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Research articles

ScienceAsia 51 (2023): 1-10 |doi: 10.2306/scienceasia1513-1874.2023.015


Treatment of 5-fluorouracil-induced chemotherapeutic intestinal mucositis in mice by oral inulin via glycerophospholipid and retinol metabolic pathways


Hao Dina,?, Yue Xib,?, Man Yanc, Chang Sunc, Jiajun Tanc, Zhengnan Yangd,*, Liang Wuc,*

 
ABSTRACT:     5-Fluorouracil (5-FU) is a commonly used chemotherapy drug, but there is no effective prevention and treatment for the side effects of intestinal mucositis induced by 5-FU. Inulin is a type of fermentable dietary fiber, which is non-digestible, and can improve metabolic function by modulating intestinal microbiota. The current study is aimed at appraising the effect of inulin on 5-FU-induced intestinal mucositis in mice by non-targeted metabolomics. The results indicated that oral inulin significantly inhibited 5-FU-induced body weight loss and intestinal shortening in mice, inhibited NLRP3 inflammasome activation and IL-1? expression, and increased IL-10 and IgA expressions. Inulin could significantly reduce intestinal mucosal injury induced by 5-FU in mice and significantly affected the production of 27 different metabolites in mouse serum. These metabolites were closely related to glycerophospholipid metabolism and retinol metabolic pathways. The study provided a potential new method for the prevention and treatment of chemotherapeutic intestinal mucositis.

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a Department of Respiratory Medicine, Zhenjiang First People?s Hospital, Zhenjiang 212002 China
b Medical Laboratory Department, Huai?an Second People?s Hospital, Huai?an 223022 China
c Department of Laboratory Medicine, School of Medicine, Jiangsu University, Zhenjiang 212013 China
d Yizheng Hospital, Nanjing Drum Tower Hospital Group, Yizheng 210008 China

* Corresponding author, E-mail: yang3638@sina.com, wlujs@ujs.edu.cn

Received 24 Jul 2023, Accepted 25 Dec 2024