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      The Antioxidant and Anti-Inflammatory Effects of Quercus brantii Extract on TNBS-Induced Ulcerative Colitis in Rats

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          Abstract

          Objectives

          Ulcerative colitis is a common subtype of persistent inflammatory bowel disease with high morbidity consequences. Despite unknown definite pathogenesis, multiple anti-inflammatory medications are used for its treatment. Traditionally, Quercus brantii (QB), mostly available in the Middle East, has been used for gastrointestinal disorders. Other beneficial effects associated with QB include reduction of oxidative stress, inflammations, homeostatic instability, and improvement in clinical conditions.

          Materials and Methods

          This experimental study was designed to assess the possible therapeutic effects of QB on UC and compare its effects with those of sulfasalazine. Of the 70 Wistar rats clustered in seven groups, ten received only alcohols and sixty were confirmed to be suffering from trinitrobenzene sulfonic acid- (TNBS-) induced colitis. Four groups received different dosages of QB extract via oral and rectal routes, one received sulfasalazine, and the other remaining two groups received nothing. The effects of QB were evaluated by assessing macroscopic and histologic scoring, measuring inflammatory mediators, and determining oxidative stress markers.

          Results

          Comparing to the untreated TNBS-induced control groups, QB-treated groups showed a dose- and route-dependent improvement comparable with sulfasalazine. Treating rats with QB reduced the microscopic and macroscopic damage, decreased TNF- α, IL-6, NO, MPO activity, and MDA content, increased superoxide dismutase (SOD) activity, and reduced body weight loss.

          Conclusions

          Our data recommended the anti-inflammatory and antioxidant effects of QB extract in a dose-dependent manner.

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          Most cited references74

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          Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction.

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            Gut microbiota in the pathogenesis of inflammatory bowel disease.

            Inflammatory bowel disease (IBD), including ulcerative colitis and Crohn's disease, is a chronic and relapsing inflammatory disorder of the intestine. Although its incidence is increasing globally, the precise etiology remains unclear and a cure for IBD has yet to be discovered. The most accepted hypothesis of IBD pathogenesis is that complex interactions between genetics, environmental factors, and the host immune system lead to aberrant immune responses and chronic intestinal inflammation. The human gut harbors a complex and abundant aggregation of microbes, collectively referred to as the gut microbiota. The gut microbiota has physiological functions associated with nutrition, the immune system, and defense of the host. Recent advances in next-generation sequencing technology have identified alteration of the composition and function of the gut microbiota, which is referred to as dysbiosis, in IBD. Clinical and experimental data suggest dysbiosis may play a pivotal role in the pathogenesis of IBD. This review is focused on the physiological function of the gut microbiota and the association between the gut microbiota and pathogenesis in IBD. In addition, we review the therapeutic options for manipulating the altered gut microbiota, such as probiotics and fecal microbiota transplantation.
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              Immunopathogenesis of IBD: current state of the art.

              IBD is a chronic inflammatory condition of the gastrointestinal tract encompassing two main clinical entities: Crohn's disease and ulcerative colitis. Although Crohn's disease and ulcerative colitis have historically been studied together because they share common features (such as symptoms, structural damage and therapy), it is now clear that they represent two distinct pathophysiological entities. Both Crohn's disease and ulcerative colitis are associated with multiple pathogenic factors including environmental changes, an array of susceptibility gene variants, a qualitatively and quantitatively abnormal gut microbiota and a broadly dysregulated immune response. In spite of this realization and the identification of seemingly pertinent environmental, genetic, microbial and immune factors, a full understanding of IBD pathogenesis is still out of reach and, consequently, treatment is far from optimal. An important reason for this unsatisfactory situation is the currently limited comprehension of what are the truly relevant components of IBD immunopathogenesis. This article will comprehensively review current knowledge of the classic immune components and will expand the concept of IBD immunopathogenesis to include various cells, mediators and pathways that have not been traditionally associated with disease mechanisms, but that profoundly affect the overall intestinal inflammatory process.
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                Author and article information

                Contributors
                Journal
                Evid Based Complement Alternat Med
                Evid Based Complement Alternat Med
                ECAM
                Evidence-based Complementary and Alternative Medicine : eCAM
                Hindawi
                1741-427X
                1741-4288
                2021
                7 January 2021
                7 January 2021
                : 2021
                : 3075973
                Affiliations
                1Gastroenterhepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
                2Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
                3Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
                4Stem Cells Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
                5Health Sciences Research Center, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
                6Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
                7Molecular Pathology and Cytogenetics Division, Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran
                8Department of Internal Medicine, School of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran
                9Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
                10Central Research Laboratory, Shiraz University of Medical Sciences, Shiraz, Iran
                11Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
                12Department of Medical Biotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran
                13Medicinal and Natural Products Chemistry Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
                Author notes

                Academic Editor: Qi-Rui Wang

                Author information
                https://orcid.org/0000-0003-3025-0986
                https://orcid.org/0000-0002-9286-6455
                https://orcid.org/0000-0002-4682-5679
                https://orcid.org/0000-0001-9282-1778
                https://orcid.org/0000-0003-0360-7468
                https://orcid.org/0000-0003-3360-6140
                https://orcid.org/0000-0001-8438-2146
                https://orcid.org/0000-0002-8442-2205
                Article
                10.1155/2021/3075973
                7808820
                33505492
                ca7cf4f4-04a0-4588-a487-a7e66c539995
                Copyright © 2021 Mahvash Alizade Naini et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 5 August 2020
                : 15 November 2020
                : 19 December 2020
                Funding
                Funded by: Shiraz University of Medical Sciences
                Award ID: 91.01.36.4560
                Categories
                Research Article

                Complementary & Alternative medicine
                Complementary & Alternative medicine

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