Tu1634 Minor Effects of Rifaximin-α Modulating Luminal and Wall-Adhered Gut Commensal Microbiota...
Transcript of Tu1634 Minor Effects of Rifaximin-α Modulating Luminal and Wall-Adhered Gut Commensal Microbiota...
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Effect of Phytoestrogenic Dietary Supplementation on the Progression ofChronic Intestinal Inflammation to Cancer in Animal ModelMariabeatrice Principi, Nicola De Tullio, Katia Lofano, Maria Principia Scavo, MariaPricci, Gennj Piacentino, Antonella Contaldo, Viviana Neve, Enzo Ierardi, Maria CristinaComelli, Alfredo Di Leo
Background and aim : Colorectal cancer (CRC) is increased in inflammatory bowel diseases(IBD). Chemopreventive agents could minimize this risk. Estrogens exert prevention againstCRC throught Estrogen Receptor β (ERβ) with an inverse relation with the tumor. ER βinduction may be a target in CRC prevention. Phytoestrogens are dietary compounds withhigher binding affinity for ERβ than Erα. A blend of the dietary phytoestrogens (silymarinand lignan) and non-starch insoluble fibers (Eviendep, CM&D Pharma) has been tested inan experimental mouse model of AOM/DSS induced colitis, to assess the anti-inflammatoryand anti-carcinogenetic properties and to verify whether such effect is related to an increasedERβ expression. Material and methods : A known model of dextran sodium sulfate/azoxy-methane induced CRC was used to obtain the best simulation of IBD-related CRC pathogene-sis. Seventy-six C57BL/6J male mice were divided into three groups: 35 mice fed a Eviendep-modified diet during the whole carcinogenetic process, 35 fed a standard diet (positivecontrol) and 6 mice with no treatment or modified diet (negative control). Monitoring ofcolitis and tumorigenesis was performed by a specific video-endoscopic system (ColoviewMiniendoscopic System) at 21 weeks. Animals were sacrificed at 22 weeks for histogicaland ERs immunohistochemical evaluation. Histological score was: 0 (no dysplasia), 1 (lowgrade dysplasia), 2 (high grade dysplasia) and 3 (carcinoma). Results : Mortality rate wasof 40-50%. At sacrifice, treated animals showed a decrease in number/volume of polypsand in histological score (p,0.05 ANOVA-Bonferroni post hoc test). Only 30% of Eviendep-supplemented mice showed at least 1 CRC compared with the 100% of the positive controls.ERα expression was higher in neoplastic tissue than in normal mucosa both in treated andpositive control groups, while ERβ labeling index (LI%) showed a higher value in non-neoplastic tissue of the Eviendep-supplemented group (63.8±4.7) than in positive control(46.6±6.4), resulting similar to the ERβ LI value of negative controls (54.9±7.9) (p ,0.05Fisher Exact Test) Conclusions : Our results suggest a chemopreventive effect of Eviendepon colonic carcinogenesis arising from inflamed tissue, and such an effect associates withan increase ERβ content in the tissue.
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Minor Effects of Rifaximin-α Modulating Luminal and Wall-Adhered GutCommensal Microbiota and Toll-Like Receptors (TLRS) Expression in MiceMarina Ferrer, Mònica Aguilera, Javier Estévez, Patri Vergara, Vicente Martinez
BACKGROUND: Rifaximin is a broad-spectrum, non-absorbable antibiotic that amelioratessymptomatology in inflammatory bowel disease or irritable bowel syndrome patients.Although the mechanisms of action remain unclear both microbial dependent and indepen-dent mechanisms have been suggested. Indeed, Rifaximin's effects on gut microbiota arestill unclear.AIMS: To assess changes in luminal and wall-adhered gut commensal microbiota(GCM) and the TLR-dependent bacterial recognition system associated to Rifaximin treatmentin mice. METHODS: Adult C57BL/6 female mice were treated (1 or 2 weeks, PO) withRifaximin (50 or 150 mg/mouse/day, PO). Luminal and wall-adhered ceco-colonic GCMwere characterized by fluorescent in situ hybridization (FISH). Microbial profiles were charac-terized by terminal restriction fragment length polymorphism (t-RFLP). Colonic expressionof TLR-2, -4 and -5 was assessed by RT-qPCR. RESULTS: Regardless the period of treatmentor the dose tested, Rifaximin did not alter total bacterial counts (x1010 cells/ml; vehicle:4.3±1.1; 50 mg: 4.1±0.4; 150 mg: 4.8±1.2; n=8-12; P .0.05). Similarly, Rifaximin hadminor effects on the overall composition of the luminal microbiota, with only a slight increasein the counts of Bacteroides spp. observed at the 150 mg dose after a 1-week, but not a 2-week, treatment (x108 cells/ml; vehicle: 32.3±9.8; 1-week treatment: 71.5±12.4, P,0.05vs. vehicle; 