Ketotifen inhibits Clostridium difficile toxin A-induced enteritis in rat ileum.
Ketotifen inhibits Clostridium difficile toxin A-induced enteritis in rat ileum.
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DOI:
10.1016/0016-5085(93)90886-h
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发表时间:
1993-09
期刊:
影响因子:
29.4
通讯作者:
C. Pothoulakis;F. Karmeli;C. Kelly;R. Eliakim;M. Joshi;C. O'keane;I. Castagliuolo;J. Lamont;D. Rachmilewitz
中科院分区:
文献类型:
--
作者:
C. Pothoulakis;F. Karmeli;C. Kelly;R. Eliakim;M. Joshi;C. O'keane;I. Castagliuolo;J. Lamont;D. Rachmilewitz
Background:Clostridium difficiletoxin A is the principal mediator of inflammatory enterocolitis in experimental animals. The purpose of this study was to explore the effect of ketotifen, an anti-inflammatory drug, on toxin A-induced enterotoxicity in rat ileum.Methods: The effects of intragastric administration of ketotifen on secretion, mannitol permeability, histological damage, and mucosal levels of leukotriene B4, leukotriene C4, and platelet activating factor in toxin A-exposed rat ileal loops were measured in vivo. The effects of ketotifen on toxin A-mediated release of rat mast cell protease II (rat mucosa mast cell product) release were also measured in rat ileal explants in vitro. The effect of ketotifen on neutrophil migration in vitro was also evaluated.Results:Ketotifen pretreatment inhibited toxin A-associated intestinal secretion by 42.5% and mannitol permeability by 56.3% and reduced epithelial cell inflammation and necrosis. These effects were associated with reduced levels of leukotriene B4by 65.8%, leukotriene C4by 88.8%, platelet activating factor by 77.8%, and inhibition of rat mast cell protease II by 58.4%. In addition, pretreatment of neutrophils with ketotifen inhibited neutrophil migration in vitro.Conclusions:The protective effect of ketotifen in this animal model was associated with significant inhibition of release of mast cells and neutrophil derived mediators, supporting their involvement inC. difficileenteritis.