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Author Spotlight: Enhancing Understanding and Treatment Strategies with the NEC-on-a-Chip Model
Published on: July 28, 2023
FTY720 attenuates intestinal injury and suppresses inflammation in experimental necrotizing enterocolitis via
Zongtai Feng1, Huiting Zhou1, Shurong Ma1
1Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, 215025, China.
Abstract:
Necrotizing enterocolitis (NEC) remains one of the leading causes of death in neonatal infants and new therapeutic strategies for NEC are urgently required. The immunomodulatory agent FTY720 has been shown to have protective effects in various inflammatory diseases. In this study, we hypothesized that treatment with FTY720 confers protection against experimental NEC. Experimental NEC was induced in five-day-old C57BL/6 neonatal mice by hyperosmolar formula feeding plus hypoxia and lipopolysaccharide (LPS) challenges. Induction of NEC resulted in substantial weight loss and high mortality compared to the control group, whereas FTY720 treatment significantly attenuated weight loss and improved survival in NEC-challenged neonatal mice. FTY720 treatment strongly ameliorated NEC-induced intestinal injury with reduced apoptosis and up-regulation of intestinal barrier proteins in the ileal tissues. Furthermore, FTY720 treatment abrogated NEC-initiated intestinal and systemic inflammation with markedly diminished inflammatory cytokines and chemokines. Moreover, FTY720 treatment suppressed NEC-activated CXCL5/CXCR2 axis with down-regulated expression of CXCL5 and CXCR2 at both mRNA and protein levels. Thus, we demonstrate that FTY720 protects neonatal mice against NEC-associated lethality by ameliorating intestinal injury and attenuating inflammation, possibly via its down-regulation of NEC-induced activation of intestinal CXCL5/CXCR2 axis.
Insights
FTY720 treatment significantly improved survival and reduced intestinal injury in neonatal mice with necrotizing enterocolitis (NEC). This immunomodulatory agent suppressed inflammation and the CXCL5/CXCR2 axis, offering a potential new therapy for NEC.
Area of Science:
- Neonatal Medicine
- Immunology
- Gastroenterology
Background:
- Necrotizing enterocolitis (NEC) is a leading cause of neonatal mortality.
- Novel therapeutic strategies for NEC are urgently needed.
- The immunomodulatory agent FTY720 shows promise in inflammatory conditions.
Purpose of the Study:
- To investigate the protective effects of FTY720 against experimental necrotizing enterocolitis in neonatal mice.
- To determine if FTY720 can ameliorate NEC-induced intestinal injury and inflammation.
Main Methods:
- Experimental NEC was induced in neonatal mice using hyperosmolar formula, hypoxia, and LPS.
- Mice were treated with FTY720 or a control.
- Weight loss, mortality, intestinal injury, apoptosis, barrier protein expression, and inflammatory markers were assessed.
Main Results:
- FTY720 treatment significantly reduced weight loss and improved survival in NEC-challenged mice.
- FTY720 ameliorated intestinal injury, decreased apoptosis, and normalized intestinal barrier proteins.
- FTY720 suppressed NEC-induced intestinal and systemic inflammation, including key cytokines and chemokines.
- FTY720 downregulated the CXCL5/CXCR2 axis in the context of NEC.
Conclusions:
- FTY720 confers significant protection against experimental NEC-associated lethality in neonatal mice.
- FTY720 ameliorates intestinal injury and attenuates inflammation in NEC.
- The protective effects of FTY720 may involve the downregulation of the CXCL5/CXCR2 axis.
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