Therapeutic effects of lentinan on inflammatory bowel disease and colitis-associated cancer

Yanrong Liu1,2, Jianmin Zhao3, Yali Zhao1,4

  • 1Tianjin Key Laboratory of Molecular Drug Research, Tianjin International Joint Academy of Biomedicine, Tianjin, China.

Insights

Lentinan shows therapeutic potential for inflammatory bowel disease (IBD) and colitis-associated cancer (CAC) in mouse models. It reduced inflammation, tissue damage, and tumor development by modulating key signaling pathways and gut microbiota.

Area of Science:

  • Immunology
  • Gastroenterology
  • Pharmacology

Background:

  • Inflammatory bowel disease (IBD) and colitis-associated cancer (CAC) are significant health concerns with limited therapeutic options.
  • Current treatments for IBD and CAC have potential side effects and varying efficacy.
  • Understanding the molecular mechanisms underlying IBD and CAC is crucial for developing novel therapies.

Purpose of the Study:

  • To investigate the therapeutic efficacy of lentinan in preclinical models of IBD and CAC.
  • To elucidate the potential mechanisms of action of lentinan in mitigating IBD and CAC.
  • To evaluate lentinan's impact on inflammatory pathways, cancer markers, and gut microbiota.

Main Methods:

  • Murine models of colitis (DSS-induced, TNBS-induced) and CAC (azoxymethane/DSS-induced) were utilized.
  • Lentinan treatment was administered and compared with a standard drug, salicylazosulfapyridine.
  • Disease activity, tissue damage, tumor burden, inflammatory cytokine expression (IL-13, CD30L), signaling pathways (TLR4/NF-κB), colon cancer markers, and gut microbiota composition were assessed.

Main Results:

  • Lentinan significantly reduced disease activity index and colon tissue damage in colitis models.
  • High-dose lentinan demonstrated superior efficacy compared to salicylazosulfapyridine in colitis models.
  • Lentinan decreased tumor incidence, inflammatory cell infiltration, and atypical hyperplasia in the CAC model.
  • Lentinan suppressed pro-inflammatory cytokine expression and colon cancer markers by inhibiting TLR4/NF-κB signaling.
  • Lentinan treatment restored the intestinal bacterial community structure in IBD model mice.

Conclusions:

  • Lentinan exhibits significant therapeutic potential for treating IBD and CAC in preclinical settings.
  • Lentinan's efficacy is attributed to the inhibition of TLR4/NF-κB signaling, reducing inflammation and cancer progression.
  • Lentinan also positively modulates the gut microbiota, contributing to its therapeutic effects in IBD.

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