Abstract

Ulcerative colitis (UC) is a recurrent, chronic intestinal disease. Available treatments for UC are poor effective and/or cause severe adverse events. X-box binding protein 1 (XBP1) and nuclear factor-κB (NF-κB) have been reported to play important roles in UC. Specifically, deletion or downregulation of XBP1 leads to spontaneous enteritis and results in imbalanced secretion of NF-κB and other proinflammatory cytokines. (±)-8-acetonyl-dihydrocoptisine, i.e., (±)-8-ADC, is a monomer semi-synthesized from coptisine. In vitro, (±)-8-ADC activated the transcriptional activity of XBP1, inhibited expression of NF-κB, and reduced production of proinflammatory cytokines, such as tumor necrosis factor alpha (TNF-α) and interleukin-1 beta (IL-1β), in lipopolysaccharide-stimulated IEC6 cells. Therefore, silencing XBP1 would reduce the inhibition effect of (±)-8-ADC on NF-κB expression and the cytokines secretion in vitro. In a dextran sulfate sodium-induced colitis mouse model, oral administration of (±)-8-ADC ameliorated weight loss and colon contracture, and decreased the average disease activity index score and pathological damage. Simultaneously, (±)-8-ADC also increased XBP1 expression, and decreased NF-κB expression and secretion of myeloperoxidase, TNF-α, IL-6 and IL-1β in the colon. Therefore, (±)-8-ADC may ameliorate UC via the XBP1-NF-κB pathway and should be considered as a therapeutic candidate for UC.

Highlights

  • Ulcerative colitis (UC) is a recurrent, debilitating, and chronic inflammatory disease of the colon and rectum that is characterized by mucosal and submucosal ulceration, diarrhea, and rectal bleeding (Akiho et al, 2015)

  • dextran sodium sulfate (DSS)-induced colitis is a well-established experimental model that simulates many of the features of human UC

  • Oral administration of (±)-8-ADC had a significant effect on the DAI scores, as well as ameliorated colon contracture and histological damage related to colitis (Figure 2)

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Summary

INTRODUCTION

Ulcerative colitis (UC) is a recurrent, debilitating, and chronic inflammatory disease of the colon and rectum that is characterized by mucosal and submucosal ulceration, diarrhea, and rectal bleeding (Akiho et al, 2015). A number of therapeutic agents have been developed to treat UC, including aminosalicylic acids, (e.g., sulfanilamide pyridine [SASP]), antibiotics (e.g., penicillin and chloramphenicol), oral corticosteroids, and immunosuppressive agents (e.g., azathioprine) These treatments have been ineffective and are associated with severe adverse events, including gastrointestinal adverse reactions, headaches, hemolysis, and allergies (Peppercorn, 1984). The DSS-induced colitis mouse model is currently a commonly used model in UC research and it resembles human UC in terms of histology and pathological process (Ren et al, 2015) This present study was undertaken to investigate the mechanism of action of (±)-8-ADC prevention of the development of colonic inflammation, and it was found to act via the XBP1-NF-κB pathway in a DSS-induced colitis mouse model and the IEC6 cell line

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