Protective effects of betulinic acid on intestinal mucosal injury induced by cyclophosphamide in mice

Pharmacol Rep. 2019 Oct;71(5):929-939. doi: 10.1016/j.pharep.2019.05.004. Epub 2019 May 7.

Abstract

Background: Betulinic acid (BA) is a plant-derived pentacyclic triterpenoid with a variety of biological activities. The purpose of this study was to assess the potential protective role of BA against intestinal mucosal injury induced by cyclophosphamide (CYP) treatment.

Methods: Mice were pretreated with BA daily (0.05, 0.5, and 5.0 mg/kg) for 14 days, then injected intraperitoneally with CYP (50 mg/kg) for 2 days.

Results: BA pretreatment reduced the contents of malondialdehyde (MDA) and glutathione (GSH), decreased the activity of superoxide dismutase (SOD) in small intestine, increased villus hight/crypt depth ratio and restored the morphology of intestinal villi in CYP-induced mice. Moreover, BA pretreatment could significantly down-regulate the levels of pro-inflammatory cytokines interleukin-5 (IL-5), IL-17, IL-12 (P70) and tumor necrosis factor α (TNF-α), reduced production of chemokines macrophage inflammatory protein-1α (MIP-1α), macrophage inflammatory protein-1β (MIP-1β) and regulated upon activation, normal T-cell expressed and secreted (RANTES), and enhanced the levels of anti-inflammatory such as IL-2 and IL-10 in serum, and decreased the mRNA expressions of IL-1β and TNF-α in intestine of CYP-induced mice. Furthermore, RT-PCR demonstrated that BA improved intestinal physical and immunological barrier in CYP-stimulated mice by enhancing the mRNA expressions of zonula occluden 1 (ZO-1) and Claudin-1.

Conclusions: BA might be considered as an effective agent in the amelioration of the intestinal mucosal resulting from CYP treatment.

Keywords: Betulinic acid; Cyclophosphamide; Intestinal mucosal injury; Protection.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Antioxidants / metabolism
  • Betulinic Acid
  • Cyclophosphamide / toxicity*
  • Cytokines / metabolism
  • Intestinal Mucosa / drug effects*
  • Intestinal Mucosa / immunology
  • Intestinal Mucosa / metabolism
  • Intestine, Small / drug effects*
  • Intestine, Small / metabolism
  • Intestine, Small / pathology
  • Male
  • Mice, Inbred Strains
  • Oxidation-Reduction
  • Oxidative Stress / drug effects*
  • Oxidative Stress / immunology
  • Pentacyclic Triterpenes
  • Triterpenes / pharmacology*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Antioxidants
  • Cytokines
  • Pentacyclic Triterpenes
  • Triterpenes
  • Cyclophosphamide
  • Betulinic Acid