Background: The 5-hydroxytrptamine receptor 4 (5-HT4 receptor) is heavily expressed on colonic epithelial cells and has been targeted as a therapeutic for functional bowel symptoms and pain; however, adverse cardiac events related to 5-HT4 agonist treatment limited their therapeutic use. Previous studies in the Mawe laboratory have demonstrated that intraluminal application of a 5-HT4 agonist exerts protective epithelial actions in animal models of colitis, and accelerates recovery from colitis. The aim of this study was to test the effects of a luminally restricted 5-HT4 agonist in a mouse model of experimental colitis. Methods: The luminally restricted 5-HT4 agonist (Takeda Pharmaceuticals; 10 mg/kg) was administered to mice during active dextran sodium sulfate (DSS) induced colitis. Colitis activity was evaluated using disease activity index, a fecal lipocalin-2 assay, and histological damage scoring. Epithelial proliferation and colonic motility were also measured as readouts of the potential protective actions and colonic function, respectively. Results: Oral gavage and intracolonic delivery of this luminally restricted 5-HT4 agonist had no detectable effect on recovery from colitis or colonic motility as compared to vehicle. Additionally, in positive control experiments, we failed to see an effect of the 5-HT4 agonist, tegaserod, on colitis severity or colonic motility in any of the measures tested. Conclusions: In conclusion, it is unclear if the luminally restricted 5-HT4 agonist has any effect on recovery from DSS colitis. Given inconsistencies with the model and lack of an effect of tegaserod, additional studies will be required, possibly involving different doses and time points, to fully assess the actions of this luminally restricted compound in colitis recovery.

The data presented within this thesis shows the generation and characterisation of a complete-, macrophage/granulocyte- and T cell-specific IFNγR2 deficient mouse mutant. This mutant mouse is a valuable tool in dissecting the mechanism of action of the pleiotrophic cytokine IFNγ.The global mutant mouse was tested in three models in vivo - DSS induced colitis, Trichuris muris infection and EAE. The aim of the DSS-induced colitis model was to test the role of IFNγ in the innate immune system and, despite previous reports demonstrating IFNγ deficient mice are protected from DSS-colitis, our IFNγR2 deficient mice displayed equal or more severe colitis than control mice. We hypothesise that this discrepancy is due to differences in the gut microbiota.The Trichuris muris model was utilised as a method of examining the role of IFNγ in the adaptive immune system. The complete IFNγR2 mutant was resistant to a low dose T. muris infection; however, neither the T cell specific nor the macrophage/granulocyte specific mutant duplicated the resistant phenotype observed in the global knock-out mice. Analysis of a double conditional T cell and macrophage/granulocyte specific IFNγR2 mutant produced inconsistent results. Initial experiments suggested that, in combination, these deficiencies are sufficient to duplicate the resistant phenotype observed in the global mutant mice, but this was not reproducible.The final in vivo model that we used to analyse IFNγR2 mutant mice was EAE. This model was chosen as, for a long time, the mechanism of action and the involvement of IFNγ in EAE has been a matter of uncertainty. These results demonstrated that global IFNγR2 mutant mice demonstrate an atypical phenotype, with no signs of recovery. In contrast, control mice develop classical EAE symptoms with almost complete recovery prior to the termination of the experiment. The IFNγ receptor mutant mouse generated will be of great value to the scientific community as IFNγ has been demonstrated to play a role in multiple diseases and this tool allows the mechanism of action of this cytokine to be unravelled.

