Effects of usnic acid to prevent infections by creating a protective barrier in an in vitro study

Nasal sprays are medical devices useful for preventing infection and the subsequent spread of airborne pathogens. The effectiveness of these devices depends on the activity of chosen compounds which can create a physical barrier against viral uptake as well as incorporate different substances with antiviral activity. Among antiviral compounds, UA, a dibenzofuran derived from lichens, has the mechanical ability to modify its structure by creating a branch capable of forming a protective barrier. The mechanical ability of UA to protect cells from virus infection was investigated by analyzing the branching capacity of UA, and then the protection mechanism in an in vitro model was also studied. As expected, UA at 37 °C was able to create a barrier confirming its ramification property. At the same time, UA was able to block the infection of Vero E6 and HNEpC cells by interfering with a biological interaction between cells and viruses as revealed also by the UA quantification. Therefore, UA can block virus activity through a mechanical barrier effect without altering the physiological nasal homeostasis. The findings of this research could be of great relevance in view of the growing alarm regarding the spread of airborne viral diseases

Effect of Mixed Lipoic Acid, Vitamin D, Phosphatidylserine and Homotaurine to Obtain a New Formulation for Brain Ageing Prevention

By 2050, it is estimated that there will be two billion people aged 60 or over, of which 131 million are expected to be affected by dementia, while depression is expected to be the second-largest cause of disability worldwide in 2020. Preventing or delaying the onset of these disorders should therefore be a priority for public health systems. There is some evidence linking certain substances present in most common food supplements with a reduced risk of neuronal degeneration improving brain health. Recently, many compounds or extracts from natural products slowing aging and extending lifespan have been reported. The main goal of this study is to develop a new formulation that delay age-related diseases in human. For this reason, the effects of selected agents (such as lipoic acid, vitamin D3, phosphatidylserine and homotaurine) were assessed in order to find a new formulation able to slow down the physiological decay linked to brain ageing. Cell viability, radical oxygen species production, inflammatory marker along with some intracellular pathways have been evaluated. The results show that the new combination is highly effective to counteract the negative effects of oxidative stress and inflammation acting through some important brain markers involved in cell survival, enhancing viability of astrocyte

Role of Vitamin D3 and Alginates in Prevention of NSAID-Dependent Cellular Injury

About 30 million people use nonsteroidal anti-inflammatory drugs. Therefore, they have a high risk of developing gastropathic and enteropathic damages. These patients receive anti-acid treatment, but a number of clinical studies provided evidence of the ineffectiveness of proton-pump inhibitors. Vitamin D, on the other hand, appears to have high preventive and therapeutic potential. Recently, it has been introduced a product that, in addition to anti-acid properties of alginates, claims to possess gastroprotective properties deriving from vitamin D3 and from plant extractsThis study was planned to verify the effectiveness of vitamin D3 combined with alginates to prevent the damage induced in cul-tured gastric cells by diclofenac during acidic or hyperacidic exposition measuring cell viability, radical oxygen species production along with apoptotic and survival pathways.Around 30 million people consume nonsteroidal anti-inflammatory drugs (NSAID) globally every day [1] since they are widely pre-scribed because of their efficacy in the management of pain, inflammation, and fever [2]. Generally, the action mechanism of these drugs consists in the inhibition of the biosynthesis of prostaglandins, the inactivation of cyclooxygenase, and an increase in leukotrienes produc-tion [3]. Adverse events associated with NSAID, such as alterations in renal function, effects on blood pressure, hepatic injury, and plate-let inhibition, are a challenge in clinical treatment optimization [4]. However, severe gastrointestinal disorder accompanied by gastric mucosal perforation and bleeding is a major concern as well as the worst outcome of prolonged NSAID-therapy [5]: indeed, they induce gastric mucosal lesions because of their acidic properties [3]. Gastric mucosal erosions, ulceration, bleeding, and perforation, as well as an increased risk of bleeding from pre-existing peptic ulcers are major causes of gastrointestinal iatrogenic diseases [6]. The mechanism behind gastric damage involves a highly acidic gastric environment that favours the migration of nonionized lipophilic NSAID into the Findings show that this combination is more potent to counteract the negative effects of diclofenac and hyperacidic conditions than some other gastroprotective agents on epithelial gastric cells. This was confirmed by the maintenance of p53 expression at physiological level. In addition, when added before diclofenac, it can exert beneficial effects counteracting the negative effect of diclof-enac alone. These data were similar to the sample treated with pantoprazole, supporting the hypothesis that the combination could act as a gastroprotector to prevent cell loss. These results have pointed out the gastroprotective effect of the combination when compared to other commercial natural ex-tracts, this effect is obtained via antioxidant pathway, inhibiting apoptosis, enhancing cell viability and activating survival kinase

