Serine proteases elicit
cellular responses via protease-activated receptor-2 (PAR-2) which is known to regulate
inflammation and the immune response. Although the gastrointestinal tract is exposed to
large amounts of proteolytic enzymes, the role of PAR-2 in canine inflammatory bowel
disease (IBD) remains unclear. The objective of this study was to investigate the effects
of PAR-2 activation on inflammatory cytokine/chemokine gene expression in canine intestine
and the expression of intestinal PAR-2 and fecal serine protease activity in dogs with
IBD. Duodenal biopsies from healthy dogs were cultured and treated ex
vivo with trypsin or PAR-2 agonist peptide, and inflammatory cytokine/chemokine
gene expression in the tissues was then quantified by real-time PCR. PAR-2 mRNA and
protein expression levels in the duodenal mucosa were examined by real-time PCR and
immunohistochemistry, respectively. Fecal serine protease activity was determined by
azocasein assay. In ex vivo-cultured duodenum, trypsin and PAR-2 agonist
peptide induced significant up-regulation of mRNA expression levels of interleukin-1 β
(IL-1β), IL-8, mucosae-associated epithelial chemokine (MEC) and fractalkine, and this
up-regulation was inhibited by a serine protease inhibitor. Duodenal PAR-2 mRNA and
protein expression levels were higher in dogs with IBD than in healthy control dogs. Fecal
serine protease activity was significantly elevated in dogs with IBD, and the level of
activity correlated positively with the clinical severity score. These results suggest
that PAR-2 may contribute to the pathogenesis of canine IBD by inducing expression of
inflammatory mediators in response to luminal serine proteases.