Gastroprotective Effects of Guava (Psidium guajava L.) Leaf Infusion in Aspirin-Induced Gastric Ulcer in Male Wistar Rats
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Abstract
Gastric ulcers are characterized by damage to the mucosal and submucosal layers and arise from an imbalance between protective and injurious factors. Active constituents of Psidium guajava leaves have been reported to possess gastroprotective properties. The present study was undertaken to evaluate the efficacy of guava leaf infusion (GLI) in protecting against aspirin-induced gastric lesions in male Wistar rats. Twenty male Wistar rats were allocated into five groups (n=4) and administered orally by gavage one of the following once daily for seven days: GLI at doses of 675, 1350, or 2700 mg/kg body weight; ranitidine at 27 mg/kg body weight (positive control); or 2 mL distilled water (negative control). One hour after, gastric injury was induced by aspirin (9 mg/kg body weight) given orally in all groups. