Lajczak-McGinley Natalia K, Porru Emanule, Fallon Ciara M, Smyth Jessica, Curley Caitriona, McCarron Paul A, Tambuwala Murtaza M, Roda Aldo, Keely Stephen J
Department of Molecular Medicine, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin 9, Ireland.
Department of Chemistry, University of Bologna, Bologna, Italy.
Physiol Rep. 2020 Jun;8(12):e14456. doi: 10.14814/phy2.14456.
Increased epithelial permeability is a key feature of IBD pathogenesis and it has been proposed that agents which promote barrier function may be of therapeutic benefit. We have previously reported the secondary bile acid, ursodeoxycholic acid (UDCA), to be protective in a mouse model of colonic inflammation and that its bacterial metabolism is required for its beneficial effects. The current study aimed to compare the effects of UDCA, LCA, and a non-metabolizable analog of UDCA, 6-methyl-UDCA (6-MUDCA), on colonic barrier function and mucosal inflammation in a mouse model of colonic inflammation. Bile acids were administered daily to C57Bl6 mice by intraperitoneal injection. Colonic inflammation, induced by addition of DSS (2.5%) to the drinking water, was measured as disease activity index (DAI) and histological score. Epithelial permeability and apoptosis were assessed by measuring FITC-dextran uptake and caspase-3 cleavage, respectively. Cecal bile acids were measured by HPLC-MS/MS. UDCA and LCA, but not 6-MUDCA, were protective against DSS-induced increases in epithelial permeability and colonic inflammation. Furthermore, UDCA and LCA inhibited colonic epithelial caspase-3 cleavage both in DSS-treated mice and in an in vitro model of cytokine-induced epithelial injury. HPLC-MS/MS analysis revealed UDCA administration to increase colonic LCA levels, whereas LCA administration did not alter UDCA levels. UDCA, and its primary metabolite, LCA, protect against intestinal inflammation in vivo, at least in part, by inhibition of epithelial apoptosis and promotion of barrier function. These data suggest that clinical trials of UDCA in IBD patients are warranted.
上皮通透性增加是炎症性肠病发病机制的一个关键特征,有人提出促进屏障功能的药物可能具有治疗益处。我们之前报道过,次级胆汁酸熊去氧胆酸(UDCA)在结肠炎症小鼠模型中具有保护作用,并且其细菌代谢是其产生有益作用所必需的。本研究旨在比较UDCA、石胆酸(LCA)和一种UDCA的不可代谢类似物6-甲基-UDCA(6-MUDCA)对结肠炎症小鼠模型中结肠屏障功能和黏膜炎症的影响。通过腹腔注射每天给C57Bl6小鼠施用胆汁酸。通过添加2.5%的葡聚糖硫酸钠(DSS)到饮用水中诱导结肠炎症,以疾病活动指数(DAI)和组织学评分来衡量。分别通过测量异硫氰酸荧光素(FITC)-葡聚糖摄取和半胱天冬酶-3切割来评估上皮通透性和细胞凋亡。通过高效液相色谱-串联质谱(HPLC-MS/MS)测定盲肠胆汁酸。UDCA和LCA可预防DSS诱导的上皮通透性增加和结肠炎症,而6-MUDCA则无此作用。此外,UDCA和LCA在DSS处理的小鼠以及细胞因子诱导的上皮损伤体外模型中均抑制结肠上皮半胱天冬酶-3切割。HPLC-MS/MS分析显示,施用UDCA可增加结肠LCA水平,而施用LCA不会改变UDCA水平。UDCA及其主要代谢产物LCA至少部分地通过抑制上皮细胞凋亡和促进屏障功能来保护机体免受肠道炎症侵害。这些数据表明,有必要对IBD患者进行UDCA的临床试验。