Abstract
Crohn’s disease (CD) is associated with gut barrier dysfunction. Besides the baseline barrier defect, a subgroup of patients also expresses an intestinal barrier hyperresponsiveness to nonsteroidal anti-inflammatory drugs. On the other hand, the anti-tumour necrosis factor alpha (TNF-α) treatment has brought benefits to these patients. Thus, this study aimed to evaluate the effect of lumiracoxib, a selective-cyclooxygenase-2 (COX-2) inhibitor, and Etanercept (ETC), a TNF-α antagonist on the 2,4,6-trinitrobenzene sulfonic acid (TNBS)-induced experimental colitis. A total of 47 Wistar rats were randomized into seven groups, as follows: (1) Sham: sham induced-colitis; (2) TNBS: nontreated induced-colitis; (3) Lumiracoxib control; (4) Lumiracoxib-treated induced-colitis; (5) ETC control; (6) ETC-treated induced-colitis; (7) Lumiracoxib-ETC-treated induced-colitis. Rats from groups 6 and 7 presented significant improvement of macroscopic and histopathological damages in the distal colon. The gene expression of COX-2 mRNA, as well of TNF-α mRNA, decreased significantly in groups 6 and 7 compared to the TNBS nontreated and lumiracoxib-treated groups. The treatment only with lumiracoxib did not reduce the inflammation on TNBS-induced experimental colitis. ETC attenuated the damage seen in the colon and reduced the inflammation caused by TNBS. Our results suggest that down-regulation of TNF-α and COX-2 resulted in a decrease in inflammation caused by TNBS and thus provided some protection from the colonic damage caused by TNBS.
Similar content being viewed by others
References
Appleyard CB, Wallace JL (1995) Reactivation of hapten-induced colitis and its prevention by anti-inflammatory drugs. Am J Physiol 269:G119–G125
Barbieri D (2000) Inflammatory bowel diseases. J Pediatr (Rio J) 76:S173–S180
Bonen DK, Cho JH (2003) The genetics of inflammatory bowel disease. Gastroenterology 124:521–536
Brune K, Hinz B (2004) Selective cyclooxygenase-2 inhibitors: similarities and differences. Scand J Rheumatol 33:1–6
Colpaert S, Liu Z, De Greef B, Rutgeerts P, Ceuppens JL, Geboes K (2001a) Effects of anti-tumour necrosis factor, interleukin-10 and antibiotic therapy in the indometacin-induced bowel inflammation rat model. Aliment Pharmacol Ther 15:1827–1836
Colpaert S, Liu Z, De Greef B, Rutgeerts P, Ceuppens JL, Geboes K (2001b) Effects of anti-tumour necrosis factor, interleukin-10 and antibiotic therapy in the indometacin-induced bowel inflammation rat model. Aliment Pharmacol Ther 15:1827–1836
Dempke W, Rie C, Grothey A, Schmoll HJ (2001) Cyclooxygenase-2: a novel target for cancer chemotherapy? J Cancer Res Clin Oncol 127:411–417
Dhar A, Brindley JM, Stark C, Citro ML, Keefer LK, Colburn NH (2003) Nitric oxide does not mediate but inhibits transformation and tumor phenotype. Mol Cancer Ther 2:1285–1293
Di Paola R, Mazzon E, Muia C, Crisafulli C, Terrana D, Greco S et al (2007) Effects of etanercept, a tumour necrosis factor-α antagonist, in an experimental model of periodontitis in rats. Br J Pharmacol 150:286–297
Élson CO, Sartor RB, Tennyson GS, Riddell RH (1995) Experimental models of inflammatory bowel disease. Gastroenterology 109:1344–1367
Esser R, Berry C, Du Z, Dawson J, Fox A, Fujimoto RA, Haston W, Kimble EF, Koehler J, Peppard J, Quadros E, Quintavalla J, Toscano K, Urban L, Van Duzer J, Zhang X, Zhou S, Marshall PJ (2005) Preclinical pharmacology of lumiracoxib: a novel selective inhibitor of cyclooxygenase-2. Br J Pharmacol 144:538–550
Feng L, Sun W, Xia Y, Tang WW, Chanmugam P, Soyoola E, Wilson CB, Hwang D (1993) Cloning two isoforms of rats cyclooxygenase: Differential regulation of their expression. Arch Biochem Biophys 307:361–368
