Alves de Almeida Ana Cristina, de-Faria Felipe Meira, Dunder Ricardo José, Manzo Luis Paulo Bognoni, Souza-Brito Alba Regina Monteiro, Luiz-Ferreira Anderson
Institute of Biology, Department of Structural and Functional Biology, University of Campinas, Campinas, SP, Brazil.
Faculty of Medical Sciences, Department of Pharmacology, University of Campinas, Campinas, SP, Brazil.
Evid Based Complement Alternat Med. 2017;2017:8528210. doi: 10.1155/2017/8528210. Epub 2017 Jan 9.
Inflammatory bowel disease (IBD) is a chronic and disrupted inflammation of the gastrointestinal tract. IBD have two main conditions, Crohn's disease and ulcerative colitis, and have been extensively investigated in recent years. Antibiotics derived from salicylates, steroids, immunosuppressors, and anti-TNF therapy are part of the therapeutic arsenal for IBD. However, very often patients stop responding to treatments over the time. In this context, searching for alternative agents is crucial for IBD clinical management. Natural products derived from medicinal plants are an interesting therapeutic alternative, since several studies have proven effective treatments in animal models of intestinal inflammation. Several naturally occurring compounds are potent antioxidants, both as free radical scavengers and as modulators of antioxidant enzymes expression and activity. A number of natural compounds have also been proved to inhibit the release of proinflammatory cytokines, decreasing the activation of nuclear factor B (NF-B), which is important to the inflammatory response in IBD. The alkaloids are substances of a very diverse class of plant secondary metabolites; an extensive list of biological activities has been attributed to alkaloids, such as being anticholinergic, antitumor, diuretic, antiviral, antihypertensive, antiulcer, analgesic, and anti-inflammatory. In the present work, studies on the pharmacological activity of alkaloids in experimental models of IBD were reviewed.
炎症性肠病(IBD)是一种胃肠道的慢性且紊乱的炎症。IBD主要有两种病症,即克罗恩病和溃疡性结肠炎,近年来已得到广泛研究。源自水杨酸盐、类固醇、免疫抑制剂和抗TNF治疗的抗生素是IBD治疗手段的一部分。然而,随着时间推移,患者常常会对治疗不再有反应。在这种情况下,寻找替代药物对于IBD的临床管理至关重要。源自药用植物的天然产物是一种有趣的治疗选择,因为多项研究已证明其在肠道炎症动物模型中的治疗效果。几种天然存在的化合物是强效抗氧化剂,既作为自由基清除剂,又作为抗氧化酶表达和活性的调节剂。许多天然化合物也已被证明可抑制促炎细胞因子的释放,减少核因子B(NF-κB)的激活,而NF-κB对IBD中的炎症反应很重要。生物碱是一类非常多样的植物次生代谢产物;生物碱具有广泛的生物活性,如抗胆碱能、抗肿瘤、利尿、抗病毒、抗高血压、抗溃疡、止痛和抗炎等。在本研究中,对生物碱在IBD实验模型中的药理活性研究进行了综述。