EFFECTS OF DIETARY FIBER INTAKE IN CHEMOTHERAPY-INDUCED MUCOSITIS IN MURINE MODEL
Abstract Mucositis is an inflammation of the gastrointestinal mucosa resulting from high-doses of radio/chemotherapy treatment and may lead to interruption of antineoplasic therapy. Soluble fibers, like pectin, increase short-chain fatty acids (SCFA) production that play a role in gut homeostasis and inflammation suppression. Due to the properties of pectin, the aim of this study was to evaluate the effect of a high-fiber diet on chemotherapy-induced mucositis in a murine model. C57/BL6 mice received control (AIN93M), high-fiber (HF), low/zero fiber (LF) diets for 10 days prior the mucositis challenging with irinotecan (75 mg/kg); or, they were treated with acetate added to drinking water 5 days prior and during the mucositis induction. Mice that received HF diet showed decreased immune cells influx and improved histopathological parameters in the intestine, compared to mice that received normal diet. Furthermore, HF diet decreased intestinal permeability induced in the mucositis model when compared to the control group. This effect was not observed in the acetate alone, which did not improve gut permeability. For instance, mice that received LF diet worsened gut permeability, compared with mice that received normal diet and mucositis. The effects of the HF and LF diets were shown to modulate the intestinal microbiota, in which the LF diet increased the levels of Enterobacteriaceae, a group associated with gut inflammation, whereas the HF diet decreased this group and increased Lactobacillus and Bifidobaterium (SCFA producers) levels. In conclusion, the results demonstrated the importance of dietary fiber intake in the modulation of gut microbiota composition and homeostasis maintenance during mucositis in this model.