Natural Medicine Research Center, College of Veterinary Medicine, Sichuan Agricultural University, Chengdu, 611130, China.
College of Veterinary Medicine, Sichuan Agricultural University, Chengdu, 611130, P. R. China.
BMC Complement Med Ther. 2021 Mar 6;21(1):84. doi: 10.1186/s12906-021-03261-x.
Enterotoxigenic Escherichia coli (ETEC) is classically associated with acute secretory diarrhea, which induces 2 million people death in developing countries over a year, predominantly children in the first years of life. Previously, tannins (47.75%) were extracted from Galla Chinensis and prepared as Galla Chinensis oral solution (GOS) which showed significant antidiarrheal activity in a castor oil-induced diarrhea in mice. Whether the tannins extract were also effective in treatment of ETEC-induced diarrhea was determined in this study.
Mice were randomly divided into 6 groups (n = 22). The mice in the normal and untreated groups were given normal saline. Three GOS-treated groups were received different concentrations of GOS (5, 10 and 15%, respectively) at a dose of 10 mL/kg. Mice in the positive control group were fed with loperamide (10 mg/kg). The treatment with GOS started 3 days before infection with ETEC and continued for 4 consecutive days after infection. On day 3, mice were all infected with one dose of LD of ETEC, except those in the normal group. Survival of mice was observed daily and recorded throughout the study. On days 4 and 7, samples were collected from 6 mice in each group.
GOS could increase the survival rate up to 75%, while in the untreated group it is 43.75%. The body weights of mice treated with 15% GOS were significantly increased on day 7 in comparison with the untreated group and the normal group. GOS-treatment recovered the small intestine coefficient enhanced by ETEC-infection. The diarrhea index of mice treated with GOS was significantly decreased. GOS increased the levels of IgG and sIgA in the terminal ileum and decreased the levels of pro-inflammatory cytokines (IFN-γ, TNF-α, IL-1β, IL-6 and IL-8) in serum. GOS could increase the amount of intestinal probiotics, Lactobacilli and Bifidobacteria. GOS could alleviate colon lesions induced by ETEC-infection. GOS showed higher potency than loperamide.
GOS could be a promising drug candidate for treating ETEC infections.
肠产毒性大肠杆菌(ETEC)通常与急性分泌性腹泻有关,每年发展中国家有 200 万人因此死亡,主要是生命最初几年的儿童。此前,从五倍子中提取了单宁(47.75%),并制备成五倍子口服溶液(GOS),在蓖麻油诱导的小鼠腹泻中显示出显著的止泻活性。本研究旨在确定单宁提取物是否也能有效治疗 ETEC 诱导的腹泻。
将小鼠随机分为 6 组(n=22)。正常组和未处理组给予生理盐水。三个 GOS 处理组分别给予不同浓度的 GOS(分别为 5%、10%和 15%),剂量为 10ml/kg。阳性对照组给予洛哌丁胺(10mg/kg)。GOS 治疗于感染 ETEC 前 3 天开始,并在感染后连续 4 天进行。第 3 天,除正常组外,所有小鼠均给予 ETEC 的一个 LD 剂量感染。每天观察并记录小鼠的生存情况。第 4 天和第 7 天,每组收集 6 只小鼠的样本。
GOS 可将存活率提高至 75%,而未处理组为 43.75%。与未处理组和正常组相比,用 15%GOS 处理的小鼠体重在第 7 天显著增加。GOS 治疗恢复了 ETEC 感染增强的小肠系数。GOS 治疗组的腹泻指数明显降低。GOS 增加了末端回肠中 IgG 和 sIgA 的水平,并降低了血清中促炎细胞因子(IFN-γ、TNF-α、IL-1β、IL-6 和 IL-8)的水平。GOS 可以增加肠道益生菌乳酸杆菌和双歧杆菌的数量。GOS 可缓解 ETEC 感染引起的结肠病变。GOS 的作用强于洛哌丁胺。
GOS 可能是治疗 ETEC 感染的一种有前途的候选药物。