Berberine Repairs Intestinal Mucosal Barrier by Targeting HSP90AA1 and MAPK14

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BackgroundBerberine (BBR), a key compound in Coptis chinensis, has broad pharmacological properties, though its specific Crohn’s disease (CD) targets and mechanisms are undefined.Materials and MethodsWe employed network pharmacology, mendelian randomization (MR), molecular docking, and molecular dynamics simulations to identify potential target genes. Next, we assessed the efficacy of BBR in vitro and in vivo.ResultsHSP90AA1 and MAPK14 were identified as potential target genes of BBR in the treatment of CD. In vitro experiments revealed that BBR downregulated LPS-induced HSP90AA1, MAPK14, and TNF-α while restoring tight junction proteins (ZO-1, Occludin, Claudin-1, JAM-A). Both HSP90AA1 inhibitor (17-AAG) and MAPK14 inhibitor (SB203580) significantly mitigated the reduction in ZO-1, Occludin, Claudin-1, and JAM-A expression caused by LPS. Furthermore, in vivo experiments revealed that BBR treatment effectively alleviated weight loss, the disease activity index (DAI), and colon shortening in a model of DSS-treated mice. BBR also ameliorated pathological changes in the colon, repaired goblet cells, reduced the expression of HSP90AA1, MAPK14, and TNF-α, and increased the expression of ZO-1, Occludin, Claudin-1, and JAM-A.ConclusionBBR inhibits the expression of HSP90AA1 and MAPK14 both in vitro and in vivo, thereby facilitating the repair of the intestinal mucosal barrier.

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  • 10.1159/000322440
Basic Treatment and Prediction of a Severe Course of Crohn’s Disease
  • Jan 1, 2011
  • Marcellus Simadibrata

The incidence of inflammatory bowel disease (IBD) is increasing in Asian countries. Treatment of IBD is difficult in Asian countries due to low socioeconomic status, lack of medical facilities, and high prevalence of infections such as tuberculosis, hepatitis virus, etc. which have to be excluded before treating IBD. The severity of Crohn’s disease (CD) can be categorized into three levels: mild, moderate and severe. Severe CD has poor prognosis and is characterized by severe lower gastrointestinal bleeding, intestinal stricture or stenosis, intestinal fistula, severe condition, fever, severe ileocolitis appearances on colonoscopy examination and Crohn’s Disease Activity Index of more than 450. The basic treatment for CD includes nutritional, pharmacological, surgical and CD complication treatment. In severe CD, we usually give low-residue diet. In mild CD, we give balanced nutrition, high-protein diet depending on the daily demand, food that does not irritate and food that does not cause lactose intolerance. We suggest avoiding cow’s milk and food containing lactase (lactaid). Iron, calcium, magnesium, zinc, vitamin B12, vitamin D, vitamin K, vitamin E, vitamin C supplementation must be given according to the deficiency. Pharmacological treatment is divided into general supportive therapy (antidiarrheal, antispasmodic, analgesic), anti-inflammatory drugs (aminosalicylates, corticosteroids), immunosuppressive drugs, biological agents, antibiotics, probiotics, complementary alternative medicine/herbal drugs, and other medications. Aminosalicylates include sulphasalazine, 5-aminosalicylates, olsalazine and balsalazide. Corticosteroids include prednisone/prednisolone, methyl prednisolone and budesonide. Immunosuppressive drugs that can be given are 6-mercaptopurine, azathioprine, methotrexate and cyclosporine. Biological agents include infliximab, adalimumab (fully human), certolizumab pegol and natalizumab. Antibiotics that can be given to CD patients are metronidazole, ciprofloxacine, rifaximin, anti-mycobacterial agents. Probiotics can be given to CD patients, but this is still controversial. Herbals that can be given to CD patients include Boswellia serrata gum resin and Curcuma longa extracts. Non-herbal medicine which has already been given in CD includes seal oil, acupuncture and moxibustion. Other medications that can be given to CD are antidiarrheals, laxatives, acetaminophen, teduglutide, helminthic therapy, cannabis-based drugs and stem cell therapy. To predict a severe course or prognosis of CD, the disease activity (severity) index and the endoscopic disease activity score may be used. The endoscopic response to treatment in CD is defined as a significant change in endoscopic disease activity score, such as the Crohn’s Disease Endoscopic Index of Severity (CDEIS) or the Simple Endoscopic Score for Crohn’s Disease (SES-CD). The disease activity (severity) index can be evaluated with some scoring parameters such as the CDEIS, SES-CD, Rutgeerts score, and Crohn’s Disease Activity Index.

