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1 Department of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Osaka, Japan
* To whom correspondence should be addressed. E-mail: watanabet{at}med.osaka-cu.ac.jp.
TNF-
has numerous biological activities including induction of chemokine expression, and is
involved in many gastric injuries. C-C chemokines (MCP-1 and MIP-1
) and C-X-C chemokines
(MIP-2 and CINC-2
) mediate chemotaxis of monocytes and neutrophils, respectively. We
examined the roles of TNF-
and dynamics of chemokine expression in gastric ulceration including
ulcer recurrence and indomethacin-induced injury. Rats with healed chronic gastric ulcers received
intraperitoneal TNF-
to induce ulcer recurrence. Some rats were given neutralizing antibodies
against neutrophils or MCP-1 together with TNF-
. In a separate experiment, rats were orally
administered 20 mg/kg indomethacin with or without pretreatment with pentoxifylline (an inhibitor
of TNF-
synthesis) or anti-MCP-1 antibody. TNF-
(1 µg/kg) induced gastric ulcer recurrence
after 48 hours, which was completely prevented by anti-neutrophil antibody. TNF-
increased the
number of macrophages and MCP-1 mRNA expression in scarred mucosa from 4 hours, whereas it
increased myeloperoxidase activities (marker of neutrophil infiltration) and mRNA expression of
MIP-2 and CINC-2
from 24 hours. Anti-MCP-1 antibody inhibited leukocyte infiltration with
reduction of the levels of C-X-C chemokines, and prevented ulcer recurrence. Indomethacin
treatment increased TNF-
/chemokines mRNA expression from 30 minutes, and induced
macroscopic erosions after 4 hours. Pentoxifylline inhibited the indomethacin-induced gastric injury
with reduction of neutrophil infiltration and expression of chemokine (MCP-1, MIP-2 and CINC-2
).
Anti-MCP-1 antibody also inhibited the injury and these inflammatory responses, but did not affect TNF-
mRNA expression. In conclusion, increased MCP-1 triggered by TNF-
may play a key role
in gastric ulceration, by regulating leukocyte recruitment and chemokine expression.
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