Skip to main content
Top
Published in: Cancer Chemotherapy and Pharmacology 6/2010

01-05-2010 | Original Article

Oxidative stress and enhanced paracellular permeability in the small intestine of methotrexate-treated rats

Authors: Tomoko Maeda, Yuko Miyazono, Kousei Ito, Kazuma Hamada, Shuichi Sekine, Toshiharu Horie

Published in: Cancer Chemotherapy and Pharmacology | Issue 6/2010

Login to get access

Abstract

Purpose

We previously demonstrated the increase of reactive oxygen species (ROS) production and myeloperoxidase (MPO) activity in the small intestine of methotrexate (MTX)-treated rats. In the present study, we investigated the role of ROS modulating intestinal mucosal permeability in this damage.

Method

MTX (20 mg/kg body weight) was administered to rats intravenously. N-Acetylcysteine (NAC; 80 mg/kg body wt), an antioxidant and a precursor of glutathione (GSH) was administered to rats intraperitoneally to investigate the contribution of ROS to the intestinal permeability enhancement. Intestinal permeability was evaluated by determining that of a poorly absorbable marker, fluorescein isothiocyanate-labeled dextran (FD-4; average molecular mass, 4.4 kDa) using the in vitro everted intestine technique. The occurrence of oxidative stress in the small intestine was assayed by measuring chemiluminescence and thiobarbituric acid reactive substances (TBARS) productions in mucosal homogenates of the small intestine.

Results

The mucosal permeability of FD-4 significantly (p < 0.01) increased in MTX-treated rats compared with control rats, as demonstrated by a twofold increase of FD-4 permeation clearance. This suggests an increase in paracellular permeability. Interestingly, the ROS production was observed preceding the increase of paracellular permeability. Treatment with NAC prevented the MTX-induced ROS production and the increase of paracellular permeability.

