Pharmacology Laboratory, Zhongshan Hospital, Guangzhou University of Chinese Medicine, Zhongshan, 528401 Guangdong, China.
Shenzhen Baoan Authentic TCM Therapy Hospital, Shenzhen, 518101 Guangdong, China.
Oxid Med Cell Longev. 2021 Dec 18;2021:2617881. doi: 10.1155/2021/2617881. eCollection 2021.
Inflammatory bowel disease (IBD), a global disease threatening human health, is commonly accompanied by secondary liver damage (SLD) mediated by the gut-liver axis. Oxidative stress acts a critical role in the onset of IBD, during which excessive oxidation would destroy the tight junctions between intestinal cells, promote proinflammatory factors to penetrate, and thereby damage the intestinal mucosa. Hance (FPH) is widely used for daily health care in South China. Our previous study showed that FPH protected acute liver damage induced by alcohol. However, there is no study reporting FPH treating ulcerative colitis (UC). This study is designed to investigate whether FPH could inhibit UC and reveal its potential mechanism. The results showed that FPH significantly alleviated the UC disease symptoms including the body weight loss, disease activity index (DAI), stool consistency changing, rectal bleeding, and colon length loss of UC mice induced by dextran sulfate sodium (DSS) and reversed the influences of DSS on myeloperoxidase (MPO) and diamine oxidase activity (DAO). FPH suppressed UC via inhibiting the TLR4/MyD88/NF-B pathway and strengthened the gut barrier of mice via increasing the expressions of ZO-1 and occludin and enhancing the colonic antioxidative stress property by increasing the levels of T-SOD and GSH-Px and the expressions of NRF2, HO-1, and NQO1 and reducing MDA level and Keap1, p22-phox, and NOX2 expressions. Furthermore, FPH significantly inhibited SLD related to colitis by reducing the abnormal levels of the liver index, ALT, AST, and cytokines including TNF, LPS, LBP, sCD14, and IL-18 in the livers, as well as decreasing the protein expressions of NLRP3, TNF, LBP, CD14, TLR4, MyD88, NF-B, and p-NF-B, suggesting that FPH alleviated UC-related SLD via suppressing inflammation mediated by inhibiting the TLR4/MyD88/NF-B pathway. Our study firstly investigates the anticolitis pharmacological efficacy of FPH, suggesting that it can be enlarged to treat colitis and colitis-associated liver diseases in humans.
炎症性肠病(IBD)是一种威胁人类健康的全球性疾病,常伴有肠道-肝脏轴介导的继发性肝损伤(SLD)。氧化应激在 IBD 的发病中起关键作用,在此过程中,过度氧化会破坏肠道细胞之间的紧密连接,促进促炎因子穿透,从而损伤肠道黏膜。蜂胶(FPH)在华南地区被广泛用于日常保健。我们之前的研究表明,FPH 可保护酒精诱导的急性肝损伤。然而,目前尚无研究报道 FPH 治疗溃疡性结肠炎(UC)。本研究旨在探讨 FPH 是否能抑制 UC 并揭示其潜在机制。结果表明,FPH 能显著缓解葡聚糖硫酸钠(DSS)诱导的 UC 小鼠的疾病症状,包括体重减轻、疾病活动指数(DAI)、粪便稠度改变、直肠出血和结肠长度缩短,并逆转 DSS 对髓过氧化物酶(MPO)和二胺氧化酶(DAO)活性的影响。FPH 通过抑制 TLR4/MyD88/NF-B 通路抑制 UC,并通过增加 ZO-1 和 occludin 的表达,增强肠道屏障功能,通过增加 T-SOD 和 GSH-Px 的水平,增加 NRF2、HO-1 和 NQO1 的表达,降低 MDA 水平和 Keap1、p22-phox 和 NOX2 的表达,增强结肠的抗氧化应激能力。此外,FPH 通过降低肝脏指数、ALT、AST 和 TNF、LPS、LBP、sCD14 和 IL-18 等细胞因子在肝脏中的异常水平,以及降低 NLRP3、TNF、LBP、CD14、TLR4、MyD88、NF-B 和 p-NF-B 的蛋白表达,显著抑制与结肠炎相关的 SLD,提示 FPH 通过抑制 TLR4/MyD88/NF-B 通路抑制炎症,减轻 UC 相关的 SLD。本研究首次探讨了 FPH 的抗结肠炎药理作用,提示其可扩大用于治疗人类结肠炎和结肠炎相关肝病。