2-week treatment: 47.1±5.2; n=8-12). In agreement, bacterial diversity, as assessedby t-RFLP, was not affected by Rifaximin. In control conditions, only Clostridium spp. (40%incidence) and Bifidobacterium spp. (13% incidence) were found attached to the colonicepithelium. Rifaximin showed a tendency to favour the adherence of both Bifidobacteriumspp. (50% incidence) and Clostridium spp. (75% incidence) after a 1-week treatment; whileno changes were observed at 2 weeks. Overall, regardless the dose or time of treatment,Rifaximin induced a minor increase (1 to 2 fold) in TLRs expression. Only the 50 mg dosefor 1 week led to a significant increase (by 3-fold) in TLR-4 expression. In no case, structuralalterations consistent with the induction of colonic inflammation were observed. CONCLU-SIONS: Results obtained show that Rifaximin, eventhough its antibacterial properties,induces very minor changes in luminal GCM and bacterial wall adherence in standard mice.Similarly, minor changes, with tendency to the up-regulation, in TLRs (2, 4 and 5)-dependentbacterial recognition systems were observed. More noticeable effects of Rifaximin on dysbioticstates, vs. a normal GCM, can not be discarded. Moreover, from the present data wecan not exclude that the beneficial effects of Rifaximin in functional and inflammatorygastrointestinal disorders are associated to alternative mechanisms of action not directlyrelated to the modulation of the microbiota.
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Protection of the Enteric Nervous System in Colitis: A Therapeutic Approachfor IBD?Panagiotis Giannogonas, Charalabos Pothoulakis, Achille Gravanis, Katia P. Karalis
There is close interaction between the immune and nervous systems in the regulation ofthe inflammation. The gastrointestinal tract is richly innervated by an intrinsic entericnervous system (ENS). Emerging evidence \ suggests the contribution of the ENS in variouspathological conditions, such as the irritable bowel syndrome and inflammatory boweldisease (IBD). Previous studies have shown increased vulnerability of genetically-induced"hyperinnervation" to IBD. Our aim was to characterize the specific role of the ENS in thedevelopment and progress of experimental IBD due to innate immune activation. We assessed
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the role of ENS throughout the progress of a model of IBD in mice, the DSS-induced colitis.As has been previously shown, DSS administration for 7 days results in the developmentof severe local inflammation, significant anorexia and weight loss. Repeated cycles of DSSadministration mimic the human disease characterized by alternating remission and relapsingphases. We found reduced expression of both beta III - tubulin, a neuron specific cytoskeletalprotein, and synaptophysin, a major synaptic vesicle protein, following DSS treatment insupport of functional impairment of the ENS during colitis. To better understand the specificrole of the ENS during DSS colitis we induced "pharmacological hyperinnervetion" at differenttime points throughout the progress of the disease. Co-administration of a synthetic neuroste-roid (BNN93, DHEA analog - 2mg per animal per day), a neuroprotective agent in the CNS,worsened the acute inflammatory response and increased the expression of proinflammatorycytokines such as TNFalpha, in agreement with a recent study (Margolis KG, 2011) . Toassess the effects of the "neuroprotection" of ENS over the course of experimental colitis,we subjected the mice to the chronic, remission-relapsing disease model and administeredBNN27 for 5 consecutive days in each treatment cycle, starting at the 4th day of DSStreatment, for 1, 2 and 4 cycles (chronic disease model). Histological analysis of the affectedtissues revealed an active inflammatory response characterized by increased angiogenesisand fibrosis. All inflammatory parameters studied were significantly elevated compared tothe control (vehicle-treated) mice following co-administration of DSS and BNN27 for 1cycle. To our surprise repeated administration of BNN27 was protective from chronicDSS-induced colitis, as shown by reduced inflammation and increased tissue regenerationcompared to vehicle-treated mice. These findings suggest the intriguing hypothesis that ENSmay participate actively in the resolution of inflammation and repair of the epithelial barrier,via mechanisms that remain to be elucidated. The potential implication of these results forthe development of novel, specific therapeutic approaches for IBD are under investigation.
