首页|Tumor necrosis factor alpha increases intestinal permeability in mice with fulminant hepatic failure
Tumor necrosis factor alpha increases intestinal permeability in mice with fulminant hepatic failure
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AIM:To determine the effect of tumor necrosis factor alpha (TNF-α) on intestinal permeability (IP) in mice with fulminant hepatic failure (FHF),and the expression of tight junction proteins.METHODS:We selected D-lactate as an index of IP,induced FHF using D-galactosamine/lipopolysaccharide and D-galactosamine/TNF-α,assessed the results using an enzymatic-spectrophotometric method,transmission electron microscopy,immunohistochemistry,Western blotting and real-time quantitative polymerase chain reaction.The effect of the administration of antiTNF-α immunoglobulin G (IgG) antibody,before the administration of D-galactosamine/lipopolysaccharide,on TNF-α was also assessed.RESULTS:IP was significantly increased in the mouse model of FHF 6 h after injection (13.57 ± 1.70 mg/L,13.02 ± 1.97 mg/L vs 3.76 ± 0.67 mg/L,P =0.001).Electron microscopic analysis revealed tight junction (TJ) disruptions,epithelial cell swelling,and atrophy of intestinal villi.Expression of occludin and claudin-1 mRNA was significantly decreased in both FHF models (occludin:0.57 ± 0.159 fold vs baseline,P =0.000;claudin-1:0.3067±0.1291 fold vs baseline,P =0.003),as were the distribution density of proteins in the intestinal mucosa and the levels of occludin and claudin-1 protein (occludin:0.61 ± 0.0473 fold vs baseline,P =0.000; claudin-1:0.6633 ± 0.0328 fold vs baseline,P =0.000).Prophylactic treatment with antiTNF-α IgG antibody prevented changes in IP (4.50 ±0.97 mg/L vs 3.76 ± 0.67 mg/L,P =0.791),intestinal tissue ultrastructure,and the mRNA levels of occludin and claudin-1 expression (occludin:0.8865 ± 0.0274fold vs baseline,P =0.505; claudin-1:0.85 ± 0.1437fold vs baseline,P =0.1),and in the protein levels (occludin:0.9467 ± 0.0285 fold vs baseline,P > 0.05;claudin-1:0.9533 ± 0.0186 fold vs baseline,P =0.148).CONCLUSION:Increased in IP stemmed from the downregulation of the TJ proteins occludin and claudin-1,and destruction of the TJ in the colon,which were induced by TNF-α in FHF mice.