Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot Study

Antioxidants are privileged candidates for the development of adjuvants able to improve the efficiency of pharmacological therapies, particularly for chronic inflammatory syndromes. During the last 20 years, anti-TNFα (tumor necrosis factor alpha) monoclonal antibodies infusion has been the biologic...

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Main Authors: Marina Liso, Annamaria Sila, Giulio Verna, Aurelia Scarano, Rossella Donghia, Fabio Castellana, Elisabetta Cavalcanti, Pasqua Letizia Pesole, Eduardo Maria Sommella, Antonio Lippolis, Raffaele Armentano, Anna Maria Giudetti, Daniele Vergara, Pietro Campiglia, Rodolfo Sardone, Margherita Curlo, Mauro Mastronardi, Katia Petroni, Chiara Tonelli, Angelo Santino, Marcello Chieppa
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/11/1/138
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author Marina Liso
Annamaria Sila
Giulio Verna
Aurelia Scarano
Rossella Donghia
Fabio Castellana
Elisabetta Cavalcanti
Pasqua Letizia Pesole
Eduardo Maria Sommella
Antonio Lippolis
Raffaele Armentano
Anna Maria Giudetti
Daniele Vergara
Pietro Campiglia
Rodolfo Sardone
Margherita Curlo
Mauro Mastronardi
Katia Petroni
Chiara Tonelli
Angelo Santino
Marcello Chieppa
author_facet Marina Liso
Annamaria Sila
Giulio Verna
Aurelia Scarano
Rossella Donghia
Fabio Castellana
Elisabetta Cavalcanti
Pasqua Letizia Pesole
Eduardo Maria Sommella
Antonio Lippolis
Raffaele Armentano
Anna Maria Giudetti
Daniele Vergara
Pietro Campiglia
Rodolfo Sardone
Margherita Curlo
Mauro Mastronardi
Katia Petroni
Chiara Tonelli
Angelo Santino
Marcello Chieppa
author_sort Marina Liso
collection DOAJ
description Antioxidants are privileged candidates for the development of adjuvants able to improve the efficiency of pharmacological therapies, particularly for chronic inflammatory syndromes. During the last 20 years, anti-TNFα (tumor necrosis factor alpha) monoclonal antibodies infusion has been the biological therapy most frequently administered but there is still large space for improvement in disease remission rates and maintenance. In this context, nutritional bioactive compounds contained in dietary patterns or included as supplements, may act as adjuvants for the induction and maintenance of IBD (inflammatory bowel diseases) remission. To verify this possibility, a single-center preliminary study (SI-CURA, Soluzioni Innovative per la gestione del paziente e il follow up terapeutico della Colite UlceRosA) was designed and carried out to evaluate whether a daily administration of purple corn supplement could improve the response to Infliximab (IFX) infusion of IBD patients with both Crohn’s disease (CD) and ulcerative colitis (UC). A cohort of 47 patients was enrolled in the study. Biological samples were collected before the first and the third IFX infusion. All patients received nutritional guidelines, 27 of them received commercial red fruit tea with low anthocyanins content, while 20 received a purple corn supplement with a high anthocyanin content. Results show that the administration of an antioxidant-enriched purple corn supplement could improve IFX-mediated disease remission in terms of circulating inflammatory markers. Comparison between CD and UC patients revealed that, at this anthocyanin dosage, the purple corn extract administration improved the IFX response in CD but not in UC patients. Our results may pave the way for a new metacentric study of CD patients, recruiting a wider cohort and followed-up over a longer observational time.
