Intestinal
fibrosis is a common and severe complication of
inflammatory bowel disease (IBD), especially
Crohn's disease (CD). To investigate the therapeutic approach to intestinal
fibrosis, we have developed a mouse model of intestinal
fibrosis by administering
dextran sulfate sodium (DSS) and examining the effects of
irsogladine maleate (IM) [2,4-diamino-6-(2,5-dichlorophenyl)-s-
triazine maleate], which has been widely used as an antiulcer
drug for gastric mucosa in Japan, on DDS-induced chronic
colitis. In this experimental
colitis lesion, several pathognomonic changes were found: increased deposition of
collagen, increased number of profibrogenic mesenchymal cells such as fibroblasts (
vimentin(+), α-SMA(-)) and myofibroblasts (
vimentin(+), α-SMA(+)) in both mucosa and submucosa of the colon with infiltrating inflammatory cells, and increased
mRNA expressions of
collagen type I,
transforming growth factor (TGF)-β,
matrix metalloproteinase (MMP)-2, and tissue inhibitor of
matrix metalloproteinase (TIMP)-1. When IM was administered intrarectally to this
colitis, all these pathological changes were significantly decreased or suppressed, suggesting a potential adjunctive
therapy for intestinal
fibrosis. IM could consequently reduce
fibrosis in DSS
colitis by direct or indirect effect on profibrogenic factors or fibroblasts. Therefore, the precise effect of IM on intestinal
fibrosis should be investigated further.