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Chronic Salmonella Infection Induced Intestinal Fibrosis
Published on: September 22, 2019
Novel PPARγ Modulator GED-0507-34 Levo Ameliorates Inflammation-driven Intestinal Fibrosis
Silvia Speca1, Christel Rousseaux, Caroline Dubuquoy
1*Inserm, LIRIC UMR995, Lille, France; †CHRU de Lille, Service des Maladies de l'Appareil Digestif et de la Nutrition, Hôpital Claude Huriez, LIRIC, UMR995, Lille, France; ‡Department of Life, Health and Environmental Sciences, Gastroenterology Unit, University of L'Aquila, L'Aquila, Italy; §IBD, Lille, France; ‖Department of Pathobiology, Lerner Research Institute, and Department of Gastroenterology, Hepatology & Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio; ¶Université Lille Nord de France, Lille, France; and **Department of Human Anatomy, University of Roma "La Sapienza," Roma, Italy.
Background:
Intestinal fibrosis is mainly associated with Crohn's disease and is defined as a progressive and excessive deposition of extracellular matrix components. No specific antifibrotic therapies are available. In this study, we evaluate the antifibrotic effect of a novel 5-ASA analog able to activate the peroxisome proliferator-activated receptor γ, named GED-0507-34 Levo.
Methods:
Colonic fibrosis was induced in 110 C57BL/6 mice by 3 cycles of 2.5% (wt/vol) dextran sulfate sodium administration for 6 weeks. The preventive effects of oral daily GED (30 mg · kg(-1) · d(-1)) administration were evaluated using a macroscopic and histological score and also through biological endpoints. Expression of main markers of myofibroblasts activation was determined in transforming growth factor (TGF-β)-stimulated intestinal fibroblasts and epithelial cells.
Results:
GED improved macroscopic and microscopic intestinal lesions in dextran sulfate sodium-treated animals and reduced the profibrotic gene expression of Acta2, COL1a1, and Fn1 by 1.48-folds (P < 0.05), 1.93-folds (P < 0.005), and 1.03-fold (P < 0.05), respectively. It reduced protein levels of main markers of fibrosis (α-SMA and Collagen I-II) and the main TGF-β/Smad pathway components. GED also decreased the interleukin-13 and connective tissue growth factor expression by 1.89-folds (P < 0.05) and 2.2-folds (P < 0.005), respectively. GED inhibited TGF-β-induced activation of both fibroblast and intestinal epithelial cell lines, by regulating mRNA expression of α-SMA and fibronectin, and restoring the TGF-β-induced loss of intestinal epithelial cell markers. GED treatment also reduced the TGF-β and ACTA1 expression in primary human intestinal fibroblasts from ulcerative colitis patients.
Conclusions:
GED ameliorates intestinal fibrosis in dextran sulfate sodium-induced chronic colitis in mice and regulates major profibrotic cellular and molecular mechanisms.
Insights
This study shows GED, a novel 5-ASA analog, effectively reduces intestinal fibrosis in mice by targeting key profibrotic pathways. GED offers a potential new therapeutic strategy for fibrotic conditions like Crohn's disease.
Area of Science:
- Gastroenterology
- Pharmacology
- Fibrosis Research
Background:
- Intestinal fibrosis, characterized by excessive extracellular matrix deposition, is a major complication of Crohn's disease.
- Currently, no specific antifibrotic therapies are available for intestinal fibrosis.
- This study investigates the antifibrotic potential of GED-0507-34 Levo, a novel 5-ASA analog activating peroxisome proliferator-activated receptor γ.
Purpose of the Study:
- To evaluate the antifibrotic effects of GED in a mouse model of colonic fibrosis.
- To determine the impact of GED on myofibroblast activation markers and profibrotic signaling pathways.
- To assess GED's efficacy in human intestinal fibroblasts from ulcerative colitis patients.
Main Methods:
- Colonic fibrosis was induced in mice using dextran sulfate sodium (DSS).
- Preventive effects of oral GED administration were assessed via macroscopic and histological scores, alongside biological endpoints.
- The expression of myofibroblast activation markers and TGF-β pathway components was analyzed in stimulated intestinal cells and patient-derived fibroblasts.
Main Results:
- GED significantly improved intestinal lesions and reduced profibrotic gene expression (Acta2, COL1a1, Fn1) in DSS-treated mice.
- GED decreased protein levels of fibrosis markers (α-SMA, Collagen I-II) and TGF-β/Smad pathway components.
- GED inhibited TGF-β-induced activation in fibroblast and epithelial cells, and reduced TGF-β and ACTA1 expression in human ulcerative colitis fibroblasts.
Conclusions:
- GED demonstrates significant amelioration of intestinal fibrosis in a DSS-induced chronic colitis mouse model.
- GED effectively regulates key cellular and molecular mechanisms underlying intestinal fibrosis.
- The findings suggest GED as a promising therapeutic agent for intestinal fibrosis.
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