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GASTROINTESTINAL, HEPATIC, PULMONARY, AND RENAL

Therapeutic Effect of Lecithinized Superoxide Dismutase against Colitis

Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan (T.I., K.-I.T., Y.T., T.N., J.S., T.I., K.S., T.M.); DDS Institute, The Jikei University School of Medicine, Tokyo, Japan (T.I., Y.M.); Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan (S.O., T.H.); and Division of Drug Delivery System, Institute of Medical Science, St. Marianna University, Kawasaki, Japan (M.T., R.I.)

Ulcerative colitis (UC) involves intestinal mucosal damage induced by reactive oxygen species (ROS), in particular, superoxide anion. Superoxide dismutase (SOD) catalyzes dismutation of superoxide anion to hydrogen peroxide, which is subsequently detoxified by catalase. Lecithinized SOD (PC-SOD) is a new modified form of SOD that has overcome previous clinical limitations of SOD. In this study, we examined the action of PC-SOD using an animal model of UC, dextran sulfate sodium (DSS)-induced colitis. DSS-induced colitis was ameliorated by daily intravenous administration of PC-SOD. Unmodified SOD produced a similar effect but only at more than 30 times the concentration of PC-SOD. In vivo electron spin resonance analysis confirmed that the increase in the colonic level of ROS associated with development of colitis was suppressed by PC-SOD administration. The dose-response profile of PC-SOD was bell-shaped, but simultaneous administration of catalase restored the ameliorative effect at high doses of PC-SOD. Accumulation of hydrogen peroxide was observed with the administration of high doses of PC-SOD, an effect that was suppressed by the simultaneous administration of catalase. We also found that either a weekly intravenous administration or daily oral administration of PC-SOD conferred protection. These results suggest that PC-SOD achieves its ameliorative effect against colitis through decreasing the colonic level of ROS and that its ineffectiveness at higher doses is because of the accumulation of hydrogen peroxide. Furthermore, we consider that intermittent or oral administration of PC-SOD can be applied clinically to improve the quality of life of UC patients.

Address correspondence to: Dr. Tohru Mizushima, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University, 5-1 Oe-honmachi, Kumamoto 862-0973, Japan. E-mail: mizu{at}gpo.kumamoto-u.ac.jp