Conclusions

NAC protected the small intestine of rats from MTX-induced change in paracellular permeability, suggesting that ROS played an important role in the enhanced paracellular permeability.
Literature
1.
go back to reference Thomas HJ (1987) Searching for magic bullet: early approaches to chemotherapy-antifolate, methotrexate. Cancer Res 47:5528–5536 Thomas HJ (1987) Searching for magic bullet: early approaches to chemotherapy-antifolate, methotrexate. Cancer Res 47:5528–5536
2.
go back to reference Rosen G, Caparros B, Huvos AG, Kosloff C, Nirenberg A, Cacavio A, Marcove RC, Lane JM, Mehta B, Urban C (1982) Preoperative chemotherapy for osteogenic sarcoma: selection of postoperative adjuvant chemotherapy based on the response of the primary tumor to preoperative therapy. Cancer 49:1221–1230CrossRefPubMed Rosen G, Caparros B, Huvos AG, Kosloff C, Nirenberg A, Cacavio A, Marcove RC, Lane JM, Mehta B, Urban C (1982) Preoperative chemotherapy for osteogenic sarcoma: selection of postoperative adjuvant chemotherapy based on the response of the primary tumor to preoperative therapy. Cancer 49:1221–1230CrossRefPubMed
3.
go back to reference Ortiz Z, Shea B, Suarez-Almazor ME, Moher D, Wells GA, Tugwell P (1998) The efficacy of folic acid and folinic acid in reducing methotrexate gastrointestinal toxicity in rheumatoid arthritis. A metaanalysis of randomized controlled trials. J Rheumatol 25:36–43PubMed Ortiz Z, Shea B, Suarez-Almazor ME, Moher D, Wells GA, Tugwell P (1998) The efficacy of folic acid and folinic acid in reducing methotrexate gastrointestinal toxicity in rheumatoid arthritis. A metaanalysis of randomized controlled trials. J Rheumatol 25:36–43PubMed
4.
go back to reference Taminiau JA, Gall DG, Hamilton JR (1980) Response of the rat small-intestine epithelium to methotexate. Gut 21:486–492CrossRefPubMed Taminiau JA, Gall DG, Hamilton JR (1980) Response of the rat small-intestine epithelium to methotexate. Gut 21:486–492CrossRefPubMed
5.
go back to reference Pinkerton CR, Cameron CH, Sloan JM, Glasgow JF, Gwevava NJ (1980) Jejunal crypt cell abnormalities associated with methotrexate treatment in children with acute lymphoblatic leukaemia. J Clin Pathol 35:1272–1277CrossRef Pinkerton CR, Cameron CH, Sloan JM, Glasgow JF, Gwevava NJ (1980) Jejunal crypt cell abnormalities associated with methotrexate treatment in children with acute lymphoblatic leukaemia. J Clin Pathol 35:1272–1277CrossRef
6.
go back to reference Beck PL, Wong JF, Li Y, Swaminathan S, Xavier RJ, Devaney KL, Podolsky DK (2004) Chemotherapy- and radiotherapy-induced intestinal damage is regulated by intestinal trefoil factor. Gastroenterology 126:796–808CrossRefPubMed Beck PL, Wong JF, Li Y, Swaminathan S, Xavier RJ, Devaney KL, Podolsky DK (2004) Chemotherapy- and radiotherapy-induced intestinal damage is regulated by intestinal trefoil factor. Gastroenterology 126:796–808CrossRefPubMed
7.
go back to reference Khan SA, Wingard JR (2001) Infection and mucosal injury in cancer treatment. NCI Monogr 29:31–36 Khan SA, Wingard JR (2001) Infection and mucosal injury in cancer treatment. NCI Monogr 29:31–36
8.
go back to reference Keefe DM, Schubert MM, Elting LS, Sonis ST, Epstein JB, Raber-Durlacher JE, Migliorati CA, McGuire DB, Hutchins RD, Peterson DE (2007) Mucositis Study Section of the Multinational Association of Supportive Care in Cancer and the International Society for Oral Oncology updated clinical practice guidelines for the prevention and treatment of mucositis. Cancer 109:820–831CrossRefPubMed Keefe DM, Schubert MM, Elting LS, Sonis ST, Epstein JB, Raber-Durlacher JE, Migliorati CA, McGuire DB, Hutchins RD, Peterson DE (2007) Mucositis Study Section of the Multinational Association of Supportive Care in Cancer and the International Society for Oral Oncology updated clinical practice guidelines for the prevention and treatment of mucositis. Cancer 109:820–831CrossRefPubMed
9.
go back to reference Gibson RJ, Keefe DM, Clarke JM, Regester GO, Thompson FM, Goland GJ, Edwards BG, Cummins AG (2002) The effect of keratinocyte growth factor on tumour growth and small intestinal mucositis after chemotherapy in the rat with breast cancer. Cancer Chemother Pharmacol 50:53–58CrossRefPubMed Gibson RJ, Keefe DM, Clarke JM, Regester GO, Thompson FM, Goland GJ, Edwards BG, Cummins AG (2002) The effect of keratinocyte growth factor on tumour growth and small intestinal mucositis after chemotherapy in the rat with breast cancer. Cancer Chemother Pharmacol 50:53–58CrossRefPubMed
10.
go back to reference Howarth GS, Cool JC, Bourne AJ, Ballard FJ, Read LC (1998) Insulin-like growth factor-I (IGF-I) stimulates regrowth of the damaged intestine in rats, when administered following, but not concurrent with, methotrexate. Growth Factors 15:279–292CrossRefPubMed Howarth GS, Cool JC, Bourne AJ, Ballard FJ, Read LC (1998) Insulin-like growth factor-I (IGF-I) stimulates regrowth of the damaged intestine in rats, when administered following, but not concurrent with, methotrexate. Growth Factors 15:279–292CrossRefPubMed
