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Updated: Feb 4, 2026

Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis
Published on: May 16, 2025
VSL#3 can prevent ulcerative colitis-associated carcinogenesis in mice
Chun-Sai-Er Wang1, Wen-Bin Li1, Hong-Ying Wang2
1Department of Gastroenterology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.
VSL#3 significantly reduced tumor formation and inflammation in a mouse model of ulcerative colitis. This probiotic also helped restore a healthy balance to the gut microbiota, suggesting a protective role against colitis-associated cancer.
Area of Science:
- Gastroenterology
- Microbiology
- Oncology
Background:
- Ulcerative colitis (UC) poses a significant risk for colorectal cancer development.
- The gut microbiota plays a crucial role in the pathogenesis and progression of UC-associated carcinogenesis.
- Modulating the gut microbiota through probiotics may offer a therapeutic strategy for preventing UC-associated tumors.
Purpose of the Study:
- To evaluate the efficacy of VSL#3, a probiotic formulation, in preventing tumor formation in a mouse model of ulcerative colitis (UC).
- To assess the impact of VSL#3 on fecal and intestinal mucosal microbiota composition in the context of UC-associated carcinogenesis.
- To investigate the effects of VSL#3 on inflammatory markers in the colon.
Main Methods:
- Azoxymethane/dextran sulfate sodium (AOM/DSS) was used to induce a UC carcinogenesis model in C57BL/6 mice.
- Mice were treated with 5-aminosalicylic acid (5-ASA), VSL#3, or a combination of both for three months.
- Tumor load, colonic levels of TNF-α and IL-6, and gut microbiota composition (via 16s rDNA sequencing) were analyzed.
Main Results:
- VSL#3 treatment significantly reduced tumor load and decreased levels of TNF-α and IL-6 in the colon.
- Fecal microbiota analysis revealed alterations in bacterial populations, with VSL#3 and 5-ASA modulating levels of Lactobacillus, Oscillibacter, and Lachnoclostridium.
- Intestinal mucosal microbiota showed increased Bifidobacterium and decreased Alloprevotella following VSL#3 supplementation.
Conclusions:
- VSL#3 demonstrates preventative effects against UC-associated carcinogenesis in a mouse model.
- VSL#3 effectively reduces colonic mucosal inflammation.
- VSL#3 contributes to rebalancing the fecal and mucosal intestinal microbiota, suggesting a role in maintaining gut homeostasis.
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