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Journal of the American College of Nutrition, Vol. 23, No. 3, 220-226 (2004)
Published by the American College of Nutrition


Original Research

Efficacy of a Transforming Growth Factor ß2 Containing Nutritional Support Formula in a Murine Model of Inflammatory Bowel Disease

Helieh S. Oz, DVM, PhD, Mukunda Ray, MD, PhD, Theresa S. Chen, PhD and Craig J. McClain, MD

Department of Medicine, Section of Gastroenterology/Nutrition, Rush University Medical Center, Chicago, Illinois (H.S.O.), Louisville, Kentucky
Department of Pathology (M.R.), Louisville, Kentucky
Department of Pharmacology/Toxicology (T.S.C., C.J.M.), Louisville, Kentucky
University of Louisville Medical School, VAMC (C.J.M.), Louisville, Kentucky

Address reprint requests to: Helieh S. Oz, DVM, PhD, Assistant Professor of Medicine, Director, Animal Studies Program in Digestive Diseases, Department of Medicine, Section of Gastroenterology/Nutrition Rush University Medical Center, Suite 206, 1725 W Harrison, Chicago, IL 60612. E-mail: helieh_oz{at}rush.edu

Objective: Dietary, environmental and genetic events may influence host susceptibility to inflammatory bowel diseases (IBD). Transforming growth factor ß2 (TGF-ß2), a multifunctional polypeptide (cytokine) present in human and bovine milk, plays a critical role in the development of tolerance, the prevention of autoimmunity, and in anti-inflammatory responses. TGF-ß2 is a potent inhibitor of intestinal epithelial cell (IEC) growth and stimulates IEC differentiation. The objective of this study was to determine whether a diet containing TGF-ß2 modulates intestinal injury and immune responses in an Interleukin-10 knockout (IL-10–/–) mouse model of IBD.

Methods: Five-week-old IL-10–/– mice (in BALB/c background) reared in our transgenic facility were fed either an enteral diet (Diet-A) containing TGF-ß2 or a control enteral diet (Diet-B) not rich in TGF-ß2. Mice were weighed weekly, monitored for illness and euthanized after eight weeks on the diet.

Results: Final weights were 28 ± 1.2 g (58.2% gain) for Diet-A mice and 23 ± 1.6 g (32.9% gain) for Diet-B mice (p = 0.0194). The hematocrits were 48.3% for Diet-A compared to 42% for Diet-B mice (p = 0.0021). Mice on Diet-A had significantly lower serum TNF-{alpha} concentrations. Forty-four percent of mice on Diet-B developed severe diarrhea and rectal prolapse compared with none on Diet-A. Evaluation of intestinal pathology (score 0–4) revealed that animals fed Diet-A had a score of 2.1 ± 0.4 compared to 3.2 ± 0.36 in the Diet-B group (p = 0.040). The acute phase protein, serum amyloid A (SAA), was 3.8 times higher in the Diet-B group (p = 0.0038).

Conclusions: IL-10–/– mice fed a TGF-ß2 containing diet gained more weight, did not develop diarrhea or prolapse, had lower pathological scores, and lower SAAs. These data further support the use of TGF-ß2 containing enteral diets as one mode of therapy for Crohn’s disease.

Key words: IBD, Crohn’s disease, TGF-ß2, enterocolitis




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