11.
go back to reference Jahovic N, Sener G, Cevik H, Ersoy Y, Arbak S, Yegen BC (2004) Amelioration of methotrexate-induced enteritis by melatonin in rats. Cell Biochem Funct 22:169–178CrossRefPubMed Jahovic N, Sener G, Cevik H, Ersoy Y, Arbak S, Yegen BC (2004) Amelioration of methotrexate-induced enteritis by melatonin in rats. Cell Biochem Funct 22:169–178CrossRefPubMed
12.
go back to reference Tsurui K, Kosakai Y, Horie T, Awazu S (1990) Vitamin A protects the small intestine from methotrexate-induced damage in rats. J Pharmacol Exp Ther 253:1278–1284PubMed Tsurui K, Kosakai Y, Horie T, Awazu S (1990) Vitamin A protects the small intestine from methotrexate-induced damage in rats. J Pharmacol Exp Ther 253:1278–1284PubMed
13.
go back to reference Horie T, Nakamaru M, Masubuchi Y (1998) Docosahexaenoic acid exhibits a potent protection of small intestine from methotrexate-induced damage in mice. Life Sci 62:1333–1338CrossRefPubMed Horie T, Nakamaru M, Masubuchi Y (1998) Docosahexaenoic acid exhibits a potent protection of small intestine from methotrexate-induced damage in mice. Life Sci 62:1333–1338CrossRefPubMed
14.
go back to reference Horie T, Matsumoto H, Kasagi M, Sugiyama A, Kikuchi M, Karasawa C, Awazu S, Itakura Y, Fuwa T (1999) Protective effect of aged garlic extract on the small intestinal damage of rats induced by methotrexate administration. Planta Med 65:545–548CrossRefPubMed Horie T, Matsumoto H, Kasagi M, Sugiyama A, Kikuchi M, Karasawa C, Awazu S, Itakura Y, Fuwa T (1999) Protective effect of aged garlic extract on the small intestinal damage of rats induced by methotrexate administration. Planta Med 65:545–548CrossRefPubMed
15.
go back to reference Gao F, Nakamaru M, Masubuchi Y, Horie T (2001) Protective effect of a synthetic analog of prostaglandin E1 on the small intestinal damage induced by the administration of methotexate to rats. J Pharm Sci 90:1040–1048CrossRefPubMed Gao F, Nakamaru M, Masubuchi Y, Horie T (2001) Protective effect of a synthetic analog of prostaglandin E1 on the small intestinal damage induced by the administration of methotexate to rats. J Pharm Sci 90:1040–1048CrossRefPubMed
16.
go back to reference Miyazono Y, Gao F, Horie T (2004) Oxidative stress contributes to methotrexate-induced small intestinal toxicity in rats. Scand J Gastroenterol 39:1119–1127CrossRefPubMed Miyazono Y, Gao F, Horie T (2004) Oxidative stress contributes to methotrexate-induced small intestinal toxicity in rats. Scand J Gastroenterol 39:1119–1127CrossRefPubMed
17.
go back to reference Gao F, Ueda S, Horie T (2001) Effect of a synthetic analog of prostaglandin E1 on the intestinal mucosa of methotrexate-treated rats. Anticancer Res 21:1913–1917PubMed Gao F, Ueda S, Horie T (2001) Effect of a synthetic analog of prostaglandin E1 on the intestinal mucosa of methotrexate-treated rats. Anticancer Res 21:1913–1917PubMed
18.
go back to reference Sonis ST, Elting LS, Keefe D, Peterson DE, Schubert M, Hauer-Jensen M, Bekele BN, Raber-Durlacher J, Donnelly JP, Rubenstein EB (2004) Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100:1995–2025CrossRefPubMed Sonis ST, Elting LS, Keefe D, Peterson DE, Schubert M, Hauer-Jensen M, Bekele BN, Raber-Durlacher J, Donnelly JP, Rubenstein EB (2004) Perspectives on cancer therapy-induced mucosal injury: pathogenesis, measurement, epidemiology, and consequences for patients. Cancer 100:1995–2025CrossRefPubMed
19.
go back to reference Quiles JL, Huertas JR, Battino M, Mataix J, Ramirez-Tortosa MC (2002) Antioxidant nutrients and adriamycin toxicity. Toxicology 180:79–95CrossRefPubMed Quiles JL, Huertas JR, Battino M, Mataix J, Ramirez-Tortosa MC (2002) Antioxidant nutrients and adriamycin toxicity. Toxicology 180:79–95CrossRefPubMed
20.
go back to reference Conklin KA (2000) Dietary antioxidants during cancer chemotherapy: impact on chemotherapeutic effectiveness and development of side effects. Nutr Cancer 37:1–18CrossRefPubMed Conklin KA (2000) Dietary antioxidants during cancer chemotherapy: impact on chemotherapeutic effectiveness and development of side effects. Nutr Cancer 37:1–18CrossRefPubMed
21.
go back to reference Dehne N, Lautermann J, Petrat F, Rauen U, de Groot H (2001) Cisplatin ototoxicity: involvement of iron and enhanced formation of superoxide anion radicals. Toxicol Appl Pharmacol 174:27–34CrossRefPubMed Dehne N, Lautermann J, Petrat F, Rauen U, de Groot H (2001) Cisplatin ototoxicity: involvement of iron and enhanced formation of superoxide anion radicals. Toxicol Appl Pharmacol 174:27–34CrossRefPubMed
22.
go back to reference Hagiwara SI, Ishii Y, Kitamura S (2000) Aerosolized administration of N-acetylcysteine attenuates lung fibrosis induced by bleomycin in mice. Am J Respir Crit Care Med 162:225–231PubMed Hagiwara SI, Ishii Y, Kitamura S (2000) Aerosolized administration of N-acetylcysteine attenuates lung fibrosis induced by bleomycin in mice. Am J Respir Crit Care Med 162:225–231PubMed
