Murthy S, Murthy N S, Coppola D, Wood D L
Krancer Center for IBD Research, Division of Gastroenterology and Hepatology, Allegheny University of the Health Sciences, Philadelphia, PA 19102-1192, USA.
Inflamm Res. 1997 Jun;46(6):224-33. doi: 10.1007/s000110050177.
There is crucial evidence that leukotrienes are significant mediators of inflammation in inflammatory bowel diseases (IBD). Thus, selective inhibition of leukotriene synthesis is believed to provide a novel approach to therapy of IBD. The aim of the study is to study the efficacy of a potent 5-lipoxygenase activating protein inhibitor (FLAP), BAY y 1015 in a dextran sulfate model of mouse colitis.
Outbred female mice weighing approximately 25 grams were used to produce acute or chronic colitis by feeding 5% dextran sulfate in drinking water.
Colitic mice were treated with placebo (3% starch suspension, 0.1 ml. p.o., bid) or BAY y 1015 at 8 or 24 mg/kg, p.o., bid or olsalazine, 150 mg/kg/day, p.o.
Efficacy was determined by measuring daily disease activity index (DAI), quantitative histological scores, qualitative histology and measurement of tissue myeloperoxidase (MPO) and leukotriene B4 (LTB4) levels.
BAY y 1015 was significantly more effective in improving the qualitative histology, inhibiting the DAI, inflammation scores (37-79%), crypt scores (28-71%), MPO (49-57%) and LTB4 levels (56-63%) compared to placebo treatment at all levels of colitis. The two doses of BAY y 1015 were equipotent in decreasing TLB4 levels. BAY y 1015 was significantly better than olsalazine in two of the three protocols used in this study. In the advanced disease level both doses of BAY y 1015 were equipotent in inhibiting crypt and (28-32%) inflammation scores (34-36%), LTB4 (34-56%) and MPO 41-49%) compared to olsalazine.
This study suggests the possibility of investigating the use of this compound for the treatment of human inflammatory bowel diseases.
有确凿证据表明白三烯是炎症性肠病(IBD)炎症的重要介质。因此,选择性抑制白三烯合成被认为是一种治疗IBD的新方法。本研究的目的是在葡聚糖硫酸钠诱导的小鼠结肠炎模型中研究一种强效5-脂氧合酶激活蛋白抑制剂(FLAP)BAY y 1015的疗效。
选用体重约25克的远交系雌性小鼠,通过在饮用水中投喂5%葡聚糖硫酸钠诱导急性或慢性结肠炎。
结肠炎小鼠接受安慰剂(3%淀粉混悬液,0.1毫升,口服,每日两次)或8或24毫克/千克的BAY y 1015,口服,每日两次,或柳氮磺胺吡啶,150毫克/千克/天,口服。
通过测量每日疾病活动指数(DAI)、定量组织学评分、定性组织学以及测量组织髓过氧化物酶(MPO)和白三烯B4(LTB4)水平来确定疗效。
在所有结肠炎水平上,与安慰剂治疗相比,BAY y 1015在改善定性组织学、抑制DAI、炎症评分(37 - 79%)、隐窝评分(28 - 71%)、MPO(49 - 57%)和LTB4水平(56 - 63%)方面显著更有效。两种剂量的BAY y 1015在降低LTB4水平方面效果相当。在本研究使用的三个方案中的两个中,BAY y 1015明显优于柳氮磺胺吡啶。在疾病晚期,与柳氮磺胺吡啶相比,两种剂量的BAY y 1015在抑制隐窝和(28 - 32%)炎症评分(34 - 36%)、LTB4(34 - 56%)和MPO(41 - 49%)方面效果相当。
本研究提示了研究该化合物用于治疗人类炎症性肠病的可能性。