Classical prescription Huanglian Decoction relieves ulcerative colitis via maintaining intestinal barrier integrity and modulating gut microbiota

Phytomedicine. 2022 Dec:107:154468. doi: 10.1016/j.phymed.2022.154468. Epub 2022 Sep 21.

Abstract

Background: Ulcerative colitis (UC) has affected an increasing number of people globally, with still limited clinical success. Huanglian Decoction (HLD) is a famous classical prescription documented for alleviating gastrointestinal disorders with unexplored therapeutic effects and mechanisms.

Purpose: This study aimed to investigate the therapeutic effect and underlying mechanism of HLD in dextran sodium sulfate (DSS)-induced colitis mice.

Methods: The efficacy and safety of HLD were evaluated in a well-established DSS-induced colitis mice model. Disease progression was monitored via clinical symptoms, histopathological examination, biochemical assays, and epithelial barrier function evaluation.

Results: HLD alleviated DSS-induced colitis symptoms, reversed colon length reduction, reduced histological injury, downregulated the level of pro-inflammatory cytokines, maintained the tight distribution of ZO-1/occludin-1 and the normal level of β-catenin, concurrent with apoptosis reduction in the colonic epithelium. After HLD treatment, the DSS-induced gut dysbiosis was modulated, and the gut microbiota achieved a new equilibrium state.

Conclusion: This study demonstrates that HLD may present a potential remedy for UC treatment, providing evidence for further developing Chinese classical prescriptions.

Keywords: Chinese classical prescriptions; Gut microbiota; Huanglian Decoction; Inflammation; Ulcerative colitis.

MeSH terms

  • Animals
  • Colitis* / chemically induced
  • Colitis, Ulcerative* / chemically induced
  • Colitis, Ulcerative* / drug therapy
  • Colitis, Ulcerative* / pathology
  • Colon / pathology
  • Cytokines
  • Dextran Sulfate / adverse effects
  • Disease Models, Animal
  • Drugs, Chinese Herbal
  • Gastrointestinal Microbiome*
  • Mice
  • Mice, Inbred C57BL
  • Occludin
  • Prescriptions
  • beta Catenin

Substances

  • Cytokines
  • Drugs, Chinese Herbal
  • Occludin
  • beta Catenin
  • huanglian
  • Dextran Sulfate