Effects of the TREM-1 pathway modulation during mesenteric ischemia-reperfusion in rats

Sébastien Gibot1, Frédéric Massin, Corentine Alauzet

  • 1Groupe Choc, Contrat AVENIR INSERM, U684, Faculté de Médecine, Nancy Université, Nancy, France. s.gibot@chu-nancy.fr

Critical Care Medicine
|December 20, 2007
PubMed
Abstract

Insights

Modulating the TREM-1 pathway with LP17 peptide reduced inflammation and bacterial translocation in a rat model of mesenteric ischemia-reperfusion injury. This TREM-1 inhibition delayed mortality, suggesting therapeutic potential.

Area of Science:

  • Immunology
  • Gastroenterology
  • Surgical Research

Background:

  • The triggering receptor expressed on myeloid cells (TREM)-1 amplifies inflammatory responses, playing a role in ischemia-reperfusion injury.
  • Leukocyte activation and bacterial translocation are key in gastrointestinal injury and multiple organ failure following ischemia-reperfusion.

Purpose of the Study:

  • To investigate the therapeutic potential of modulating the TREM-1 pathway in ischemia-reperfusion-induced gastrointestinal injury.
  • To test the hypothesis that TREM-1 pathway inhibition would be beneficial in this setting.

Main Methods:

  • Adult male Wistar rats underwent intestinal ischemia-reperfusion.
  • Animals were treated with LP17 (a synthetic TREM-1 inhibitor), a control peptide, or vehicle.
  • Assessed inflammatory markers (TNF-α, IL-6), oxidative stress, ileal permeability, bacterial translocation, and mortality.

Main Results:

  • LP17 partially prevented cardiovascular collapse, lactic acidosis, and systemic/hepatic inflammation.
  • LP17 attenuated liver lipid peroxidation and catalase depletion.
  • TREM-1 modulation prevented increased ileal permeability and bacterial translocation, and delayed mortality.

Conclusions:

  • Modulation of the TREM-1 pathway using a synthetic peptide (LP17) shows promise for treating acute mesenteric ischemia.
  • Targeting TREM-1 may offer a novel therapeutic strategy for ischemia-reperfusion injury.

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