Evidence map›Paper›PMID 34085173›Full record

ArticleDigestive diseases and sciences2021

Thalidomide Attenuates Colitis and Is Associated with the Suppression of M1 Macrophage Polarization by Targeting the Transcription Factor IRF5.

Jiaxi Lu, Deliang Liu, Yuyong Tan, Rong Li, Xuehong Wang, Feihong Deng

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Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jiaxi LuDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Deliang LiuDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Yuyong TanDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Rong LiDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Xuehong WangDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Feihong DengDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. dfh411@csu.edu.cn.ORCID 0000-0001-7711-4880
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUlcerative colitis (UC) is a chronic inflammatory bowel disease. The TNF-α inhibitor thalidomide is reported to be effective for inducing remission in pediatric Crohn's disease (CD) and adults with refractory CD. The mechanisms underlying the immunomodulatory and anti-inflammatory properties of thalidomide are unclear.

methodsHistological assessments were firstly performed in thalidomide treated UC patients. Then the effect of thalidomide in vivo was detected in DSS-induced murine colitis. The mechanism involving IRF5, and M1 macrophage polarization was investigated by using plasmid transfection, western blotting, and real-time PCR. Finally, AOM/DSS model was used to detect the role of thalidomide in colitis associated cancer.

resultsWe first found that treatment with thalidomide could ameliorate colon inflammation for 8 weeks and promote mucosal healing in human UC. Moreover, treatment with thalidomide protected mice from dextran sodium sulfate (DSS)-induced acute colitis, with treated mice presenting with a higher body weight, lower histological score, and lower DAI. Concomitantly, in comparison with control mice, mice treated with thalidomide showed accelerated recovery following colitis after 10 days of thalidomide treatment. Mechanistically, we observed that thalidomide could increase epithelial cell self-renewal capacity and modulate M1/M2 polarization by decreasing M1 markers CD86 and CCR7 and increasing M2 protein signatures CD206 and Arg-1. Thalidomide controls M1 macrophage polarization by targeting the transcription factor IRF5. Finally, by using the classical AOM/DSS model, we found that thalidomide-treated mice presented with a lower incidence and growth of colitis-associated carcinoma (CAC) than negative control mice.

conclusionsIn summary, thalidomide suppresses M1 polarization in the inflammatory microenvironment, which not only attenuates colonic inflammation to facilitate mucosal healing after DSS-induced injury but also represses the progression of CAC.

Indexed as

AnimalsAzoxymethaneBlotting, WesternColitis, UlcerativeDestrinEpithelial CellsGene Expression RegulationHumansInterferon Regulatory FactorsMacrophagesMaleMicePlasmidsReal-Time Polymerase Chain ReactionThalidomideTHP-1 CellsAzoxymethaneDestrinInterferon Regulatory FactorsIRF5 protein, humanIrf5 protein, mouseThalidomideColitisIRF5M1 macrophage polarizationThalidomide

Identifiers

PMID34085173
OpenAlexW3164447055

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.