Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction

Abstract Background Ginger or ginger extracts have been used in traditional medicine relieve pain caused by diarrhea predominant irritable bowel syndrome (IBS-D), but few data exists about its effectiveness. This present study was to validate the effect of ginger on visceral pain, and to further exp...

Full description

Bibliographic Details
Main Authors: Changrong Zhang, Yongquan Huang, Peiwu Li, Xinlin Chen, Fengbin Liu, Qiuke Hou
Format: Article
Language:English
Published: BMC 2020-09-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12906-020-03059-3
_version_ 1819072867386523648
author Changrong Zhang
Yongquan Huang
Peiwu Li
Xinlin Chen
Fengbin Liu
Qiuke Hou
author_facet Changrong Zhang
Yongquan Huang
Peiwu Li
Xinlin Chen
Fengbin Liu
Qiuke Hou
author_sort Changrong Zhang
collection DOAJ
description Abstract Background Ginger or ginger extracts have been used in traditional medicine relieve pain caused by diarrhea predominant irritable bowel syndrome (IBS-D), but few data exists about its effectiveness. This present study was to validate the effect of ginger on visceral pain, and to further explore the possible underlying mechanism by which ginger is used to relieve IBS-D intestinal hypersensitivity. Methods First, the IBS-D rat model was established by chemical stimulation and acute and chronic pressure stimulation. Then, different dose of ginger were administrated to IBS-D rats and evaluate the defecation frequency, fecal water content (FWC) and abdominal withdrawal reflex (AWR) scores in IBS-D rats. Further, the IBS-D rats were sacrificed to collecte the colonic tissues to evaluate the effect of ginger administration on its pathology and changes of pro-inflammatory factors, and changes of NF-κB pathway. Second, the ginger was taken to HPLC analysis and 6-gingerol was choosen to further experiment. Then, IBS-D rats were treated with different dose of 6-gingerol, and the behavioral evaluation were to evaluate the effect of 6-gingerol on IBS-D rats. Further, colonic epithelial cells (CECs) were collectted and to evaluate the effect of 6-gingerol on the expression of inflammatory factors and changes of NF-κB pathway. Results The IBS-D rat model was successfully established by chemical stimulation and acute and chronic pressure stimulation. And ginger treatment significantly reduced the defecation frequency, fecal water content and AWR scores in IBS-D rats. Histopathological analysis showed that ginger treatment can significantly reduce colonic edema and promote the recovery of inflammation in IBS-D rats, and the effect is equivalent to rifaximin. Elisa and RT-qPCR showed that ginger inhibited the expression of proinflammatory factors (TNF-α, IL-6, iNOS) in IBS-D rats. Western blot showed IkBα was up-regulated while p-p65 was inhibited under ginger treatment. HPLC analysis showed that 6-gingerol was the main component of ginger, which could improve clinical symptoms in IBS-D rats. Western blot and RT-qPCR showed that 6-gingerol inhibited the expression of proinflammatory factors (TNF-α, IL-6, iNOS) in CECs, and inhibition of IκBα degradation and phosphorylation of p65 involved in NF-κB pathway. Conclusion Ginger and ginger extract could relieve intestinal hypersensitivity of IBS-D by inhibiting proinflammatory response.
first_indexed 2024-12-21T17:44:33Z
format Article
id doaj.art-5b76f7f48085438b927a826777f1ac0c
institution Directory Open Access Journal
issn 2662-7671
language English
last_indexed 2024-12-21T17:44:33Z
publishDate 2020-09-01
publisher BMC
record_format Article
series BMC Complementary Medicine and Therapies
spelling doaj.art-5b76f7f48085438b927a826777f1ac0c2022-12-21T18:55:31ZengBMCBMC Complementary Medicine and Therapies2662-76712020-09-0120111010.1186/s12906-020-03059-3Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reactionChangrong Zhang0Yongquan Huang1Peiwu Li2Xinlin Chen3Fengbin Liu4Qiuke Hou5Graduate School, Guangzhou University of Chinese MedicineDepartment of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of Gastroenterology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of Preventive Medicine and Health Statistics, Guangzhou University of Chinese MedicineDepartment of Gastroenterology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineDepartment of Gastroenterology, The First Affiliated Hospital of Guangzhou University of Chinese