Elsevier

Clinical Immunology

Volume 129, Issue 2, November 2008, Pages 211-218
Clinical Immunology

The suppressive effect of triptolide on chronic colitis and TNF-α/TNFR2 signal pathway in interleukin-10 deficient mice

https://doi.org/10.1016/j.clim.2008.07.018Get rights and content

Abstract

Recent studies have suggested a critical role of TNFR2 signaling associated with NF-κB activation in the pathogenesis of Crohn's disease. Triptolide, an extract from Tripterygium wilfordii Hook, has both anti-immune and anti-inflammatory effects. In this study, we evaluated its possible therapeutic effects on colitis in interleukin-10 deficient mice, a murine model of Crohn's disease. Triptolide was administered to IL-10−/− mice intraperitoneally every other day for 8 weeks. The severity of colitis in IL-10−/− mice was obviously reduced after triptolide treatment, with a reduction in the numbers of CD4+ T cells and macrophages in lamina propria. Triptolide also significantly decreased the production of TNF-α and IFN-γ in colon. Furthermore, triptolide suppressed TNFR2 expression and NF-κB activation in colon of IL-10−/− mice. These data suggested that triptolide could ameliorate Th1-mediated chronic colitis and disordered immune state in IL-10−/− mice. A possible mechanism could be inhibiting TNF-α/TNFR2 signal pathway.

Introduction

Crohn's disease (CD) and ulcerative colitis (UC) are chronic, relapsing, immunologically mediated disorders that are collectively referred to as inflammatory bowel diseases (IBD). The precise pathogenesis of IBD is still unclear, but activated innate (macrophage, neutrophil) and acquired (particularly Th-1T cell) immune have been reported to play a pivotal role in the development of CD [1]. Recently, many animal models have been developed to elucidate the immunopathological causes of IBD. Among these unique models are interleukin-10 deficient (IL-10−/−) mice, which were reported to spontaneously develop a Th1-mediated chronic colitis under specific-pathogen-free (SPF) conditions with many similarities to CD [2].

Elevated levels of interferon γ (IFN-γ) and tumor necrosis factor α (TNF-α) characterize the Th1 reaction. TNF-α is a multifunctional cytokine known to play a key role in the pathogenesis of IBD [1], [3]. TNF-α responses are mediated through binding to either of its receptors, TNFR1 or TNFR2. TNFR1 possesses an intracellular death domain which is required for the signaling of apoptosis [4]. Signals from TNFR1 that initiate apoptosis in activated T lymphocytes have the activities of antivirus and stimulating growth. TNFR2 does not contain the death domain [5]. Signaling through TNFR2 promotes thymocyte differentiation and T-cell proliferation [5]. There are increasing clinical and experimental evidences suggesting a distinct role of TNFR2 versus TNFR1 signaling in a variety of inflammatory disease states, in particular CD [6]. Overexpression of TNFR2 could promote Th1 cytokines expression and inhibit T cell apoptosis through activating nuclear factor κB (NF-κB) [6], [7], [8], [9], [10]. NF-κB has also been found to be related to the activation and perpetuation of inflammation [11].

Available therapies for CD based on immunosuppressive agents are still not satisfactory or entirely effective [12]. This illustrates the need for novel therapeutic approaches that specifically modulate both components of the disease—that is, the inflammatory and Th1 driven responses.

Extracts of the Chinese herbal remedy Tripterygium wilfordii Hook. f. (TWHF) have been reported to be therapeutically efficacious in some autoimmune diseases such as rheumatoid arthritis [13]. Triptolide, an active component of extracts derived from TWHF, is proved to have anti-inflammatory and immunosuppressive activities. Recent studies have shown that triptolide can inhibit lymphocyte proliferation, synthesis and secretion of proinflammatory cytokines [14], [15]. In addition, triptolide can induce apoptosis in T cells and dendritic cells as a potent NF-κB inhibitor [16], [17]. Triptolide has displayed a myriad of therapeutic uses against cancer, inflammation, and autoimmune diseases. However, the therapeutic effect of triptolide on IBD is relatively unknown.

In this study, we used triptolide as a therapeutic agent in inflammatory bowel disease. We hypothesized that the administration of triptolide to IL-10−/− mice would decrease the Th1T cell-mediated inflammatory cytokine production in the colon mucosa, and eventually ameliorate chronic colitis. Especially, we examined the effect of triptolide on TNFR expression and NF-κB activation for further study.

Section snippets

Animals

Male C57BL/6 IL-10−/− and wild-type mice (5 weeks old at the beginning of the study) were obtained from the Jackson Laboratory (Bar Harbor, Maine). Previous experiment demonstrated that since 4–5 weeks old, IL-10−/− mice would develop progressive chronic colitis with retarded growth under SPF conditions [2]. The mice were bred and maintained in a SPF animal facility at the Model Animal Research Center in Nanjing University (Nanjing, China). All mice received humane care in accordance with the

Treatment with triptolide protects against chronic colitis development

The control IL-10−/− mice spontaneously developed chronic colitis with diarrhea and retarded growth, while the triptolide-treated mice grew more steadily (Fig. 1). None of the mice developed diarrhea after 4 weeks administration of triptolide. The colon of control IL-10−/− mice was edematous, thickened and shortened by inflammation. In contrast, the colon of triptolide-treated mice seemed to be normal macroscopically (Fig. 2). Histological examination revealed edema, severe hyperplasia,

Discussion

According to a previous study, the maximum tolerated dose of triptolide for mice was 0.07 mg/kg/24 h i.p with no discernable adverse effects [19]. We chose 0.07 mg/kg/48 h to avoid the subchronic intoxication of triptolide. In fact, no apparent toxicity was observed in wild-type mice when triptolide was given intraperitoneally for 8 weeks at this dosage (data not shown).

As a murine model of CD, IL-10−/− mice spontaneously develop enterocolitis under SPF conditions as a result of their extreme

Acknowledgments

This work was supported in part by the Model Animal Research Center, Nanjing University (Nanjing, China). The authors thank Genbao Feng (Jinling Hospital of Nanjing, China) for the excellent technical assistances.

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