Abstract

BackgroundUlcerative colitis (UC) is a chronic inflammatory bowel disease that is associated with an increased risk of colorectal cancer in 8-10 years after disease onset. Current colitis treatment strategies do not offer a cure for the disease, but only treat the symptoms with limited success and dangerous side-effects. Also, there is no preventive treatment for either UC or colorectal cancer. Quinacrine is an anti-malarial drug with versatile use in the treatment of diseases involving inflammatory response such as rheumatoid arthritis and lupus erythematosus. It also has putative anti-cancer effect. Quinacrine's anti-inflammatory, anti-oxidant properties, and anti-tumorigenic properties make it a potential small molecule preventive agent for both UC and associated colorectal cancer.ResultsThere were obvious changes in the CDI, histology, and inflammatory load in quinacrine-treated groups in a dose and time dependent manner in both models of UC, induced by chemical or haptenating agent.MethodsWe tested quinacrine at two different doses as a colitis treatment agent in two mouse models of UC - the dextran sulfate sodium and oxazolone. The clinical disease index (CDI), histological changes of the colon, levels of inflammatory markers (Cox-2, iNOS, p53) and overall health vitals were evaluated.ConclusionsWe demonstrate that quinacrine successfully suppresses colitis without any indication of toxicity or side-effects in two mouse models of UC.

Highlights

  • Ulcerative colitis (UC) is a chronic disease that causes inflammation and ulcers in the colon and the rectum

  • The cellular levels of nitric oxide (NO) and associated reactive nitrogen species (RNS) are driving factors of inflammation and cancers associated with chronic inflammation [20]

  • Western blot analysis shows that pre-incubation of ANA-1 cells with quinacrine effectively attenuates the induction of inducible nitric oxide synthase (iNOS) for up to 24 hours (Figure 1A and 1B)

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Summary

Introduction

Ulcerative colitis (UC) is a chronic disease that causes inflammation and ulcers in the colon and the rectum. Ulcerative colitis (UC) is a chronic inflammatory bowel disease that is associated with an increased risk of colorectal cancer in 8-10 years after disease onset. Current colitis treatment strategies do not offer a cure for the disease, but only treat the symptoms with limited success and dangerous side-effects. Quinacrine is an antimalarial drug with versatile use in the treatment of diseases involving inflammatory response such as rheumatoid arthritis and lupus erythematosus. Quinacrine’s anti-inflammatory, anti-oxidant properties, and antitumorigenic properties make it a potential small molecule preventive agent for both UC and associated colorectal cancer

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