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      Natural Products Modulate Cell Apoptosis: A Promising Way for the Treatment of Ulcerative Colitis

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          Abstract

          Ulcerative colitis (UC) is a chronic inflammatory bowel disease impacting patients’ quality of life and imposing heavy societal and economic burdens. Apoptosis of intestinal epithelial cells (IECs) has been considered an early event during the onset of UC and plays a crucial role in disease development. Thus, effectively inhibiting apoptosis of IECs is of critical significance for the clinical management of UC, presenting a potential direction for the research and development of pharmacotherapeutic agents. In recent years, research on the ameliorative effects of natural products on UC through inhibiting IECs apoptosis has attracted increasing attention and made remarkable achievements in ameliorating UC. In this review, we summarized the currently available research about the anti-apoptotic effects of natural products on UC and its mechanisms involving the death-receptor mediated pathway, mitochondrial-dependent pathway, ERS-mediated pathway, MAPK-mediated pathway, NF-κB mediated pathway, P13k/Akt pathway, JAK/STAT3 pathway, and NLRP3/ASC/Caspase-1 pathway. Hopefully, this review may yield useful information about the anti-apoptotic effects of natural products on UC and their potential molecular mechanisms and provide helpful insights for further investigations.

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          Apoptosis: a review of programmed cell death.

          The process of programmed cell death, or apoptosis, is generally characterized by distinct morphological characteristics and energy-dependent biochemical mechanisms. Apoptosis is considered a vital component of various processes including normal cell turnover, proper development and functioning of the immune system, hormone-dependent atrophy, embryonic development and chemical-induced cell death. Inappropriate apoptosis (either too little or too much) is a factor in many human conditions including neurodegenerative diseases, ischemic damage, autoimmune disorders and many types of cancer. The ability to modulate the life or death of a cell is recognized for its immense therapeutic potential. Therefore, research continues to focus on the elucidation and analysis of the cell cycle machinery and signaling pathways that control cell cycle arrest and apoptosis. To that end, the field of apoptosis research has been moving forward at an alarmingly rapid rate. Although many of the key apoptotic proteins have been identified, the molecular mechanisms of action or inaction of these proteins remain to be elucidated. The goal of this review is to provide a general overview of current knowledge on the process of apoptosis including morphology, biochemistry, the role of apoptosis in health and disease, detection methods, as well as a discussion of potential alternative forms of apoptosis.
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            Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies.

            Inflammatory bowel disease is a global disease in the 21st century. We aimed to assess the changing incidence and prevalence of inflammatory bowel disease around the world.
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              The unfolded protein response: controlling cell fate decisions under ER stress and beyond.

              Protein-folding stress at the endoplasmic reticulum (ER) is a salient feature of specialized secretory cells and is also involved in the pathogenesis of many human diseases. ER stress is buffered by the activation of the unfolded protein response (UPR), a homeostatic signalling network that orchestrates the recovery of ER function, and failure to adapt to ER stress results in apoptosis. Progress in the field has provided insight into the regulatory mechanisms and signalling crosstalk of the three branches of the UPR, which are initiated by the stress sensors protein kinase RNA-like ER kinase (PERK), inositol-requiring protein 1α (IRE1α) and activating transcription factor 6 (ATF6). In addition, novel physiological outcomes of the UPR that are not directly related to protein-folding stress, such as innate immunity, metabolism and cell differentiation, have been revealed.
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                Author and article information

                Contributors
                Journal
                Front Pharmacol
                Front Pharmacol
                Front. Pharmacol.
                Frontiers in Pharmacology
                Frontiers Media S.A.
                1663-9812
                31 January 2022
                2022
                : 13
                : 806148
                Affiliations
                [1] 1 School of Basic Medical Sciences , Chengdu University of Traditional Chinese Medicine , Chengdu, China
                [2] 2 School of Acupuncture-Moxibustion and Tuina , Chengdu University of Traditional Chinese Medicine , Chengdu, China
                Author notes

                Edited by: Xin Luan, Shanghai University of Traditional Chinese Medicine, China

                Reviewed by: Songqi Tang, Hainan Medical University, China

                Fengjie Zheng, Beijing University of Chinese Medicine, China

                *Correspondence: Yi Liu, tcmly@ 123456163.com
                [ † ]

                ORCID: Chenhao Liu, orcid.org/0000-0003-2563-2760; Yiwei Zeng, orcid.org/0000-0002-7042-2503

                [ ‡ ]

                These authors have contributed equally to this work

                This article was submitted to Ethnopharmacology, a section of the journal Frontiers in Pharmacology

                Article
                806148
                10.3389/fphar.2022.806148
                8841338
                35173617
                73046db1-b043-4220-bd78-998d53439385
                Copyright © 2022 Liu, Zeng, Wen, Huang and Liu.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 October 2021
                : 10 January 2022
                Funding
                Funded by: State Administration of Traditional Chinese Medicine of the People’s Republic of China , doi 10.13039/501100005891;
                Categories
                Pharmacology
                Review

                Pharmacology & Pharmaceutical medicine
                ulcerative colitis,inflammatory bowel disease,apoptosis,natural products,intestinal epithelia cells

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