Cholecalciferol (vitamin D3) has a direct protective activity against interleukin 6-induced atrophy in C2C12 myotubes

We previously determined that different vitamin D metabolites can have opposite effects on C2C12 myotubes, depending on the sites of hydroxylation or doses. Specifically, 25(OH)D3 (25VD) has an anti-atrophic activity, 1,25(OH)2D3 induces atrophy, and 24,25(OH)2D3 is anti-atrophic at low concentrations and atrophic at high concentrations. This study aimed to clarify whether cholecalciferol (VD3) too, the non-hydroxylated upstream metabolite, has a direct effect on muscle cells. Assessing the effects of VD3 treatment on mouse C2C12 skeletal muscle myotubes undergoing atrophy induced by interleukin 6 (IL6), we demonstrated that VD3 has a protective action, preserving C2C12 myotubes size, likely through promoting the differentiation and fusion of residual myoblasts and by modulating the IL6-induced autophagic flux. The lack, in C2C12 myotubes, of the hydroxylase transforming VD3 in the anti-atrophic 25VD metabolite suggests that VD3 may have a direct biological activity on the skeletal muscle. Furthermore, we found that the protective action of VD3 depended on VDR, implying that VD3 too might bind to and activate VDR. However, despite the formation of VDR-RXR heterodimers, VD3 effects do not depend on RXR activity. In conclusion, VD3, in addition to its best-known metabolites, may directly impact on skeletal muscle homeostasis

Clinical Features, Cardiovascular Risk Profile, and Therapeutic Trajectories of Patients with Type 2 Diabetes Candidate for Oral Semaglutide Therapy in the Italian Specialist Care

Introduction: This study aimed to address therapeutic inertia in the management of type 2 diabetes (T2D) by investigating the potential of early treatment with oral semaglutide. Methods: A cross-sectional survey was conducted between October 2021 and April 2022 among specialists treating individuals with T2D. A scientific committee designed a data collection form covering demographics, cardiovascular risk, glucose control metrics, ongoing therapies, and physician judgments on treatment appropriateness. Participants completed anonymous patient questionnaires reflecting routine clinical encounters. The preferred therapeutic regimen for each patient was also identified. Results: The analysis was conducted on 4449 patients initiating oral semaglutide. The population had a relatively short disease duration (42%  60% of patients, and more often than sitagliptin or empagliflozin. Conclusion: The study supports the potential of early implementation of oral semaglutide as a strategy to overcome therapeutic inertia and enhance T2D management

Can Brain Health Be Supported by Vitamin D-Based Supplements? A Critical Review

This review presents recent knowledge on the neuroprotective effects of vitamin D and their usefulness as oral supplementation when combined with other molecules, such as curcumin. A critical look at the effectiveness of vitamin D in this field is also provided. Vitamin D plays a crucial role in neuroprotection and in the cognitive decline associated with aging, where vitamin D’s levels are related to the levels of several neurotrophic factors. An important role of vitamin D has also been observed in the mechanism of neuroinflammation, which is the basis of several aging conditions, including cognitive decline and neurodegeration; furthermore, the neuroprotective effect of vitamin D in the cognitive decline of aging has recently been reported. For this reason, many food supplements created for humans contain vitamin D alone or combined with other molecules with antioxidant properties. However, recent studies also explored negative consequences of the use at a high dosage of vitamin D. Vitamin D in tissues or brain cells can also modulate calbindin-D28K, parvalbumin, and calretinin, and is involved in immune function, thanks also to the combination with curcumin. Curcumin acts as a free radical scavenger and antioxidant, inhibiting lipid peroxidation and oxidative DNA damage. In particular, curcumin is a potent immune-regulatory agent and its administration has been reported to attenuate cognitive impairments. These effects could be exploited in the future to control the mechanisms that lead to the brain decay typical of neurodegenerative diseases

