Tumour necrosis factor inhibitors reduce the acute-phase response in hapten-induced colitis

Background: Tumour necrosis factor (TNF) α has been implicated in the pathogenesis of inflammatory bowel disease. The aim of this study was to assess the contribution of TNF to the pathogenesis of hapten‐induced colitis. Methods: Colitis was induced in Wistar rats using intracolonic instillation of the hapten trinitrobenzenesulphonic acid (TNBS) in ethanol. Animals were treated with monoclonal anti‐TNF antibody (cTN3), an idiotype control antibody (CB0006) or pentoxifylline. Colonic and systemic inflammation was assessed quantitatively. Results: The use of either TNF inhibitor attenuated the acute‐phase response in the early stages of colitis. Median (interquartile range (i.q.r.)) α2‐macroglobulin levels were reduced in animals pretreated with cTN3 (421 (279–915) μmol/ml) or pentoxifylline (567 (253–1454) μmol/ml) compared with levels in untreated colitic animals (1552 (1406–1998) μmol/ml) (P < 0·001 and P = 0·006, respectively). In established colitis, administration of anti‐TNF antibodies resulted in an increase in median (i.q.r.) weight gain (percentage change in body‐weight): colitic animals −2·3 (− 5·5 to 9·2) per cent versus cTN3‐treated rats 15 (7·5–16·7) per cent; P < 0·05. Conclusion: The systemic response to TNBS‐induced colitis appears to be at least partially dependent on TNF. This study did not provide evidence to support a role for TNF in the pathogenesis of colonic inflammation in this model. © 2001 British Journal of Surgery Society Ltd