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Green tea extract prevents CPT-11-induced diarrhea by regulating the gut microbiota.


ABSTRACT: Irinotecan (CPT-11) is an anticancer drug with indications for use in treating various cancers, but severe diarrhea develops as a side effect. We investigated the effects of green tea extract (GTE) on CPT-11-induced diarrhea, focusing on β-glucuronidase and intestinal UGT1A1. When CPT-11 was administered to rats alone, the fecal water content was approximately 3.5-fold higher in this group than in the control group, and diarrhea developed. The fecal water content in the GTE-treated group was significantly higher than that in the control group, but the difference was smaller than that between the group treated with CPT-11 alone and the control group, and diarrhea improved. When CPT-11 was administered alone, the abundances of Bacteroides fragilis and Escherichia coli, which are β-glucuronidase-producing bacteria, increased and interleukin-6 and interleukin-1β mRNA levels in the colon increased, but GTE suppressed these increases. CPT-11 decreased colon UGT1A1 and short-chain fatty acid levels; however, this decrease was suppressed in the GTE-treated group. The findings that GTE decreases the abundance of β-glucuronidase-producing bacteria and increases colon UGT1A1 levels, thereby decreasing the production of the active metabolite SN-38 in the intestinal tract, indicate that GTE ameliorates CPT-11-induced diarrhea.

SUBMITTER: Kon R 

PROVIDER: S-EPMC10121581 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Green tea extract prevents CPT-11-induced diarrhea by regulating the gut microbiota.

Kon Risako R   Ikarashi Nobutomo N   Yamaguchi Arisa A   Teshima Yuka Y   Yamaguchi Tamami T   Miyaoka Kanako K   Fukuda Moeno M   Noguchi Hinata H   Tomimoto Rei R   Sakai Hiroyasu H   Kamei Junzo J   Hosoe Tomoo T  

Scientific reports 20230421 1


Irinotecan (CPT-11) is an anticancer drug with indications for use in treating various cancers, but severe diarrhea develops as a side effect. We investigated the effects of green tea extract (GTE) on CPT-11-induced diarrhea, focusing on β-glucuronidase and intestinal UGT1A1. When CPT-11 was administered to rats alone, the fecal water content was approximately 3.5-fold higher in this group than in the control group, and diarrhea developed. The fecal water content in the GTE-treated group was sig  ...[more]

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