Published online May 6, 2016. doi: 10.4292/wjgpt.v7.i2.242
Peer-review started: November 28, 2015
First decision: December 24, 2015
Revised: January 20, 2016
Accepted: February 16, 2016
Article in press: February 17, 2016
Published online: May 6, 2016
Processing time: 145 Days and 8.5 Hours
AIM: To investigate whether oral tolerance is inducible during the active phase of dextran sulfate sodium (DSS)-induced colitis.
METHODS: Colitis was induced in 6- to 8-wk-old female BALB/c mice by the administration of 2% DSS. To induce oral tolerance, mice that received water with DSS [DSS (+)] and mice that received autoclaved water [DSS (-)] were intragastrically (i.g.) administered ovalbumin (OVA) as a tolerogen before systemic challenge with OVA. Following this, serum levels of OVA-specific IgE antibodies were measured. In mice with active colitis, CD4+CD25+Foxp3+ cell and B10 cell frequencies were evaluated using flow cytometry. Cytokine mRNA expression profiles were evaluated by reverse transcription real-time polymerase chain reaction.
RESULTS: Regardless of the presence of DSS colitis, OVA-specific immunoglobulin E concentrations were significantly reduced in mice that were i.g. administered OVA compared to mice that were i.g. administered PBS [DSS (+): 4.4 (4.2-9.5) ng/mL vs 83.9 (66.1-123.2) ng/mL, P < 0.01; DSS (-): 27.7 (0.1-54.5) ng/mL vs 116.5 (80.6-213.6) ng/mL, P < 0.01]. These results demonstrated that oral tolerance was induced in both the presence and absence of colitis. In the spleen and mesenteric lymph nodes (MLN), the frequencies of CD4+CD25+Foxp3+ cells and B10 cells, both of which are associated with oral tolerance, did not significantly change. In the spleen, interferon-γ mRNA expression significantly decreased in mice with colitis [DSS (+): 0.42 (0.31-0.53) vs DSS (-): 1.00 (0.84-1.39), P < 0.01]. The expression levels of other cytokines did not significantly change.
CONCLUSION: Oral tolerance is inducible during active DSS colitis. The stability of regulatory cell populations in the spleen and MLN in colitis might correlate with these results.
Core tip: Our study is the first to demonstrate that oral tolerance is inducible during the active phase of dextran sulfate sodium (DSS)-induced colitis. Lymphocytic infiltration into the large intestine mucosa associated with epithelial defects did not influence oral tolerance. In DSS colitis, the frequencies of CD4+CD25+Foxp3+ T cells and B10 cells in the spleen and mesenteric lymph nodes remained stable. This stability might have led to the induction of oral tolerance in DSS colitis. Accordingly, if an appropriate antigen is chosen, then oral immunotherapy may be applicable for the treatment of ulcerative colitis.