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Department of Internal Medicine, Shiga University of Medical Science, Seta-Tukinowa, Otsu 520-2192, Japan
2To whom correspondence should be addressed.
The primary therapeutic effects of enteral nutrition in patients with
Crohns disease have been reported previously. Although the quantity
and type of fat in enteral nutrition are considered to be important, it
is unclear how fat modulates mucosal inflammatory responses in the
intestine. In the present study, we evaluated the effects of
medium-chain and long-chain fatty acids (MCFA and LCFA) on
interleukin (IL)-8 secretion in a fetal intestinal epithelial cell
line, intestine-407 cells. IL-8 expression was evaluated at the protein
and mRNA levels. The activation of nuclear factor-
B was assessed
with an electrophoretic gel mobility shift assay. The addition of oleic
acid (LCFA) micelles, but not octanoic acid (MCFA) micelles, weakly but
significantly enhanced basal IL-8 secretion in the intestine-407 cells.
The addition of MCFA (5 mmol/L) induced a 40% increase in
IL-1ßinduced IL-8 secretion and a 35% increase in tumor necrosis
factor (TNF)-
induced IL-8 secretion, respectively. The addition of
LCFA (5 mmol/L) induced a 140% increase in IL-1ßinduced IL-8
secretion and a 110% increase in TNF-
induced IL-8 secretion,
respectively. These responses were also observed at the mRNA levels.
The electrophoretic gel mobility shift assay indicated that both MCFA
and LCFA enhanced IL-1ß and TNF-
induced nuclear factor-
B
activation. We demonstrated the proinflammatory activities of MCFA and
especially LCFA. It is likely that medium-chain triglycerides may
be more suitable than long-chain triglycerides as an energy source
in enteral diets in the treatment of patients with Crohns
disease.
KEY WORDS: NF-
B Crohns disease inflammation
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