Abstract
IL-1 and TNF-α are known to be pleiotropiccytokines associated with various inflammatoryconditions such as small intestinal injury afterischemia-reperfusion. FR167653 has been characterized asa potent suppressant of IL-1 and TNF-αproduction. The effect of FR167653 on intestinalreperfusion injury was investigated in a warm ischemiamodel of the canine gut. Sixteen mongrel dogs weredivided into two groups: a control group and a FR groupto which FR167653 was administered. Both the superiormesenteric artery and vein were clamped for 2 hr.Arterial pH, hepatic venous hemoglobin oxygensaturation, intramucosal pH, and the survival rate werewell maintained in the FR group in comparison with thecontrol group after reperfusion. FR167653 inhibited theexpression of IL-1β mRNA. Histologically,ischemia-reperfusion injury was more severe in the control groupthan the FR group. This study suggests that FR167653inhibits proinflammatory cytokines and amelioratesischemia-reperfusion injury of the smallintestine.
Similar content being viewed by others
REFERENCES
Park PO, Haglund U, Bulkley GB, Falt K: The sequence of development of intestinal tissue injury after strangulation ischemia and reperfusion. Surgery 107:574-580, 1990
Caty MG, Guice KS, Oldham KT, Remick DG, Kunkel SI: Evidence for tumor necrosis factor induced pulmonary microvascular injury after intestinal ischemia-reperfusion injury. Ann Surg 212:694-700, 1990
Cook BH, Wilson ER, Taylor AE: Intestinal fluid loss in hemorrhagic shock. Am J Physiol 221:1494-1498, 1971
Mozes T, Braquet P, Filep J: Platelet-activating factor: An endogenous mediator of me senteric ischemia-reperfusion induced shock. Am J Physiol 257:R872-R877, 1989
Schmeling D J, Caty MG, Oldham KT, Guice KS, Hinshaw DB: Evidence for neutrophil related acute lung injury after intestinal ischemia-reperfusion. Surgery 106:195-201, 1989
Kamoshita N, Takeyoshi I, Ohwada S, Iino Y, Morishita Y: The effects of FR167653 on pulmonary ischemia-reperfusion injury in dogs. J Heart Lung Transplant 16:1062-1072, 1997
Yamamoto N, Sakai F, Yamazaki H, Nakahara K, Okuhara M: Effect of FR167653, a cytokine suppressive agent, on endotoxin-induced disseminated intravascular coagulation. Eur J Pharmacol 314:137-142, 1996
Fiddian-Green RG: A sensitive and specific diagnostic test for intestinal ischemia using Silastic tonometers. Eur Surg Res 16/SI:32, 1984
Grum CM, Fiddian-Green RG, Pittenger GL, Grant BJ, Rothman ED, Dantzker DR: Adequacy of tissue oxygenation in intact dog intestine. J Appl Physiol 56:1065-1069, 1984
Fiddian-Green RG, Pittenger G, Whitehouse WM Jr: Backdiffusion of CO2 and its influence on the intramural pH in gastric mucosa. J Surg Res 33:39-48, 1982
Chiu C-J, McArdle AH, Brown R, Scott HJ, Gurd FN: Intestinal mucosal lesion in low-flow states. I. A morphological, hemodynamic, and metabolic reappraisal. Arch Surg 101:478-483, 1970
Chomczynski P, Sacchi N: Single-step method of RNA isolation by acid guanidium thiocyanate-phenol-chloroform extraction. Anal Biochem 162:156-159, 1987
Parks DA, Bulkley GB, Granger DN, Hamilton SR, McCord JM. Ischemic injury in the cat small intestine: Role of superoxide radicals. Gastroenterology 82:9-15, 1982
Granger DN, Rutili G, McCord JM. Superoxide radicals in feline intestinal ischemia. Gastroenterology 81:22-29, 1981
Welbourn CR, Goldman G, Paterson IS, Valeri CR, Shepro D, Hechtman HB: Pathophysiology of ischemia-reperfusion injury: Central role of the neutrophil. Br J Surg 78:651-655, 1991
Welbourn R, Goldman G, O'Riordain M, Lindsay TF, Paterson IS, Kobzik L, Valeri CR, Shepro D, Hechtman HB: Role for tumor necrosis factor as mediator of lung injury following lower torso ischemia. J Appl Physiol 70:2645-2649, 1991
Mangino MJ, Anderson CB, Murphy MK, Brunt E, Turk J: Mucosal arachidonate metabolism and intestinal ischemia-reperfusion injury. Am J Physiol 257:G299-G307, 1989
Schoenberg MH, Muhl E, Sellin D, Younes M, Schildberg FW, Haglund U: Posthypotensive generation of superoxide free radicals: Possible role in the pathogenesis of the intestinal mucosal damage. Acta Chir Scand 150:301-309, 1984
