Summary
Inflammatory bowel disease (IBD) refers to two chronic diseases that cause inflammation
of the intestines: ulcerative colitis and Crohn’s disease. Patients suffering from
IBD have a threefold increased risk of venous thrombosis compared with matched controls.
Importantly, thromboembolic disease is a significant cause of morbidity and mortality
in patients with IBD. However, despite several supporting observations it is still
elusive whether activation of the blood coagulation cascade is involved in the etiology
and pathogenesis of IBD. To confirm or refute the hypothesis that activated blood
coagulation aggravates the development of IBD, we subjected wildtype and homozygous
FV Leiden mice to a model of DSS-induced colitis. Experimental colitis led to a reduction
in body weight, shortening of the colon and increased colon weight. In addition, DSS
treatment led to ulcerations, edema formation, crypt loss, fibrosis and the influx
of inflammatory cells into the colon. However, the FV Leiden genotype had no significant
effect on any of the DSS-induced symptoms of colitis. We therefore conclude that the
FV Leiden allele has no effect in murine colitis and we thus question the importance
of activated blood coagulation in the etiology or pathogenesis of IBD.
Keywords
Animal models - inflammatory mediators - protein C/S pathway