In addition, some herbal therapies have been demonstrated

to have the ability to ameliorate IBD via their antioxidant capacity, reducing indicators of lipid peroxidation, such as MPO, malondialdehyde, and thiobarbituric acid reactive substances, or improving antioxidant power by increasing GSH, catalase, and superoxide dismutase [38]. Our study shows that green dwarf banana flour shows antioxidant activity in vitro, Staurosporine concentration demonstrated by the inhibition of lipid peroxidation in rat brain membranes, and in vivo, demonstrated by counteracting colonic GSH depletion. The observed effect exerted by the diet enriched with banana flour in preserving the colonic mucosa from oxidative insult may be a factor in diminishing the neutrophil infiltration that occurs in response to TNBS. Brazilian dwarf banana fruit has been described as a rich source of several potent and common antioxidant compounds such as vitamin C,

α-carotene, β-carotene, and lutein [39]. Other studies have reported the antioxidant activity of bananas (Musa sp AAA), demonstrated by a decrease in lipid peroxides and an increase in GSH content in the rat liver [40]. Flavonoids from Musa paradisiaca produce antiperoxidative activity, as demonstrated by the reduction of malondialdehyde and hydroperoxides concentrations and an increase of the catalase and SOD activities in the rat liver, kidney, and heart [41] and [42]. On the basis of our results, we can conclude that diet supplementation MK-2206 in vitro with 20% green dwarf banana flour and the combination use of a 10% banana flour diet with prednisolone prevents TNBS-induced colonic damage in rats. This effect may be associated with an improvement in intestinal oxidative stress probably because of the antioxidant properties of bananas. In addition, the beneficial properties of the green dwarf banana flour may also be attributed to the described presence of potent antioxidant compounds, such as vitamin A, carotenes, and lutein, and fermentation products, such as

resistant starch and amylose, in this plant. Indeed, the protective effect was not related to prebiotic properties, given that the green dwarf banana flour did not produce changes in total content of lactic bacteria. Indeed, although the combination of the 10% green dwarf banana flour Edoxaban diet with prednisolone produced better effects than other tested products, this effect was not synergistic because no statistical differences among the treated groups were found. In conclusion, the use of green dwarf banana flour constituted an important dietary supplement and complementary medicine product in the prevention and treatment of human IBD. However, because of the limitations of this study, further research is necessary to better understand the intestinal anti-inflammatory properties of this dietary intervention and its combination with glucocorticoids using other methods of colitis induction and the evaluation of additional inflammatory mediators.