Pelvic inflammatory
disease (PID) is
a common inflammation in the upper reproductive tract in women and
may cause serious and costly consequences without effective treatment.
Engeletin is a flavanonol glycoside and a naturally derived aldose
reductase (AR) inhibitor that is widely distributed in vegetables,
fruits, and plant-based foods. The present study investigated the
anti-PID activity of engeletin in a mucilage-induced rat model of
PID and LPS-stimulated RAW 264.7 macrophages. Engeletin significantly
reduced inflammation and ameliorated the typical uterine pathological
changes in PID rats. Engeletin also inhibited AR-dependent PLC/PKC/NF-κB
and MAPK inflammatory pathways, as indicated by the suppression of
the phosphorylation levels of PLC, PKC, p38, ERK, and JNK and the
nuclear translocation of NF-κB p65. In vitro studies demonstrated that engeletin significantly inhibited inflammatory
mediator expression and enhanced the phagocytic ability of LPS-induced
RAW 264.7 macrophages. RNA interference of AR prevented the engeletin-induced
inhibition of inflammatory mediators. Engeletin also inhibited AR-dependent
PLC/PKC/NF-κB and MAPK inflammatory pathways, which was consistent
with the in vivo results. These findings support
engeletin as a potential agent for prevention or treatment of PID.