Peng Jiao, Zheng Ting-Ting, Li Xi, Liang Yue, Wang Li-Jun, Huang Yong-Can, Xiao Hai-Tao
Department of Pharmacy, Peking University Shenzhen Hospital, Shenzhen, China.
School of Pharmaceutical Sciences, Health Science Center, Shenzhen University, Shenzhen, China.
Front Pharmacol. 2019 Apr 12;10:351. doi: 10.3389/fphar.2019.00351. eCollection 2019.
Inflammatory bowel disease (IBD) represents a group of intestinal disorders with self-destructive and chronic inflammation in the digestive tract, requiring long-term medications. However, as many side effects and drug resistance are frequently encountered, safer and more effective agents for IBD treatment are urgently needed. Over the past few decades, a variety of natural alkaloids made of plants or medicinal herbs have attracted considerable interest because of the excellent antioxidant and anti-inflammatory properties; additionally, these alkaloids have been reported to reduce the colonic inflammation and damage in a range of colitic models. In this review paper, we summarize the recent findings regarding the anti-colitis activity of plant-derived alkaloids and emphasize their therapeutic potential for the treatment of IBD; obvious improvement of the colonic oxidative and pro-inflammatory status, significant preservation of the epithelial barrier function and positive modulation of the gut microbiota are the underlying mechanisms for the plant-derived alkaloids to treat IBD. Further clinical trials and preclinical studies to unravel the molecular mechanism are essential to promote the clinical translation of plant-derived alkaloids for IBD.
炎症性肠病(IBD)是一组在消化道具有自我破坏性和慢性炎症的肠道疾病,需要长期用药。然而,由于经常遇到许多副作用和耐药性,迫切需要更安全、更有效的IBD治疗药物。在过去几十年中,各种由植物或草药制成的天然生物碱因其出色的抗氧化和抗炎特性而引起了广泛关注;此外,据报道这些生物碱可减轻一系列结肠炎模型中的结肠炎症和损伤。在这篇综述论文中,我们总结了关于植物源性生物碱抗结肠炎活性的最新研究结果,并强调了它们在治疗IBD方面的治疗潜力;结肠氧化和促炎状态的明显改善、上皮屏障功能的显著保留以及肠道微生物群的正向调节是植物源性生物碱治疗IBD的潜在机制。进一步开展临床试验和临床前研究以阐明分子机制对于促进植物源性生物碱用于IBD的临床转化至关重要。