Vinpocetine attenuates 5-fluorouracil-induced intestinal injury: role of the Keap1/Nrf2/HO-1, NF-κB/TLR4/SOCS3 and RIPK1/RIPK3/MLKL signals.

IF 2.9 4区 医学 Q3 IMMUNOLOGY
Emad H M Hassanein, Hanan S Althagafy, Sherif M A Mansour, Zainab M M Omar, Mohamed Mahmoud Hussein Hassanein, Omnia A M Abd El-Ghafar
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引用次数: 0

Abstract

Objectives: 5-Fluorouracil (5-FU) is a chemotherapy drug commonly prescribed in cancer management. Unfortunately, intestinal mucositis restricts 5-FU clinical use. Vinpocetine (VNP) is a synthetic alkaloid that is derived from vincamine. Our study was conducted to elucidate the intestinal protective effects of VNP on 5-FU intestinal injury in rats and explore the underlying mechanisms.

Materials and methods: 5-FU was injected i.p. for five days, while VNP was given P.O (5 and 10 mg/kg).

Results: VNP effectively mitigates oxidative stress by a significant increase in GSH and SOD and decreasing MDA content mediated by Nrf2, HO-1 upregulation, and significant Keap1 downregulation. VNP mitigated inflammatory perturbations by decreasing MPO, TNF-α, IL-1β, and IL-6 facilitated by downregulating NF-κB and TLR4 and upregulating SOCS3 levels. In addition, the RIPK1, RIPK3, MLKL, and caspase-8 expression levels were significantly decreased, evidenced improvement of intestinal necroptosis by VNP.

Conclusion: Hence, VNP potently prevents intestinal injury induced by 5-FU by modulating Keap1/Nrf2/HO-1, NF-κB/TLR4/SOCS3, and RIPK1/RIPK3/MLKL signals.

长春西汀减轻5-氟尿嘧啶诱导的肠道损伤:Keap1/Nrf2/HO-1、NF-κB/TLR4/SOCS3和RIPK1/RIPK3/MLKL信号的作用
目的:5-氟尿嘧啶(5-FU)是治疗癌症的常用化疗药物。遗憾的是,肠粘膜炎限制了 5-FU 的临床应用。长春西汀(VNP)是从长春胺中提取的一种合成生物碱。我们的研究旨在阐明 VNP 对 5-FU 大鼠肠道损伤的保护作用,并探索其潜在机制:结果:在 Nrf2、HO-1 上调和 Keap1 显著下调的介导下,VNP 能有效缓解氧化应激,使 GSH 和 SOD 显著增加,MDA 含量降低。通过下调 NF-κB 和 TLR4 以及上调 SOCS3 水平,VNP 可降低 MPO、TNF-α、IL-1β 和 IL-6 含量,从而缓解炎症扰动。此外,RIPK1、RIPK3、MLKL和caspase-8的表达水平也明显下降,证明VNP能改善肠道坏死:因此,VNP可通过调节Keap1/Nrf2/HO-1、NF-κB/TLR4/SOCS3和RIPK1/RIPK3/MLKL信号,有效预防5-FU诱导的肠道损伤。
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来源期刊
CiteScore
5.40
自引率
0.00%
发文量
133
审稿时长
4-8 weeks
期刊介绍: The journal Immunopharmacology and Immunotoxicology is devoted to pre-clinical and clinical drug discovery and development targeting the immune system. Research related to the immunoregulatory effects of various compounds, including small-molecule drugs and biologics, on immunocompetent cells and immune responses, as well as the immunotoxicity exerted by xenobiotics and drugs. Only research that describe the mechanisms of specific compounds (not extracts) is of interest to the journal. The journal will prioritise preclinical and clinical studies on immunotherapy of disorders such as chronic inflammation, allergy, autoimmunity, cancer etc. The effects of small-drugs, vaccines and biologics against central immunological targets as well as cell-based therapy, including dendritic cell therapy, T cell adoptive transfer and stem cell therapy, are topics of particular interest. Publications pointing towards potential new drug targets within the immune system or novel technology for immunopharmacological drug development are also welcome. With an immunoscience focus on drug development, immunotherapy and toxicology, the journal will cover areas such as infection, allergy, inflammation, tumor immunology, degenerative disorders, immunodeficiencies, neurology, atherosclerosis and more. Immunopharmacology and Immunotoxicology will accept original manuscripts, brief communications, commentaries, mini-reviews, reviews, clinical trials and clinical cases, on the condition that the results reported are based on original, clinical, or basic research that has not been published elsewhere in any journal in any language (except in abstract form relating to paper communicated to scientific meetings and symposiums).
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