Vinpocetine mitigates methotrexate-induced duodenal intoxication by modulating NF-κB, JAK1/STAT-3, and RIPK1/RIPK3/MLKL signals.

IF 2.9 4区 医学 Q3 IMMUNOLOGY Immunopharmacology and Immunotoxicology Pub Date : 2024-02-01 Epub Date: 2023-08-03 DOI:10.1080/08923973.2023.2239491
Hanaa M Tashkandi, Hanan S Althagafy, Fatima A Jaber, Turki Alamri, Nouf S Al-Abbas, Nehad A Shaer, Steve Harakeh, Emad H M Hassanein
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Abstract

Objectives: Methotrexate (MTX) is an antimetabolite agent widely used to manage a variety of tumors and autoimmune diseases. Nonetheless, MTX-induced intestinal intoxication is a serious adverse effect limiting its clinical utility. Inflammation and oxidative stress are possible mechanisms for MTX-induced intestinal toxicity. Vinpocetine (VNP) is a derivative of the alkaloid vincamine with potent anti-inflammatory and antioxidant effects. The current study investigated the protective intestinal impact of VNP in attenuating MTX-induced intestinal intoxication in rats.

Materials and methods: VNP was administered orally in a dose of 20 mg/kg, while MTX was injected intraperitoneal in a dose of 20 mg/kg.

Results: VNP administration attenuated drastic histological changes induced by MTX and preserved both normal villus and crypt histology. VNP significantly attenuated oxidative injury by upregulating intestinal Nrf2 and HO-1 expression. VNP attenuated inflammation by reducing MPO, NO2-, TNF-α, and IL-1β levels mediated by downregulating NF-κB, NDAPH-oxidase, IRF3, p-JAK-1, and p-STAT-3 expressions. Moreover, VNP potently counteracted intestinal necroptosis by effectively downregulating RIPK1, RIPK3, MLKL, and caspase-8 proteins.

Conclusion: Therefore, VNP may represent a promising approach that can attenuate intestinal toxicity in patients receiving MTX.

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长春西汀通过调节 NF-κB、JAK1/STAT-3 和 RIPK1/RIPK3/MLKL 信号减轻甲氨蝶呤诱导的十二指肠中毒。
目的:甲氨蝶呤(MTX)是一种抗代谢药物,广泛用于治疗各种肿瘤和自身免疫性疾病。然而,MTX 引起的肠道中毒是一种严重的不良反应,限制了其临床应用。炎症和氧化应激是 MTX 引起肠道中毒的可能机制。长春西汀(VNP)是生物碱长春胺的衍生物,具有强大的抗炎和抗氧化作用。本研究探讨了 VNP 在减轻 MTX 引起的大鼠肠道中毒方面对肠道的保护作用:口服 20 毫克/千克剂量的 VNP,同时腹腔注射 20 毫克/千克剂量的 MTX:结果:服用 VNP 可减轻 MTX 引起的组织学急剧变化,并保留正常的绒毛和隐窝组织学。VNP 通过上调肠道 Nrf2 和 HO-1 的表达,明显减轻了氧化损伤。VNP 通过下调 NF-κB、NDAPH-氧化酶、IRF3、p-JAK-1 和 p-STAT-3 的表达,降低 MPO、NO2-、TNF-α 和 IL-1β 水平,从而减轻炎症反应。此外,VNP 还能通过有效下调 RIPK1、RIPK3、MLKL 和 caspase-8 蛋白,从而有效对抗肠道坏死:因此,VNP可能是一种有希望减轻MTX患者肠道毒性的方法。
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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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