Anti-inflammatory drugs and endothelial cell adhesion moleculeexpression in murine vascular beds

Background—Inflammatory boweldiseases (IBD) are characterised by an intense infiltration ofleucocytes that is mediated by adhesion molecules expressed on thesurface of activated endothelial cells.
Aims—To determine whether drugsused in the treatment of IBD, specifically dexamethasone (DEX),5-aminosalicylic acid (5-ASA), methotrexate (MTX), and 6-mercaptopurine(6-MP), alter the expression of endothelial cell adhesion molecules (ECAMs).
Methods—The expression ofP-selectin, E-selectin, intercellular adhesion molecule 1 (ICAM-1), andvascular CAM 1(VCAM-1) in different vascular beds of C57Bl/6J mice wasmeasured using the dual radiolabelled monoclonal antibody technique.
Results—Lipopolysaccharide (LPS)elicited a profound increase in the expression of all ECAMs in themesentery, small intestine, caecum, and distal colon. The LPS inducedincrease in CAM expression was not significantly affected by priortreatment with either MTX or 6-MP. However, pretreatment with eitherDEX or 5-ASA significantly attenuated LPS induced increases inexpression of P- and E-selectin, and VCAM-1 in the majority of tissuesevaluated. DEX also blunted the LPS induced increase in ICAM-1expression in the caecum and distal colon. DEX, but not 5-ASA, largelyabolished the rise in plasma tumour necrosis factor α elicited by LPS.
Conclusions—These findings suggestthat DEX and 5-ASA may exert their beneficial therapeutic action inIBD, at least in part, by inhibiting the expression of ECAMs whichmediate leucocyte adhesion and transmigration in the microvasculature.