A mechanistic review on plant-derived natural compounds as dietary supplements for prevention of inflammatory bowel disease

Expert Rev Gastroenterol Hepatol. 2016 Jun;10(6):745-58. doi: 10.1586/17474124.2016.1145546. Epub 2016 Feb 20.

Abstract

Inflammatory bowel disease (IBD) is a recurrent idiopathic inflammatory condition, characterized by disruption of the gut mucosal barrier. This mechanistic review aims to highlight the significance of plant-derived natural compounds as dietary supplements, which can be used in addition to restricted conventional options for the prevention of IBD and induction of remission. Various clinical trials confirmed the effectiveness and tolerability of natural supplements in patients with IBD. Mounting evidence suggests that these natural compounds perform their protective and therapeutic effect on IBD through numerous molecular mechanisms, including anti-inflammatory and immunoregulatory, anti-oxidative stress, modulation of intracellular signaling transduction pathways, as well as improving gut microbiota. In conclusion, natural products can be considered as dietary supplements with therapeutic potential for IBD, provided that their safety and efficacy is confirmed in future well-designed clinical trials with adequate sample size.

Keywords: Inflammatory bowel diseases; dietary supplement; herbal medicine; oxidative stress; prevention.

Publication types

  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / adverse effects
  • Anti-Inflammatory Agents / therapeutic use*
  • Dietary Supplements* / adverse effects
  • Gastrointestinal Agents / adverse effects
  • Gastrointestinal Agents / therapeutic use*
  • Gastrointestinal Microbiome / drug effects
  • Humans
  • Inflammatory Bowel Diseases / diagnosis
  • Inflammatory Bowel Diseases / immunology
  • Inflammatory Bowel Diseases / microbiology
  • Inflammatory Bowel Diseases / prevention & control*
  • Intestines / drug effects*
  • Intestines / immunology
  • Intestines / microbiology
  • Phytochemicals / adverse effects
  • Phytochemicals / therapeutic use*
  • Protective Factors
  • Risk Factors
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents
  • Gastrointestinal Agents
  • Phytochemicals