Inflammatory bowel diseases (IBD), including Crohn’s disease and ulcerative colitis (UC), are complex disorders characterized by chronic, local and systemic inflammation and spontaneously relapsing course. The causes of these diseases are unknown, however they display genetic and environmental components and appear to be immunologically mediated in part by enteric microbiota [1]. The immune system cells activation may lead to activation of plasma proteolytic cascades [1,2], as well as to release of inflammatory mediators in inflamed intestine. There are convincing evidences that IBD are diseases of immunological hyperresponsiveness within the mucosa. Immunological reactions may be directed against luminal bacteria and their products normally present in the intestine [2]. Both innate and adaptive immune response play a role in IBD pathogenesis and possibly in etiology. Autacoids, a local hormones e.g., histamine, serotonin, kinins, angiotensin, eicosanoids, neurotensin, nitric oxide, endothelins may be produced and act locally in IBD – inflamed intestine, and play a role inflammatory response, and progression in both Crohn’s disease and UC. A role of eicosanoids and nitric oxide in IBD was relatively well delineated. Much less attention has been paid to other autacoids, although a significance of the intestinal tissue kallikrein – kinin system in IBD has been investigated in the late 1990s – 2000s. Histamine, serotonin and kinins are vasodilator autacoids which as part of the humoral defense system participate in the inflammatory response. Enterochromaffin cellwhich are present in the mucosa of all regions of the gut except the oesophagus, contain most of the body’s serotonin (5-HT). Derived serotonin (5-HT) express toll-like receptors and thus may detect microorganisms [3,4]. Enterochromaffin cell 5-HT also appears to contribute to the initiation of intestinal inflammation, at least in the animal models. Mice that lack the 5-HT transporter (SERT; SERTKO mice), which inactivates 5-HT, are sensitive to experimentally induced colitis especially in animals with interleukin (IL)-10 deletion [5,6]. Histamine as a proinflammatory mediator is selectively located in the granules of human mast cells and basophils and released from these cells upon degranulation. It was shown that the number of mast cells and mast cells tryptase expression (a marker of mast cell degranulation are increased in colonic mucosa and submucosa in experimental and human IBD [7]. Interestingly, mast cells originated from the resected colon of active Crohn’s disease or UC released more histamine than those from normal colon after stimulation with colon-derived murine epithelial cell-associated compounds [8]. Knutson et al. found that the histamine secretion was increased in patients with Crohn’s disease compared with normal controls, and the secretion of histamine was related to disease activity, indicating strongly that degranulation of mast cells was involved in active Crohn’s disease [9]. A significance kinins in human IBD is still underestimated although in animal IBD models kinins have been documented in part to mediate intestinal and systemic inflammation. Tissue kallikrein cleaves kininogens to release kinins. The importance of intestinal tissue kallikrein (ITK) in the intestine mainly depends upon the secretion of active enzyme in the presence of kininogens, especially low molecular weight kininogen (LK), with subsequent kinins generation. It should be noted that in mild insults, kinins may play a salutary role recruiting to the extravascular milieu proteases, acute phase proteins, and neutrophils. In severe inflammation, however, kinins amplifies the inflammatory cascade, and contributes to tissue destruction. In late 1990s we have focused our attention on the ITK-kinin system in IBD. To study the localization of ITK and its naturally occurring serine protein inhibitor (SERPIN), kallistatin, in IBD we first focused in our models of rats enterocolitis induced by proteoglycan-polysaccharide (PG-APS) closely resembling Crohn’s disease [10]. We showed that the normal location of ITK was the goblet cells and that substantial amounts of ITK were present in the macrophages of the granuloma found in the submucosa, suggesting that ITK is present at the site of inflammation. In addition, ITK was found to be lower in the supernatant from in vitro cultures of inflamed intestine. This combination suggested secretion of ITK during inflammation.
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