Department of TCMs Pharmaceuticals, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, 211198, PR China; Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, 210028, PR China.
Department of Gastroenterology, Nanjing Lishui District Hospital of Traditional Chinese Medicine, Nanjing, 211200, PR China.
Phytomedicine. 2022 Nov;106:154403. doi: 10.1016/j.phymed.2022.154403. Epub 2022 Aug 19.
Previous studies reported that Aloe vera ameliorated DSS-induced colitis and promoted mucus secretion. However, the effect of Aloin A (AA), a major compound of Aloe vera, on colitis and its exact mechanism remains uncovered.
C57BL/6 mice were successively subjected to 3% DSS solution for 5 days and distilled water for 2 days. Concurrently, AA (25, 50 mg/kg) and 5-aminosalicylic (500 mg/kg) were administrated intragastrically from day 1 to day 7. Colitis was evaluated by disease active index (DAI), colon length, inflammation response, and intestinal barrier function. In vitro LS174T cells challenged with 50 ng/ml of lipopolysaccharides (LPS) were used to validate the modulatory action of AA on the Notch signaling pathway.
Our results showed that oral administration with AA prominently prevented DSS-induced colitis symptoms in terms of decreased DAI, prevention of colon shortening, and reduced pathological damage. AA mitigated the inflammatory response evidenced by the decreased proinflammatory cytokines (TNF-α, IL-1β, IL-6) and increased anti-inflammatory cytokine (IL-10). Besides, AA inhibited apoptosis and facilitated proliferation in colons. Moreover, AA treatment up-regulated the expression of tight junction (TJ) proteins (ZO-1, Occludin) and promoted the secretion of MUC2 to decrease colon permeability. Mechanistically, AA inhibited the Notch pathway to promote the secretion of MUC2, which was consistent with LPS-challenged LS174 cells.
These results suggested that AA could prevent colitis by enhancing the intestinal barrier function via suppressing the Notch signaling pathway. Thus, AA might be a prospective remedy for ulcerative colitis.
先前的研究表明,库拉索芦荟可改善 DSS 诱导的结肠炎并促进黏液分泌。然而,库拉索芦荟中主要化合物芦荟苷 A(AA)对结肠炎的影响及其确切机制仍未被揭示。
C57BL/6 小鼠连续 5 天给予 3% DSS 溶液,再给予 2 天蒸馏水。同时,从第 1 天到第 7 天,AA(25、50mg/kg)和 5-氨基水杨酸(500mg/kg)经胃内给药。通过疾病活动指数(DAI)、结肠长度、炎症反应和肠道屏障功能评估结肠炎。体外用 50ng/ml 脂多糖(LPS)刺激 LS174T 细胞,验证 AA 对 Notch 信号通路的调节作用。
我们的结果表明,AA 口服给药可显著预防 DSS 诱导的结肠炎症状,包括降低 DAI、预防结肠缩短和减轻病理损伤。AA 减轻了炎症反应,表现为促炎细胞因子(TNF-α、IL-1β、IL-6)减少和抗炎细胞因子(IL-10)增加。此外,AA 抑制了结肠中的细胞凋亡并促进了增殖。此外,AA 治疗可上调紧密连接(TJ)蛋白(ZO-1、Occludin)的表达,并促进 MUC2 的分泌,以降低结肠通透性。机制上,AA 通过抑制 Notch 通路来促进 MUC2 的分泌,这与 LPS 刺激的 LS174 细胞一致。
这些结果表明,AA 通过抑制 Notch 信号通路增强肠道屏障功能来预防结肠炎。因此,AA 可能是溃疡性结肠炎的一种有前途的治疗方法。