Polysaccharides from natural resources exhibit great potential in the treatment of ulcerative colitis: A review

Carbohydr Polym. 2021 Feb 15:254:117189. doi: 10.1016/j.carbpol.2020.117189. Epub 2020 Nov 7.

Abstract

The incidence of ulcerative colitis (UC) is high. Despite the availability of various therapeutic agents for the treatment of UC, the routine treatment has limitations and serious side effects. Therefore, a new drug that safely and effectively treats UC is urgently needed. Polysaccharides from natural resources have recently become a hot topic of study for their therapeutic effects on UC. These effects are associated with the regulation of inflammatory cytokines, intestinal flora, and immune system and protection of the intestinal mucosa. This review focuses on the recent advances of polysaccharides from natural resources in the treatment of UC. The mechanisms and practicability of polysaccharides, including pectin, guar gum, rhamnogalacturonan, chitosan, fructan, psyllium, glycosaminoglycan, algal polysaccharides, polysaccharides from fungi and traditional Chinese medicine, and polysaccharide derivatives, are discussed in detail. The good efficacy and safety of polysaccharides make them promising drugs for treating UC.

Keywords: Pathogenesis; Polysaccharides; Signal pathway; Therapeutic mechanism; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Biological Products / chemistry
  • Biological Products / isolation & purification
  • Biological Products / therapeutic use
  • Colitis, Ulcerative / drug therapy*
  • Colitis, Ulcerative / immunology
  • Colitis, Ulcerative / microbiology
  • Drugs, Chinese Herbal / chemistry
  • Drugs, Chinese Herbal / isolation & purification
  • Drugs, Chinese Herbal / therapeutic use
  • Gastrointestinal Microbiome
  • Humans
  • Medicine, Chinese Traditional*
  • Molecular Structure
  • Polysaccharides / chemistry
  • Polysaccharides / isolation & purification
  • Polysaccharides / therapeutic use*

Substances

  • Biological Products
  • Drugs, Chinese Herbal
  • Polysaccharides