Abstract Background A recent RNA sequencing analyses performed in ileal resections from complicated Crohn´s disease patients revealed the up-regulation of the anti-apoptotic molecule, MCL1 in fibrotic lesions. Immunohistochemical studies localized MCL1 expression in several cell types, including fibroblasts and leukocytes1. We analyse here the role played by MCL1 on inflammation and fibrosis in a murine model of chronic colitis. Methods C57Bl/6 mice (20–25 g) were administered intraperitoneally with Vehicle or S63845 (25 mg/kg), five days a week during the two DSS cycles (a cycle consists in 7 days drinking water with 2% DSS, followed by ten days drinking water). Body weight and Disease Activity Index (DAI) were monitored daily, and mice were sacrificed 34 days after the beginning of the experiment. A sample from the colon was paraffin embedded for both histological analysis (epithelial damage was quantified by the Obermeier score in H&E-stained slides and collagen deposition was quantified by the QuPath software in Syrius Red- stained slides) and immunohistochemistry (CD68, CD3, MPO, TUNEL and Cleaved-caspase 3). Other sample was used for RT-PCR studies. Unless otherwise mentioned, data are expressed as mean±SEM. Results DSS-Vh treated mice exhibited a reduction in body weight (16.9±1.0) and increase in DAI score (2.5±0.6) which reached a statistical significance (P<0.001&, P<0.01&, respectively) at day 11, compared with body weight and DAI at day 0 (19.4±0.4 and 0, respectively). In S63845-DSS treated mice, no significant changes in body weight and DAI were detected all along the experimental period when compared with the respective day 0. The administration of S63845, compared with Vh in DSS-treated mice induced: a) a reduction in epithelial damage (1.3±0.8 vs 1.7±0.4) and a significant diminution in the thickness of the submucosa (19.6±1.7 vs 42.4±3.2, respectively, P =0.0008*) and collagen deposition in the same area (median an IQ range: 54.2 (55.9-68.5) vs 61.9 (55.9-68.5) respectively, P = 0.051#). b) a lower immunostaining for both MPO and CD3; c) a similar immunostaining for CD68, TUNEL and Cleaved-caspase 3 which was very scarce for the last two and d) a lower mRNA expression of inflammatory cytokines (il1β, il6 and chi3l1), chemokines (cxcl1 and cxcl5) and profibrotic markers (col1a1, col3a1, col4a1, and tgfβ1). *t-test; #Mann-Whitnney; &Repeated measures ANOVA Conclusion The systemic administration of the MCL1 inhibitor, S63845 prevented the infiltration of both neutrophils and CD3 lymphocytes and failed to induce apoptosis in the affected intestine while it reduced fibrosis in a murine model of DSS-chronic colitis
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