Dietary nitrate attenuated oral submucous fibrosis via inhibiting
PI3K/AKT signaling pathway
Abstract
Oral submucous fibrosis (OSF) is a potentially malignant disorder
characterized by the accumulation of extracellular matrix in the oral
mucosa, which leads to stiffening and can potentially result in trismus.
There is still a lack of effective measures to prevent and treat OSF.
Nitrate has been verified to provide protective responses against
fibrotic diseases in multiple organs and tissues. It remains unclear
whether dietary nitrate can prevent OSF. In the present study, we
established a OSF rat model to evaluate the effect of nitrate for
preventing OSF. Nitrate treatment demonstrated promising preventive
effects, including the alleviation of mucosal pallor, improved mouth
opening, and ameliorated histopathologic features in rats with OSF, with
no side effects. Moreover, nitrate also inhibit collagen deposition,
profibrogenic marker expression, and inflammation. RNA-seq analysis of
fibrotic oral mucosal tissues, followed by functional verification,
revealed that nitrate’s preventive effect is primarily mediated through
inhibition of the PI3K/AKT signaling pathway, ultimately leading to
reduced expression of fibrosis-related markers. Our findings revealed
for the first time that nitrate exhibited strong preventive effects in
both in vitro and in vivo models of OSF by inhibiting the PI3K/AKT
signaling pathway. Dietary nitrate supplementation could offer a novel,
safe, and effective approach to preventing OSF.