MedicineAbstract Background Ginger or ginger extracts have been used in traditional medicine relieve pain caused by diarrhea predominant irritable bowel syndrome (IBS-D), but few data exists about its effectiveness. This present study was to validate the effect of ginger on visceral pain, and to further explore the possible underlying mechanism by which ginger is used to relieve IBS-D intestinal hypersensitivity. Methods First, the IBS-D rat model was established by chemical stimulation and acute and chronic pressure stimulation. Then, different dose of ginger were administrated to IBS-D rats and evaluate the defecation frequency, fecal water content (FWC) and abdominal withdrawal reflex (AWR) scores in IBS-D rats. Further, the IBS-D rats were sacrificed to collecte the colonic tissues to evaluate the effect of ginger administration on its pathology and changes of pro-inflammatory factors, and changes of NF-κB pathway. Second, the ginger was taken to HPLC analysis and 6-gingerol was choosen to further experiment. Then, IBS-D rats were treated with different dose of 6-gingerol, and the behavioral evaluation were to evaluate the effect of 6-gingerol on IBS-D rats. Further, colonic epithelial cells (CECs) were collectted and to evaluate the effect of 6-gingerol on the expression of inflammatory factors and changes of NF-κB pathway. Results The IBS-D rat model was successfully established by chemical stimulation and acute and chronic pressure stimulation. And ginger treatment significantly reduced the defecation frequency, fecal water content and AWR scores in IBS-D rats. Histopathological analysis showed that ginger treatment can significantly reduce colonic edema and promote the recovery of inflammation in IBS-D rats, and the effect is equivalent to rifaximin. Elisa and RT-qPCR showed that ginger inhibited the expression of proinflammatory factors (TNF-α, IL-6, iNOS) in IBS-D rats. Western blot showed IkBα was up-regulated while p-p65 was inhibited under ginger treatment. HPLC analysis showed that 6-gingerol was the main component of ginger, which could improve clinical symptoms in IBS-D rats. Western blot and RT-qPCR showed that 6-gingerol inhibited the expression of proinflammatory factors (TNF-α, IL-6, iNOS) in CECs, and inhibition of IκBα degradation and phosphorylation of p65 involved in NF-κB pathway. Conclusion Ginger and ginger extract could relieve intestinal hypersensitivity of IBS-D by inhibiting proinflammatory response.http://link.springer.com/article/10.1186/s12906-020-03059-3Diarrhea predominant irritable bowel syndromeGinger6-gingerolIntestinal hypersensitivityNF-κB pathway
spellingShingle Changrong Zhang
Yongquan Huang
Peiwu Li
Xinlin Chen
Fengbin Liu
Qiuke Hou
Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction
BMC Complementary Medicine and Therapies
Diarrhea predominant irritable bowel syndrome
Ginger
6-gingerol
Intestinal hypersensitivity
NF-κB pathway
title Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction
title_full Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction
title_fullStr Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction
title_full_unstemmed Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction
title_short Ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction
title_sort ginger relieves intestinal hypersensitivity of diarrhea predominant irritable bowel syndrome by inhibiting proinflammatory reaction
topic Diarrhea predominant irritable bowel syndrome
Ginger
6-gingerol
Intestinal hypersensitivity
NF-κB pathway
url http://link.springer.com/article/10.1186/s12906-020-03059-3
work_keys_str_mv AT changrongzhang gingerrelievesintestinalhypersensitivityofdiarrheapredominantirritablebowelsyndromebyinhibitingproinflammatoryreaction
AT yongquanhuang gingerrelievesintestinalhypersensitivityofdiarrheapredominantirritablebowelsyndromebyinhibitingproinflammatoryreaction
AT peiwuli gingerrelievesintestinalhypersensitivityofdiarrheapredominantirritablebowelsyndromebyinhibitingproinflammatoryreaction
AT xinlinchen gingerrelievesintestinalhypersensitivityofdiarrheapredominantirritablebowelsyndromebyinhibitingproinflammatoryreaction
AT fengbinliu gingerrelievesintestinalhypersensitivityofdiarrheapredominantirritablebowelsyndromebyinhibitingproinflammatoryreaction
AT qiukehou gingerrelievesintestinalhypersensitivityofdiarrheapredominantirritablebowelsyndromebyinhibitingproinflammatoryreaction