Li Jinkai, Zhang Xiaofei, Luan Fei, Duan Jiawei, Zou Junbo, Sun Jing, Shi Yajun, Guo Dongyan, Wang Changli, Wang Xiao
Key Laboratory of Basic and New Drug Research in Chinese Medicine, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, People's Republic of China.
J Inflamm Res. 2024 May 31;17:3527-3549. doi: 10.2147/JIR.S461466. eCollection 2024.
Ulcerative colitis (UC) is a chronic non-sp ecific inflammatory disease of the colorectal mucosa. Researchers have associated UC onset with familial genetics, lifestyle behavior, inflammatory immune factors, intestinal microbiota, and the integrity of the intestinal mucosal barrier. The primary therapeutic interventions for UC consist of pharmacological management to control inflammation and promote mucosal healing and surgical interventions. The available drugs effectively control and decelerate the progression of UC in most patients; nonetheless, their long-term administration can exert adverse effects and influence the therapeutic effect. Plant essential oils (EOs) refer to a group of hydrophobic aromatic volatile substances. EOs have garnered considerable attention in both domestic and international research because of their anti-inflammatory, antibacterial, and antioxidant properties. They include peppermint, peppercorns, rosemary, and lavender, among others. Researchers have investigated the role of EOs in medicine and have elucidated their potential to mitigate the detrimental effects of UC through their anti-inflammatory, antioxidant, antidepressant, and anti-insomnia properties as well as their ability to regulate the intestinal flora. Furthermore, EOs exert minimal toxic adverse effects, further enhancing their appeal for therapeutic applications. However, these speculations are based on theoretical experiments, thereby warranting more clinical studies to confirm their effectiveness and safety. In this article, we aim to provide an overview of the advancements in utilizing natural medicine EOs for UC prevention and treatment. We will explore the potential pathogenesis of UC and examine the role of EOs therapy in basic research, quality stability, and management specification of inadequate EOs for UC treatment. We intend to offer novel insights into the use of EOs in UC prevention and management.
溃疡性结肠炎(UC)是一种发生于结直肠黏膜的慢性非特异性炎症性疾病。研究人员已将UC的发病与家族遗传学、生活方式行为、炎症免疫因子、肠道微生物群以及肠道黏膜屏障的完整性联系起来。UC的主要治疗干预措施包括控制炎症和促进黏膜愈合的药物治疗以及手术干预。现有药物能有效控制并减缓大多数患者UC的进展;然而,长期使用这些药物可能会产生不良反应并影响治疗效果。植物精油(EOs)是一类疏水性芳香挥发性物质。由于其抗炎、抗菌和抗氧化特性,EOs在国内外研究中受到了广泛关注。它们包括薄荷、胡椒、迷迭香和薰衣草等。研究人员已经研究了EOs在医学中的作用,并阐明了其通过抗炎、抗氧化、抗抑郁和抗失眠特性以及调节肠道菌群来减轻UC有害影响的潜力。此外,EOs产生的毒性不良反应极小,这进一步增强了它们在治疗应用中的吸引力。然而,这些推测是基于理论实验,因此需要更多的临床研究来证实其有效性和安全性。在本文中,我们旨在概述利用天然药物EOs预防和治疗UC的研究进展。我们将探讨UC的潜在发病机制,并研究EOs疗法在基础研究、质量稳定性以及UC治疗中EOs应用不足的管理规范方面的作用。我们打算为EOs在UC预防和管理中的应用提供新的见解。