The Activity of Ten Natural Extracts Combined in a Unique Blend to Maintain Cholesterol Homeostasis—In Vitro Model

Background: Hypercholesterolemia is a major cause of cardiovascular disease and statins, the HMGCoA inhibitors, are the most prescribed drugs. Statins reduce the production of hepatic cholesterol, leading to greater expression of the LDL receptor and greater absorption of circulating LDL, reducing peripheral LDL levels. Unfortunately, statins are believed to induce myopathy and other severe diseases. To overcome this problem, safe nutraceuticals with the same activity as statins could hold great promise in the prevention and treatment of hypercholesterolemia. In this study, the anti-cholesterol efficacy of a new nutraceutical, called Esterol10®, was evaluated. Methods: HepG2 cells were used to study the biological mechanisms exerted by Esterol10® analyzing different processes involved in cholesterol metabolism, also comparing data with Atorvastatin. Results: Our results indicate that Esterol10® leads to a reduction in total hepatocyte cholesterol and an improvement in the biosynthesis of free cholesterol and bile acids. Furthermore, the anti-cholesterol activity of Esterol10® was also confirmed by the modulation of the LDL receptor and by the accumulation of lipids, as well as by the main intracellular pathways involved in the metabolism of cholesterol. Conclusions: Esterol10® is safe and effective with anti-cholesterol activity, potentially providing an alternative therapy to those based on statins for hypercholesterolemia disease

The Activity of Ten Natural Extracts Combined in a Unique Blend to Maintain Cholesterol Homeostasis—In Vitro Model

Background: Hypercholesterolemia is a major cause of cardiovascular disease and statins, the HMGCoA inhibitors, are the most prescribed drugs. Statins reduce the production of hepatic cholesterol, leading to greater expression of the LDL receptor and greater absorption of circulating LDL, reducing peripheral LDL levels. Unfortunately, statins are believed to induce myopathy and other severe diseases. To overcome this problem, safe nutraceuticals with the same activity as statins could hold great promise in the prevention and treatment of hypercholesterolemia. In this study, the anti-cholesterol efficacy of a new nutraceutical, called Esterol10®, was evaluated. Methods: HepG2 cells were used to study the biological mechanisms exerted by Esterol10® analyzing different processes involved in cholesterol metabolism, also comparing data with Atorvastatin. Results: Our results indicate that Esterol10® leads to a reduction in total hepatocyte cholesterol and an improvement in the biosynthesis of free cholesterol and bile acids. Furthermore, the anti-cholesterol activity of Esterol10® was also confirmed by the modulation of the LDL receptor and by the accumulation of lipids, as well as by the main intracellular pathways involved in the metabolism of cholesterol. Conclusions: Esterol10® is safe and effective with anti-cholesterol activity, potentially providing an alternative therapy to those based on statins for hypercholesterolemia disease

New Hyaluronic Acid from Plant Origin to Improve Joint Protection—An In Vitro Study

Background: In recent decades, hyaluronic acid (HA) has attracted great attention as a new treatment option for osteoarthritis. Classical therapies are not able to stop the cartilage degeneration process nor do they favor tissue repair. Nowadays, it is accepted that high molecular weight HA can reduce inflammation by promoting tissue regeneration; therefore, the aim of this study was to verify the efficacy of a new high molecular weight HA of plant origin (called GreenIuronic®) in maintaining joint homeostasis and preventing the harmful processes of osteoarthritis. Methods: The bioavailability of GreenIuronic® was investigated in a 3D intestinal barrier model that mimics human oral intake while excluding damage to the intestinal barrier. Furthermore, the chemical significance and biological properties of GreenIuronic® were investigated in conditions that simulate osteoarthritis. Results: Our data demonstrated that GreenIuronic® crosses the intestinal barrier without side effects as it has a chemical–biological profile, which could be responsible for many specific chondrocyte functions. Furthermore, in the osteoarthritis model, GreenIuronic® can modulate the molecular mechanism responsible for preventing and restoring the degradation of cartilage. Conclusion: According to our results, this new form of HA appears to be well absorbed and distributed to chondrocytes, preserving their biological activities. Therefore, the oral administration of GreenIuronic® in humans can be considered a valid strategy to obtain beneficial therapeutic effects during osteoarthritis