PMID- 37954373 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231114 IS - 2405-8440 (Print) IS - 2405-8440 (Electronic) IS - 2405-8440 (Linking) VI - 9 IP - 11 DP - 2023 Nov TI - Atractylenolide III ameliorated reflux esophagitis via PI3K/AKT/NF-kappaB/iNOS pathway in rats. PG - e21224 LID - 10.1016/j.heliyon.2023.e21224 [doi] LID - e21224 AB - Reflux esophagitis (RE), an esophageal inflammation caused by reflux of gastric contents, often damages the lower esophagus, seriously affecting the quality of life of patients. This study aims to investigate the therapeutic effects and underlying molecular mechanisms of atractylenolide III (ATL III) on RE model rats. In this research, the RE rat model is established sequentially following hemipyloric ligation, cardia transection, and hydrochloric acid perfusion. Further, the RE-induced rats are intragastrically administrated with ATL III (0.6, 1.2, and 2.4 mg/kg/D) for 28 days to evaluate ATL III therapeutic effects. To study the molecular mechanism, RE rats are treated with a phosphoinositide-3 kinase (PI3K) agonist (740 Y-P) combined with ATL III. The histopathological changes in the esophagus are eventually observed by hematoxylin & eosin (H&E) staining. In addition to changes in gastric pH and levels of reactive oxygen species (ROS), enzyme-linked immunosorbent assay (ELISA) and Western blot analyses are used to detect the expression levels of tumor necrosis factor-alpha (TNF-alpha, mmol/L), interleukin (IL)-8, IL-6, IL-1beta in the esophageal tissues. As a result, the lesions in the esophageal tissues of RE rats are alleviated, decreasing the macroscopic observation scores of the esophageal mucosa after ATL III treatment,. The experimental results indicated significantly increased pH value of the gastric contents and reduced ROS, thiobarbituric acid reactants (TBARS), TNF-alpha, IL-8, IL-6, and IL-1beta levels, as well as expression levels of p-PI3K, p-AKT, iNOS, and nuclear NF-kappaB proteins in esophageal tissues. In conclusion, the study indicated that ATL III could efficiently treat RE in rats by inhibiting oxidative stress and inflammatory damage through the PI3K/AKT/NF-kappaB/iNOS pathway. CI - (c) 2023 Published by Elsevier Ltd. FAU - Si, Xianzhe AU - Si X AD - Department of Gastrointestinal & Esophageal Surgery, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. FAU - Lin, Weijie AU - Lin W AD - Department of Gastrointestinal & Esophageal Surgery, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. FAU - Chen, Zhiyao AU - Chen Z AD - Department of Gastrointestinal & Esophageal Surgery, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. FAU - Xu, Jie AU - Xu J AD - Department of Gastrointestinal & Esophageal Surgery, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. FAU - Huang, Wenbo AU - Huang W AD - Department of Gastrointestinal & Esophageal Surgery, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. FAU - Chen, Feng AU - Chen F AD - Department of Gastrointestinal & Esophageal Surgery, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. FAU - Lin, Jianqing AU - Lin J AD - Department of Oncology, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. FAU - Huang, Zhijun AU - Huang Z AD - Department of Gastrointestinal & Esophageal Surgery, The 2nd Affiliated Hospital of Fujian Medical University, Quanzhou, China. LA - eng PT - Journal Article DEP - 20231023 PL - England TA - Heliyon JT - Heliyon JID - 101672560 PMC - PMC10632696 OTO - NOTNLM OT - Atractylenolide III OT - PI3K/AKT/NF-kappaB/iNOS pathway OT - Rats OT - Reflux esophagitis COIS- This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. EDAT- 2023/11/13 06:43 MHDA- 2023/11/13 06:44 PMCR- 2023/10/23 CRDT- 2023/11/13 04:28 PHST- 2023/06/05 00:00 [received] PHST- 2023/09/17 00:00 [revised] PHST- 2023/10/18 00:00 [accepted] PHST- 2023/11/13 06:44 [medline] PHST- 2023/11/13 06:43 [pubmed] PHST- 2023/11/13 04:28 [entrez] PHST- 2023/10/23 00:00 [pmc-release] AID - S2405-8440(23)08432-3 [pii] AID - e21224 [pii] AID - 10.1016/j.heliyon.2023.e21224 [doi] PST - epublish SO - Heliyon. 2023 Oct 23;9(11):e21224. doi: 10.1016/j.heliyon.2023.e21224. eCollection 2023 Nov.