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GASTROINTESTINAL, HEPATIC, PULMONARY, AND RENAL
Departments of Physiology (M.-C.L'H., P.L.B.) and Medicine (P.L.B.), University of Toronto, Toronto, Ontario, Canada
The intestinal hormone glucagon-like peptide-2 (GLP-2) enhances bowel
growth and reduces the severity of colonic injury in dextran sulfate sodium
(DSS)-induced colitis in mice. In humans, ulcerative colitis is normally
treated with aminosalicylates (ASAs) and corticosteroids (CSs) to reduce
inflammation. However, whether the intestinotropic effects of GLP-2 are
altered when combined with ASAs and/or CSs has not previously been explored.
Thus, each agent [vehicle, ASA (sulfasalazine), CS (methylprednisolone), and
ASA + CS] was administered alone or with GLP-2 to normal mice or mice with
3.5% DSS in the drinking water, for 10 consecutive days. GLP-2 treatment of
DSS-mice increased survival and small intestinal weight (p <
0.05), and decreased body weight loss and colonic damage (p <
0.05). Furthermore, GLP-2 increased the number of proliferating cells in the
colonic crypts of DSS-mice (p < 0.05). Administration of ASA, CS,
or ASA + CS alone did not affect growth of the intestine in DSS-mice. However,
administration of GLP-2 in combination with ASA was permissive for the
beneficial effects of GLP-2 on survival and colonic damage, whereas CS
treatment prevented these effects of GLP-2. Concomitant administration of
GLP-2 with ASA + CS resulted in intermediate effects. No differences between
colonic myeloperoxidase activity or I
B levels (an inhibitor of the
nuclear factor-
B pro-inflammatory pathway) were found for any of these
therapeutic agents. When taken together, the ability of GLP-2 to protect
colonic mucosal architecture in DSS-colitis, and its effectiveness when given
in combination with ASA, but not with CS, suggests a novel approach for the
treatment of patients with colitis.
Address correspondence to: Dr. Patricia L. Brubaker, Department of Physiology, University of Toronto, Medical Sciences Building, Room 3366, 1 King's College Circle, Toronto, Ontario, M5S 1A8, Canada. E-mail: p.brubaker{at}utoronto.ca
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