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Minocycline attenuates 5-fluorouracil-induced small intestinal mucositis in mouse model
Authors:Tien-Yu Huang  Heng-Cheng Chu  Whae-Hong Ho  You-Chen Chao
Affiliation:a Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan
b Division of Gastroenterology, Tri-Service General Hospital, Taipei, Taiwan
c Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan
d Department of Microbiology and Immunology, National Defense Medical Center, Taipei, Taiwan
e Division of Gastroenterology, Taipei Tzu Chi General Hospital, Taipei, Taiwan
Abstract:Minocycline exerts anti-inflammatory and anti-apoptotic effects distinct from its antimicrobial function. In this study we investigated the effect of this drug on chemotherapy-induced gut damage. Body weight loss results, diarrhea scores, and villi measurements showed that minocycline attenuated the severity of intestinal mucositis induced by 5-fluorouracil (5-FU). Minocycline repressed the expression of TNF-α, IL-1β, and iNOS, decreased the apoptotic index, and inhibited poly(ADP-ribose) polymerase-1 (PARP-1) activity in the mouse small intestine. In vitro experiments showed that minocycline suppressed the upregulation of PARP-1 activity in enterocyte IEC-6 cells treated with 5-FU. In addition, minocycline treatment appeared to enhance the antitumor effects of 5-FU in tumor CT-26 xenograft mice. Our results indicate that minocycline protects mice from gut injury induced by 5-FU and enhances the antitumor effects of 5-FU in xenograft mice. These observations suggest that minocycline treatment may benefit patients undergoing standard cancer chemotherapy by alleviating chemical-associated intestinal mucositis.
Keywords:Minocycline   Mucositis   5-Fluorouracil   Chemotherapy
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