Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16690
Revised: May 27, 2014
Accepted: July 22, 2014
Published online: November 28, 2014
Processing time: 249 Days and 21.9 Hours
AIM: To establish a rat model suitable to investigate the repetitive relapsing inflammations (RRI) characteristic to Crohn’s disease.
METHODS: Colitis was induced by 2,4,6-trinitrobenzenesulfonic acid (TNBS). RRI were mimicked by repeating administrations of TNBS. Tissue samples were taken from control, once, twice and three times treated rats from the inflamed and adjacent non-inflamed colonic segments at different timepoints during the acute intestinal inflammation. The means of the ulcerated area were measured to evaluate the macroscopic mucosal damage. The density of myenteric neurons was determined on whole mounts by HuC/HuD immunohistochemistry. Heme oxygenase-1 (HO-1) expression was evaluated by molecular biological techniques.
RESULTS: TNBS-treated rats displayed severe colitis, but the mortality was negligible, and an increase of body weight was characteristic throughout the experimental period. The widespread loss of myenteric neurons, and marked but transient HO-1 up-regulation were demonstrated after the first TNBS administration. After repeated doses the length of the recovery time and extent of the ulcerous colonic segments were markedly decreased, and the neuronal loss was on a smaller scale and was limited to the inflamed area. HO-1 mRNA level was notably greater than after a single dose and overexpression was sustained throughout the timepoints examined. Nevertheless, the HO-1 protein up-regulation after the second TNBS treatment proved to be transient. Following the third treatment HO-1 protein expression could not be detected.
CONCLUSION: Experimentally provoked RRI may exert a protective preconditioning effect against the mucosal and neuronal damage. The persistent up-regulation of HO-1 mRNA expression may correlate with this.
Core tip: We report our first results derived from a newly developed rat model with chronic experimental colitis allowed us to modelling the recurring periods of recrudescence and remission in Crohn’s disease. Colitis was induced by 2,4,6-trinitrobenzenesulfonic acid (TNBS). Repetitive recurrent inflammations (RRI) were mimicked by repeated administrations of TNBS. This study demonstrates for the first time that experimentally provoked RRI develop preconditioning effect by speeding up mucosal healing and restoring myenteric neuronal injury. Decreased severity of gut inflammation after repeated TNBS treatments might be associated with the persistent up-regulation of heme-oxygenase 1 messenger RNA expression.