Department of Pharmacology, All India Institute of Medical Sciences, New Delhi, India.
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Drug Dev Res. 2019 Dec;80(8):1089-1097. doi: 10.1002/ddr.21590. Epub 2019 Aug 30.
Anti-inflammatory drugs are well known to reduce the risk of colon cancer and prophylactic use of such agents is gaining acceptance as a cancer prevention therapy. As artesunate, an antimalarial drug, has been shown to exhibit chemopreventive properties, the present study was carried out to evaluate its inhibitory effect on oxidative stress and inflammation in a rat model of colon carcinogenesis. A chemical carcinogen, 1,2-dimethylhydrazine was injected twice at an interval of 1 week to induce preneoplastic lesions in the colon and the parameters indicating oxidative stress and inflammation were evaluated after 8 weeks. Artesunate (50 and 150 mg/kg) and aspirin (60 mg/kg) were administered orally throughout the study. Analysis of colon tissue revealed that both the drugs preserved histoarchitecture, inhibited cellular influx, decreased the levels of oxidative stress and inflammatory markers, downregulated cyclooxygenase-2, inducible nitric oxide synthase, nuclear factor κB, and interleukin 1β in comparison to the experimental control. Suppression of oxidative stress and pro-inflammatory signaling by both the drugs were found to contribute to inhibition of colon carcinogenesis. The protection afforded by these drugs was found to be comparable. Our study shows that like aspirin, use of artesunate could also reduce the risk of colon cancer and it has a potential for further evaluation for the treatment purpose.
抗炎药物众所周知可降低结肠癌风险,预防性使用此类药物作为癌症预防治疗方法正逐渐被接受。青蒿琥酯是一种抗疟药物,已被证明具有化学预防特性,因此本研究旨在评估其对结肠癌发生大鼠模型中氧化应激和炎症的抑制作用。化学致癌剂 1,2-二甲基肼每隔一周注射两次,以诱导结肠的癌前病变,并在 8 周后评估表明氧化应激和炎症的参数。青蒿琥酯(50 和 150mg/kg)和阿司匹林(60mg/kg)在整个研究期间口服给予。对结肠组织的分析表明,与实验对照组相比,这两种药物均能保持组织形态,抑制细胞浸润,降低氧化应激和炎症标志物的水平,下调环氧化酶-2、诱导型一氧化氮合酶、核因子 κB 和白细胞介素 1β。两种药物对氧化应激和促炎信号的抑制作用均有助于抑制结肠癌的发生。这两种药物提供的保护作用被发现是相当的。我们的研究表明,与阿司匹林一样,青蒿琥酯的使用也可能降低结肠癌的风险,并且具有进一步评估用于治疗目的的潜力。
Drug Dev Res. 2019-8-30
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