Published online Jun 7, 2015. doi: 10.3748/wjg.v21.i21.6572
Peer-review started: November 27, 2014
First decision: December 11, 2014
Revised: January 23, 2015
Accepted: March 12, 2015
Article in press: March 12, 2015
Published online: June 7, 2015
Processing time: 197 Days and 0.1 Hours
AIM: To determine the therapeutic efficacy of resveratrol on ulcerative colitis (UC) and its underlying mechanisms.
METHODS: The mouse UC model was developed using 5% dextran sulfate sodium. Mice were randomly divided into four groups: normal control, UC model group, resveratrol low-dose group (RLD; 50 mg/kg per day), and resveratrol high-dose group (RHD; 100 mg/kg per day).
RESULTS: The results showed that RLD regulates Treg/Th17 balance mainly through reducing the number of Th17 cells, whereas RHD regulates Treg/Th17 balance through both downregulating the number of Th17 cells and upregulating the number of Treg cells. Resveratrol can also regulate the level of plasma and intestinal mucosal cytokines including interleukin (IL)-10, transforming growth factor-β1, IL-6, and IL-17. The expressions of hypoxia inducible factor (HIF)-1α, mammalian target of rapamycin (mTOR), and signal transducer and activator of transcription 3 were significantly decreased in the intestinal tissues of mice treated with resveratrol.
CONCLUSION: The therapeutic efficacy of resveratrol in UC is dose dependent and closely associated with the regulation of Treg/Th17 balance and the HIF-1α/mTOR signaling pathway.
Core tip: Ulcerative colitis is an inflammatory bowel disease manifested by recurrent chronic diarrhea, bloody and mucous stools, and abdominal pain. The etiology and pathogenesis are not clear. Resveratrol is a natural and biologically active polyphenol with a variety of anti-inflammatory and antioxidant functions, which are beneficial to human health. This study aimed determine the therapeutic efficacy of resveratrol on ulcerative colitis and its underlying mechanisms. The results demonstrate that the therapeutic efficacy of resveratrol is dose dependent and closely associated with the regulation of Treg/Th17 balance and the hypoxia inducible factor-1α/mammalian target of rapamycin signaling pathway.