IntroductionBowel diseases such as Crohn disease, ulcerative colitis, Hirschsprung enterocolitis, celiac disease, and necrotizing enterocolitis are characterized by both local and systemic excessive inflammatory response. However, the exact etiopathogenesis underlying these pathologies is still obscure and effective treatment strategies are not yet well established. Since ethical considerations limit both clinical and animal studies, in vitro cell culture studies are of importance for the investigation of the mechanisms underlying the pathogenesis of these complicated diseases and to develop effective management strategies. This preliminary report is the product of our research for an efficient and inexpensive model for evaluating a candidate drug for necrotizing enterocolitis.Bowel diseases characterized by inflammation have some major common properties. Impairment in bowel mucosal wall integrity, excessive inflammatory response, and a delay in epithelial restitution are observed in all these diseases (1). Thus, we aimed to constitute a model in order to evaluate mucosal injury, inflammation, and restitution.
Materials and methods
Cell cultureIEC-6 cells were normal rat epithelial cells from the small intestine, and obtained from DSMZ (ACC 111). IEC-6 cells were maintained in tissue culture medium consisting of 45% Dulbecco's modified Eagle's medium with 4.5 g/L glucose, 45% Roswell Park Memorial Institute medium, 10% heat-inactivated fetal bovine serum, 0.1 U/mL insulin, 4 mM L-glutamine, 100 U/mL penicillin, and 100 µg/mL streptomycin at 37 °C and 5% CO 2 (all from Sigma). In this study, we used passages between 15 and 20. Cells were grown on 75-cm 2 plates for protein extraction and six-well plates for migration assay. They were cultured and grown to confluence in the standard until the study day and then serum-starved for 12 h before the experiments to stop cell proliferation (2).Background/aim: The aim of this study was to combine some easy and economical defined methods and constitute a comprehensive cell culture model to use in the bowel diseases characterized by inflammation.Materials and methods: Induction of inflammation was performed using lipopolysaccharide (LPS) or a cytokine mixture (TNF-α: 10 ng/mL; IFN-γ: 100 ng/mL; IL-1β: 1 ng/mL). IEC-6 cells were grown to confluence and serum-starved, wounds were constituted, and progress of cell migration into the wounds was photographed at 0, 2, 4, 6, 8, 10, 12, and 24 h in the presence or absence of an inflammatory environment. Cells were then grown and multiple scratches were performed to replicate the conditions of migration assay. Nitric oxide synthase-2 (iNOS) and cyclooxygenase-2 (COX-2) protein expressions were assessed.Results: Cells covered 88% of the initial wound at 24 h in the control group, 54% in the LPS group, and 35% in the cytokine mixture group. LPS and the cytokine mixture were also found to independently increase iNOS and COX-2 expressions.
Conclusion:Our study, being inexpensive and practical, describes a model that integrates some metho...