A reverse translational approach reveals the protective roles of Mangifera indica in inflammatory bowel disease

Anella Saviano, Anna Schettino, Nunzia Iaccarino, Adel Abo Mansour, Jenefa Begum, Noemi Marigliano, Federica Raucci, Francesca Romano, Gelsomina Riccardi, Emma Mitidieri, Roberta d'Emmanuele di Villa Bianca, Ivana Bello, Elisabetta Panza, Martina Smimmo, Valentina Vellecco, Peter Rimmer, Jonathan Cheesbrough, Zhaogong Zhi, Tariq H Iqbal, Stefano PierettiVincenzo Maria D'Amore, Luciana Marinelli, Valeria La Pietra, Raffaella Sorrentino, Luisa Costa, Francesco Caso, Raffaele Scarpa, Giuseppe Cirino, Antonio Randazzo, Mariarosaria Bucci, Helen Michelle McGettrick, Asif Jilani Iqbal*, Francesco Maione*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Inflammatory bowel diseases (IBDs) are chronic intestinal disorders often characterized by a dysregulation of T cells, specifically T helper (Th) 1, 17 and T regulatory (Treg) repertoire. Increasing evidence demonstrates that dietary polyphenols from Mangifera indica L. extract (MIE, commonly known as mango) mitigate intestinal inflammation and splenic Th17/Treg ratio. In this study, we aimed to dissect the immunomodulatory and anti-inflammatory properties of MIE using a reverse translational approach, by initially using blood from an adult IBD inception cohort and then investigating the mechanism of action in a preclinical model of T cell-driven colitis. Of clinical relevance, MIE modulates TNF-α and IL-17 levels in LPS spiked sera from IBD patients as an ex vivo model of intestinal barrier breakdown. Preclinically, therapeutic administration of MIE significantly reduced colitis severity, pathogenic T-cell intestinal infiltrate and intestinal pro-inflammatory mediators (IL-6, IL-17A, TNF-α, IL-2, IL-22). Moreover, MIE reversed colitis-induced gut permeability and restored tight junction functionality and intestinal metabolites. Mechanistic insights revealed MIE had direct effects on blood vascular endothelial cells, blocking TNF-α/IFN-γ-induced up-regulation of COX-2 and the DP2 receptors. Collectively, we demonstrate the therapeutic potential of MIE to reverse the immunological perturbance during the onset of colitis and dampen the systemic inflammatory response, paving the way for its clinical use as nutraceutical and/or functional food.

Original languageEnglish
Article number103181
Number of pages20
JournalJournal of Autoimmunity
Volume144
Early online date23 Mar 2024
DOIs
Publication statusPublished - Apr 2024

Bibliographical note

Funding and acknowledgements:
This research has been in part supported by The National Institute of Health and Care Research (NIHR) Birmingham Biomedical Research Centre (NIHR203326). This work was also supported by a Medical Research Council project grant MR/T028025/1. A.Sa. is supported by Dompé farmaceutici S.p.A fellowship for PhD program in "Nutraceuticals, functional foods and human health” (University of Naples Federico II), whereas A.Sc. is supported by University of Naples Federico II PhD scholarship in “Nutraceuticals, functional foods and human health” (PNRR DM 118 M4C1– INV 4.1 ricerca PNRR generici). I.B is supported by University of Naples Federico II PhD scholarship in “Nutraceuticals, functional foods and human health”, whereas M.S. is supported by the University of Naples Federico II PhD scholarship in Pharmaceutical Sciences. A.J.I. was supported by Birmingham Fellowship. A.A.M. was supported by a King Khalid University funded PhD Scholarship (57875). The opinions expressed in this paper are those of the authors and do not represent any of the listed organisations. The authors would like to thank L.C.M. Trading S.p.A. (Italy) for excellent technical assistance and scientific discussions on the manuscript. The views expressed in this publication are those of the author(s) and not necessarily those of the L.C.M. Trading S.p.A. and Dompé farmaceutici S.p.A.

Copyright:
© 2024 Elsevier Ltd. All rights reserved.

Keywords

  • CD4+CD45RBhigh colitis
  • Functional food
  • IBD
  • Mangifera indica L.
  • Nutraceuticals
  • Th17
  • Treg

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