Department of Surgical and Gastroenterological Sciences, University of Padova, Padova 35128, Italy.
World J Gastroenterol. 2011 Sep 28;17(36):4099-103. doi: 10.3748/wjg.v17.i36.4099.
To evaluate whether combination therapy with anti-tumour necrosis factor α (TNFα) antibody and Zn acetate is beneficial in dextran sodium sulphate (DSS) colitis.
Colitis was induced in CD1-Swiss mice with 5% DSS for 7 d. The experimental mice were then randomised into the following subgroups: standard diet + DSS treated (induced colitis group); standard diet + DSS + subcutaneous 25 μg anti-TNFα treated group; Zn acetate treated group + DSS + subcutaneous 25 μg anti-TNFα; standard diet + DSS + subcutaneous 6.25 μg anti-TNFα treated group and Zn acetate treated group + DSS + subcutaneous 6.25 μg anti-TNFα. Each group of mice was matched with a similar group of sham control animals. Macroscopic and histological features were scored blindly. Homogenates of the colonic mucosa were assessed for myeloperoxidase activity as a biochemical marker of inflammation and DNA adducts (8OH-dG) as a measure of oxidative damage.
DSS produced submucosal erosions, ulcers, inflammatory cell infiltration and cryptic abscesses which were reduced in both groups of mice receiving either anti-TNFα alone or combined with zinc. The effect was more pronounced in the latter group (vs Zn diet, P < 0.02). Myeloperoxidase activity (vs controls, P < 0.02) and DNA adducts, greatly elevated in the DSS fed colitis group (vs controls, P < 0.05), were significantly reduced in the treated groups, with a more remarkable effect in the group receiving combined therapy (vs standard diet, P < 0.04).
DSS induces colonic inflammation which is modulated by the administration of anti-TNFα. Combining anti-TNFα with Zn acetate offers marginal benefit in colitis severity.
评估抗肿瘤坏死因子 α(TNFα)抗体和醋酸锌联合治疗是否对葡聚糖硫酸钠(DSS)结肠炎有益。
用 5% DSS 诱导 CD1-Swiss 小鼠结肠炎 7 天。然后将实验小鼠随机分为以下亚组:标准饮食+DSS 处理(诱导结肠炎组);标准饮食+DSS+皮下注射 25μg 抗 TNFα 治疗组;醋酸锌治疗组+DSS+皮下注射 25μg 抗 TNFα;标准饮食+DSS+皮下注射 6.25μg 抗 TNFα 治疗组和醋酸锌治疗组+DSS+皮下注射 6.25μg 抗 TNFα。每组小鼠均与类似的假对照动物匹配。盲法评估宏观和组织学特征。评估结肠黏膜匀浆中的髓过氧化物酶活性作为炎症的生化标志物和 DNA 加合物(8OH-dG)作为氧化损伤的标志物。
DSS 导致黏膜下糜烂、溃疡、炎症细胞浸润和隐窝脓肿,单独使用抗 TNFα或与锌联合使用均可减轻这两种小鼠模型的结肠炎。后者的效果更为明显(与锌饮食相比,P<0.02)。髓过氧化物酶活性(与对照组相比,P<0.02)和 DNA 加合物(在 DSS 喂养的结肠炎组中显著升高,与对照组相比,P<0.05)在治疗组中显著降低,联合治疗组的效果更为显著(与标准饮食相比,P<0.04)。
DSS 诱导结肠炎症,抗 TNFα 的给药可调节其炎症。抗 TNFα 联合醋酸锌在结肠炎严重程度方面提供了微小的益处。