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Immunomodulatory Effect of Enalapril on Peritoneal Macrophage and ChronicColitis in Interleukin-10-Deficient MiceChanghyun Lee, Jaeyoung Chun, Jong Pil Im, Hyun Chae Jung, Joo Sung Kim
Background/Aims: Interleukin (IL)-10 potently reduces the T helper type 1 response bypreventing synthesis of IL-12 from antigen-presenting cells. Enalapril, an angiotensin-con-verting enzyme (ACE) inhibitor, blocked inflammatory response and prevented lung or renalinjury in vivo. The aim of this study was to evaluate the immunomodulatory effect ofenalapril on peritoneal macrophages from IL-10-deficient (IL-10-/-) mice and on chroniccolitis in IL-10-/- mice. Methods: Peritoneal macrophages from IL-10-/- mice were elicitedby intra-peritoneal injection of 4% thioglycolate. Peritoneal macrophages were collected andpretreated with enalapril, and then stimulated with lipopolysaccharide (LPS). Real-time RT-PCR and ELISA were performed for TNF-α and IL-12p40. Western blot analysis was donefor phospho-IκBα and IκBα. For In vivo study, IL-10-/- mice were induced colitis withpiroxicam and then treated with enalapril by oral gavage. The effects of 1 and 5 mg/kgenalapril for 2 weeks have been compared with that of vehicle. Colitis was quantified bythe evaluation of histopathological findings, and the gene expression of proinflammatorycytokines was assessed in the colonic tissue. Results: Enalapril strongly inhibited LPS-inducedTNF-α and IL-12p40 mRNA and protein expression in peritoneal macrophages from IL-10-/-mice. Enalapril also blocked LPS-induced IκBα phosphorylation/degradation in peritonealmacrophages. In IL-10-/- mice, administration of enalapril significantly reduced the severityof colitis as assessed by histology in a dose-dependent manner. Gene expression of TNF- αand IL-12p40 in the colonic tissue was significantly lower in enalapril-treated IL-10-/- mice.Conclusions: Enalapril may block the activation of peritoneal macrophages and amelioratescolitis in IL-10-/- mice, which suggesting that enalapril is a potential therapeutic agent forinflammatory bowel disease.
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Transplantaion of Human Fetal Membrane-Derived Mesenchymal Stem CellsImproves Severe Colitis Induced by Dextran Sulfate Sodium in RatsReizo Onishi, Shunsuke Ohnishi, Ryosuke Higashi, Michiko Watari, Waka Kobayashi,Takehiko Katsurada, Hiroshi Takeda, Naoya Sakamoto
Aims: Mesenchymal stem cells (MSCs) have been reported to be a valuable cell source incell therapy, and bone marrow (BM) represents a major source of MSCs; however, thereare several limitations when using BM-MSCs, including inadequate cell numbers, invasivenessand donor site morbidity. Recently, several studies have shown that MSCs can be easilyisolated from human fetal membrane (FM), and a large amount of cells can be obtained.We thus examined the therapeutic effects of transplantation of human FM-derived MSCs(hFM-MSCs) in dextran sulfate sodium (DSS)-induced colitis in rats. Methods: The MedicalEthical Committee approved this examination and all pregnant women gave written informedconsent. FM was obtained at Cesarean delivery, and hFM-MSCs were isolated and expandedby digestion with collagenase, followed by culturing in uncoated plastic dishes. Severe colitiswas induced in 7-week-old male Sprague-Dawley rats by administration of 8% DSS indrinking water ad libitum from day 0 to day 5. At day 1, hFM-MSCs (1×106 cells) weretransplanted intravenously. Changes in body weight and disease activity index (DAI) wereevaluated daily for 5 days. Rats were sacrificed on day 5, and the entire colon was extracted.Colon length, histological colitis score were evaluated, and mRNA expression of inflammatorymediators were measured by quantitative RT-PCR. Infiltration of T cells (CD3) and mono-cytes/macrophages (CD68) was investigated by immunohistochemistry. Effect of hFM-MSCson induction of TNF-α by lipoplysaccahride (LPS) in mouse macrophage cell line RAW264.7was evaluated by quantitative RT-PCR. Results: Transplantation of hFM-MSCs significantlyameliorated the DAI score, weight loss, colon shortening and histological colitis score. mRNAexpression of TNF-α, IL-1β and MIF was significantly decreased in the rectum of hFM-MSC-treated rats. In addition, infiltration of CD68-positive cells was significantly decreasedin hFM-MSC-treated rats. Furthermore, induction of TNF-α from RAW264.7 cells by LPSwas significantly attenuated by co-culture with hFM-MSCs, or by culture with conditionedmedium obtained from hFM-MSCs. Conclusion: Transplantation of hFM-MSCs providedsignificant improvement in a rat model of severe colitis, possibly through inhibition of
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