Background: Anaerobic bacteria, such as Bacteroides fragilis (Bf), may be implicated in the pathophysiology of intestinal inflammation and can induce transmural inflammatory responses with serosal involvement. Bf produce a zinc-dependent MMP, that could be responsible of damage to intestinal cells and bacterial translocatinn, since MMPs are endopeptidases capable to degrade extracelfular matrix. Aim: To investigate the impact of inhibition of MMP-activity in a model of colitis induced by intramural inyection of Bf in male Sprague Dawley rats (220-250 g). Methods: Bf and E. coli (Ec) were grown in liquid media during 24 h under appropriate conditions. Under anesthesia, a midline abdominal incision was performed, and the left colon was identified. Rats were inoculated into the colonic wall at 2-4 cm from the distal end with either Bf or Ec suspensions, and controls were inoculated with the respective liquid medium without bacteria. The MMP-inhibitor, phenantroline, was administered to test groups by oral gavage at 20 mg/Kg 1 h before, and 6 and 24 h after bacteria inoculation, whereas matched groups received oral vehicle. Colons were removed on day 7 after inoculation for blind microscopic assessment of lesions. A score was obtained by grading inflammation (0-6), fibrosis (0-3), presence of grannlomas (0-3), and counts of myofibroblasts (alpha-actin staining, 0-3) in the mucosa and the serosa. Results: Control rats inoculated with sterile media did not show any histological change in the colonic wall (score <: 1). Transmural inflammatory lesions were observed in most rats inoculated with bacteria. Treatment with phenantroline sigmficauily decreased total histological score and serosal involvement in rots inoculated with Bf, and reduced mucosal but not serosal involvement in rats inoculated with Ec (table) Conclusion: A MMP-inhibitor substantially nuttgates intestinal injury in this experimental model of colitis. Our data suggest that bacterial MMPs may be implicated in transmural migration of Bacteroides fragilis.
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