Key result
Oral antibiotics deplete enteric bacteria to prevent doxorubicin-induced small intestinal damage in mice.
Why the study?
The role of enteric bacteria in mediating doxorubicin-induced small intestinal damage and the associated immune response is unclear.
Does depletion of enteric bacteria reduce doxorubicin-induced small intestinal damage in mice?
Does depletion of enteric bacteria reduce doxorubicin-induced small intestinal damage in mice?
Depletion of enteric bacteria diminishes leukocyte infiltration and intestinal damage following doxorubicin treatment in mice.
BACKGROUND & AIMS: While enteric bacteria have been shown to play a critical role in other forms of intestinal damage, their role in mediating the response to the chemotherapeutic drug Doxorubicin (Doxo) is unclear. In this study, we used a mouse model of intestinal bacterial depletion to evaluate the role enteric bacteria play in mediating Doxo-induced small intestinal damage and, more specifically, in mediating chemokine expression and leukocyte infiltration following Doxo treatment. An understanding of this pathway may allow for development of intervention strategies to reduce chemotherapy-induced small intestinal damage. METHODS: Mice were treated with (Abx) or without (NoAbx) oral antibiotics in drinking water for four weeks and then with Doxo. Jejunal tissues were collected at various time points following Doxo treatment and stained and analyzed for apoptosis, crypt damage and restitution, and macrophage and neutrophil number. In addition, RNA expression of inflammatory markers (TNFα, IL1-β, IL-10) and cytokines (CCL2, CC7, KC) was assessed by qRT-PCR. RESULTS: In NoAbx mice Doxo-induced damage was associated with rapid induction of apoptosis in jejunal crypt epithelium and an increase weight loss and crypt loss. In addition, we observed an increase in immune-modulating chemokines CCL2, CCL7 and KC and infiltration of macrophages and neutrophils. In contrast, while still positive for induction of apoptosis following Doxo treatment, Abx mice showed neither the overall weight loss nor crypt loss seen in NoAbx mice nor the increased chemokine expression and leukocyte infiltration. CONCLUSION: Enteric bacteria play a critical role in Doxo-induced small intestinal damage and are associated with an increase in immune-modulating chemokines and cells. Manipulation of enteric bacteria or the damage pathway may allow for prevention or treatment of chemotherapy-induced small intestinal damage.
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Carr et al. (2017) studied Doxorubicin-induced small intestinal damage. Enteric bacteria depletion via oral antibiotics vs. No antibiotics (vehicle) was evaluated on Small intestinal damage (weight loss, crypt loss, leukocyte infiltration) (p=<0.05). Depletion of enteric bacteria via oral antibiotics in mice prevented doxorubicin-induced weight loss, crypt loss, and the infiltration of macrophages and neutrophils in the small intestine.
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