Neag Maria-Adriana, Melincovici Carmen-Stanca, Catinean Adrian, Muntean Dana-Maria, Pop Raluca-Maria, Bocsan Ioana-Corina, Mitre Andrei-Otto, Cardos Mihai-Bogdan, Inceu Andreea-Ioana, Buzoianu Anca-Dana
Department of Pharmacology, Toxicology and Clinical Pharmacology, Iuliu Hatieganu University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania.
Histology Discipline, Morphological Sciences Department, Iuliu Hatieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.
Biomedicines. 2022 Oct 7;10(10):2508. doi: 10.3390/biomedicines10102508.
Non-steroidal anti-inflammatory drugs (NSAIDs) are some of the most widely used drugs due to their anti-inflammatory, analgesic and antipyretic pharmacological effects. Gastrointestinal side effects are some of the most severe and frequent side effects of NSAIDs. These depend on the balance of the gut microbiome, the abundance of Gram-negative bacteria, and the amount of lipopolysaccharide released. Therefore, restoring or improving gut bacteria balance with probiotic supplements could prove to be an adjuvant therapy against mild NSAID-induced enteropathy. Twenty-five Wistar albino male rats were divided into five groups. The negative control group was administered carboxymethylcellulose and the positive control group diclofenac (DIC), 8 mg/kg for 7 days, which represented the enteropathy model. Treatment groups consisted of a combination of pro-biotic spores (MSB), amino acids and immunoglobulins supplement (MM), which were also administered for 7 days. We analyzed hepatic injury markers (AST, ALT) and creatinine, and inflammatory markers, IL-6, TNF-α, PGE2, iNOS, as well as total antioxidant capacity. The results obtained in the present study suggest that the modulation of the intestinal microbiota by administration of probiotics (Bacillus spores), alone or in combination with immunoglobulins and amino acids, represents an attractive therapy for the prevention of NSAID-induced enteropathy.
非甾体抗炎药(NSAIDs)因其抗炎、镇痛和解热药理作用而成为使用最广泛的药物之一。胃肠道副作用是NSAIDs最严重且最常见的副作用之一。这些副作用取决于肠道微生物群的平衡、革兰氏阴性菌的数量以及释放的脂多糖量。因此,用益生菌补充剂恢复或改善肠道细菌平衡可能被证明是对抗轻度NSAID诱导的肠病的辅助疗法。将25只Wistar白化雄性大鼠分为五组。阴性对照组给予羧甲基纤维素,阳性对照组给予双氯芬酸(DIC),8mg/kg,持续7天,这代表肠病模型。治疗组由益生菌孢子(MSB)、氨基酸和免疫球蛋白补充剂(MM)组成,也给药7天。我们分析了肝损伤标志物(AST、ALT)和肌酐,以及炎症标志物IL-6、TNF-α、PGE2、iNOS,以及总抗氧化能力。本研究获得的结果表明,单独或与免疫球蛋白和氨基酸联合使用益生菌(芽孢杆菌孢子)调节肠道微生物群,是预防NSAID诱导的肠病的一种有吸引力的疗法。