Dans la présente étude, nous avons étudié les effets des infusions de feuilles de caroube et de cladodes OFI riches en polyphénols sur l'inflammation associée à l'obésité et la colite ulcéreuse induite par le dextran de sulfate de sodium (DSS) chez les souris suisse.Des études in vitro ont révélé que les extraits aqueux de feuilles de caroube et de cladodes OFI présentaient des propriétés anti-inflammatoires marquées par l'inhibition de la production d'IL-6, de TNF-α et d'oxyde nitrique (NO) dans les cellules RAW 264.7 stimulées par des lipopolysaccharides (LPS). Inhibition de la translocation du noyau NF-κβ.Pour des investigations in vivo, des souris mâles suisses ont été soumises à un régime contrôle (ND) ou à un régime riche en graisses (HFD). A la 4ème semaine après le début de l'étude, les animaux ont reçu ou non 1% d'infusion de feuilles de caroube ou d'OFI-cladode pendant 6 semaines et ont été soumis à une administration de DSS à 2% dans l'eau potable au cours des 7 derniers jours. Après sacrifice, les niveaux de cytokines pro-inflammatoires dans le plasma et l'expression de leur ARNm dans différents organes ont été déterminés. Les résultats ont montré que les infusions de feuille de caroube et de OFI-cladode réduisaient la sévérité de l'inflammation associée à l'obésité induite par HFD et la colite aiguë induite par le DSS indiquée par une diminution de l'expression des cytokines pro-inflammatoires (comme TNF-α, IL1b et IL-6) tissu adipeux et rate. En outre, les taux plasmatiques d'IL-6 et de TNF-α ont également été réduits en réponse au traitement par les infusions. Ainsi, les infusions de feuilles de caroube et d'OFI-cladode ont empêché la perméabilité intestinale grâce à la restauration des protéines de jonctions serrées (Zo1, occludines) et à l'homéostasie immunitaire. Ainsi, l'effet anti-inflammatoire des feuilles de caroube et des cladodes OFI pourrait être attribué à leurs polyphénols qui pourraient atténuer la gravité de l'inflammation associée à l'obésité et à la colite. / In the present study, we have investigated the effects of polyphenol-rich infusions from carob leaves and OFI-cladodes on inflammation associated with obesity and dextran sulfate sodium (DSS)-induced ulcerative colitis in Swiss mice. In vitro studies revealed that aqueous extracts of carob leaves and OFI-cladodes exhibited anti-inflammatory properties marked by the inhibition of , TNF-α and nitric oxide (NO) production in lipopolysaccharide (LPS)-stimulated RAW 264.7 cells concomitant with NF-κβ nucleus translocation inhibition. For in vivo investigations, Swiss male mice were subjected to control or high fat diet (HFD). At the 4th week after the start of study, animals received or not 1% infusion of either carob leaves or OFI-cladode for 6 weeks and were subjected to 2% DSS administration in drinking water over last 7 days. After sacrifice, pro-inflammatory cytokines levels in plasma and their mRNA expression in different organs were determined. Results showed that carob leaf and OFI-cladode infusions reduced inflammation severity associated with HFD-induced obesity and DSS-induced acute colitis indicated by decrease in pro-inflammatory cytokines expression (as such TNF-α, IL1b and IL-6) in colon, adipose tissue and spleen. In addition, plasma levels of IL-6 and TNF-α were also curtailed in response to infusions treatment. Thus, carob leaf and OFI-cladode infusions prevented intestinal permeability through the restoration of tight junction proteins (Zo1, occludins) and immune homeostasis. Hence, the anti-inflammatory effect of carob leaves and OFI-cladodes could be attributed to their polyphenols which might alleviate inflammation severity associated with obesity and colitis.

Die chronisch-entzündlichen Darmerkrankungen Morbus Crohn und Colitis ulzerosa sind wiederkehrende, nicht heilbare, immunvermittelte Krankheiten unklarer Ursache. Genetische Prädisposition und Umweltfaktoren können die Barrierefunktion der Darmmukosa stören, so dass eine überschiessende Entzündungsreaktion folgt, die durch kommensale Bakterien der normalen Darmflora verstärkt wird. Die Infektion mit H. pylori im Magen kann zu Gastritis, Ulkuskrankheit und der Entstehung von MALT-Lymphomen und Magenkarzinomen führen. An der Erkennung von bakteriellen Bestandteilen im Gastrointestinaltrakt sind Toll-like-Rezeptoren (TLR), als Komponenten des angeborenen Immunsystems maßgeblich beteiligt. In der vorliegenden Arbeit wurden Veränderungen der Bakterienflora bei Ileitis, Colitis und bei Vorliegen einer H. pylori-Infektion im Mausmodell untersucht. Durch eine globale Florenanalyse mit klassischen mikrobiologischen und molekularbiologischen Techniken konnte gezeigt werden, dass die Konzentrationen an Gram-negativen Stäbchenbakterien während der Entzündung in Ileum und Colon anstiegen. Die bakteriellen Faktoren, die eine Ileitis induzierten, wurden durch den Einsatz von gnotobiotischen TLR-defizienten Mäusen mit definierter bakterieller Rekolonisierung ermittelt. Hierbei zeigte sich, dass eine Ileitis durch das LPS von akkumulierenden E. coli über die TLR4-vermittelte Signaltransduktion verstärkt wurde. Die Entzündungsreaktionen konnten durch Behandlung mit Antibiotika oder dem LPS-Antagonisten Polymyxin B gebessert werden. In Folge einer H. pylori-Infektion kam es im Mausmagen zu einer erhöhten Diversität der Bakterienflora durch die Besiedelung mit Bakterienarten, die normalerweise das Colon kolonisieren. Eine derartige Florenverschiebung konnte durch eine Vakzinierung gegen H. pylori verhindert werden. Die Tiermodelle zur T. gondii-induzierten Ileitis und DSS-Colitis erlauben eine reproduzierbare Analyse entzündungsrelevanter Komponenten und damit die Möglichkeit, therapeutische Ansatzpunkte, wie z.B. den Einsatz von Lipopolysaccharid-Inhibitoren, die Blockade von TLR4 oder dem LPS-Bindeprotein oder den Einsatz von Probiotika, unter definierten Bedingungen zu analysieren. / Inflammatory bowel diseases like Crohn´s disease and ulcerative colitis are chronic, relapsing, immunologically mediated disorders with uncertain etiology. Genetic abnormalities and environmental factors may have negative influences on the physiologic barrier function of the intestinal mucosa with inflamamtion coming up after immune response which is aggravated by commensal intestinal bacteria. The infection of H. pylori can cause gastritis and ulcus disease and contribute to the occurence of MALT lymphoma and gastric cancer. Bacterial ligands in the intestine are recognized by toll-like receptors (TLR) which are one component of the innate immune system. This study observed variations of the bacterial flora in mice with ileitis, colitis or H. pylori-infection. Performing a global survey of the intestinal flora combining culture based techniques with molecular methods, it was observed, that the concentration of gram-negative rods is elevated during ileitis or colitis. The bacterial factors, which are capable of inducing ileitis, could be confirmed using gnotobiotic TLR-deficient mice with a defined bacterial recolonization. It was clearly shown that ileitis was aggravated by LPS of accumulating E. coli through a TLR4-mediated signal transduction. The inflammation was ameliorated through antibiotic treatment or after application of the LPS-scavenger polymyxin B. H. pylori infection of mice leads to an increase of bacterial diversity in the stomach and bacterial species which are normally colonize the colon were detected after infection. Vaccination against H. pylori could prevent this diversity shift. The animal models for the T. gondii-induced ileitis and DSS-colitis used in this study offering the reproducible analysis of inflammation relevant components so that new approaches of treatment like inhibition of lipopolysaccharide, blockage of TLR4 or LPS binding protein or application of probiotics could be studied under well defined conditions.

