PMID- 18645606 OWN - NLM STAT- MEDLINE DCOM- 20081001 LR - 20211020 IS - 1449-1907 (Electronic) IS - 1449-1907 (Linking) VI - 5 IP - 4 DP - 2008 Jul 3 TI - Infliximab and etanercept are equally effective in reducing enterocyte APOPTOSIS in experimental colitis. PG - 169-80 AB - Loss of epithelial barrier integrity is considered an early step in the pathogenesis of Crohn's disease (CD), and the rate of enterocyte apoptosis is one of the determinants of the intestinal barrier function. Tumor necrosis factor-alpha (TNF-alpha), one of the major proinflammatory mediators in CD, is one of the extrinsic signals which initiate apoptosis of enterocytes. The aim of this study was to investigate the early effects of experimental colitis on enterocyte apoptosis, and the effects of two anti-TNF treatments, infliximab (IFX) and etanercept (ETC). In addition, the importance of receptor I for TNF was tested in TNFR-1(-/- )mice. Circulating TNF-alpha levels were effectively reduced by IFX and ETC (p<0.01, both) at 3 and 6 h. Apoptosis of the ileal enterocytes, assessed by TUNEL staining, staining for Fas-ligand, and bax, increased at 3 and 6h. These alterations were prevented by both anti-TNF strategies, and in TNFR-1(-/-) animals. The anti-apoptotic protein Bcl-2 was expressed in the ileal epithelium under control conditions, but was suppressed in DNB-colitis. Expression of Bcl-2 was maintained in both anti-TNF treatments and TNFR-1(-/-) mice.DNB colitis induced a very early, rapid increase of enterocyte apoptosis. Both anti-TNF strategies, IFX and ETC, were equally effective in suppressing enterocyte apoptosis, most likely by inactivation of circulating TNF-alpha. FAU - Fries, Walter AU - Fries W AD - Dipartimento di Medicina Interna e Terapia Medica, Sezione di Farmacologia, Universita di Messina, Messina, Italy. fwalter@unime.it FAU - Muja, Carmelo AU - Muja C FAU - Crisafulli, Carmela AU - Crisafulli C FAU - Costantino, Giuseppe AU - Costantino G FAU - Longo, Giuseppe AU - Longo G FAU - Cuzzocrea, Salvatore AU - Cuzzocrea S FAU - Mazzon, Emanuela AU - Mazzon E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080703 PL - Australia TA - Int J Med Sci JT - International journal of medical sciences JID - 101213954 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antibodies, Monoclonal) RN - 0 (Benzenesulfonates) RN - 0 (Fas Ligand Protein) RN - 0 (Immunoglobulin G) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Receptors, Tumor Necrosis Factor, Type I) RN - 0 (Tumor Necrosis Factor-alpha) RN - 12379-41-8 (dinitrobenzenesulfonic acid) RN - B72HH48FLU (Infliximab) RN - OP401G7OJC (Etanercept) SB - IM MH - Animals MH - Anti-Inflammatory Agents/pharmacology MH - Antibodies, Monoclonal/*pharmacology MH - Apoptosis/*drug effects MH - Benzenesulfonates MH - Blotting, Western MH - Colitis/chemically induced/drug therapy/*physiopathology MH - Disease Models, Animal MH - Enterocytes/*drug effects/metabolism/pathology MH - Etanercept MH - Fas Ligand Protein/metabolism MH - Immunoglobulin G/*pharmacology MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Infliximab MH - Male MH - Mice MH - Mice, Knockout MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Receptors, Tumor Necrosis Factor MH - Receptors, Tumor Necrosis Factor, Type I/genetics/physiology MH - Tumor Necrosis Factor-alpha/blood PMC - PMC2452978 OTO - NOTNLM OT - Apoptosis OT - Enterocyte OT - Experimental Colitis OT - TNF-alpha COIS- Conflict of interest: The authors have declared that no conflict of interest exists. EDAT- 2008/07/23 09:00 MHDA- 2008/10/02 09:00 PMCR- 2008/01/01 CRDT- 2008/07/23 09:00 PHST- 2008/03/30 00:00 [received] PHST- 2008/07/01 00:00 [accepted] PHST- 2008/07/23 09:00 [pubmed] PHST- 2008/10/02 09:00 [medline] PHST- 2008/07/23 09:00 [entrez] PHST- 2008/01/01 00:00 [pmc-release] AID - ijmsv05p0169 [pii] AID - 10.7150/ijms.5.169 [doi] PST - epublish SO - Int J Med Sci. 2008 Jul 3;5(4):169-80. doi: 10.7150/ijms.5.169.