Fries W, Muja C, Crisafulli C, Constantino G, Longo G, Cuzzocrea S et al (2008) Infliximab and etanercept are equally effective in reducing enterocyte apoptosis in experimental colitis. Int J Med Sci 5:169–180
Gibson PR (2004) Increased gut permeability in Crohn’s disease: is TNF the link? Gut 53:1724–1725
Halter F, Tarnawski AS, Schmassmann A, Peskar BM (2001) Cyclooxygenase 2-implications on maintenance of gastric mucosal integrity and ulcer healing: controversial issues and perspectives. Gut 49:443–453
Hawkey CJ, Svoboda P, Fiedorowicz-Fabrycy IF, Nasonov EL, Pikhlak EG, Cousin M, Gitton X, Hoexter G (2004) Gastroduodenal safety and tolerability of lumiracoxib compared with ibuprofen and celecoxib in patients with osteoarthritis. J Rheum 31:1804–1810
Kargman S, Charlesion S, Cartwright M, Frank J, Riendeaw D, Mancini J, Evans J, O’Neill G (1996) Characterization of prostaglandin G/H synthase 1 and 2 in rat, dog, monkey, and human gastrointestinal tracts. Gastroenterology 111:445–454
Kivitz AJ, Nayiager S, Schimansky T, Gimona A, Thurston HJ, Hawkey C (2004) Reduced incidence of gastroduodenal ulcers associated with lumiracoxib compared with ibuprofen in patients with rheumatoid arthritis. Aliment Pharmacol Ther 19:1189–1198
Lashner BA (1995) Epidemiology of inflammatory bowel disease. Gastroenterol Clin North Am 24:467–474
Lee JK, Choi SS, Won JS, Suh WH (2003) The regulation of inducible nitric oxide synthase gene expression induced by lipopolysaccharide and tumor necrosis factor-alpha in C6 cells: involvement of AP-1 and NfkappaB. Life Sci 73:595–609
Lichtenstein DR, Wolfe MM (2000) COX-2 selective NSAIDS. New and improved? J Am Med Assoc 284:1297–1299
Lin CC, Hsiao LD, Chien CS, Lee CW, Hsieh JT, Yang CM (2004) Tumor necrosis factor-alpha-induced cyclooxygenase-2 expression in human tracheal smooth muscle cells: involvement of p42/p44 and p38 mitogen-activated protein kinases and nuclear factor-kappaB. Cell Signal 16:597–607
Mahadevan U, Loftus EV, Tremaine WJ (2001) Safety of selective cyclooxygenase-2 inhibitors in inflammatory bowel disease. Am J Gastroenterol 97:910–914
Mangold JB, Gu H, Rodriguez LC, Bonner J, Dickson J, Rordorf C (2004) Pharmacokinetics and metabolism of lumiracoxib in healthy male subjects. Drug Metab Dispos 32:566–571
Mizuno H, Akamatsu T, Kasuga M (1997) Induction of cyclooxygenase-2 in gastric mucosal lesions and its inhibition by the specific antagonist delays healing in mice. Gastroenterology 112:387–397
Morris GP, Beck PL, Herridge MS, Depew WT, Szewczuk MR, Wallace JL (1989) Hapten-induced model of chronic inflammation and ulceration in the rat colon. Gastroenterology 96:795–803
O’Neill GP, Ford-Hutchinson AW (1993) Expression of mRNA for cyclooxygenase-1 and cyclooxygenase-2 in human tissues. FEBS Lett 330:156–160
Okayama M, Hayashi S, Aoi Y, Nishio H, Kato S, Takeuchi K (2007) Aggravation by selective COX-1 and COX-2 inhibitors of dextran sulfate sodium (DSS)-induced colon lesions in rats. Dig Dis Sci 52:2095–2103
Paiotti AP, Artigiani-Neto R, Forones NM, Oshima CTF, Miszputen SJ, Franco M (2007) Immunoexpression of cyclooxygenase-1 and -2 in ulcerative colitis. Braz J Med Biol Res 40:911–918
Paiotti AP, Miszputen SJ, Oshima CT, Artigiani Neto R, Ribeiro DA, Franco M (2011) Etanercept attenuates TNBS-induced experimental colitis: role of TNF-α expression. J Mol Histol 42:443–450
Peran L, Camuesco D, Comalada M, Nieto A, Concha A, Diaz-Ropero MP et al (2005) Preventative effects of a probiotic, Lactobacillus salivarius ssp. salivarius, in the TNBS model of rat colitis. World J Gastroenterol 11:5185–5192
Podolsky DK (2002) Inflammatory bowel disease. N Engl J Med 347:417–429
Reuter BK, Asfaha S, Buret A et al (1996) Exacerbation of inflammatory associated colonic injury in rat through inhibition of cyclooxygenase-2. J Clin Invest 98:2076–2085
