2021
DOI: 10.1371/journal.pone.0253540
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Amelioration of 5-fluorouracil-induced intestinal mucositis by Streptococcus thermophilus ST4 in a mouse model

Abstract: Intestinal mucositis is a commonly encountered toxic side effect in patients undergoing 5-fluorouracil (5-FU)-based chemotherapy. Numerous studies have shown that probiotics enable improving chemotherapy-induced intestinal mucositis, but the beneficial effects of probiotics differ depending on the strain. Therefore, in the present studies we suggest that S. thermophilus ST4 separated from raw milk may assess mucoprotective activity in 5-FU-induced intestinal mucositis. In our causal-comparative study design, f… Show more

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Cited by 12 publications
(20 citation statements)
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“…In agreement, it has been shown that a yogurt diet rich in acetate could improve the protective function of the intestinal epithelium [ 92 ]. Likewise STH strain ST4 increases the fecal content of acetate in correlation with maintenance of inflammatory homeostasis and preservation of intestinal permeability in a mucositis induced model [ 61 ].…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…In agreement, it has been shown that a yogurt diet rich in acetate could improve the protective function of the intestinal epithelium [ 92 ]. Likewise STH strain ST4 increases the fecal content of acetate in correlation with maintenance of inflammatory homeostasis and preservation of intestinal permeability in a mucositis induced model [ 61 ].…”
Section: Resultsmentioning
confidence: 99%
“…Proteolysis of caseins by yogurt bacteria including STH liberates bioactive peptides that, among others, stimulate mucin gene expression and secretion in vitro and enhance the number of goblet and Paneth cells along the small intestine and the expression of intestinal mucins and antibacterial factors in vivo [ 60 ]. Also, it has been proposed that the positive effect of STH strain ST4 on mice with 5-fluorouracil-induced mucositis is attributed to an increase in the content of fecal short chain fatty acid (SCFA) acetate, in correlation with maintenance of inflammatory homeostasis and preservation of intestinal permeability [ 61 ]. Finally, folate produced by STH would be involved in the reduction of inflammation in rodent models of induced mucositis [ 46 , 62 64 ].…”
Section: Introductionmentioning
confidence: 99%
“…[24,25] In addition, it has been seen that 5-FU causes damage in different cells and activates apoptosis in them by increasing active oxygen species, which has been investigated and confirmed in various studies in mice. [26][27][28] Due to the innovative results of TQ in various health conditions, including free radical scavenging, antioxidant, and anti-inflammatory activities, this study investigated the possible protective effect of 2.5 mg/kg of TQ against 5-FU-induced oral and IM and its underlying mechanisms of action in mice. Also, according to the antitumor properties that thymoquinone has been seen against various types of cancer, in addition to its role in reducing mucositis, it can create a synergistic effect with 5-FU.…”
Section: Discussionmentioning
confidence: 99%
“…The GIT mucosa in addition to having an absorptive role, it acts as a physical and immunological barrier. [19,20] Many studies have confirmed that the injury of intestinal mucosal caused by 5-FU-harms the intestinal barrier resulting in invasion of the gut flora into the circulation that lead to systemic inflammatory response [21] .…”
Section: Discussionmentioning
confidence: 99%