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Query: UMLS:C0003615 (
appendicitis
)
4,439
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The appendix contains abundant lymphoid tissue and is constantly exposed to gut flora. When completed at a young age,
appendicitis
followed by appendectomy (AA) prevents or significantly ameliorates Inflammatory Bowel Diseases (IBDs) in later life. Inflammatory bowel disease comprises Crohn's disease and ulcerative colitis. Our murine AA model is the only existing experimental model of AA. In our unique model, AA performed in the most proximal colon limits colitis pathology in the most distal colon by curbing T-helper 17 cell activity, diminishing autophagy, modulating interferon activity-associated molecules, and suppressing endothelin vaso-activity-mediated immunopathology. In the research presented in this paper, we have examined the role of chemokines in colitis pathology with our murine AA model. Chemokines are a family of small cytokines with four conserved cysteine residues. Chemokines induce chemotaxis in adjacent cells with corresponding receptors. All 40 known chemokine genes and 24
chemokine receptor
genes were examined for gene expression levels in distal colons three days post-AA and 28 days post-AA. At 28 days post-AA, the chemokine gene
CCL5
was significantly upregulated. Furthermore, Gene Set Enrichment Analysis (GSEA) showed upregulation of seven
CCL5
-associated gene-sets 28 days post-AA in contrast to just one gene-set downregulated at the same time-point. The chemokine gene
CXCL11
was significantly upregulated three days post-AA and 28 days post-AA. Evaluation using GSEA showed upregulation of six
CXCL11
-associated gene sets but no downregulation of any gene set. At 28 days post-AA,
CCL17
gene expression was significantly downregulated. There was no expression of any
chemokine receptor
gene three days post-AA, but
CCR10
was the only
chemokine receptor
gene that displayed differential gene expression (upregulation) 28 days post-AA. No
CCR10
-associated gene set was upregulated in GSEA in contrast to one downregulated gene set. Our analysis resulted in identifying three new therapeutic targets towards ameliorating colitis: CCL5, CXCL11, and CCL17. While CCL5 and CXCL11 are good therapeutic chemokine candidates to be exogenously administered, CCL17 is a good candidate chemokine to competitively inhibit or limit colitis pathology.
...
PMID:The Role of Specific Chemokines in the Amelioration of Colitis by Appendicitis and Appendectomy. 3003 25