BUT ONLY MINIMALLY AFFECTS OTHER INDICATORS OF COLONIC INTEGRITY IN A RAT MODEL OF

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EMU OIL INCREASES CRYPT DEPTH BUT ONLY MINIMALLY AFFECTS OTHER INDICATORS OF COLONIC INTEGRITY IN A RAT MODEL OF COLITIS SUZANNE MASHTOUB Discipline of Physiology, School of Molecular & Biomedical Science, The University of Adelaide, SA, Australia suzanne.mashtoub@adelaide.edu.au

INFLAMMATORY BOWEL DISEASE Chronic, idiopathic disease Uncontrolled immune response Excess production of pro-inflammatory cytokines (IFN-γ, TNF-α, IL-2) Ulcerative Colitis (UC) & Crohn s disease Current treatments include immunosuppressants, antibiotics, corticosteroids and 5 aminosalicyclic acid variably effective Clear need for improved therapeutic approaches (Hendrickson et al., 2002)

EMU OIL Emu (Dromais Novae-Hollandiae) = large, flightless bird indigenous to Australia Oil extracted from subcutaneous & retroperitoneal fat (render, filter, centrifuge) (Whitehouse et al., 1998) High fatty acid composition

EMU OIL FATTY COMMON MEAN (%) RANGE ACID NAMES (±1 SD) (±3 SD) 14:0 Myristic 0.4 ± 0.08 0.17-0.68 16:0 Palmitic 22.0 ± 150 1.50 17.5-26.5 16:1 Palmitoleic 3.5 ± 0.78 1.2-5.7 18:0 Stearic 9.6 ± 0.80 7.2-12.0 Main anti-inflammatory inflammatory mediators: 18:1 Oleic 47.4 ± 3.00 38.4-56.4 Omega 9 18:2 Linoleic 15.2 ± 3.00 6.2-24.2 18:3 Linolenic 0.9 ± 0.30 0.1 1.8 Omega 3 TGA- compositional guideline: Refined Emu Oil Also contains variable levels l of compounds including antioxidants id t and skin-permeation enhancing factors

EMU OIL Evidence of Emu Oil anti-inflammatory yproperties: p Yoganathan et al., 2003 Croton oil-induced auricular swelling in CD-1 mice Only Emu Oil significantly reduced auricular thickness and earplug weights (-72% and -71%, respectively)

EMU OIL Evidence of Emu Oil anti-inflammatory yproperties: p Yoganathan et al., 2003 Emu Oil significantly reduced pro-inflammatory mediators (TNF-α, IL-1α) Greater reduction by Emu Oil cf. fish, flaxseed, olive, or liquefied chicken fat, or left untreated

EMU OIL Yoganathan et al., 2003 Emu Oil significantly reduced pro-inflammatory mediators (TNF-α, IL-1α) Greater reduction by Emu Oil cf. fish, flaxseed, olive, or liquefied chicken fat, or left untreated unusual: Emu Oil contains significantly less anti-inflammatory FAs than other oils thus, Emu Oil anti-inflammatory properties are not fully explained by the FA profile

HYPOTHESIS Emu Oil would decrease the severity of dextran sulphate sodium (DSS)-induced colitis in the rat through a preventative and/or regenerative mechanism.

AIMS 1.To evaluate Emu Oil for its potential to ameliorate DSS-induced colitis when administered orally to rats 2. To compare its potential protective or reparative properties

RESEARCH PLAN Male Sprague Dawley rats (135-150g) 11 day trial 6 treatment groups (n=8/group) ad libitum : oral gavage 1: Water + Water 2. Water + 1ml Emu Oil 3: DSS + Water 4: DSS + 0.5ml Emu Oil 5: DSS + 1ml Emu Oil 6: DSS + 1ml Emu Oil at day 6 (1 day post DSS commencement)

RESEARCH PLAN Day -2 Day 0 Day 5 Day 6 Day 10 Day 11 Individually housed in metabolic cages Water consumption ad libitum First daily gavage with either water, 0.5ml Emu Oil or 1ml Emu Oil &Daily data measurements Disease Activity Index Substitute drinking water for 2% DSS Group 6 starts 1ml Emu Oil gavage Overnight fast Sucrose breath test (a noninvasive assessment of functional status of SI health) & sacrifice- tissue collection

DAILY MEASUREMENTS Feed intake Weight Urine output Faecal output Water intake

HISTOLOGICAL ANALYSES 4µm sections of colon were stained with Haematoxylin & Eosin to measure: Proximal and Distal Colonic crypt depth Proximal and Distal Colonic Overall Damage severity score (8 parameters) a) b) Representative photomicrographs of 4μm sections of distal colon stained with H&E. (a) Healthy (b) Colitic controls

BIOCHEMICAL ANALYSIS Myeloperoxidase (MPO) assay MPO= enzyme in intracellular granules of neutrophils Tissue neutrophil content index Indirect measure of acute inflammation in colon (Mauger et al., 2007)

RESULTS

RESULTS Emu Oil had no significant effect on: Disease Activity Index Daily data (feed and water intake, faecal and urine output) Sucrose Breath Test Body weight change Myeloperoxidase activity (acute inflammation)

RESULTS Emu Oil significantly: Decreased damage severity cf. Colitic-controls Lengthened proximal and distal colonic crypts

CONCLUSIONS 1. Emu Oil improved selected biological i l parameters associated with damage to the intestine in an experimental model of colitis 2. This may represent a new mechanism of action for Emu Oil in protection and repair from injury, indicating its therapeutic potential as a dietary supplement to augment conventional treatment approaches for IBD

FUTURE DIRECTIONS Other bowel conditions (mucositis; NSAID-eneteropathy) Comparisons with other ratite oils and animal oils Inter-batch variations Optimal dose and timing i for treatment t t regimens Fractionation- identification of the active factor

ACKNOWLEDGEMENTS THE WOMEN S AND CHILDREN S HOSPITAL, NORTH ADELAIDE, SA Assoc. Prof. Gordon Howarth Assoc. Prof. Ross Butler Ruth Lindsay Kerry Lymn Gastro lab THE QUEEN ELIZABETH HOSPITAL, WOODVILLE NORTH, SA Dr. Adrian Cummins Basil Hetzel Institute Gastro lab EMU TRACKS PTY LTD, MARLESTON, SA, AUSTRALIA THE UNIVERSITY OF ADELAIDE WORLD CONGRESS ON OILS AND FATS & 28 th ISF CONGRESS 2009