Department of Internal Medicine I, University Medical Center, Regensburg, Germany.
PLoS One. 2009 Sep 29;4(9):e7197. doi: 10.1371/journal.pone.0007197.
Dietary lipids or pharmacologic modulation of lipid metabolism are potential therapeutic strategies in inflammatory bowel disease (IBD). Therefore, we analysed alterations of bioactive lipids in experimental models of colitis and examined the functional consequence of the second messenger ceramide in inflammatory pathways leading to tissue destruction.
METHODOLOGY/PRINCIPAL FINDINGS: Chronic colitis was induced by dextran-sulphate-sodium (DSS) or transfer of CD4(+)CD62L(+) cells into RAG1(-/-)-mice. Lipid content of isolated murine intestinal epithelial cells (IEC) was analysed by tandem mass spectrometry. Concentrations of MMP-1 in supernatants of Caco-2-IEC and human intestinal fibroblasts from patients with ulcerative colitis were determined by ELISA. Imipramine was used for pharmacologic inhibition of acid sphingomyelinase (ASM). Ceramide increased by 71% in chronic DSS-induced colitis and by 159% in the transfer model of colitis. Lysophosphatidylcholine (LPC) decreased by 22% in both models. No changes were detected for phosphatidylcholine. Generation of ceramide by exogenous SMase increased MMP-1-protein production of Caco-2-IEC up to 7-fold. Inhibition of ASM completely abolished the induction of MMP-1 by TNF or IL-1beta in Caco-2-IEC and human intestinal fibroblasts.
CONCLUSIONS/SIGNIFICANCE: Mucosal inflammation leads to accumulation of ceramide and decrease of LPC in the intestinal epithelium. One aspect of ceramide generation is an increase of MMP-1. Induction of MMP-1 by TNF or IL-1beta is completely blocked by inhibition of ASM with imipramine. Therefore, inhibition of ASM may offer a treatment strategy to reduce MMP-1 expression and tissue destruction in inflammatory conditions.
膳食脂质或脂质代谢的药物调节是炎症性肠病(IBD)的潜在治疗策略。因此,我们分析了实验性结肠炎模型中生物活性脂质的变化,并研究了第二信使神经酰胺在导致组织破坏的炎症途径中的功能后果。
方法/主要发现:通过葡聚糖硫酸钠(DSS)或向 RAG1(-/-)-小鼠转移 CD4(+)CD62L(+)细胞来诱导慢性结肠炎。通过串联质谱法分析分离的鼠肠上皮细胞(IEC)中的脂质含量。通过 ELISA 测定溃疡性结肠炎患者的 Caco-2-IEC 和人肠成纤维细胞上清液中的 MMP-1 浓度。使用丙咪嗪进行酸鞘磷脂酶(ASM)的药理抑制。慢性 DSS 诱导的结肠炎中神经酰胺增加了 71%,结肠炎转移模型中增加了 159%。两种模型中溶血磷脂酰胆碱(LPC)均减少了 22%。磷脂酰胆碱未发生变化。外源性 SMase 产生的神经酰胺使 Caco-2-IEC 的 MMP-1 蛋白产生增加了 7 倍。在 Caco-2-IEC 和人肠成纤维细胞中,ASM 的抑制完全消除了 TNF 或 IL-1β诱导的 MMP-1 的诱导。
结论/意义:黏膜炎症导致肠上皮中神经酰胺的积累和 LPC 的减少。神经酰胺生成的一个方面是 MMP-1 的增加。TNF 或 IL-1β诱导的 MMP-1 完全被丙咪嗪抑制 ASM 所阻断。因此,抑制 ASM 可能为减少炎症条件下的 MMP-1 表达和组织破坏提供一种治疗策略。