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Table 3 Overview of studies demonstrating a detoxifying role of AP in vivo

From: Endotoxin- and ATP-neutralizing activity of alkaline phosphatase as a strategy to limit neuroinflammation

Model

Duration of model

Inducing agent or adjuvant

Treatment regime

Result

Reference

Acute myocardial infarction in BALB/c mice

24 hours

None (coronary artery ligation)

BIAP, 5 U i.v. prophylactic

Reduction of IL-6 and MCP-1 by 40%, IL-1β reduced by 30%. No effect on IL-10

Fiechter et al., submitted

Colitis in C57BL/6 mice

12 days

Dextran sulphate sodium (DSS)

BIAP orally, 100 U/day starting four days after disease induction

Reduction in body weight loss and TNF-α. Reduced gut leukocyte infiltration and tissue damage

[18]

Sepsis and lethal E. coli infection in BALB/c mice

24 hours

Live E. coli i.p.

Human placental AP, 1.5 U i.v.

Reduction in mortality.

[26]

LPS toxicity in mice and piglets

24 and 72 hours

Live E. coli i.p. in mice or LPS i.v. in piglets (200 ng/kg bodyweight)

BIAP i.v., 1.5 U in mice or 3.000 U in piglets

Increased survival in mice from 20% to 80%. Reduction in TNF-α by 98% in piglets. No toxicity of BIAP 4000 U/day for 28 days

[16]

Liver ischemia-reperfusion in rats

24 hours

None (clamping of hepatic blood vessels)

BIAP single dose i.v. 0.5 U/g bodyweight

Decreased neutrophil influx and tissue damage

[27]

Secondary peritonitis in C57BL/6 mice

72 hours

Endogenous gut microbiota (due to cecal ligation puncture)

BIAP single dose 0.15 U/g bodyweight

Reduced inflammation and hepatocellular and pulmonary damage

[28]

Septic shock in sheep

30 hours

Feces injection i.p.

BIAP bolus 60 U/kg and continuous infusion 20 U/kg/h for 15h

Reduced IL-6, improved gas exchange and longer survival

[29]

MOG35-55 induced EAE in C57BL/6 mice

28 days

Complete Freund’s adjuvant and pertussis toxin

Presymptomatic BIAP, 5 U/day i.p. for 7 days

Reduced clinical signs, reduced T-cell proliferation to immunogen

Huizinga et al. (this study)

  1. BIAP, bovine intestinal alkaline phosphatase. LPS, lipopolysaccharide; TNFα, tumor necrosis factor α.