23.
go back to reference Droge W (2002) Free radicals in the physiological control of cell function. Physiol Rev 82:47–95PubMed Droge W (2002) Free radicals in the physiological control of cell function. Physiol Rev 82:47–95PubMed
24.
go back to reference Nakamaru M, Masubuchi Y, Narimatsu S, Awazu S, Horie T (1998) Evaluation of damaged small intestine of mouse following methotrexate administration. Cancer Chemother Pharmacol 41:98–102CrossRefPubMed Nakamaru M, Masubuchi Y, Narimatsu S, Awazu S, Horie T (1998) Evaluation of damaged small intestine of mouse following methotrexate administration. Cancer Chemother Pharmacol 41:98–102CrossRefPubMed
25.
go back to reference Gao F, Horie T (2002) A synthetic analog of prostaglandin E(1) prevents the production of reactive oxygen species in the intestinal mucosa of methotrexate-treated rats. Life Sci 71:1091–1099CrossRefPubMed Gao F, Horie T (2002) A synthetic analog of prostaglandin E(1) prevents the production of reactive oxygen species in the intestinal mucosa of methotrexate-treated rats. Life Sci 71:1091–1099CrossRefPubMed
26.
go back to reference Sheth P, Basuroy S, Li C, Naren AP, Rao RK (2003) Role of phosphatidylinositol 3-kinase in oxidative stress-induced disruption of tight junctions. J Biol Chem 278:49239–49245CrossRefPubMed Sheth P, Basuroy S, Li C, Naren AP, Rao RK (2003) Role of phosphatidylinositol 3-kinase in oxidative stress-induced disruption of tight junctions. J Biol Chem 278:49239–49245CrossRefPubMed
27.
go back to reference Rao RK, Basuroy S, Rao VU, Karnaky KJ Jr, Gupta A (2002) Tyrosine phosphorylation and dissociation of occludin-ZO-1 and E-cadherin-beta-catenin complexes from the cytoskeleton by oxidative stress. Biochem J 368(Pt 2):471–481CrossRefPubMed Rao RK, Basuroy S, Rao VU, Karnaky KJ Jr, Gupta A (2002) Tyrosine phosphorylation and dissociation of occludin-ZO-1 and E-cadherin-beta-catenin complexes from the cytoskeleton by oxidative stress. Biochem J 368(Pt 2):471–481CrossRefPubMed
28.
go back to reference Edens HA, Levi BP, Jaye DL, Walsh S, Reaves TA, Turner JR, Nusrat A, Parkos CA (2002) Neutrophil transepithelial migration: evidence for sequential, contact-dependent signaling events and enhanced paracellular permeability independent of transjunctional migration. J Immunol 169:476–486PubMed Edens HA, Levi BP, Jaye DL, Walsh S, Reaves TA, Turner JR, Nusrat A, Parkos CA (2002) Neutrophil transepithelial migration: evidence for sequential, contact-dependent signaling events and enhanced paracellular permeability independent of transjunctional migration. J Immunol 169:476–486PubMed
29.
30.
go back to reference Doluisio JT, Billups NF, Dittert LW, Sugita ET, Swintosky JV (1969) Drug absorption I: an in situ rat gut technique yielding realistic absorption rates. J Pharm Sci 58:1196–1200CrossRefPubMed Doluisio JT, Billups NF, Dittert LW, Sugita ET, Swintosky JV (1969) Drug absorption I: an in situ rat gut technique yielding realistic absorption rates. J Pharm Sci 58:1196–1200CrossRefPubMed
32.
go back to reference Hartsok A, Nelson WJ (2008) Adherens and tight junctions: structure, function and connections to the actin cytoskeleton. Biochim Biophys Acta 1778:660–669CrossRef Hartsok A, Nelson WJ (2008) Adherens and tight junctions: structure, function and connections to the actin cytoskeleton. Biochim Biophys Acta 1778:660–669CrossRef
33.
go back to reference Li T, Ito K, Sumi S-I, Fuwa T, Horie T (2005) Antiapoptosis action of aged garlic extract (AGE) protects epithelial cells from methotrexate induced injury. Gut 54:1819–1820CrossRefPubMed Li T, Ito K, Sumi S-I, Fuwa T, Horie T (2005) Antiapoptosis action of aged garlic extract (AGE) protects epithelial cells from methotrexate induced injury. Gut 54:1819–1820CrossRefPubMed
34.
go back to reference Li T, Ito K, Sumi S-I, Fuwa T, Horie T (2009) Protective effect of aged garlic extract (AGE) on the apoptosis of intestinal epithelial cells caused by methotrexate. Cancer Chemother Pharmacol 63:873–880CrossRefPubMed Li T, Ito K, Sumi S-I, Fuwa T, Horie T (2009) Protective effect of aged garlic extract (AGE) on the apoptosis of intestinal epithelial cells caused by methotrexate. Cancer Chemother Pharmacol 63:873–880CrossRefPubMed
Metadata
Title
Oxidative stress and enhanced paracellular permeability in the small intestine of methotrexate-treated rats
Authors
Tomoko Maeda
Yuko Miyazono
Kousei Ito
Kazuma Hamada
Shuichi Sekine
Toshiharu Horie
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Cancer Chemotherapy and Pharmacology / Issue 6/2010
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-009-1119-1

Other articles of this Issue 6/2010

Cancer Chemotherapy and Pharmacology 6/2010 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine