Pure Total Flavonoids From Citrus Protect Against Nonsteroidal Anti-inflammatory Drug-Induced Small Intestine Injury by Promoting Autophagy in vivo and in vitro

被引:26
作者
Chen, Shanshan [1 ]
Jiang, Jianping [2 ,3 ]
Chao, Guanqun [4 ]
Hong, Xiaojie [1 ]
Cao, Haijun [1 ]
Zhang, Shuo [1 ]
机构
[1] Zhejiang Chinese Med Univ, Affiliated Hosp 1, Hangzhou, Zhejiang, Peoples R China
[2] Zhejiang Univ City Coll, Sch Med, Dept Pharm, Hangzhou, Zhejiang, Peoples R China
[3] Zhejiang You Du Biotech Ltd Co, Quzhou, Peoples R China
[4] Sir Run Run Shaw Hosp, Hangzhou, Zhejiang, Peoples R China
关键词
autophagy; pure total flavonoids from citrus; non-steroidal anti-inflammatory drugs; PI3K-AKT pathway; small intestine injury; NF-KAPPA-B; BARRIER INTEGRITY; NARINGIN; PATHWAY; INHIBITION; ACTIVATION; TOXICITY; PI3K/AKT; DISEASE; MTOR;
D O I
10.3389/fphar.2021.622744
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Small intestine injury is an adverse effect of non-steroidal anti-inflammatory drugs (NSAIDs) that urgently needs to be addressed for their safe application. Although pure total flavonoids from citrus (PTFC) have been marketed for the treatment of digestive diseases, their effects on small intestine injury and the underlying mechanism of action remain unknown. This study aimed to investigate the potential role of autophagy in the mechanism of NSAID (diclofenac)-induced intestinal injury in vivo and in vitro and to demonstrate the protective effects of PTFC against NSAID-induced small intestine disease. The results of qRT-PCR, western blotting, and immunohistochemistry showed that the expression levels of autophagy-related 5 (Atg5), light chain 3 (LC3)-II, and tight junction (TJ) proteins ZO-1, claudin-1, and occludin were decreased in rats with NSAID-induced small intestine injury and diclofenac-treated IEC-6 cells compared with the control groups. In the PTFC group, Atg5 and LC3-II expression, TJ protein expression, and the LC3-II/LC3-I ratio increased. Furthermore, the mechanism by which PTFC promotes autophagy in vivo and in vitro was evaluated by western blotting. Expression levels of p-PI3K and p-Akt increased in the intestine disease-induced rat model group compared with the control, but decreased in the PTFC group. Autophagy of IEC-6 cells was upregulated after treatment with a PI3K inhibitor, and the upregulation was significantly more after PTFC treatment, suggesting PTFC promoted autophagy through the PI3K/Akt signaling pathway. In conclusion, PTFC protected intestinal barrier integrity by promoting autophagy, which demonstrates its potential as a therapeutic candidate for NSAID-induced small intestine injury.
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页数:12
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