Abstract
Intestinal pathogens use the host's excessive inflammatory cytokine response, designed to eliminate dangerous bacteria, to disrupt epithelial gut wall integrity and promote their tissue invasion. We sought to develop a non-antibiotic-based approach to prevent this injury. Molecular docking studies suggested that glycosylated dendrimers block the TLR4-MD-2-LPS complex, and a 13.6 kDa polyamidoamine (PAMAM) dendrimer glucosamine (DG) reduced the induction of human monocyte interleukin (IL)-6 by Gram-negative bacteria. In a rabbit model of shigellosis, PAMAM-DG prevented epithelial gut wall damage and intestinal villous destruction, reduced local IL-6 and IL-8 expression, and minimized bacterial invasion. Computational modelling studies identified a 3.3 kDa polypropyletherimine (PETIM)-DG as the smallest likely bioactive molecule. In human monocytes, high purity PETIM-DG potently inhibited Shigella Lipid A-induced IL-6 expression. In rabbits, PETIM-DG prevented Shigella-induced epithelial gut wall damage, reduced local IL-6 and IL-8 expression, and minimized bacterial invasion. There was no change in β-defensin, IL-10, interferon-β, transforming growth factor-β, CD3 or FoxP3 expression. Small and orally delivered DG could be useful for preventing gut wall tissue damage in a wide spectrum of infectious diarrhoeal diseases.
Original language | English |
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Pages (from-to) | 866-881 |
Number of pages | 16 |
Journal | EMBO Molecular Medicine |
Volume | 4 |
Issue number | 9 |
Early online date | 06 Aug 2012 |
DOIs | |
Publication status | Published - Sept 2012 |
Externally published | Yes |
Bibliographical note
Copyright © 2012 EMBO Molecular Medicine.Keywords
- Administration, Oral
- Animals
- Bacterial Translocation/drug effects
- Dendrimers/administration & dosage
- Diarrhea/drug therapy
- Disease Models, Animal
- Dysentery, Bacillary/drug therapy
- Gastrointestinal Agents/administration & dosage
- Gastrointestinal Tract/drug effects
- Glucosamine/administration & dosage
- Immunologic Factors/administration & dosage
- Interleukin-6/antagonists & inhibitors
- Interleukin-8/antagonists & inhibitors
- Rabbits
- Shigella/pathogenicity