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Friday, 11 December 2015

Gynostemma pentaphyllum exhibits anti-inflammatory properties and modulates antimicrobial peptide expression in the urinary bladder

Volume 17, August 2015, Pages 283–292
Short communications

  • a Department of Microbiology, Tumour and Cell Biology, Division of Clinical Microbiology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden
  • b Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden
  • c Department of Diabetes, Cardiovascular, Diabetes and Nutrition Research Centre, Institute for Medical Research, 50588 Jalan Pahang, Kuala Lumpur, Malaysia
  • d Department of Chemistry and Biotechnology, Uppsala BioCenter, Swedish University of Agricultural Sciences, 750 07 Uppsala, Sweden

Highlights

Orally taken Gynostemma pentaphyllum acts as an anti-inflammatory in the urinary bladder.
Gynostemma pentaphyllum reduces IL-8 and IL-6 levels in bladder epithelial cells.
Gynostemma pentaphyllum modulates the expression of antimicrobial peptides.

Abstract

Gynostemma pentaphyllum (GP) is a traditional Chinese medicine but is also consumed as tea by healthy people for its many beneficial effects. The herb is known for its anti-diabetic effect and immuno-modulatory properties. In patients with diabetes, the incidence of infections, including urinary tract infections, is increased and a common cause for antibiotic treatment. We hypothesized that GP could exhibit a beneficial impact on innate immunity in the urinary tract, thereby fighting such bacterial infections. Our aim was therefore to investigate whether orally taken GP would act on the urinary tract and modulate immune reactions in bladder epithelial cells. The extract was analyzed by NMR and was found to consist almost exclusively of a mixture of several saponins present in different concentrations. Ex vivo infection experiments demonstrated that the pro-inflammatory response to Escherichia coli was attenuated in bladder tissue from diabetic rats receiving GP compared to diabetic animals without treatment. In vitro assays using uroepithelial cells challenged with E. coli corroborated these results. Moreover, GP treatment modulated the expression of antimicrobial peptides. With these properties, GP might be a beneficial supplement for diabetic patients with history of urinary tract infections.

Abbreviations

  • GP, Gynostemma pentaphyllum;
  • UTIs, urinary tract infections;
  • GK, Goto-Kakizaki;
  • CFU, colony forming units;
  • NF, nuclear factor;
  • IL, interleukin;
  • HBD, human beta defensin;
  • HSQC, heteronuclear single-quantum coherence spectroscopy;
  • TOCSY, total correlation spectroscopy

Keywords

  • Diabetes mellitus;
  • Urinary tract infection;
  • Innate immune response;
  • Medicinal herb;
  • Antimicrobial peptides

Corresponding author. Department of Microbiology, Tumour and Cell Biology, Division of Clinical Microbiology, Karolinska Institutet and Karolinska University Hospital, 171 76 Stockholm, Sweden. Tel.: +46 8 517 73914; fax: +46 8 308099.
1
These authors contributed equally to the study.