In LA-treated cells, we observed downregulation
   of the proto-oncogene, JUN, and upregulation of the tumor suppressor
   genes KLF7 and FOXO4. Interestingly, LA treatment caused a reduction in
   the expression of cell adhesion molecules CEACAM1/M5/M6, which are
   considered biomarkers of tumor progression [[217]83]; this may also
   indicate reduced proliferation. LOOH-derived oxidative stress can cause
   base modification and DNA damage [[218]47] due to the formation of DNA
   adducts via interaction between nucleotides and malondialdehyde (MDA),
   hence the protective response of DNA synthesis reduction was required
   to prevent further DNA damage by LOOH end-products [[219]84]. Despite
   the various studies on LOOH-induced DNA damage, the mechanism by which
   LOOHs reduce DNA synthesis needs to be further investigated.
   In support of shifting towards differentiation, the focal adhesion
   pathway, which is involved in cell motility, differentiation, and other
   processes, was enhanced (p-value 0.06) in 13-HPODE-treated cells
   relative to untreated cells. Among the related induced genes was
   COL7A1. In the intestine, this pathway plays a role in epithelial
   barrier homeostasis and repair and tight junction organization
   [[220]85]. This may indicate enhanced cellular differentiation, which
   promotes the development of brush borders, as evidenced by the
   upregulated VIL1 gene in 13-HPODE-treated cells. In addition to the
   upregulation of VIL1, the sucrase-isomaltase gene, SI, which is another
   marker of intestinal differentiation [[221]86] showed elevated
   expression in LA-treated cells compared to 13-HPODE-treated cells,
   indicating enhanced cellular differentiation. Furthermore, we observed
   upregulation of retinol metabolism in LA-treated cells, relative to
   untreated cells, which has been shown to play a role in intestinal
   epithelial cell processes including growth and differentiation
   [[222]87]. In addition, UGT2B4, a detoxifying enzyme that plays a role
   in the retinol metabolic pathway, was detected and upregulated in
   LA-treated cells.
   Our results showed a reduction in the oxidative phosphorylation pathway
   in both 13-HPODE- and LA-treated cells relative to untreated cells.
   Disrupted oxidative phosphorylation has been previously reported in
   mice fed with oxidized linoleic acid [[223]88]. Moreover, mitochondrial
   components including membranes and matrix were among the top enriched
   GO terms in both 13-HPODE- and LA-treated cells, relative to untreated
   cells, which indicates the significant effect of 13-HPODE and LA on
   mitochondrial function. The TOMM5 gene, which is a translocase of the
   outer mitochondrial membrane, was downregulated in both treatments. It
   has been reported that PUFAs can cause a change in mitochondrial
   membrane composition and organization that leads to increased
   production of ROS, which in turn causes peroxidation of membrane
   phospholipids and mitochondrial dysfunction [[224]89].
   Toll-like receptor (TLR) signaling was downregulated in LA-treated
   Caco-2 cells relative to untreated cells, which supports the previously
   reported inhibitory effect of PUFAs on TLR activation and inflammatory
   gene expression [[225]90]. Specifically, n-3 PUFAs appeared to be more
   powerful inhibitors of TLR signaling than n-6 PUFAs [[226]91]. There
   was a relative similarity in the data results between LA- and
   13-HPODE-treated cells, suggesting the possibility of LA being oxidized
   in the intestinal epithelium, which has been previously reported
   [[227]92] ([228]Table 3).
Table 3.
   Comparative differential gene expression. Comparison of differential
   expression (↑ upregulation or ↓ downregulation) of selected genes in
   the two treatment cell groups relative to the untreated cell group.
     Gene  13-HPODE-Treated LA-Treated
    DKK1        ↓↓ ^3           ↓↓
    CPT1A       ↑↑ ^3         ↑ ^2
    PLIN2         ↑↑            ↑
    ODC1        ↓ ^2            ↓
   CREB3L3        ↑↑            ↑
    FABP1         ↑↑            ↑
    PDK4          ↑↑            ↑
    PCK1          ↑↑            ↑
   COL7A1         ↑↑            ↑
    NOX1          ↓             ↓
   AKR1C2         ↑↑            ↑
    SOS1          ↑             ↑
    BAAT          ↑           n ^1
   CYP2B6         ↑↑            ↑
   CYP2C9         ↑             ↑
   INSIG1         n             ↓
    DDIT4         ↑             ↑
    DUSP4         ↓             ↓↓
   UGT2B4         ↑             ↑
   TXNRD1         ↑             n
    HMOX1         ↑             n
    GSTP1         ↓             n
    CXCL1         ↓             ↓
    GPX1          ↓             ↓
    FOXO4         ↑             ↑
   CEACAM6        ↓             ↓↓
    POLD2         ↓             ↓
    ADH6          n             ↑
   [229]Open in a new tab
   ^1 n represents not differentially expressed (adjusted p > 0.05). ^2
   Single arrow (↑, ↓) represents differentially expressed (DE; adjusted p
   < 0.05). ^3 Double arrows (↑↑, ↓↓) represent DE with more pronounced
   effect.
5. Conclusions
   The results of our transcriptomic profiling of Caco-2 cells carried out
   under standard in vitro conditions shed light on the response of
   intestinal epithelial cells to 13-HPODE or LA in terms of gene
   expression and pathway enrichment. The results presented in this study
   suggest that the most common dietary peroxidized lipid, 13-HPODE, may,
   on the one hand, enhance bile acid conjugation, which alters lipid
   uptake and might contribute to intestinal injury. On the other hand,
   13-HPODE may affect multiple pathways of lipid metabolism including
   steroid hormone synthesis, which might affect intestinal barrier and
   immune function; and PPAR signaling, which alters fatty acid and
   glucose metabolism, energy production, and mitochondrial function
   leading to alteration of gut physiology. In addition, 13-HPODE as well
   as LA may have the ability to promote the antioxidant response and
   detoxification by cytochrome P450 in intestinal epithelial cells.
   Moreover, both treatments could reduce proliferative potential and
   could play a role in the absorptive cell differentiation and survival
   fates as they might suppress pathways involved in the cell cycle, DNA
   synthesis/repair, and enhance focal adhesion pathways. While similar
   effects could be seen in liver cells, it is conceivable that dietary
   peroxidized LA could have an impairment effect on energy production and
   lipid storage. In conclusion, this in vitro study using Caco-2 cells
   provides insights into the physiological changes that might occur in
   the intestinal epithelium upon exposure to 13-HPODE and the possible
   mechanisms by which it contributes to disease. Future directions of
   this research include studying the response of Caco-2 cells to LOOH
   using an experimental setting that simulates in vivo intestinal
   environment, such as the INFOGEST method [[230]93].
Acknowledgments