Blockade of the renin-angiotensin system prevents acute and immunologically relevant colitis in murine models

Manabu Okawada1,2, Michael W Wilson3, Scott D Larsen3

  • 1Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical School, Mott Children's Hospital, F3970, Ann Arbor, MI, 48109-0245, USA. manabu-o@juntendo.ac.jp.

Abstract

Insights

Blockade of the renin-angiotensin system (RAS) effectively treats colitis. Both angiotensin-converting enzyme inhibitors (ACE-I) and angiotensin II type 1a receptor antagonists (AT1aR-A) showed therapeutic benefits in acute and immunologically relevant colitis models.

Area of Science:

  • Gastroenterology
  • Immunology
  • Pharmacology

Background:

  • The renin-angiotensin system (RAS) plays a role in gastrointestinal inflammation.
  • Investigating RAS blockade for colitis treatment is crucial for developing new therapies.

Purpose of the Study:

  • To evaluate the efficacy of RAS blockade in acute and immunologically relevant colitis models.
  • To compare the effects of an angiotensin II type 1a receptor antagonist (AT1aR-A) with an angiotensin-converting enzyme inhibitor (ACE-I).

Main Methods:

  • Two mouse models of colitis were used: dextran sodium sulfate (DSS)-induced acute colitis and IL-10 knockout (IL10-/-) colitis.
  • Mice were treated with an AT1aR-A (CCG-203025), an ACE-I (enalaprilat), or placebo.

Main Results:

  • CCG-203025 improved outcomes in the DSS-induced colitis model compared to placebo.
  • Both ACE-I and CCG-203025 reduced pro-inflammatory cytokines and chemokines in the IL10-/- model.
  • ACE-I demonstrated superior suppression of histologic damage in the IL10-/- model compared to CCG-203025.

Conclusions:

  • Both ACE-I and AT1aR-A exhibit therapeutic efficacy in preventing colitis development.
  • RAS blockade represents a promising strategy for managing both acute and immunologically relevant colitis.

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