Division of Digestive Diseases, Department of Medicine, Emory University, Atlanta, Georgia, USA.
Inflamm Bowel Dis. 2011 May;17(5):1163-76. doi: 10.1002/ibd.21469. Epub 2010 Sep 24.
Intestinal epithelial expression of antioxidants and nuclear factor kappa B (NF-κB) contribute to mucosal barrier integrity and epithelial homeostasis, two key events in the pathogenesis of inflammatory bowel disease (IBD). Genetic restoration of intestinal epithelial prohibitin 1 (PHB) levels during experimental colitis reduces the severity of disease through sustained epithelial antioxidant expression and reduced NF-κB activation. To determine the therapeutic potential of restoring epithelial PHB during experimental colitis in mice, we assessed two methods of PHB colonic mucosal delivery: adenovirus-directed administration by enema and poly(lactic acid) nanoparticle (NPs) delivery by gavage.
As a proof-of-principle to demonstrate the therapeutic efficacy of PHB, we utilized adenovirus-directed administration by enema. Second, we used NPs-based colonic delivery of biologically active PHB to demonstrate therapeutic use for human IBD. Colitis was induced by oral administration of dextran sodium sulfate (DSS) in water for 6-7 days. Wildtype mice receiving normal tap water served as controls.
Both methods of delivery resulted in increased levels of PHB in the surface epithelial cells of the colon and reduced severity of DSS-induced colitis in mice as measured by body weight loss, clinical score, myeloperoxidase activity, proinflammatory cytokine expression, histological score, and protein carbonyl content.
This is the first study to show oral delivery of a biologically active protein by NPs encapsulated in hydrogel to the colon. Here we show that therapeutic delivery of PHB to the colon reduces the severity of DSS-induced colitis in mice. PHB may represent a novel therapeutic target in IBD.
肠道上皮细胞抗氧化剂和核因子 kappa B(NF-κB)的表达有助于黏膜屏障完整性和上皮细胞稳态,这是炎症性肠病(IBD)发病机制中的两个关键事件。在实验性结肠炎期间,通过基因恢复肠道上皮细胞抑制素 1(PHB)水平,可以通过持续的上皮抗氧化剂表达和减少 NF-κB 激活来减轻疾病的严重程度。为了确定在实验性结肠炎中恢复上皮 PHB 的治疗潜力,我们评估了两种结肠黏膜 PHB 传递方法:通过灌肠给予腺病毒指导的给药和通过灌胃给予聚(乳酸)纳米颗粒(NPs)给药。
作为证明 PHB 治疗功效的原理验证,我们利用通过灌肠给予腺病毒指导的给药。其次,我们使用基于 NPs 的结肠递送来证明对人类 IBD 的治疗用途。通过在水中口服葡聚糖硫酸钠(DSS)诱导结肠炎,持续 6-7 天。接受自来水的野生型小鼠作为对照。
两种传递方法均导致结肠表面上皮细胞中的 PHB 水平增加,并降低了 DSS 诱导的结肠炎小鼠的严重程度,这通过体重减轻、临床评分、髓过氧化物酶活性、促炎细胞因子表达、组织学评分和蛋白质羰基含量来衡量。
这是第一项研究表明通过包裹在水凝胶中的 NPs 口服递送至结肠的生物活性蛋白。在这里,我们表明将 PHB 递送至结肠可减轻 DSS 诱导的结肠炎小鼠的严重程度。PHB 可能代表 IBD 的一种新的治疗靶标。