Higa A, Eto T, Nawa Y
First Dept. of Internal Medicine, Miyazaki Medical College, Japan.
Scand J Gastroenterol. 1997 Jun;32(6):564-8. doi: 10.3109/00365529709025100.
Neutrophils are thought to play a role in the pathogenesis of inflammatory bowel diseases (IBD) such as ulcerative colitis and Crohn's disease, since prominent neutrophil infiltration has been observed in the inflamed colonic mucosa of patients with IBD. However, the role of neutrophils in the pathogenesis of IBD and experimental colitis remains equivocal. The aim of the present study is to clarify the possible role of neutrophils in the progression of acetic acid-induced colitis in mice.
Using neutropenic mice treated with cyclophosphamide or with an LTB4 receptor antagonist, ONO-4057, the relationship between the severity of macroscopic colonic damage, the extent of myeloperoxidase (MPO) activities in the colonic tissues, and the number of neutrophils in the blood were examined after induction of colitis in mice.
Changes of MPO activity in the colonic tissues paralleled well with the severity of the mucosal damage. In spite of a significant reduction in the number of neutrophils in the blood in cyclophosphamide-treated mice, neither the severity of mucosal damage in the colon nor the increase in MPO activities in the colonic tissues was affected 24 h after induction of colitis. Treatment with ONO-4057 significantly suppressed both the severity of mucosal damage in the colon and MPO activities in the colonic tissues in acetic acid-induced colitis in mice.
The present results, obtained using treatment with cyclophosphamide and ONO-4057, show that the severity or the progression of acetic acid-induced colitis in mice was not influenced by a reduction of circulating neutrophils to about 25% of base line.
中性粒细胞被认为在溃疡性结肠炎和克罗恩病等炎症性肠病(IBD)的发病机制中起作用,因为在IBD患者发炎的结肠黏膜中观察到明显的中性粒细胞浸润。然而,中性粒细胞在IBD和实验性结肠炎发病机制中的作用仍不明确。本研究的目的是阐明中性粒细胞在小鼠乙酸诱导的结肠炎进展中可能发挥的作用。
使用经环磷酰胺或白三烯B4受体拮抗剂ONO-4057处理的中性粒细胞减少的小鼠,在小鼠诱导结肠炎后,检查结肠宏观损伤的严重程度、结肠组织中髓过氧化物酶(MPO)活性的程度与血液中中性粒细胞数量之间的关系。
结肠组织中MPO活性的变化与黏膜损伤的严重程度密切相关。尽管环磷酰胺处理的小鼠血液中中性粒细胞数量显著减少,但在诱导结肠炎24小时后,结肠黏膜损伤的严重程度和结肠组织中MPO活性的增加均未受到影响。在小鼠乙酸诱导的结肠炎中,用ONO-4057治疗可显著抑制结肠黏膜损伤的严重程度和结肠组织中MPO活性。
使用环磷酰胺和ONO-4057治疗获得的本研究结果表明,将循环中性粒细胞减少至基线的约25%不会影响小鼠乙酸诱导的结肠炎的严重程度或进展。