Inflammatory bowel disease (IBD) is characterized by oxidative and nitrosat
ive stress, leukocyte infiltration, and up-regulation of intercellular adhe
sion molecule 1 (ICAM-1) expression in the colon. The aim of this study was
to examine the effects of the pineal secretory product melatonin in rats s
ubjected to experimental colitis. Colitis was induced in rats by intracolon
ic instillation of dinitrobenzene sulfonic acid (DNBS). Rats experienced bl
oody diarrhea and a significant loss of body weight, Four days after DNBS a
dministration, the colon damage was characterized by areas of mucosal necro
sis. Neutrophil infiltration (indicated by myeloperoxidase [MPO] activity i
n the mucosa) was associated with up-regulation of ICAM-1, expression of P-
selectin, and high levels of malondialdehyde (MDA). Immunohistochemistry fo
r nitrotyrosine and poly (ADP-ribose) synthetase (PARS) showed an intense s
taining in the inflamed colon. Staining of colon tissue sections obtained f
rom DNBS-treated rats with an anti-cycloxygenase-2 (COX-2) antibody showed
a diffuse staining of the inflamed tissue. Furthermore, expression of induc
ible nitric oxide synthase (iNOS) was found mainly in the macrophages of th
e inflamed colons from DNBS-treated rats. Treatment with melatonin (15 mg/k
g daily, intraperitoneally) significantly reduced the appearance of diarrhe
a and the loss of body weight. This was associated with a remarkable amelio
ration of the disruption of the colonic architecture, as well as a signific
ant reduction of colonic MPO activity and MDA levels. Melatonin also reduce
d the appearance of nitrotyrosine and PARS immunoreactivity ill the colon,
as well as reducing the up-regulation of ICAM-1 and the expression of P-sel
ectin. The intensity and degree of the stainings for COX-2 and iNOS were ma
rkedly reduced in tissue sections obtained from melatonin-treated rats. The
results of the this study suggest that the administration of melatonin mig
ht be beneficial for the treatment of IBD.