Dynamic molecular interactions between the microbiota and the intestinal mucosa play an important role in the establishment and maintenance of mucosal homeostasis. Aberrant host- microbiota interaction could lead to many diseases such as inflammatory bowel disease. The aim of our study was to evaluate the commensal and probiotic bacteria activities and their ability to induce pathological or exert beneficial effects. The most important trigger for immune system development is an exposure to microbial components. Here, we show that there is a time window at about three weeks of age, which enables the artificial colonization of germ free mice by a single oral dose of cecal content. The delayed colonization by either inoculation or co-housing causes permanent changes in immune system reactivity, which may downgrade the results of experiments performed on first generation of colonized animals. In this thesis we report that even non-living commensal bacteria such as Parabacteroides distasonis (mPd) or well known probiotics such as L. casei DN-114 001 (Lc) possess anti-inflammatory effects in experimental model of colitis. The mechanisms that this effect is achieved by the lysate of L. casei DN-114 001 comprise: a) improvement in the gut barrier function, b) correction of the dysbiosis, and c) modulation of the...

Although strong protective immune response is essential for preventing invasion by pathogens, equivalent responses against antigens originating from commensal bacteria can lead to chronic inflammatory diseases, such as inflammatory bowel disease (IBD). Manipulating the mucosal immune responses with microbial antigens might be an excellent tool to IBD therapy or prevention. Our aim was to gain some insight into the regulation of the intestinal inflammation and to isolate bacterial immunomodulatory components that could be used in intestinal inflammation therapy and prevention. One particular mechanism of how healthy colon tissue regulates the inflammation during acute experimental colitis is through modulation of bioavailability of glucocorticoids (GCs) in gut mucosa. Here, we show that intestinal inflammation changes the local GC metabolism, which ultimately leads to decrease in inflammatory readiness of cells in the gut mucosa and in mesenteric lymph nodes. This pre-receptor regulation of GC function could represent an important homeostatic function of the gut mucosa. The actual triggers of intestinal inflammation in IBD seem to be either microbial dysbiosis or microbes with special "pathogenic" abilities, which both could be rectified by feeding with probiotics. Here, we report that oral feeding with live...

Although strong protective immune response is essential for preventing invasion by pathogens, equivalent responses against antigens originating from commensal bacteria can lead to chronic inflammatory diseases, such as inflammatory bowel disease (IBD). Manipulating the mucosal immune responses with microbial antigens might be an excellent tool to IBD therapy or prevention. Our aim was to gain some insight into the regulation of the intestinal inflammation and to isolate bacterial immunomodulatory components that could be used in intestinal inflammation therapy and prevention. One particular mechanism of how healthy colon tissue regulates the inflammation during acute experimental colitis is through modulation of bioavailability of glucocorticoids (GCs) in gut mucosa. Here, we show that intestinal inflammation changes the local GC metabolism, which ultimately leads to decrease in inflammatory readiness of cells in the gut mucosa and in mesenteric lymph nodes. This pre-receptor regulation of GC function could represent an important homeostatic function of the gut mucosa. The actual triggers of intestinal inflammation in IBD seem to be either microbial dysbiosis or microbes with special "pathogenic" abilities, which both could be rectified by feeding with probiotics. Here, we report that oral feeding with live...