Anti-inflammatory mechanism of metformin and its effects in intestinal inflammation and colitis-associated colon cancer

Anti-inflammatory mechanism of metformin and its effects in intestinal inflammation and colitis-associated colon cancer
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DOI:
10.1111/jgh.12435
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发表时间:
2014-03-01
影响因子:
4.1
通讯作者:
Kim, Joo Sung
Kim, Joo Sung
中科院分区:
医学3区
文献类型:
--
作者:
Koh, Seong-Joon;Kim, Jung Mogg;Kim, Joo Sung

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Background and AimThe aim of this study is to evaluate the effect of metformin on intestinal inflammation.MethodsCOLO205 cells were pretreated with metformin and stimulated with tumor necrosis factor (TNF)-. Expression of interleukin (IL)-8 was determined by luciferase assay and real-time PCR. Inhibitor of kappaB (IB) phosphorylation/degradation and adenosine monohosphate-activated protein kinase (AMPK) activity were evaluated by Western blotting. DNA-binding activity of transcription factor nuclear factor-kappaB (NF-B) was assessed by electrophoretic mobility shift assay. In an acute colitis model, mice were given 4% dextran sulfate sodium (DSS) for 5 days. IL-10(-/-) mice were used to evaluate the effect of metformin on chronic colitis. In an inflamation-associated tumor model, mice were given a single intraperitoneal injection of azoxymethane followed by three cycles of 2% DSS for 5 days and 2 weeks of free water consumption.ResultsMetformin significantly inhibited IL-8 induction in COLO 205 cells stimulated with TNF-. Metformin attenuated IB phosphorylation and NF-B DNA-binding activity. Administration of metformin significantly reduced the severity of DSS-induced colitis. In addition, DSS-induced IB kinase (IKK) activation was significantly reduced in mice treated with metformin. Metformin significantly attenuated the severity of colitis in IL-10(-/-) mice, induced AMPK activity in intestinal epithelial cells, and inhibited the development of colitic cancer in mice.ConclusionsThese results indicate that metformin suppresses NF-B activation in intestinal epithelial cells and ameliorates murine colitis and colitis-associated tumorigenesis in mice, suggesting that metformin could be a potential therapeutic agent for the treatment of inflammatory bowel disease.