Alan Nurten, Oran Nazan Tuna, Yılmaz Pınar Akokay, Çelik Aslı, Yılmaz Osman
Department of Fundementals of Nursing, Faculty of Nursing Dokuz Eylül University Izmir Turkey.
Department of Midwifery, Faculty of Health Sciences Ege University Izmir Turkey.
Food Sci Nutr. 2024 Jun 18;12(9):6461-6471. doi: 10.1002/fsn3.4283. eCollection 2024 Sep.
Intestinal mucositis poses a significant concern associated with cancer therapy. This study aims to investigate the protective and/or healing effect of fig seed oil (FSO) on 5-fluorouracil (5-FU)-induced intestinal mucositis by targeting inflammatory markers and histologic changes in rats. Albino Wistar adult rats were randomly divided into four groups, including three male and three female animals. All the animals in the four groups had a normal standard diet and water throughout the experimental period, which lasted up to 11 days. Rats were administered FSO 0.6 mL (mucositis FSO group) and FSO 0.2 mL (mucositis FSO-R group) daily throughout the experiment. These two groups and one additional group (mucositis group) were given an intraperitoneal injection of 5-FU (300 mg/kg) on Day 5 of the experiment. In contrast, the fourth group (Control group) was given an intraperitoneal saline injection on Day 5 of the experiment. FSO treatment ameliorated 5-FU-induced intestinal mucositis. On immunohistologic examination, FSO suppressed significantly the activation of NF-κB and expression of IL-β and TNF-α of the harvested intestinal tissue. The reduced dose FSO (mucositis FSO-R) was as effective as the full dose (mucositis FSO) in suppressing IL-β and TNF-α production, but was not as effective as the full dose in suppressing NF-κB. On light microscopy, FSO attenuated significantly 5-FU-induced anomalies, such as the reduction of intestinal villus length and Goblet cell count. The reduced dose FSO (mucositis FSO-R) was as effective as the full dose (mucositis FSO) in restoring villus length, but was not as effective as the full dose in restoring Goblet cell count. The findings of the study suggest that FSO inhibits 5-FU-induced intestinal mucositis via modulation of mucosal inflammation.
肠道黏膜炎是癌症治疗中一个重大问题。本研究旨在通过针对大鼠炎症标志物和组织学变化,研究无花果籽油(FSO)对5-氟尿嘧啶(5-FU)诱导的肠道黏膜炎的保护和/或愈合作用。白化Wistar成年大鼠随机分为四组,每组包括三只雄性和三只雌性动物。在整个为期11天的实验期间,四组所有动物均给予正常标准饮食和饮水。在整个实验过程中,每天给大鼠灌胃0.6 mL FSO(黏膜炎FSO组)和0.2 mL FSO(黏膜炎FSO-R组)。这两组和另一组(黏膜炎组)在实验第5天腹腔注射5-FU(300 mg/kg)。相比之下,第四组(对照组)在实验第5天腹腔注射生理盐水。FSO治疗改善了5-FU诱导的肠道黏膜炎。免疫组织学检查显示,FSO显著抑制了收获的肠道组织中NF-κB的激活以及IL-β和TNF-α的表达。低剂量FSO(黏膜炎FSO-R)在抑制IL-β和TNF-α产生方面与全剂量(黏膜炎FSO)效果相同,但在抑制NF-κB方面不如全剂量有效。光学显微镜检查显示,FSO显著减轻了5-FU诱导的异常,如肠绒毛长度缩短和杯状细胞数量减少。低剂量FSO(黏膜炎FSO-R)在恢复绒毛长度方面与全剂量(黏膜炎FSO)效果相同,但在恢复杯状细胞数量方面不如全剂量有效。该研究结果表明,FSO通过调节黏膜炎症抑制5-FU诱导的肠道黏膜炎。