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Published on: September 22, 2019
Factor V Leiden and the etiology of inflammatory bowel disease
C Arnold Spek1, Fiebo J W ten Kate, Anje A te Velde
1Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. c.a.spek@amc.uva.nl
Insights
This study investigated if blood clotting influences inflammatory bowel disease (IBD). Results show the FV Leiden gene mutation did not impact colitis symptoms in mice, questioning blood coagulation
Area of Science:
- Gastroenterology
- Hematology
- Immunology
Background:
- Inflammatory bowel disease (IBD), encompassing ulcerative colitis and Crohn's disease, is linked to a threefold increased risk of venous thrombosis.
- Thromboembolic events are a major cause of morbidity and mortality in IBD patients.
- The role of blood coagulation activation in IBD etiology and pathogenesis remains unclear.
Purpose of the Study:
- To investigate the hypothesis that activated blood coagulation exacerbates the development of IBD.
- To determine the effect of the FV Leiden genotype on a model of DSS-induced colitis.
Main Methods:
- Wildtype and homozygous FV Leiden mice were subjected to DSS-induced colitis.
- Colitis was assessed by measuring body weight, colon length and weight, and histological changes.
- The impact of the FV Leiden genotype on colitis severity was evaluated.
Main Results:
- DSS-induced colitis caused significant symptoms including weight loss, colon shortening, ulcerations, edema, crypt loss, fibrosis, and inflammation.
- The FV Leiden genotype did not significantly alter any of the DSS-induced colitis symptoms.
- This suggests the FV Leiden allele has no effect on experimental murine colitis.
Conclusions:
- The FV Leiden allele does not influence the severity of experimental murine colitis.
- These findings question the significance of activated blood coagulation in the etiology or pathogenesis of IBD.
- Further research is needed to elucidate the complex relationship between thrombosis and IBD.
Abstract:
Inflammatory bowel disease (IBD) refers to two chronic diseases that cause inflammation of the intestines: ulcerative colitis and Crohn's disease. Patients suffering from IBD have a three-fold increased risk of venous thrombosis compared with matched controls. Importantly, thromboembolic disease is a significant cause of morbidity and mortality in patients with IBD. However, despite several supporting observations it is still elusive whether activation of the blood coagulation cascade is involved in the etiology and pathogenesis of IBD. To confirm or refute the hypothesis that activated blood coagulation aggravates the development of IBD, we subjected wildtype and homozygous FV Leiden mice to a model of DSS-induced colitis. Experimental colitis led to a reduction in body weight, shortening of the colon and increased colon weight. In addition, DSS treatment led to ulcerations, edema formation, crypt loss, fibrosis and the influx of inflammatory cells into the colon. However, the FV Leiden genotype had no significant effect on any of the DSS-induced symptoms of colitis. We therefore conclude that the FV Leiden allele has no effect in murine colitis and we thus question the importance of activated blood coagulation in the etiology or pathogenesis of IBD.
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