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Am J Physiol Gastrointest Liver Physiol (March 20, 2002). doi:10.1152/ajpgi.00015.2002
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Articles in PresS, published online ahead of print March 20, 2002
Am J Physiol Gastrointest Liver Physiol, 10.1152/ajpgi.00015.2002
Submitted on January 14, 2002
Accepted on March 15, 2002

Na+/H+ exchanger blockade inhibits the enterocyte inflammatory response and protects against colitis

Zoltan H Nemeth1, Edwin A Deitch1, Csaba Szabo2, Jon G Mabley3, Pal Pacher3, Zoltan Fekete1, Carl J Hauser1, and Gyorgy Hasko1*

1 Department of Surgery, UMD-New Jersey Medical School, Newark, NJ, USA
2 Inotek Corp., Beverly, MA, USA; Department of Surgery, UMD-New Jersey Medical School, Newark, NJ, USA
3 Inotek Corp., Beverly, MA, USA

* To whom correspondence should be addressed. E-mail: haskoge{at}umdnj.edu.

Na+/H+ exchangers (NHEs) are integral transmembrane proteins found in all mammalian cells. There is substantial evidence indicating that NHEs regulate inflammatory processes. Because intestinal epithelial cells express a variety of NHEs, we tested the possibility that NHEs are also involved in the regulation of the epithelial cell inflammatory response. In addition, since the epithelial inflammatory response is an important contributor to mucosal inflammation in inflammatory bowel disease (IBD), we examined the role of NHEs in the modulation of disease activity in a mouse model of IBD. In human gut epithelial cells, NHE inhibition using a variety of agents, including amiloride, 5-(N-methyl-N-isobutyl)amiloride, 5-(N-ethyl-N-isopropyl)-amiloride, harmaline, clonidine, and cimetidine suppressed IL-8 production. The inhibitory effect of NHE inhibition on IL-8 was associated with a decrease in IL-8 mRNA accumulation. NHE inhibition suppressed both activation of the p42/p44 mitogen-activated protein kinase and NF-{kappa}B. Finally, NHE inhibition ameliorated the course of IBD in dextran sulfate-treated mice. Our data demonstrate that inhibition of NHEs may be an approach worthy of pursuing for the treatment of IBD.




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