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spelling doaj.art-cfd3dfa303854c43a73e127fafbf45402023-11-23T12:47:57ZengMDPI AGAntioxidants2076-39212022-01-0111113810.3390/antiox11010138Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot StudyMarina Liso0Annamaria Sila1Giulio Verna2Aurelia Scarano3Rossella Donghia4Fabio Castellana5Elisabetta Cavalcanti6Pasqua Letizia Pesole7Eduardo Maria Sommella8Antonio Lippolis9Raffaele Armentano10Anna Maria Giudetti11Daniele Vergara12Pietro Campiglia13Rodolfo Sardone14Margherita Curlo15Mauro Mastronardi16Katia Petroni17Chiara Tonelli18Angelo Santino19Marcello Chieppa20National Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyDepartment of Pharmacy, School of Pharmacy, University of Salerno, 84084 Fisciano, ItalyUnit of Lecce, Institute of Sciences of Food Production C.N.R., 73100 Lecce, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyDepartment of Pharmacy, School of Pharmacy, University of Salerno, 84084 Fisciano, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyDepartment of Mathematics and Physics “Ennio De Giorgi”, University of Salento, via Monteroni, 73100 Lecce, ItalyDepartment of Mathematics and Physics “Ennio De Giorgi”, University of Salento, via Monteroni, 73100 Lecce, ItalyDepartment of Pharmacy, School of Pharmacy, University of Salerno, 84084 Fisciano, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyDepartment of Biosciences, University of Milan, via Celoria 26, 20133 Milan, ItalyDepartment of Biosciences, University of Milan, via Celoria 26, 20133 Milan, ItalyUnit of Lecce, Institute of Sciences of Food Production C.N.R., 73100 Lecce, ItalyNational Institute of Gastroenterology Saverio de Bellis, IRCCS Research Hospital, Via Turi 27, 70013 Castellana Grotte, ItalyAntioxidants are privileged candidates for the development of adjuvants able to improve the efficiency of pharmacological therapies, particularly for chronic inflammatory syndromes. During the last 20 years, anti-TNFα (tumor necrosis factor alpha) monoclonal antibodies infusion has been the biological therapy most frequently administered but there is still large space for improvement in disease remission rates and maintenance. In this context, nutritional bioactive compounds contained in dietary patterns or included as supplements, may act as adjuvants for the induction and maintenance of IBD (inflammatory bowel diseases) remission. To verify this possibility, a single-center preliminary study (SI-CURA, Soluzioni Innovative per la gestione del paziente e il follow up terapeutico della Colite UlceRosA) was designed and carried out to evaluate whether a daily administration of purple corn supplement could improve the response to Infliximab (IFX) infusion of IBD patients with both Crohn’s disease (CD) and ulcerative colitis (UC). A cohort of 47 patients was enrolled in the study. Biological samples were collected before the first and the third IFX infusion. All patients received nutritional guidelines, 27 of them received commercial red fruit tea with low anthocyanins content, while 20 received a purple corn supplement with a high anthocyanin content. Results show that the administration of an antioxidant-enriched purple corn supplement could improve IFX-mediated disease remission in terms of circulating inflammatory markers. Comparison between CD and UC patients revealed that, at this anthocyanin dosage, the purple corn extract administration improved the IFX response in CD but not in UC patients. Our results may pave the way for a new metacentric study of CD patients, recruiting a wider cohort and followed-up over a longer observational time.https://www.mdpi.com/2076-3921/11/1/138antioxidantanthocyaninsIBDdietinfliximabpilot study
spellingShingle Marina Liso
Annamaria Sila
Giulio Verna
Aurelia Scarano
Rossella Donghia
Fabio Castellana
Elisabetta Cavalcanti
Pasqua Letizia Pesole
Eduardo Maria Sommella
Antonio Lippolis
Raffaele Armentano
Anna Maria Giudetti
Daniele Vergara
Pietro Campiglia
Rodolfo Sardone
Margherita Curlo
Mauro Mastronardi
Katia Petroni
Chiara Tonelli
Angelo Santino
Marcello Chieppa
Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot Study
Antioxidants
antioxidant
anthocyanins
IBD
diet
infliximab
pilot study
title Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot Study
title_full Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot Study
title_fullStr Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot Study
title_full_unstemmed Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot Study
title_short Nutritional Regimes Enriched with Antioxidants as an Efficient Adjuvant for IBD Patients under Infliximab Administration, a Pilot Study
title_sort nutritional regimes enriched with antioxidants as an efficient adjuvant for ibd patients under infliximab administration a pilot study
topic antioxidant
anthocyanins
IBD
diet
infliximab
pilot study
url https://www.mdpi.com/2076-3921/11/1/138
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