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GASTROINTESTINAL, HEPATIC, PULMONARY, AND RENAL

Blockade of CXCL12/CXCR4 Axis Ameliorates Murine Experimental Colitis

Department of Gastroenterology and Hepatology, Graduate School of Medicine (S.M., H.N., S.Y., Y.T., T.Y., K.K., S.U., N.U., T.C.), Graduate School of Pharmaceutical Science (S.O., N.F.), and Department of Medical Systems Control, Institute for Frontier Medical Sciences (T.N.), Kyoto University, Kyoto, Japan

Recent studies indicate that the CXCL12/CXCR4 interaction is involved in several inflammatory conditions. However, it is unclear whether this interaction has a role in the pathophysiology of inflammatory bowel disease (IBD). We investigated the significance of this interaction in patients with IBD and in mice with dextran sulfate sodium (DSS)-induced colitis and the effect of a CXCR4 antagonist on experimental colitis. First, we measured CXCR4 expression on peripheral T cells in patients with IBD. Furthermore, we investigated CXCR4 expression on leukocytes and CXCL12 expression in the colonic tissue of mice with DSS-induced colitis, and we evaluated the effects of a CXCR4 antagonist on DSS-induced colitis and colonic inflammation of interleukin (IL)-10 knockout (KO) mice. Colonic inflammation was assessed both clinically and histologically. Cytokine production from mesenteric lymph node cells was also examined. CXCR4 expression on peripheral T cells was significantly higher in patients with active ulcerative colitis (UC) compared with normal controls, and CXCR4 expression levels of UC patients correlated with disease activity. Both CXCR4 expression on leukocytes and CXCL12 expression in colonic tissue were significantly increased in mice with DSS-induced colitis. Administration of a CXCR4 antagonist ameliorated colonic inflammation in DSS-induced colitis and IL-10 KO mice. CXCR4 antagonist reduced tumor necrosis factor- and interferon- production from mesenteric lymph node cells, whereas it did not affect IL-10 production. The percentage of mesenteric Foxp3⁺CD25⁺ T cells in DSS-induced colitis was not affected by CXCR4 antagonist. These results suggest that blockade of this chemokine axis might have potential as a therapeutic target for the treatment of IBD.

Address correspondence to: Dr. Hiroshi Nakase, Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-Cho, Sakyoku, Kyoto 606-8507, Japan. E-mail: hiropy_n{at}kuhp.kyoto-u.ac.jp

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