Oral administration of taurolidine ameliorates chronic DSS colitis in mice

Ansgar Michael Chromik1, Annette M Müller, Martin Albrecht

  • 1Department of General and Visceral Surgery, St Josef Hospital, Ruhr-University of Bochum, Bochum, Germany. a.chromik@klinikum-bochum.de

Insights

Taurolidine (TRD) demonstrates safety and efficacy in an experimental inflammatory bowel disease (IBD) model. Oral TRD significantly improved survival and reduced disease activity in mice with colitis.

Area of Science:

  • Pharmacology
  • Gastroenterology
  • Immunology

Background:

  • Taurolidine (TRD) possesses known antimicrobial and anti-inflammatory properties.
  • The efficacy of TRD in inflammatory bowel diseases (IBD) remains unexplored.
  • Investigating TRD's therapeutic potential in IBD is warranted.

Purpose of the Study:

  • To assess the toxicity of orally administered TRD in a long-term mouse study.
  • To evaluate the therapeutic impact of oral TRD in a dextran sulfate sodium (DSS)-induced experimental colitis model.
  • To elucidate the mechanisms underlying TRD's effects in colitis.

Main Methods:

  • Mice received oral TRD (0.1%-0.4%) for 60 days to evaluate toxicity via disease activity index (DAI) and histology.
  • A chronic DSS colitis model was treated with 0.2% oral TRD.
  • Assessed DAI, crypt damage score (CDS), bacterial translocation to mesenteric lymph nodes (MLN), and colonic gene expression (TNF-α, TGF-β, IL-1β, IL-6, COX-2, MCP-1) via real-time PCR.

Main Results:

  • Oral TRD administration was well-tolerated, showing no toxic effects in mice over 60 days.
  • TRD treatment in DSS colitis resulted in 100% survival, compared to 33% in untreated controls (p ≤ .005).
  • TRD-treated mice exhibited significantly reduced DAI and CDS, indicating clinical improvement.

Conclusions:

  • Oral taurolidine ameliorates experimental inflammatory bowel disease, specifically in a DSS-induced colitis model.
  • TRD's therapeutic effects are likely mediated by direct intraluminal antimicrobial actions and acute-phase anti-inflammatory responses.
  • This study establishes a foundation for exploring TRD as a potential therapeutic agent for IBD.