Abstract

Background and Aims: Dietary gangliosides are present in human milk and consumed in low amounts from organ meats. Clinical and animal studies indicate that dietary gangliosides attenuate signaling processes that are a hallmark of inflammatory bowel disease (IBD). Gangliosides decrease pro-inflammatory markers, improve intestinal permeability, and reduce symptoms characteristic in patients with IBD. The objective of this study was to examine mechanisms by which dietary gangliosides exert beneficial effects on intestinal health.Methods: Studies were conducted in vitro using CaCo-2 intestinal epithelial cells. Gangliosides were extracted from milk powder and incubated with differentiated CaCo-2 cells after exposure to pro-inflammatory stimuli. Gut barrier integrity was assessed by electron microscopy, epithelial barrier function was examined by measuring transepithelial electric resistance, and content of HBD-2, IL-23, NF-κB, and sPLA2 was assessed by ELISA.Results: Ganglioside attenuated the decrease in integrity of tight junctions induced by pro-inflammatory stimuli and improved epithelial barrier function (P < 0.05). Ganglioside decreased the basolateral secretion of sPLA2 (P ≤ 0.05), lowered HBD-2 and IL-23 levels (P ≤ 0.05), and inhibited NF-κB activation (P ≤ 0.05).Conclusions: In summary, the present study indicates that ganglioside GD3 improves intestinal integrity by altering sPLA2 trafficking, and the production of pro-inflammatory mediators is mitigated by decreasing assembly of the NF-κB complex. Dietary gangliosides may have promising potential beneficial effects in IBD as decreased inflammatory signaling, improved intestinal integrity, and maintenance of epithelial barrier function have been demonstrated in vitro.

Highlights

  • Inflammatory bowel disease (IBD) is a chronic, relapsing disorder resulting from persistent inflammation affecting the mucosa of the gastrointestinal tract [1]

  • DSS induced the opening and disruption of tight junctions and desmosomes (Figure 1B) which was attenuated by ganglioside (Figure 1C)

  • Pre-incubation with ganglioside prevented the decrease in Transepithelial electrical resistance (TEER) induced by LPS and DSS (Figure 2)

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Summary

Introduction

Inflammatory bowel disease (IBD) is a chronic, relapsing disorder resulting from persistent inflammation affecting the mucosa of the gastrointestinal tract [1]. Ingestion of dietary ganglioside was shown to be safe at 43 mg/day for 8 weeks in adults [5]. Dietary gangliosides consumed from a complex milk-lipid fraction reduced intestinal permeability by 19% in healthy adults, and improved emotional health and systemic symptoms in a pilot study of five participants with IBD without a placebo control after 8 weeks of consumption [5]. Dietary ganglioside is safe for consumption and has demonstrated clinical benefit in patients with IBD. Clinical and animal studies indicate that dietary gangliosides attenuate signaling processes that are a hallmark of inflammatory bowel disease (IBD). Gangliosides decrease pro-inflammatory markers, improve intestinal permeability, and reduce symptoms characteristic in patients with IBD. The objective of this study was to examine mechanisms by which dietary gangliosides exert beneficial effects on intestinal health

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