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Diacetylrhein, an anthraquinone antiarthritic agent, suppresses dextran sodium sulfate-induced inflammation in rats: A possible mechanism for a protective effect against ulcerative colitis - 10/09/22

Doi : 10.1016/j.biopha.2022.113651 
Mona H. Zohny a, Mohammed Alrouji b, , Sharif Alhajlah b , Othman AlOmeir c , Mohamed Gamal El-Din Ewees d , Dalia M. Abdel Ghaffar e , Noura El Adle Khalaf f , Osama A. Mohammed g, h , Mahmoud Said Ibrahim Abdeldaiem i, j , Waleed Barakat El-Bahouty k , Amr Elrabat l , Sahar Zakaria m , Zeinab M. Abdel-Nasser n , Amira A. Haleem o , Doaa M. El-Gharbawy p , Rasha Abdelhady q , Mohamed M.Y. Kaddah r , Ahmed Shata s, t , Sameh Saber u
a Department of Biochemistry, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa 11152, Egypt 
b Department of Medical Laboratories, College of Applied Medical Sciences, Shaqra University, Shaqra 11961, Saudi Arabia 
c Department of Pharmacy Practice, College of Pharmacy, Shaqra University, Shaqra 11961, Saudi Arabia 
d Department of Pharmacology and Toxicology, Faculty of Pharmacy, Nahda University, Beni-Suef, Egypt 
e Department of Physiology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
f Department of Clinical Pharmacology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
g Department of Clinical Pharmacology, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt 
h Department of Clinical Pharmacology, Faculty of Medicine, Bisha University, Bisha 61922, Saudi Arabia 
i Clinical Pharmacy Department, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia 
j Pharmacy Practice Department, Faculty of Pharmacy, Sinai University, Ismailia, Egypt 
k Pharmacology Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt 
l Gastroenterology and Hepatology Department, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
m Department of Tropical Medicine, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
n Department of Biochemistry, Faculty of Pharmacy, October University for Modern Sciences and Arts (MSA), Giza 11787, Egypt 
o Medical Biochemistry Department, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
p Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt 
q Pharmacology and Toxicology Department, Faculty of Pharmacy, Fayoum University, Fayoum, Egypt 
r Pharmaceutical and Fermentation Industries Development Center, City of Scientific Research and Technological Applications, New Borg El-Arab 21934, Alexandria, Egypt 
s Department of Clinical Pharmacology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
t Department of Clinical Pharmacy, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa 11152, Egypt 
u Department of Pharmacology, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa 11152, Egypt 

Corresponding author.

Abstract

Ulcerative colitis (UC) is a chronic inflammatory life-threatening and premalignant disorder with no cure that even might end up with surgical removal of a large section or even all of the colon. It is characterized by relapsing-remitting courses of intestinal inflammation and mucosal damage in which oxidative stress and exaggerated inflammatory response play a significant role. Most of the current medications to maintain remission are symptomatic and have many adverse reactions. Therefore, the potential for improved management of patients with UC continues to increase. Yet, the benefits of using the antiarthritic agent diacetylrhein to counteract inflammation in UC are still obscure. Hence, our study was designed to explore its potential role in UC using a model of dextran sodium sulfate-induced acute colitis in rats. Our results revealed that diacetylrhein targeted the NLRP3 and inhibited the inflammasome assembly. Consequently, caspase-1 activity and the inflammatory cytokines IL-1β and IL-18 were inhibited leading to a curbed pyroptosis process. Additionally, diacetylrhein revealed a significant antiapoptotic potential as revealed by the levels of pro-apoptotic and anti-apoptotic proteins. Concomitant to these effects, diacetylrhein also interrupted NFκB signals leading to improved microscopic features of inflamed colon and decreased colon weight to length ratio, indices of disease activity, and macroscopic damage. Additionally, a reduction in the myeloperoxidase activity, IL-6, and TGF-β alongside an increase in the gene expression of Ocln and ZO-1 were detected. To conclude diacetylrhein showed a significant antioxidant and anti-inflammatory potential and therefore might represent a promising agent in the management of acute UC.

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Graphical Abstract




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Highlights

Diacetylrhein suppressed dextran sodium sulfate-induced ulcerative colitis.
Diacetylrhein targeted the NLRP3 and inhibited the inflammasome assembly.
Diacetylrhein inhibited caspase-1 activity and suppressed IL-1β and IL-18.
Diacetylrhein interrupted NFκB signals and subsequent inflammatory mediators.
Diacetylrhein revealed a significant antiapoptotic potential.

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Abbreviations : ASC, Bax, BCL-2, CARD, CAPS, DAR, DSS, ESCEO, GAPDH, IDA, IκBα, IκK, IL, IMD, MCP-1, MDA, MPO, NFκB, NLRP3, NSAIDs, Ocln, ROS, TAK1, TGF-β, UC, ZO-1

Keywords : Diacetylrhein, IL-1β inhibitor, NLRP3 inflammasome, Ulcerative colitis, Dextran sodium sulfate, NFκB


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