Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin Reabsorption

Studies increasingly show that ulcerative colitis (UC) is a consequence of an imbalance between oxidative stress and antioxidant capacity. Bilirubin exerts an anti-inflammatory effect by scavenging reactive oxygen species (ROS), although the exact mechanism is not completely understood. The aim of t...

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Main Authors: Chong Zhao, Hongli Huang, Qiuhua Pan, Wenqi Huang, Wu Peng, Haoming Xu, Zhiqiang Feng, Yanlei Du, Yuqiang Nie, Yongjian Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.654808/full
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author Chong Zhao
Chong Zhao
Chong Zhao
Hongli Huang
Hongli Huang
Qiuhua Pan
Qiuhua Pan
Wenqi Huang
Wenqi Huang
Wu Peng
Wu Peng
Haoming Xu
Haoming Xu
Zhiqiang Feng
Zhiqiang Feng
Yanlei Du
Yanlei Du
Yuqiang Nie
Yuqiang Nie
Yongjian Zhou
Yongjian Zhou
author_facet Chong Zhao
Chong Zhao
Chong Zhao
Hongli Huang
Hongli Huang
Qiuhua Pan
Qiuhua Pan
Wenqi Huang
Wenqi Huang
Wu Peng
Wu Peng
Haoming Xu
Haoming Xu
Zhiqiang Feng
Zhiqiang Feng
Yanlei Du
Yanlei Du
Yuqiang Nie
Yuqiang Nie
Yongjian Zhou
Yongjian Zhou
author_sort Chong Zhao
collection DOAJ
description Studies increasingly show that ulcerative colitis (UC) is a consequence of an imbalance between oxidative stress and antioxidant capacity. Bilirubin exerts an anti-inflammatory effect by scavenging reactive oxygen species (ROS), although the exact mechanism is not completely understood. The aim of this study was to determine the role of serum bilirubin in UC using patient data and a mouse model of dextran sodium sulfate (DSS)-induced colitis. We found that low levels of serum bilirubin correlated to a higher risk of UC in a retrospective case-control population. Pre-treatment with exogenous unconjugated bilirubin (UCB) significantly enhanced colonic bilirubin absorption in mice, and attenuated the DSS-induced body weight loss, colon shortening and histopathological damage. Mechanistically, bilirubin prevented the infiltration of inflammatory cells, and decreased the levels of myeloperoxidase and pro-inflammatory cytokines in the serum and colon. Moreover, bilirubin inhibited ROS and malondialdehyde production, scavenged superoxide anions (O2·−) from the colon and enhanced the total antioxidant capacity. In conclusion, exogenous UCB attenuated DSS-induced colitis by directly scavenging O2·− and enhancing bilirubin reabsorption in the colon via enterohepatic cycling.
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spelling doaj.art-04868be23ef2429680bb1ae51f9f773f2022-12-21T19:57:11ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-05-011210.3389/fphar.2021.654808654808Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin ReabsorptionChong Zhao0Chong Zhao1Chong Zhao2Hongli Huang3Hongli Huang4Qiuhua Pan5Qiuhua Pan6Wenqi Huang7Wenqi Huang8Wu Peng9Wu Peng10Haoming Xu11Haoming Xu12Zhiqiang Feng13Zhiqiang Feng14Yanlei Du15Yanlei Du16Yuqiang Nie17Yuqiang Nie18Yongjian Zhou19Yongjian Zhou20Department of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaGuangzhou Municipal and Guangdong Provincial Key Laboratory of Protein Modification and Degradation, School of Basic Medical Sciences, Guangzhou Medical University, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaDepartment of Gastroenterology, Guangzhou Digestive Disease Center, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaGuangzhou Key Laboratory of Digestive Disease, Guangzhou First People’s Hospital, Guangzhou, ChinaStudies increasingly show that ulcerative colitis (UC) is a consequence of an imbalance between oxidative stress and antioxidant capacity. Bilirubin exerts an anti-inflammatory effect by scavenging reactive oxygen species (ROS), although the exact mechanism is not completely understood. The aim of this study was to determine the role of serum bilirubin in UC using patient data and a mouse model of dextran sodium sulfate (DSS)-induced colitis. We found that low levels of serum bilirubin correlated to a higher risk of UC in a retrospective case-control population. Pre-treatment with exogenous unconjugated bilirubin (UCB) significantly enhanced colonic bilirubin absorption in mice, and attenuated the DSS-induced body weight loss, colon shortening and histopathological damage. Mechanistically, bilirubin prevented the infiltration of inflammatory cells, and decreased the levels of myeloperoxidase and pro-inflammatory cytokines in the serum and colon. Moreover, bilirubin inhibited ROS and malondialdehyde production, scavenged superoxide anions (O2·−) from the colon and enhanced the total antioxidant capacity. In conclusion, exogenous UCB attenuated DSS-induced colitis by directly scavenging O2·− and enhancing bilirubin reabsorption in the colon via enterohepatic cycling.https://www.frontiersin.org/articles/10.3389/fphar.2021.654808/fullulcerative colitisbilirubinantioxidantenterohepatic cyclingsuperoxide (O2·−)
spellingShingle Chong Zhao
Chong Zhao
Chong Zhao
Hongli Huang
Hongli Huang
Qiuhua Pan
Qiuhua Pan
Wenqi Huang
Wenqi Huang
Wu Peng
Wu Peng
Haoming Xu
Haoming Xu
Zhiqiang Feng
Zhiqiang Feng
Yanlei Du
Yanlei Du
Yuqiang Nie
Yuqiang Nie
Yongjian Zhou
Yongjian Zhou
Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin Reabsorption
Frontiers in Pharmacology
ulcerative colitis
bilirubin
antioxidant
enterohepatic cycling
superoxide (O2·−)
title Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin Reabsorption
title_full Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin Reabsorption
title_fullStr Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin Reabsorption
title_full_unstemmed Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin Reabsorption
title_short Unconjugated Bilirubin Attenuates DSS-Induced Colitis Potentially via Enhancement of Bilirubin Reabsorption
title_sort unconjugated bilirubin attenuates dss induced colitis potentially via enhancement of bilirubin reabsorption
topic ulcerative colitis
bilirubin
antioxidant
enterohepatic cycling
superoxide (O2·−)
url https://www.frontiersin.org/articles/10.3389/fphar.2021.654808/full
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