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Chronic Salmonella Infection Induced Intestinal Fibrosis
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Published on: September 22, 2019

Substance P modulates colitis-associated fibrosis.

Hon Wai Koon1, David Shih, Iordanes Karagiannides

  • 1Inflammatory Bowel Disease Center, Division of Digestive Diseases, David Geffen School of Medicine, University of California, Los Angeles, MRL Building, Room 1240, 675 Charles E. Young Dr. South, Los Angeles, CA 90095, USA.

The American Journal of Pathology
|October 5, 2010
PubMed
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Substance P (SP) and its receptor (NK-1R) drive intestinal fibrosis in chronic colitis. Blocking NK-1R or its absence reduces fibrosis by inhibiting fibroblast activation and collagen production.

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Area of Science:

  • Gastroenterology
  • Immunology
  • Fibrosis Research

Background:

  • Substance P (SP) and neurokinin-1 receptor (NK-1R) signaling are implicated in colitis and mucosal healing.
  • Colonic fibrosis is a significant complication of chronic inflammatory bowel diseases.

Purpose of the Study:

  • To investigate the role of SP and NK-1R in the development of colonic fibrosis during chronic colitis.
  • To determine if SP modulates fibrotic processes via NK-1R in a mouse model of colitis.

Main Methods:

  • Utilized a chronic trinitrobenzenesulfonic acid (TNBS)-induced colitis model in wild-type (WT) and NK-1R knockout (NK-1R KD) mice.
  • Assessed colonic fibrosis through mRNA expression of collagen and fibrogenic factors, and immunohistochemical collagen deposition.
  • Administered an NK-1R antagonist (CJ-12255) to TNBS-exposed WT mice.
  • Examined SP-induced effects on human colonic fibroblasts (CCD-18Co) in vitro.

Main Results:

  • Chronic TNBS colitis increased collagen, vimentin, TGF-β1, and IGF-1 expression in WT mice, indicating fibrosis.
  • NK-1R antagonist treatment and NK-1R deficiency significantly reduced colonic fibrosis, inflammation, and fibrogenic factor expression.
  • NK-1R was co-localized with fibroblasts in inflamed colons and human Crohn's disease mucosa.
  • SP exposure enhanced fibroblast migration and collagen synthesis in vitro, an effect mediated by TGF-β1 and IGF-1.

Conclusions:

  • SP, acting through NK-1R, promotes intestinal fibrogenesis in chronic colitis.
  • Targeting the SP/NK-1R pathway may offer a therapeutic strategy to mitigate colonic fibrosis in inflammatory bowel diseases.