Rordorf C, Kellett N, Mair S et al (2003) Gastroduodenal tolerability of lumiracoxib vs. placebo and naproxen: a pilot endoscopic study in healthy male subjects. Aliment Pharmacol Ther 18:533–541
Shen C, Hertogh G, Bullens DMA, Assche GV, Geboes K, Rutgeerts P et al (2007a) Remission-inducing effect of anti-TNF monoclonal antibody in TNBS colitis: Mechanisms beyond neutralization? Inflamm Bowel Dis 13:308–316
Shen C, Hertogh G, Bullens DMA, Assche GV, Geboes K, Rutgeerts P et al (2007b) Remission-inducing effect of anti-TNF monoclonal antibody in TNBS colitis: mechanisms beyond neutralization? Inflamm Bowel Dis 13:308–316
Shigeta J, Takahashi S, Okabe S (1998) Role of cyclooxygenase-2 in the healing of gastric ulcers in rats. J Pharmacol Exp Ther 286:1383–1390
Shorter RG, Huizenga KA, Spencer RJ, Guy SK (1972) Inflammatory bowel disease. The role of lymphotoxin in the cytotoxicity of lymphocytes for colonic epithelial cells. Am J Dig Dis 17:689–696
Singer II, Kawka DW, Schloemann S, Tessner T, Riehl T, Stenson WF (1998) Cyclooxygenase 2 is induced in colonic epithelial cells in inflammatory bowel disease. Gastroenterology 115:297–306
Somasundaram S, Rafi S, Hayllar J, Sigthorsson G, Jacob M, Price AB, Macpherson A, Mahmod T, Scott D, Wrigglesworth JM, Bjarnason I (1997) Mitochondrial damage: a possible mechanism of the “topical” phase of NSAID induced injury to the rat intestine. Gut 41:344–353
Suenaert P, Bulteel V, Lemmens L, Noman M, Geypens B, Van Assche G et al (2002) Anti-tumor necrosis factor treatment restores the gut barrier in Crohn’s disease. Am J Gastroenterol 97:2000–2004
Suenaert P, Bulteel V, Vermeire S, Noman M, Van Assche G, Rutgeerts P (2005a) Hyperresponsiveness of the mucosal barrier in Crohn’s disease is not tumor necrosis factor-dependent. Inflamm Bowel Dis 11:667–673
Suenaert P, Bulteel V, Vermeire S, Noman M, Van Assche G, Rutgeerts P (2005b) Hyperresponsiveness of the mucosal barrier in Crohn’s disease is not tumor necrosis factor-dependent. Inflamm Bowel Dis 11:667–673
Ukawa H, Yamakuni H, Kato S, Takeuchi K (1998) Effects of cyclooxygenase-2 selective and nitric oxide-releasing nonsteroidal anti-inflammatory drugs on gastric ulcerogenic and healing responses in experimental animals. Dig Dis Sci 43:2003–2011
Xiong B, Sun TJ, Hu WD, Cheng FL, Mao M, Zhou YF (2005) Expression of cyclooxygenase-2 in colorectal cancer and its clinical significance. World J Gastroenterol 11:1105–1108
Zhang L, Lu YM, Dong XY (2004) Effects and mechanism of the selective COX-2 inhibitor, celecoxib, on rat colitis induced by trinitrobenzene sulfonic acid. Chin J Dig Dis 5:110–114
Zhou YH, Yu JP, Liu YF, Teng XJ, Ming M, Lv P (2006) Effects of ginkgo biloba extract on inflammatory mediators (SOD, MDA, TNF-α, NF-κBp65, IL-6) in TNBS-induced colitis in rats. Mediators Inflamm 92642:1–9
Acknowledgments
This work was supported by the FAPESP and CAPES. DAR is a recipient of a CNPq fellowship. The authors wish to express their gratitude to Profa. Dra. Silvia Regina Caminada de Toledo, Indhira Dias Oliveira of the Pediatric Oncology Institute IOP/GRAACC of the Federal University of Sao Paulo, UNIFESP, SP, Brazil and Profa. Dra. Nora Manoukian Forones of the Division of Gastroenterology, Universidade Federal de Sao Paulo, Escola Paulista de Medicina, UNIFESP, SP, Brazil, for the technical assistance.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Paiotti, A.P.R., Ribeiro, D.A., Silva, R.M. et al. Effect of COX-2 inhibitor lumiracoxib and the TNF-α antagonist etanercept on TNBS-induced colitis in Wistar rats. J Mol Hist 43, 307–317 (2012). https://doi.org/10.1007/s10735-012-9400-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10735-012-9400-8