Polysaccharides from Passion Fruit Peels: From an Agroindustrial By-Product to a Viable Option for 5-FU-Induced Intestinal Damage

Pharmaceuticals (Basel). 2023 Jun 21;16(7):912. doi: 10.3390/ph16070912.

Abstract

Gastrointestinal mucositis is a serious and dose-limiting toxic side effect of oncologic treatment. Interruption of cancer treatment due to gastrointestinal mucositis leads to a significant decrease in cure rates and consequently to the deterioration of a patient's quality of life. Natural polysaccharides show a variety of beneficial effects, including a gastroprotective effect. Treatment with soluble dietary fiber (SDF) from yellow passion fruit (Passiflora edulis) biomass residues protected the gastric and intestinal mucosa in models of gastrointestinal injury. In this study, we investigated the protective therapeutic effect of SDF on 5-FU-induced mucositis in male and female mice. Oral treatment of the animals with SDF did not prevent weight loss but reduced the disease activity index and preserved normal intestinal function by alleviating diarrhea and altered gastrointestinal transit. SDF preserved the length of the colon and histological damage caused by 5-FU. SDF significantly restored the oxidative stress and inflammation in the intestine and the enlargement and swelling of the spleen induced by 5-FU. In conclusion, SDF may be a promising adjuvant strategy for the prevention and treatment of intestinal mucositis induced by 5-FU.

Keywords: 5-FU; Passiflora edulis; agroindustrial by-products; agroindustrial residues; chemotherapy damage; intestinal damage; intestinal injury.

Grants and funding

Thaís work was supported by the Instituto de Pesquisa Pelé Pequeno Príncipe (Brazil), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq Grant numbers 404717/2016-0, 310332/2015-0, 307314/2018-9 to L.M.C.C.; and 302195/2022-0 to D.M.F.), and in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001. The authors are master or doctoral students receiving a fellowship from CAPES, Fundação Araucária (Process 19–2015), or Instituto de Pesquisa Pelé Pequeno Príncipe.