European Journal of Pharmacology · 2022 · 14 citations · 36 references
MedicineImmunologyPharmacologyImmunopathologyImmunopharmacologyInflammationCytokine BiologyGastrointestinal InflammationInflammatory Bowel DiseaseInflammatory Cell ResponsesInflammatory SignalingMucosal InflammationAnti-inflammatory ActivityColonic InflammationCrohn's ColitisMacrophage Inflammatory ResponsesMacrophage-mediated InflammationMonocyte-to-macrophage DifferentiationOrganoidsProinflammatory Mediators
Objectives Intestinal inflammation and intestinal barrier dysfunction are two important pathological changes in Crohn's disease (CD). Sotetsuflavone (SF) is a natural monomeric herbal compound with anti-inflammatory and cytoprotective effects that is mostly nontoxic. The effect of SF on CD-like spontaneous colitis was investigated in this study. Methods Il-10 −/− mice were used as a CD model and were administered different doses of SF. Lipopolysaccharide (LPS) plus IFN-γ-induced macrophages (RAW264.7) and a coculture system (RAW264.7 and organoids) were used in vitro . The protective effects of SF against CD-like colitis and macrophage differentiation and the mechanisms were evaluated. Results SF treatment markedly improved spontaneous colitis in the CD model, as shown by the following evidence: reductions in the DAI , macroscopic scores (3.63 ± 1.30), colonic tissue inflammatory scores (2 ± 0.76) and proinflammatory factor levels and the attenuation of colon shortening (8 ± 0.93 cm) and weight loss (1.75 ± 1.83 g). Decreased intestinal permeability and intestinal bacterial translocation rates provided evidence of the protective effect of SF on intestinal barrier function. We also found that SF suppressed M1 macrophage-induced inflammatory responses. In the coculture system of mouse colonic organoids and RAW264.7 cells, SF significantly ameliorated M1 macrophage-induced intestinal epithelial damage. In addition, SF inhibited JNK and MAPK (p38) signalling in both Il-10 −/− mice and LPS plus IFN-γ-induced macrophages (RAW264.7). Conclusions The protective effects of SF against CD-like colitis may be achieved partially by inhibiting M1 macrophage-induced intestinal barrier damage via JNK and p38 signalling. SF may have therapeutic potential for treating CD, especially considering its safety.
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ECCO Guidelines on Therapeutics in Crohn's Disease: Medical Treatment
Joana Torres, Stefanos Bonovas, Glen Doherty et al. · Journal of Crohn s and Colitis · 2019 · 1.3K citations · Full text
Jean‐Frédéric Colombel, Nicolas Ferrari, Hervé Debuysère et al. · Gastroenterology · 2000 · 615 citations · Full text