Department of Pharmacognosy, Faculty of Pharmacy, Cairo University, Kasr Al Aini Street, Cairo, P.O. Box 11562, Egypt.
Department of Pharmacology, Theodor Bilharz Research Institute, Kornaish El Nile, Warrak El-Hadar, Imbaba (P.O. 30), Giza, 12411, Egypt.
J Ethnopharmacol. 2021 Apr 6;269:113670. doi: 10.1016/j.jep.2020.113670. Epub 2020 Dec 8.
ETHNOPHARMACOLOGICAL RELEVANCE: Genus Canna is used in folk medicine as demulcent, diaphoretic, antipyretic, mild laxative and in gastrointestinal upsets therapy. Canna x generalis (CG) L.H. Bailey is traditionally used as anti-inflammatory, analgesic and antipyretic. Besides, CG is used in Ayurvedic medicines' preparations and in the treatment of boils, wounds, and abscess. Nevertheless, its anti-inflammatory effects against ulcerative colitis (UC) are not yet investigated. AIM: This study aimed to investigate the phytoconstituents of CG rhizome ethanol extract (CGE). Additionally, we aimed to comparatively evaluate its therapeutic effects and underlying mechanisms against the reference drug "sulphasalazine (SAS)" in dextran sodium sulfate (DSS)-induced UC in mice. MATERIAL AND METHODS: Metabolic profiling of CG rhizomes was performed via UHPLC/qTOF-HRMS; the total phenolic, flavonoid and steroid contents were determined, and the main phytoconstituents were isolated and identified. Next, DSS-induced (4%) acute UC was established in C57BL/6 mice. DSS-induced mice were administered either CGE (100 and 200 mg/kg) or SAS (200 mg/kg) for 7 days. Body weight, colon length, disease activity index (DAI) and histopathological alterations in colon tissues were examined. Colon levels of oxidative stress (GSH, MDA, SOD and catalase) and pro-inflammatory [Myeloperoxidase (MPO), nitric oxide (NO), IL-1β, IL-12, TNF-α, and INF-γ] markers were colourimetrically determined. Serum levels of lipopolysaccharide (LPS) and relative mRNA expressions of occludin, TLR4 and ASC (Apoptosis-Associated Speck-Like Protein Containing CARD) using RT-PCR were measured. Protein levels of NLRP3 inflammasome and cleaved caspase-1 were determined by Western blot. Furthermore, immunohistochemical examinations of caspase-3, NF-ҡB and claudin-1 were performed. RESULTS: Major identified constituents of CGE were flavonoids, phenolic acids, phytosterols, beside five isolated phytoconstituents (β-sitosterol, triacontanol fatty alcohol, β-sitosterol-3-O-β-glucoside, rosmarinic acid, 6-O-p-coumaroyl-β-D-fructofuranosyl α-D-glucopyranoside). The percentage of the phenolic, flavonoid and steroid contents in CGE were 20.55, 6.74 and 98.09 μg of gallic acid, quercetin and β-sitosterol equivalents/mg extract, respectively. In DSS-induced mice, CGE treatment ameliorated DAI, body weight loss and colon shortening. CGE attenuated the DSS-induced colonic histopathological alternations, inflammatory cell infiltration and histological scores. CGE elevated GSH, SOD and catalase levels, and suppressed MDA, pro-inflammatory mediators (MPO and NO) as well as cytokines levels in colonic tissues. Moreover, CGE downregulated LPS/TLR4 signaling, caspase-3 and NF-ҡB expressions. CGE treatment inhibited NLRP3 signaling pathway as indicated by the suppression of the protein expression of NLRP3 and cleaved caspase-1, and the ASC mRNA expression in colonic tissues. Additionally, CGE restored tight junction proteins' (occludin and claudin-1) expressions. CONCLUSION: Our findings provided evidence for the therapeutic potential of CGE against UC. CGE restored intestinal mucosal barrier's integrity, mitigated oxidative stress, inflammatory cascade, as well as NF-ҡB/TLR4 and NLRP3 pathways activation in colonic tissues. Notably, CGE in a dose of 200 mg/kg was more effective in ameliorating DSS-induced UC as compared to SAS at the same dose.
