Effect of adrenomedullin administration on acetic acid-induced colitis in rats
Introduction
Although originally isolated from human pheochromocytoma as a vasodilatory peptide [12], adrenomedullin (AM) is now known to have a wide spectrum of other actions, including stimulation of diuresis and natriuresis and several gastrointestinal functions [11], [29]. Among the last, it reportedly exerts a protective effect against experimentally-induced damage to the gastric mucosa [2], [9], [30], [31].
Inflammatory bowel disease (IBD) such as ulcerative colitis and Crohn's disease are now recognized to be caused by crosstalk between a variety of factors. Although the exact nature of its pathogenesis is still uncertain, it has been suggested that a focal immunoreactive disorder and/or dysfunction of the mucosal defence system is involved [27]. Moreover, it is now known that inflammatory cytokines such as interleukin (IL)-1, IL-6, and interferon gamma (IFN-γ) are up-regulated at focal lesions induced by dietary antigen and/or intestinal bacteria [5], [8], [17], [24], [28]. Consequently, the therapeutic strategy for treating IBD now focuses on the use of anti-inflammatory agents [33].
The cytokines found at sites of inflammation are released by T helper (Th) cells that can be divided into two distinct subsets, Th-1 and Th-2, based on the cytokines they express [23]. Characteristically, Th-1 cells produce IL-2 and IFN-γ, whereas Th-2 cells produce IL-4, -5, -6, -9, and -10. In previous studies, the role of Th cell cytokines in the pathogenesis of IBD has been examined using experimental models of colitis induced by intracolonic application of trinitrobenzene sulfonic acid (TNBS) or acetic acid [4], [6], [18], [21], [22]. Our aim in the present study was to investigate the extent to which intracolonic administration of AM would protect the colon in the acetic acid model. We assessed the efficacy of AM by examining its effects on the macroscopic and histological characteristics of the induced lesions, as well as its effects on the levels of Th-1 and Th-2 cytokines in the affected tissues.
Section snippets
Animals and peptide
Male Wistar rats (6–7 weeks old) were used throughout these experiments. The rats were housed under specific pyrogen-free conditions and maintained on standard pellet chow and tap water ad libitum. The recombinant human AM used in this study was provided by Shionogi & Co., Ltd. (Osaka, Japan). All experiments were carried out in accordance with the regulations of the Animal Research Committee of Miyazaki Medical College (no. 2004-077).
Induction of colitis
For 24–36 h prior to inducing colitis, rats were allowed tap
Results
We first evaluated the effect of intracolonic administration of AM on day 5 after application of acetic acid by estimating the mucosal damage in the colon both macroscopically and histologically. We found that the colons of rats in the control group were severely ulcerated by day 5 (Fig. 1a), but that administration of AM (0.25–1.0 μg/day) reduced the size of the lesion in a dose-dependent manner (Figs. 1b and 2). AM significantly (P < 0.05) reduced the severity of the mucosal damage at a dose of
Discussion
Induction of colitis in rats using acetic acid is a classical method used to produce an experimental model of human IBD [7], [18], [20], [32]. A variety of factors involved in the pathogenesis of human IBD, including excessive oxidative stress, enhanced vasopermeability, prolonged neutrophil infiltration, and increased production of inflammatory mediators and cytokines, are also involved in the induction of this animal model [4], [7], [13], [18]. It is presently accepted, therefore, that this
Acknowledgements
This study was supported in part by the grants-in-aid for Scientific Research and for 21st Century Centers of Excellence Program (Life Science) from Ministry of Education, Culture, Sports Science and Technology, Japan, Industrial Technology Research Grant Program in 2003 from New Energy and Industrial Technology Development Organization (NEDO) of Japan, and the Research Grant for translational research for Program for Strategic Regional Science & Technology Advancement.
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Adrenomedullin regulates intestinal physiology and pathophysiology
2016, Domestic Animal EndocrinologyCitation Excerpt :Treatment with AM ameliorates the severity of the clinical symptoms, reduces the histologic damage in the colon, and attenuates the inflammatory response, acting through the following mechanisms: It acts as a potent anti-inflammatory factor, both at the local and systemic level, playing a role in the evolution of Th1/Th2 cytokines balance, preventing neutrophil infiltration to the affected area and decreasing pro-inflammatory cytokine levels (IL-6, IL-10, TNF-α, and interferon gamma mainly) [179–181]. These actions could be mediated by the regulation of HIF activity exerted by AM: high levels of AM promote the synthesis of HIF-1α, an endogenous protective factor against inflammation in the mucosa [183].
Bench-to-bedside pharmacology of adrenomedullin
2015, European Journal of PharmacologyCitation Excerpt :The anti-inflammatory property of AM has been characterized with animal models of inflammatory bowel diseases including ulcerative colitis and Crohn’s disease. Using rats with acetic acid-induced colon ulcer, Ashizuka et al. (2005) found that AM administered via the luminal side of the colon alleviated ulcerative lesions, reducing edematous change, infiltration of inflammatory cells surrounding the lesion, and the tissue level of interleukin-6. We further confirmed this therapeutic benefit of AM by using a rat model induced by dextran sulfate sodium (Ashizuka et al., 2009), as shown in Fig. 3, and consistent results were obtained by independent groups from models of inflammatory bowel diseases induced by trinitrobenzenesulfonic acid (Gonzalez-Rey et al., 2006; Talero et al., 2011).
Biological properties of adrenomedullin conjugated with polyethylene glycol
2014, PeptidesCitation Excerpt :A number of experimental studies have been carried out to test where this endogenous peptide exerts beneficial effects by using animal models of various human diseases [1,2,9,10,19]. For example, AM was shown to inhibit cardiac remodeling following acute myocardial infarction and to alleviate hind limb ischemia in rats or mice, and also suppressed inflammatory cytokines, facilitating the healing of colon ulcer, in rat models of inflammatory bowel diseases [1,2,9,10,19]. These findings suggest the potential of AM as a therapeutic tool in the treatment of ischemic heart disease, peripheral vascular disease, and inflammatory bowel diseases, and indeed, AM was shown to be effective in treating patients with those diseases [3,8].
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2014, Journal of NeuroimmunologyVascular contribution of adrenomedullin to microcirculatory improvement in experimental colitis
2011, European Journal of PharmacologyCitation Excerpt :The protective effects of this peptide have been previously observed in different models of damage, including inflammatory bowel disease. Along these lines, intracolonically administered AM attenuated the severity of acetic acid-induced colonic ulceration in rats by inhibiting the production/release of the Th2-cell-derived factors (Ashizuka et al., 2005). In addition, AM administration was able to deactivate the inflammatory response in the TNBS-induced colitis model, with partial restoration of mucosal immune tolerance, associated to cytokines production (Gonzalez-Rey et al., 2006b; Talero et al., 2008).