Granulocyte macrophage colony-stimulating factor ameliorates DSS-induced experimental colitis
Article first published online: 11 OCT 2007
Copyright © 2007 Crohn's & Colitis Foundation of America, Inc.
Inflammatory Bowel Diseases
Volume 14, Issue 1, pages 88–99, January 2008
How to Cite
Sainathan, S. K., Hanna, E. M., Gong, Q., Bishnupuri, K. S., Luo, Q., Colonna, M., White, F. V., Croze, E., Houchen, C., Anant, S. and Dieckgraefe, B. K. (2008), Granulocyte macrophage colony-stimulating factor ameliorates DSS-induced experimental colitis. Inflamm Bowel Dis, 14: 88–99. doi: 10.1002/ibd.20279
- Issue published online: 10 DEC 2007
- Article first published online: 11 OCT 2007
- Manuscript Accepted: 10 AUG 2007
- Manuscript Received: 7 JUN 2007
- NIH. Grant Numbers: DK 60106, AI 069390, T 32 HD007507-09
- Washington University Digestive Disease Research Core grant. Grant Number: NIH P30 DK52574
- granulocyte macrophage colony- stimulating factor;
- dextran sulfate sodium;
Background: Sargramostim, granulocyte macrophage colony-stimulating factor (GM-CSF), a hematopoietic growth factor, stimulates cells of the intestinal innate immune system. Clinical trials show that sargramostim induces clinical response and remission in patients with active Crohn's disease. To study the mechanism, we examined the effects of GM-CSF in the dextran sulfate sodium (DSS)-induced acute colitis model. We hypothesized that GM-CSF may work through effects on dendritic cells (DCs).
Methods: Acute colitis was induced in Balb/c mice by administration of DSS in drinking water. Mice were treated with daily GM-CSF or phosphate-buffered saline (PBS). To probe the role of plasmacytoid DCs (pDCs) in the response to GM-CSF, we further examined the effects of monoclonal antibody 440c, which is specific for a sialic acid-binding immunoglobulin (Ig)-like lectin expressed on pDCs.
Results: GM-CSF ameliorates acute DSS-induced colitis, resulting in significantly improved clinical parameters and histology. Microarray analysis showed reduced expression of proinflammatory genes including TNF-α and IL1-β; the results were further confirmed by real-time reverse-transcriptase polymerase chain reaction and serum Bio-plex analysis. GM-CSF treatment significantly expands pDCs and type 1 IFN production. Administration of mAb 440c completely blocked the therapeutic effect of GM-CSF. GM-CSF is also effective in RAG1−/− mice, demonstrating activity-independent effects on T and B cells. IFN-β administration mimics the therapeutic effect of GM-CSF in DSS-treated mice. GM-CSF increases systemic and mucosal type 1 IFN expression and exhibits synergy with pDC activators, such as microbial cytosine-phosphate-guanosine (CpG) DNA.
Conclusions: GM-CSF is effective in the treatment of DSS colitis in a mechanism involving the 440c+ pDC population.
(Inflamm Bowel Dis 2007)