民族药理学相关性:姜花属植物在民间医学中被用作缓和剂、发汗剂、解热剂、温和的泻药以及治疗胃肠道不适。Canna x generalis (CG) L.H. Bailey 传统上被用作抗炎、镇痛和退热剂。此外,CG 用于阿育吠陀药物的制剂以及治疗疖子、伤口和脓肿。然而,其对溃疡性结肠炎 (UC) 的抗炎作用尚未得到研究。
目的:本研究旨在研究 CG 根茎乙醇提取物 (CGE) 的植物化学成分。此外,我们旨在比较评估其在葡聚糖硫酸钠 (DSS) 诱导的 C57BL/6 小鼠 UC 中的治疗效果和潜在机制,与参考药物“柳氮磺胺吡啶 (SAS)”相比。
材料和方法:通过 UHPLC/qTOF-HRMS 对 CG 根茎进行代谢组学分析;测定总酚、类黄酮和类固醇含量,并分离和鉴定主要植物化学成分。接下来,建立 DSS 诱导的 (4%) 急性 UC 在 C57BL/6 小鼠中。DSS 诱导的小鼠分别给予 CGE(100 和 200mg/kg)或 SAS(200mg/kg)治疗 7 天。检查体重、结肠长度、疾病活动指数 (DAI) 和结肠组织的组织病理学改变。通过比色法测定结肠组织中的氧化应激 (GSH、MDA、SOD 和过氧化氢酶) 和促炎标志物 [髓过氧化物酶 (MPO)、一氧化氮 (NO)、IL-1β、IL-12、TNF-α 和 INF-γ]。使用 RT-PCR 测定血清中脂多糖 (LPS) 和相对 mRNA 表达的 occludin、TLR4 和 ASC(凋亡相关斑点样蛋白含有 CARD)。通过 Western blot 测定 NLRP3 炎症小体和裂解 caspase-1 的蛋白水平。此外,进行 caspase-3、NF-ҡB 和 Claudin-1 的免疫组织化学检查。
结果:CGE 的主要鉴定成分是类黄酮、酚酸、植物甾醇,此外还有五种分离的植物化学成分(β-谷甾醇、三十烷醇脂肪酸醇、β-谷甾醇-3-O-β-葡萄糖苷、迷迭香酸、6-O-对香豆酰基-β-D-吡喃果糖基-α-D-吡喃葡萄糖苷)。CGE 中酚类、类黄酮和甾醇的含量分别为 20.55%、6.74%和 98.09μg 没食子酸、槲皮素和β-谷甾醇当量/mg 提取物。在 DSS 诱导的小鼠中,CGE 治疗改善了 DAI、体重减轻和结肠缩短。CGE 减轻了 DSS 诱导的结肠组织学改变、炎症细胞浸润和组织学评分。CGE 提高了 GSH、SOD 和过氧化氢酶水平,并抑制了 MDA、促炎介质(MPO 和 NO)以及细胞因子水平在结肠组织中的表达。此外,CGE 下调了 LPS/TLR4 信号通路,降低了 caspase-3 和 NF-ҡB 的表达。CGE 抑制 NLRP3 信号通路,表现为 NLRP3 和裂解 caspase-1 的蛋白表达以及结肠组织中 ASC 的 mRNA 表达受到抑制。此外,CGE 恢复了紧密连接蛋白 (occludin 和 claudin-1) 的表达。
结论:我们的研究结果为 CGE 治疗 UC 的潜力提供了证据。CGE 恢复了肠道黏膜屏障的完整性,减轻了氧化应激、炎症级联反应以及 NF-ҡB/TLR4 和 NLRP3 通路在结肠组织中的激活。值得注意的是,与相同剂量的 SAS 相比,CGE 在 200mg/kg 剂量下更有效地改善了 DSS 诱导的 UC。
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