PMID- 17210619 OWN - NLM STAT- MEDLINE DCOM- 20070604 LR - 20220330 IS - 0741-5400 (Print) IS - 0741-5400 (Linking) VI - 81 IP - 4 DP - 2007 Apr TI - Splanchnic ischemia and reperfusion injury is reduced by genetic or pharmacological inhibition of TNF-alpha. PG - 1032-43 AB - In the present study, we used TNF-alpha receptor 1 knockout (TNF-alphaR1KO) mice to evaluate a possible role of TNF-alpha on the pathogenesis of ischemia and reperfusion injury of the multivisceral organs. Ischemia and reperfusion injury was induced in mice by clamping the superior mesenteric artery and the celiac artery for 30 min, followed thereafter by reperfusion. Sixty minutes after reperfusion, animals were killed for histological examination and biochemical studies. Injured wild-type (WT) mice developed a significant increase of ileum TNF-alpha levels, myeloperoxidase activity, and marked histological injury and apoptosis. Ischemia and reperfusion injury of the multivisceral organs was also associated with a significant mortality. Reperfused ileum sections from injured WT mice showed positive staining for P-selectin, VCAM, ICAM-1, and E-selectin. The intensity and degree of P-selectin, E-selectin, VCAM, and ICAM-1 were reduced markedly in tissue sections from injured TNF-alphaR1KO mice. Ischemia and reperfusion-injured TNF-alphaR1KO mice also showed a significant reduction of neutrophil infiltration into the intestine, a reduction of apoptosis, an improved histological status of the intestine, and survival. In addition, we investigated the effect of Etanercept, a TNF-alpha soluble receptor construct, on ischemia and reperfusion injury of the multivisceral organs. Etanercept (5 mg/kg administered i.p. 5 min prior to reperfusion) significantly reduced the inflammatory response and the ileum injury. Taken together, our results clearly demonstrate that TNF-alpha plays an important role in the ischemia and reperfusion injury and put forward the hypothesis that modulation of TNF-alpha expression may represent a novel and possible strategy. FAU - Esposito, Emanuela AU - Esposito E AD - Department of Experimental Pharmacy, University of Naples Federico II, Italy. FAU - Mazzon, Emanuela AU - Mazzon E FAU - Muia, Carmelo AU - Muia C FAU - Meli, Rosaria AU - Meli R FAU - Sessa, Edoardo AU - Sessa E FAU - Cuzzocrea, Salvatore AU - Cuzzocrea S LA - eng PT - Journal Article DEP - 20070108 PL - England TA - J Leukoc Biol JT - Journal of leukocyte biology JID - 8405628 RN - 0 (Cell Adhesion Molecules) RN - 0 (Fas Ligand Protein) RN - 0 (Immunoglobulin G) RN - 0 (Immunosuppressive Agents) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Recombinant Fusion Proteins) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (bcl-2-Associated X Protein) RN - OP401G7OJC (Etanercept) SB - IM MH - Animals MH - Apoptosis MH - Cell Adhesion Molecules/metabolism MH - Etanercept MH - Fas Ligand Protein/metabolism MH - Immunoglobulin G/*pharmacology MH - Immunohistochemistry MH - Immunosuppressive Agents/*pharmacology MH - Intestines/cytology/physiology MH - Ischemia/*genetics/mortality/therapy MH - Lipid Peroxidation MH - Male MH - Mice MH - Mice, Knockout MH - Neutrophil Infiltration MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Receptors, Tumor Necrosis Factor MH - Recombinant Fusion Proteins/pharmacology MH - Reperfusion Injury/*genetics/mortality/therapy MH - *Splanchnic Circulation MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors/genetics/metabolism/*physiology MH - bcl-2-Associated X Protein/metabolism EDAT- 2007/01/11 09:00 MHDA- 2007/06/05 09:00 CRDT- 2007/01/11 09:00 PHST- 2007/01/11 09:00 [pubmed] PHST- 2007/06/05 09:00 [medline] PHST- 2007/01/11 09:00 [entrez] AID - jlb.0706480 [pii] AID - 10.1189/jlb.0706480 [doi] PST - ppublish SO - J Leukoc Biol. 2007 Apr;81(4):1032-43. doi: 10.1189/jlb.0706480. Epub 2007 Jan 8.