Interstitial cystitis
(IC) is the principal unwanted effect associated
with the use of cyclophosphamide (CYP). It results in increased oxidative
stress, overexpression of proinflammatory cytokines, and bladder overactivity.
Patients receiving CYP treatment had severely depreciated quality
of life, as the treatment available is not safe and effective. The
goal of this study was to assess the protective effect of caftaric
acid in CYP-induced IC. IC was induced in female Sprague Dawley by
injecting CYP (150 mg/kg, i.p.). In the present study, oral administration
of caftaric acid (20, 40, and 60 mg/kg) significantly decreased inflammation.
Caftaric acid significantly increased SOD (93%), CAT (92%), and GSH
(90%) while decreased iNOS (97%), IL-6 (90%), TGF 1-β (83%),
and TNF-α (96%) compared to the diseased. DPPH assay showed
the antioxidant capacity comparable to ascorbic acid. Molecular docking
of caftaric acid with selected protein targets further confirmed its
antioxidant and anti-inflammatory activities. The cyclophosphamide-induced
bladder overactivity had been decreased possibly through the inhibition
of M3 receptors, ATP-sensitive potassium channels, calcium
channels, and COX enzyme by caftaric acid. Therefore, our findings
demonstrate that caftaric acid has a considerable protective role
against CYP-induced IC by decreasing the oxidative stress, inflammation,
and bladder smooth muscle hyperexcitability. Thus, caftaric acid signifies
a likely adjuvant agent in CYP-based chemotherapy treatments.