Stadnicki Antoni, Colman Robert W
Department of Internal Medicine, Medical University of Silesia, Katowice, Poland.
Arch Immunol Ther Exp (Warsz). 2003;51(3):149-55.
The etiology and pathogenesis of inflammatory bowel disease (IBD) remains unsolved, but improved experimental models of enterocolitis have led to progress. Intestinal inflammation and experimental IBD can be induced by chemical or dietary factors or by microbial products. Many animal models of IBD can be used to evaluate new anti-inflammatory drugs. These models, however, usually demonstrate acute, self-limiting colitis. The spontaneous colitis models developed in the cotton-top tamarin monkey and the C3H/HeJBir mouse mimic more features of human IBD. Inflammation is chronic and is under genetic control. The differential genetic susceptibility of inbred rat strains to chronic inflammation have been exploited. Lewis rats injected with bacterial products, peptidoglycan polysaccharide or indomethicin develop chronic relapsing enterocolitis, whereas closely related Buffalo or Fisher rat strains develop only transient inflammation. These models are also useful to test the specific inhibition of inflammatory mediators and target molecules. Over-expression (transgenic) or deletion (knockout) of specific genes have led to the development of rodent models of spontaneous colitis. Inflammation arises from a number of mutations of immunomodulatory molecules, supporting the concept of genetic heterogeneity for IBD. The results obtained from experimental models have generated new hypotheses, expanded human studies, and suggested novel forms of therapy for IBD patients.
炎症性肠病(IBD)的病因和发病机制尚未明确,但改良的小肠结肠炎实验模型已取得进展。肠道炎症和实验性IBD可由化学或饮食因素或微生物产物诱发。许多IBD动物模型可用于评估新型抗炎药物。然而,这些模型通常表现为急性、自限性结肠炎。棉顶狨猴和C3H/HeJBir小鼠中建立的自发性结肠炎模型更能模拟人类IBD的特征。炎症是慢性的且受基因控制。近交系大鼠品系对慢性炎症的不同遗传易感性已得到利用。注射细菌产物、肽聚糖多糖或吲哚美辛的Lewis大鼠会发生慢性复发性小肠结肠炎,而亲缘关系密切的布法罗或费希尔大鼠品系仅发生短暂炎症。这些模型也有助于测试对炎症介质和靶分子的特异性抑制作用。特定基因的过表达(转基因)或缺失(基因敲除)已导致自发性结肠炎啮齿动物模型的建立。炎症源于免疫调节分子的多种突变,支持了IBD基因异质性的概念。从实验模型获得的结果产生了新的假设,扩展了人体研究,并为IBD患者提出了新的治疗形式。