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CCR3 Blockade Attenuates Eosinophilic Ileitis and Associated Remodeling
Joanne C Masterson1, Eóin N McNamee, Paul Jedlicka
1Section of Pediatric Gastroenterology, Hepatology and Nutrition-Digestive Health Institute, Children's Hospital Colorado, Aurora, Colorado, USA.
Eosinophils drive intestinal remodeling and stricture formation in inflammatory bowel disease (IBD). Reducing eosinophils significantly decreased IBD-associated tissue damage, highlighting eosinophils as a potential therapeutic target for IBD.
Area of Science:
- Gastroenterology
- Immunology
- Pathology
Background:
- Intestinal remodeling and stricture formation are common complications of inflammatory bowel disease (IBD).
- The role of eosinophils, which are increased in IBD tissues, in IBD-associated intestinal remodeling remains unclear.
Purpose of the Study:
- To investigate the role of eosinophils in intestinal remodeling and stricture formation in a murine model of chronic eosinophilic ileitis.
Main Methods:
- Utilized a spontaneous eosinophilic Crohn's-like mouse model (SAMP1/SkuSlc).
- Assessed histological and molecular features of ileitis and remodeling over 40 weeks using immunohistochemistry, histomorphometry, flow cytometry, and real-time RT-PCR.
- Quantified collagen protein using Sircol assay.
- Administered CCR3-specific antibody to reduce eosinophils.
Main Results:
- Ileitis and remodeling progressed over 40 weeks, correlating with increased mucosal and submucosal eosinophilia and fibronectin expression.
- CCR3-specific antibody treatment significantly reduced goblet cell hyperplasia, muscularis propria hypertrophy, villus blunting, and inflammatory/remodeling gene expression.
- Eosinophil reduction also decreased mesenteric lymph node cellularity, including T- and B-lymphocytes.
Conclusions:
- Eosinophils play a significant role in driving intestinal remodeling and inflammation in IBD.
- Targeting eosinophils represents a potential novel therapeutic strategy for managing IBD-associated intestinal remodeling and stricture formation.
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