Department of Gastroenterology, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Department of Pediatrics, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Turk J Gastroenterol. 2022 Sep;33(9):731-742. doi: 10.5152/tjg.2022.21855.
Colorectal cancer is related to ulcerative colitis. This study aimed to investigate the effects of aspirin on non-specific inflammation developing into cancer.
Ulcerative colitis model was generated by administrating azoxymethane/dextran sulfate sodium to mice. Weight, tumor size/ amount, and intestinal mucositis scores were analyzed. Inflammatory cell infiltration and atypical hyperplasia were determined with hematoxylin-eosin staining. Immunohistochemical assay was used to detect the proliferating cell nuclear antigen. Interleukin-6 and interleukin-10 were detected using enzyme-linked immunosorbent assay. Signal transducer and activator of transcription 3, phosphorylated-STAT3, cyclin D1, and suppressor of cytokine signaling 3 were examined with western blotting.
Aspirin remarkably decreased tumor size/amount compared to those of the ulcerative colitis model group (P < .05). Interleukin-6 was increased and interleukin-10 was decreased in mice of ulcerative colitis model group compared with the control group (P < .05). Aspirin markedly reduced interleukin-6 and enhanced interleukin-10 compared to the ulcerative colitis model group (P < .05) induced Azoxymethane/dextran sulfate sodium inflammation (3 weeks) and atypical hyperplasia (8 weeks). Aspirin predominantly inhibited the "inflammation-atypical hyperplasia-cancer" process and alleviated inflammatory cell infiltration of mice in the ulcerative colitis model group. Aspirin promoted apoptosis and alleviated proliferating cell nuclear antigen of atypical hyperplastic intestinal mucosal cells at 8 weeks post-modeling. The expression of phosphorylated-STAT3, signal transducer and activator of transcription 3, cyclin D1, and suppressor of cytokine signaling 3 was significantly increased in mice of ulcerative colitis model group compared to the control group (P < .05). Aspirin remarkably decreased phosphorylated-STAT3, signal transducer and activator of transcription, and cyclin D1 expression compared with ulcerative colitis model group (P < .05).
Aspirin inhibited carcinogenesis of intestinal mucosal cells in the ulcerative colitis model by inhibiting the interleukin-6/ Janus kinase/signal transducer and activator of transcription 3 signaling pathway and promoted apoptosis, thereby suppressing proliferation.
结直肠癌与溃疡性结肠炎有关。本研究旨在探讨阿司匹林对非特异性炎症发展为癌症的影响。
通过给予氧化偶氮甲烷/葡聚糖硫酸钠诱导小鼠溃疡性结肠炎模型。分析体重、肿瘤大小/数量和肠道黏膜炎评分。苏木精-伊红染色法检测炎症细胞浸润和非典型增生。免疫组织化学法检测增殖细胞核抗原。酶联免疫吸附试验检测白细胞介素-6 和白细胞介素-10。采用 Western blot 检测信号转导和转录激活因子 3、磷酸化 STAT3、细胞周期蛋白 D1 和细胞因子信号转导抑制因子 3。
与溃疡性结肠炎模型组相比,阿司匹林显著降低了肿瘤大小/数量(P<0.05)。与对照组相比,溃疡性结肠炎模型组小鼠白细胞介素-6 增加,白细胞介素-10 减少(P<0.05)。与溃疡性结肠炎模型组相比,阿司匹林显著降低了白细胞介素-6 并增加了白细胞介素-10(P<0.05),诱导了氧化偶氮甲烷/葡聚糖硫酸钠炎症(3 周)和非典型增生(8 周)。阿司匹林主要抑制“炎症-非典型增生-癌症”过程,并减轻溃疡性结肠炎模型组小鼠炎症细胞浸润。阿司匹林促进了 8 周后模型中异常增生的肠黏膜细胞的凋亡并减轻了增殖细胞核抗原。与对照组相比,溃疡性结肠炎模型组小鼠磷酸化 STAT3、信号转导和转录激活因子 3、细胞周期蛋白 D1 和细胞因子信号转导抑制因子 3 的表达显著增加(P<0.05)。与溃疡性结肠炎模型组相比,阿司匹林显著降低了磷酸化 STAT3、信号转导和转录激活因子 3 以及细胞周期蛋白 D1 的表达(P<0.05)。
阿司匹林通过抑制白细胞介素-6/Janus 激酶/信号转导和转录激活因子 3 信号通路抑制溃疡性结肠炎模型中肠黏膜细胞的癌变,并促进凋亡,从而抑制增殖。