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.

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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