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  • Scientific Reports
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Intestinal mucosal mechanical barrier is one of the most important structure to maintain the body homeostasis. The occurrences of inflammatory bowel disease, necrotizing enterocolitis and poor prognosis of patients with obstructive jaundice are closely related to the damage of the mucosal barrier function. Long-term high fat diet and obstructive jaundice can cause the abnormality of bile acids metabolism. These pathological conditions are often associated with the destruction of intestinal mucosal barrier function. So the correlations between abnormal bile metabolism and intestinal mucosal mechanical barrier function have aroused interests of many researchers. They found that bile acids the important component of bile are closely related to the intestinal barrier function. The paper reviewed the recent articles and summarized the mechanisms of the deficiency of bile acids, excessive bile acids and abnormal bile acids composition damaging the intestinal mucosal barrier function. It will provide refe-rence for the new fields of study, prevention of the toxic effects of bile acids and the improvement of the prognosis of patients. Key words: Inflammatory bowel disease; Bile acids; Intestinal barrier function; High-fat diet; Obstructive jaundice

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Enriched environment on the intestinal mucosal barrier and brain–gut axis in rats with colorectal cancer
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An enriched environment (EE) is an animal housing technique where animals are given increased amounts of space, physical activity, and social interaction. Presently, researchers studying EEs focus mainly on their effects within the context of neurological diseases. However, little is known about how EEs affect the intestinal mucosal barrier. This study assessed the effects of an EE on the intestinal mucosal barrier in rats with colorectal cancer.

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The present study aimed to identify hub genes associated with the treatment and control of active and inactive Crohn's disease (CD). Differentially expressed genes (DEGs) were identified in normal, active CD, and inactive CD samples from GSE95095 dataset. Intersection genes screened by Venn diagram in DEGs. Subsequently, Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses were conducted on the intersection genes. The protein-protein interaction (PPI) network was used to screen of hub gene. The expression and mRNA levels of CXCL12 in CD and ROC curves in GSE95095 dataset. Signaling pathways of hub genes and their correlation with immune cells were analyzed by gene set enrichment analysis (GSEA), EPIC, and ESTIMATE, respectively. Finally, immunohistochemistry (IHC) and Reverse Transcription-Polymerase Chain Reaction (RT-PCR) were used to detect the expression of the hub gene in normal, inactive, and active CD tissues. In GSE95095 dataset, CXCL12 was identified as the most hub gene by limma analysis, Venn diagram and A protein-protein interaction (PPI) network. CXCL12 expression was highest in active CD (p < 0.001) followed by inactive CD (p < 0.01). Subsequently, it was validated through IHC and RT-PCR in normal intestinal mucosal, active CD, and inactive CD. CXCL12 was overexpressed in active and inactive CD (IHC: p < 0.001 and RT-PCR: p < 0.001, respectively). CXCL12 expression in active CD was determined via analysis with receiver operating characteristic (ROC) curves. The specificity and sensitivity were 0.875 and 0.625, respectively, the accuracy was 72.92%, the area under the curve (AUC) was 0.780, and the 95% confidence interval (CI) was in the range of 0.648-0.912. CXCL12 expression was closely correlated with various immune cells. CXCL12 is overexpressed in active CD and is closely correlated with various immune cells. We propose that CXCL12 as a potential target genes for the treatment and management of both active and inactive CD.

