Johnson & Johnson Pharmaceutical Research and Development, Spring House, Pennsylvania, USA.
J Pharmacol Exp Ther. 2010 May;333(2):574-83. doi: 10.1124/jpet.109.161497. Epub 2010 Feb 18.
Glucagon-like peptide 2 (GLP-2) is a pleiotropic intestinotrophic hormone that we hypothesized could lessen gastrointestinal inflammation associated with postoperative ileus (POI). To test this idea, the prophylactic timing and dose of a long-acting variant of human GLP-2 linked to the Fc portion of murine immunoglobulin G (IgG) (GLP-2/IgG) was optimized in a murine model of POI. Surgically treated mice received a single dose of GLP-2/IgG, IgG isotype control, or phosphate-buffered saline 1 to 48 h before small bowel surgical manipulation. The distribution of orally fed fluorescein isothiocyanate-dextran and histological analyses of myeloperoxidase-positive immune cells were determined 24 and 48 h postoperatively. TaqMan quantitative polymerase chain reaction was used to determine early changes in mRNA expression in the muscularis or mucosa. In normal mice, prolonged exposure to GLP-2 increased upper gastrointestinal (GI) transit and mucosal weight. When administered 1 or 3 h before surgery, GLP-2/IgG reduced the leukocyte infiltrate 24 and 48 h postoperatively and improved GI transit 48 h postoperatively. Surgical manipulation rapidly increased gene expression of proinflammatory cytokines and enzymes for kinetically active mediators in the mucosa and muscularis. GLP-2/IgG2a affected the expression of genes associated with mucosal inflammation and barrier function. We conclude that prophylactic treatment with a long-acting GLP-2 agonist ameliorates inflammation and improves intestinal dysmotility associated with surgical manipulation of the bowel. The action of GLP-2 is consistent with a lessening of inflammation, leading to a more rapid recovery.
胰高血糖素样肽 2(GLP-2)是一种多效肠营养激素,我们假设它可以减轻与术后肠梗阻(POI)相关的胃肠道炎症。为了验证这一想法,我们在 POI 的小鼠模型中优化了与人 GLP-2 连接到鼠免疫球蛋白 G(IgG)Fc 部分的长效变体(GLP-2/IgG)的预防时机和剂量。接受手术治疗的小鼠在小肠手术操作前 1 至 48 小时接受单次 GLP-2/IgG、IgG 同种型对照或磷酸盐缓冲盐水(PBS)治疗。在术后 24 和 48 小时,通过口服给予荧光素异硫氰酸酯-葡聚糖的分布和髓过氧化物酶阳性免疫细胞的组织学分析来确定。使用 TaqMan 定量聚合酶链反应来确定肌层或粘膜中 mRNA 表达的早期变化。在正常小鼠中,长时间暴露于 GLP-2 会增加上胃肠道(GI)转运和粘膜重量。当在手术前 1 或 3 小时给予 GLP-2/IgG 时,术后 24 和 48 小时减少白细胞浸润,并在术后 48 小时改善 GI 转运。手术操作迅速增加了粘膜和肌层中促炎细胞因子和动力学活性介质的酶的基因表达。GLP-2/IgG2a 影响与粘膜炎症和屏障功能相关的基因表达。我们得出结论,长效 GLP-2 激动剂的预防性治疗可改善与肠道手术操作相关的炎症和改善肠道运动障碍。GLP-2 的作用与减轻炎症一致,从而导致更快的恢复。
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