Department of Veterinary Pharmacology, Graduate School of Agriculture and Life Sciences, The University of Tokyo, Tokyo, 113-8657, Japan.
Department of Clinical Research, Oriental Medicine Research Center, Tokyo, 108-8642, Japan.
Inflammation. 2017 Aug;40(4):1331-1341. doi: 10.1007/s10753-017-0576-7.
Postoperative ileus is a common complication after intra-abdominal surgery. Nitric oxide produced by macrophages in the inflamed gastrointestinal tract plays a crucial role in the pathogeny of postoperative ileus. Honokiol, extracted from the bark of Magnolia spp., is a natural compound with a biphenolic structure. In the present study, we examined the effect of honokiol on postoperative ileus and discussed its site of action. Postoperative ileus model mice were generated by surgical intestinal manipulation. Mice were administered honokiol (10 mg kg, per os) 1 h before and after intestinal manipulation. Gastrointestinal transit, leukocyte infiltration, and messenger RNA (mRNA) expression of inflammatory mediators were measured in postoperative ileus model mice with or without honokiol. We also investigated the inflammatory effect of honokiol in lipopolysaccharide-stimulated peritoneal macrophages. Gastrointestinal transit was delayed in postoperative ileus model mice and honokiol recovered the impaired transit. Honokiol significantly inhibited leukocyte infiltration and upregulation of proinflammatory cytokines (tumor necrosis factor-α, interleukin-1β, and interleukin-6) and inducible nitric oxide synthase in the ileal muscle layer of postoperative ileus model mice. In peritoneal macrophages activated by lipopolysaccharide, honokiol significantly inhibited the upregulated mRNA expression of proinflammatory cytokines and inducible nitric oxide synthase. Honokiol significantly recovered gastrointestinal dysmotility and inhibited intestinal inflammation in postoperative ileus. Moreover, honokiol was suggested to have effects on macrophages, namely, inhibiting mRNA expression of proinflammatory cytokines and inducible nitric oxide synthase. Taken together, honokiol represents a potential novel therapeutic agent for postoperative ileus.
术后肠麻痹是腹腔内手术后常见的并发症。巨噬细胞在炎症性胃肠道中产生的一氧化氮在术后肠麻痹的发病机制中起关键作用。厚朴酚是从木兰科树皮中提取的一种具有双酚结构的天然化合物。在本研究中,我们研究了厚朴酚对术后肠麻痹的影响,并探讨了其作用部位。通过手术肠道操作制备术后肠麻痹模型小鼠。在肠道操作前后 1 小时,给予厚朴酚(10mg/kg,口服)。在有无厚朴酚的情况下,测量术后肠麻痹模型小鼠的胃肠传输、白细胞浸润和炎症介质的信使 RNA(mRNA)表达。我们还研究了厚朴酚在脂多糖刺激的腹膜巨噬细胞中的炎症作用。术后肠麻痹模型小鼠的胃肠传输延迟,厚朴酚恢复了受损的传输。厚朴酚显著抑制白细胞浸润和术后肠麻痹模型小鼠回肠肌层中促炎细胞因子(肿瘤坏死因子-α、白细胞介素-1β和白细胞介素-6)和诱导型一氧化氮合酶的上调。在脂多糖激活的腹膜巨噬细胞中,厚朴酚显著抑制促炎细胞因子和诱导型一氧化氮合酶的上调 mRNA 表达。厚朴酚显著恢复术后肠麻痹的胃肠动力障碍并抑制肠道炎症。此外,厚朴酚对巨噬细胞有作用,即抑制促炎细胞因子和诱导型一氧化氮合酶的 mRNA 表达。综上所述,厚朴酚是一种治疗术后肠麻痹的潜在新型治疗药物。
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