Robinson JW, Haroud M, Winistorfer B, Mirkovitch V: Re-covery of function and structure of dog ileum and colon following two hours’ acute ischemia. Eur J Clin Invest 4:443-452, 1974
Takahashi T, Kunimoto F, Ichikawa H, Ishikawa S, Sato Y, Hasegawa Y, Morishita Y: Gastric intramucosal pH and hepatic venous oximetry after cardiopulmonary bypass in valve replacement patients. Cardiovasc Surg 4:308-310, 1996
Antonsson JB, Boyle III CC, Kruithoff KL, Wang HL, Sacristan E, Rothschild HR, Fink MP: Validation of tonometric measurement of gut intramural pH during endotoxemia and mesenteric occlusion in pigs. Am J Physiol 259:G519-G523, 1990
Deardon DJ, Parrott NR, Hutchinson IV, Bianchi A, Calne RY: Small bowel tonometry: a possible technique for detecting early small bowel allograft dysfunction. Transplant Proc 25:3293-3294, 1993
Boros M, Kaszaki J, Ordogh B, Nagy S: Intramucosal pH changes following complete segmental small intestinal ischemia, as compared with the effects of superior mesenteric artery occlusion. Eur Surg Res 26:76-86, 1994
Iwanami K, Takeyoshi I, Ohwada S, Kobayashi J, Kawata K, Matsumoto K, Morishita Y: Intramucosal pH and intestinal mucosal damage in ischemia-reperfusion injury. Transplant Int 11:401-407, 1998
Kainuma M, Nakashima K, Sakuma I, Kawase M, Komatsu T, Shimada Y, Nimura Y, Nonami T: Hepatic venous hemoglobin oxygen saturation predicts liver dysfunction after hepatectomy. Anesthesiology 76:379-386, 1992
Andus T, Bauer J, Gerok W: Effects of cytokines on the liver. Hepatology 13:364-375, 1991
Colletti LM, Remick DG, Burtch GD, Kunkel SL, Strieter RM, Campbell DA Jr: Role of tumor necrosis factor-a in the pathophysiologic alterations after hepatic ischemia-reperfusion injury in the rat. J Clin Invest 85:1936-1943, 1990
Jaeschke H, Farhood A, Smith CW: Neutrophils contribute to ischemia/reperfusion injury in rat liver in vivo. FASEBJ 4:3355-3359, 1990
Larrick JW, Graham D, Toy K, Lin LS, Senyk G, Fendly BM: Recombinant tumor necrosis factor causes activation of human granulocytes. Blood 69:640-644, 1987
Shalaby MR, Aggarwal BB, Rinderknecht E, Svedersky LP, Finkle BS, Palladino MA Jr: Activation of human polymorphonuclear neutrophil functions by interferon-g and tumor necrosis factors. J Immunol 135:2069-2073, 1985
Yamamoto N, Sakai F, Yamazaki H, Sato N, Nakahara K, Okuhara M: FR167653, a dual inhibitor of interleukin-1 and tumor necrosis factor-a, ameriolates endotoxin-induced shock. Eur J Pharmacol 327:169-175, 1997
Otani Y, Takeyoshi I, Koibuchi Y, Yokoe T, Iino Y, Matsumoto K, Satoh S, Morishita Y: The effect of FR167653 on pulmonary ischemia-reperfusion injury in rats: A study of optimal dose. J Heart Lung Transplant 17:54, 1998
Kobayashi J, Takeyoshi I, Ohwada S, Iwanami K, Matsumoto K, Muramoto M, Morishita Y: The effect of FR167653 in extended liver resection with ischemia in dogs. Hepatology 28:459-465, 1998
Suzuki S, Toledo-Pereyra LH, Rodriguez FJ, Cejalvo D: Neutrophil infiltration as an important factor in liver ischemia and reperfusion injury: Modulating effects of FK506 and cyclosporine. Transplantation 55:1265-1272, 1993
Till GO, Johnson KJ, Kunkel R, Ward PA: Intravascular activation of complement and acute lung injury. Dependency on neutrophils and toxic oxygen metabolites. J Clin Invest 69:1126-1135, 1982
Grosso MA, Viders DE, Brown JM, Mulvin DW, Miles RH, Brentlinger ER, Velasco SE, Crawford TS, Burton LK, Repine JE, Harken AH: Local skin burn causes systemic ( lung and kidney) endothelial cell injury reflected by increased circulating and decreased tissue factor VIII-related antigen. Surgery 106:310-317, 1989
Rights and permissions
About this article
Cite this article
Takeyoshi, I., Iwanami, K., Ohwada, S. et al. Effect of FR167653 on Small Bowel Ischemia-Reperfusion Injury in Dogs. Dig Dis Sci 44, 2334–2343 (1999). https://doi.org/10.1023/A:1026633510390
Issue Date:
DOI: https://doi.org/10.1023/A:1026633510390