Kullmann F, Arndt H, Gross V, Rüschoff J, Schölmerich J
Department of Internal Medicine, University of Regensburg, Germany.
Eur J Gastroenterol Hepatol. 1997 Dec;9(12):1205-11.
Recently we observed that ursodeoxycholic acid (UDCA) ameliorates an experimental small intestinal inflammation induced by indomethacin in the rat. In this study, we have tested whether ursodeoxycholic acid also reduces mucosal damage in the bile-independent trinitrobenzene sulphonic acid (TNB) model of experimental colitis.
Intestinal inflammation (colitis) was induced in male Sprague-Dawley rats (250-300 g) by intracolonic administration of TNB (30 mg in 50% ethanol). Rats were treated with UDCA (10 mg/kg) either for 3 days starting with the administration of TNB for an acute inflammation (n = 11) or for 8 days starting one day after induction of colitis related to a more acute/chronic inflammation (n = 11). Rats were sacrificed at day 3 or day 9, respectively. Healing of induced colitis was assessed by macroscopic and blinded microscopic analysis as well as by measurement of bowel wet weight, daily body weight, and myeloperoxidase activity. All examinations were separately performed in three colon segments (S1 3-5 cm, S2 5.5-8 cm and S3 8.5-11 cm from anus).
UDCA treatment significantly reduced macroscopically and microscopically detectable injury in acute inflammation in segments 1 and 2. The colitis-rats with acute/chronic inflammation had less marked mucosal damage. Nevertheless, UDCA treatment led to a significant decrease of visible injury parameters which was seen exclusively at the area of maximal ulceration (S2). Furthermore, a significant increase in body weight of UDCA-treated TNB rats compared to controls from day 5 on was found.
Ursodeoxycholic acid attenuates the severity of acute inflammation and inhibits the development of acute/chronic inflammation predominantly around the area of maximal ulceration in TNB-induced colitis. In addition to our previous studies and results in indomethacin induced enteritis, these data may provide a rationale for studying how UDCA modulates functions of immune cells in the colonic mucosa.
最近我们观察到熊去氧胆酸(UDCA)可改善吲哚美辛诱导的大鼠实验性小肠炎症。在本研究中,我们测试了熊去氧胆酸是否也能减轻胆汁非依赖性三硝基苯磺酸(TNB)实验性结肠炎模型中的黏膜损伤。
通过结肠内注射TNB(30mg溶于50%乙醇)诱导雄性Sprague-Dawley大鼠(250-300g)发生肠道炎症(结肠炎)。UDCA(10mg/kg)治疗大鼠,对于急性炎症,从注射TNB开始持续3天(n = 11);对于与更急性/慢性炎症相关的结肠炎,在诱导结肠炎1天后开始持续8天(n = 11)。分别在第3天或第9天处死大鼠。通过宏观和盲法显微镜分析以及测量肠湿重、每日体重和髓过氧化物酶活性来评估诱导性结肠炎的愈合情况。所有检查分别在三个结肠段(距肛门S1 3-5cm、S2 5.5-8cm和S3 8.5-11cm)进行。
UDCA治疗显著减轻了第1和第2段急性炎症中宏观和微观可检测到的损伤。患有急性/慢性炎症的结肠炎大鼠黏膜损伤较轻。然而,UDCA治疗导致可见损伤参数显著降低,这仅在最大溃疡区域(S2)可见。此外,发现从第5天起,与对照组相比,UDCA治疗的TNB大鼠体重显著增加。
熊去氧胆酸减轻急性炎症的严重程度,并抑制TNB诱导的结肠炎中主要在最大溃疡区域周围的急性/慢性炎症的发展。除了我们之前关于吲哚美辛诱导肠炎的研究和结果外,这些数据可能为研究UDCA如何调节结肠黏膜中免疫细胞的功能提供理论依据。