Open AccessPreventing acute gut wall damage in infectious diarrhoeas with glycosylated dendrimers
Author(s) -
Teo Ian,
Toms Steve M.,
Marteyn Benoit,
Barata Teresa S.,
Simpson Peter,
Johnston Karen A.,
Schnupf Pamela,
Puhar Andrea,
Bell Tracey,
Tang Chris,
Zloh Mire,
Matthews Steve,
Rendle Phillip M.,
Sansonetti Philippe J.,
Shaunak Sunil
Publication year - 2012
Publication title -
embo molecular medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.923
H-Index - 107
eISSN - 1757-4684
pISSN - 1757-4676
DOI - 10.1002/emmm.201201290
Subject(s) - shigellosis , microbiology and biotechnology , shigella flexneri , shigella , biology , tlr4 , inflammation , chemistry , immunology , bacteria , salmonella , biochemistry , escherichia coli , gene , genetics
Intestinal pathogens use the host's excessive inflammatory cytokine response, designed to eliminate dangerous bacteria, to disrupt epithelial gut wall integrity and promote their tissue invasion. We sought to develop a non-antibiotic-based approach to prevent this injury. Molecular docking studies suggested that glycosylated dendrimers block the TLR4-MD-2-LPS complex, and a 13.6 kDa polyamidoamine (PAMAM) dendrimer glucosamine (DG) reduced the induction of human monocyte interleukin (IL)-6 by Gram-negative bacteria. In a rabbit model of shigellosis, PAMAM-DG prevented epithelial gut wall damage and intestinal villous destruction, reduced local IL-6 and IL-8 expression, and minimized bacterial invasion. Computational modelling studies identified a 3.3 kDa polypropyletherimine (PETIM)-DG as the smallest likely bioactive molecule. In human monocytes, high purity PETIM-DG potently inhibited Shigella Lipid A-induced IL-6 expression. In rabbits, PETIM-DG prevented Shigella-induced epithelial gut wall damage, reduced local IL-6 and IL-8 expression, and minimized bacterial invasion. There was no change in β-defensin, IL-10, interferon-β, transforming growth factor-β, CD3 or FoxP3 expression. Small and orally delivered DG could be useful for preventing gut wall tissue damage in a wide spectrum of infectious diarrhoeal diseases.