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The intestinal mucosal barrier is a complex structure that separates the internal and lumen environments. An impaired intestinal barrier may lead to excessive mucosal immune system activation and further to intestinal diseases, including inflammatory bowel disease (IBD). Therefore, improving the integrity of the intestinal barrier may be a therapeutic approach to prevent or treat IBD. In this study, we aimed to elucidate the effects of the new 1,3,4-oxadiazole derivatives of pyrrolo[3,4-d]pyridazinone, compounds 7b, 10b, and 13b, in intestinal epithelial damage. In this study, we used biobank colon and feces samples collected during our previous original experiment, in which we induced colitis in rats by trinitrobenzenesulfonic acid (TNBS) administration. We assessed the expression of tight junction (TJ) proteins, ie, claudin 1 (CLDN1), occludin (OCLN), zonula occludens 1 (ZO1), and mucus layers proteins, ie, mucin 2 (Muc2) and trefoil factor 3 (TFF3), and the goblet cells and mucus content in colon tissues. We also assessed matrix metalloproteinase 9 (MMP9) and MAP kinases (MAPKs) levels in colon tissues and the level of α1-antitrypsin (α1-AT) in feces samples. We found that compounds 7b and 13b at a dose of 20 mg/kg prevented TNBS-induced loss of goblet cells and mucus layer with normalizing Muc2 and TFF3 expression. Both these compounds prevented TNBS-induced loss of the TJ proteins and normalized the fecal α1-AT level. Compounds 7b and 13b (20 mg/kg) counteracted the TNBS-induced increase of MMP9 concentration and MAPK activation. New pyrrolo[3,4-d]pyridazinone derivatives normalized the colonic expression of TJ and mucus layer proteins and prevented goblet cells and mucus depletion in rats with experimental colitis, exerting a beneficial effect on mucosal epithelial barrier integrity. They protect against intestinal barrier dysfunction, and the potential mechanism may involve the inhibition of MAPKs and MMP9 activation.

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  • Research Article
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  • 10.1155/2020/4568629
The Herbal Medicine Scutellaria-Coptis Alleviates Intestinal Mucosal Barrier Damage in Diabetic Rats by Inhibiting Inflammation and Modulating the Gut Microbiota.
  • Jan 1, 2020
  • Evidence-Based Complementary and Alternative Medicine
  • Boxun Zhang + 6 more

Recent studies have confirmed that increased intestinal permeability and gut-origin lipopolysaccharide (LPS) translocation are important causes of metabolic inflammation in type 2 diabetes (T2D), but there are no recognized therapies for targeting this pathological state. Scutellaria baicalensis and Coptis chinensis are a classic herbal pair often used to treat diabetes and various intestinal diseases, and repair of intestinal barrier damage may be at the core of their therapeutic mechanism. This study investigated the effects of oral administration of Scutellaria-Coptis (SC) on the intestinal mucosal barrier in diabetic rats and explored the underlying mechanism from the perspective of anti-inflammatory and gut microbiota-modulatory effects. The main results showed that, in addition to regulating glycolipid metabolism disorders and inhibiting serum inflammatory factors, SC could also upregulate the expression levels of the tight junction proteins claudin-1, occludin, and zonula occludens (ZO-1), significantly improve intestinal epithelial damage, and inhibit excessive LPS translocation into the blood circulation. Furthermore, it was found that SC could reduce the levels of the inflammatory factors interleukin-1β (IL-1β), IL-6, and tumour necrosis factor-α (TNF-α) in intestinal tissue and that the anti-inflammatory effects involved the TLR-4/TRIF and TNFR-1/NF-κB signalling pathways. Moreover, SC had a strong inhibitory effect on some potential enteropathogenic bacteria and LPS-producing bacteria, such as Proteobacteria, Enterobacteriaceae, Enterobacter, Escherichia-Shigella, and Enterococcus, and could also promote the proliferation of butyrate-producing bacteria, such as Lachnospiraceae and Prevotellaceae. Taken together, the hypoglycaemic effects of SC were related to the protection of the intestinal mucosal barrier, and the mechanisms might be related to the inhibition of intestinal inflammation and the regulation of the gut microbiota.

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