Department of Regional Medicine and Education, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510, Japan; Center for Medical Education, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510, Japan; Department of General Medicine, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510, Japan.
Department of Regional Medicine and Education, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510, Japan.
Int Immunopharmacol. 2024 May 30;133:112099. doi: 10.1016/j.intimp.2024.112099. Epub 2024 Apr 20.
Visceral hypersensitivity resulting from compromised gut barrier with activated immune system is a key feature of irritable bowel syndrome (IBS). Corticotropin-releasing factor (CRF) and Toll-like receptor 4 (TLR4) activate proinflammatory cytokine signaling to induce these changes, which is one of the mechanisms of IBS. As activation of the NLRP3 inflammasome by lipopolysaccharide (LPS) or TLR4 leads to release interleukin (IL)-1β, the NLRP3 inflammasome may be involved in the pathophysiology of IBS. Tranilast, an anti-allergic drug has been demonstrated to inhibit the NLRP3 inflammasome, and we evaluated the impact of tranilast on visceral hypersensitivity and colonic hyperpermeability induced by LPS or CRF (IBS rat model). Visceral pain threshold caused by colonic balloon distention was measured by monitoring abdominal muscle contractions electrophysiologically. Colonic permeability was determined by quantifying the absorbed Evans blue within the colonic tissue. Colonic protein levels of NLRP3 and IL-1β were assessed by immunoblot or ELISA. Intragastric administration of tranilast (20-200 mg/kg) for 3 days inhibited LPS (1 mg/kg)-induced visceral hypersensitivity and colonic hyperpermeability in a dose-dependent manner. Simultaneously, tranilast also abolished these alterations induced by CRF (50 µg/kg). LPS increased colonic protein levels of NLRP3 and IL-1β, and tranilast inhibited these changes. β-hydroxy butyrate, an NLRP3 inhibitor, also abolished visceral hypersensitivity and colonic hyperpermeability caused by LPS. In contrast, IL-1β induced similar GI alterations to LPS, which were not modified by tranilast. In conclusion, tranilast improved visceral pain and colonic barrier by suppression of the NLRP3 inflammasome in IBS rat models. Tranilast may be useful for IBS treating.
内脏敏化是由肠道屏障受损和免疫系统激活引起的,是肠易激综合征(IBS)的一个关键特征。促肾上腺皮质释放因子(CRF)和 Toll 样受体 4(TLR4)激活促炎细胞因子信号转导,诱导这些变化,这是 IBS 的机制之一。脂多糖(LPS)或 TLR4 激活 NLRP3 炎性小体导致白细胞介素(IL)-1β释放,NLRP3 炎性小体可能参与 IBS 的病理生理学。抗变态反应药物曲尼司特已被证明能抑制 NLRP3 炎性小体,我们评估了曲尼司特对 LPS 或 CRF 诱导的内脏敏化和结肠高通透性(IBS 大鼠模型)的影响。通过监测腹部肌肉的电生理收缩来测量结肠球囊扩张引起的内脏疼痛阈值。通过定量测定结肠组织中吸收的 Evans 蓝来确定结肠通透性。通过免疫印迹或 ELISA 评估 NLRP3 和 IL-1β 的结肠蛋白水平。曲尼司特(20-200mg/kg)灌胃 3 天,呈剂量依赖性抑制 LPS(1mg/kg)诱导的内脏敏化和结肠高通透性。同时,曲尼司特也消除了 CRF(50μg/kg)诱导的这些改变。LPS 增加了 NLRP3 和 IL-1β 的结肠蛋白水平,而曲尼司特抑制了这些变化。NLRP3 抑制剂β-羟基丁酸也消除了 LPS 引起的内脏敏化和结肠高通透性。相反,IL-1β 引起的胃肠道改变与 LPS 相似,曲尼司特对此没有影响。总之,曲尼司特通过抑制 IBS 大鼠模型中的 NLRP3 炎性小体改善了内脏疼痛和结肠屏障功能。曲尼司特可能对 IBS 的治疗有用。
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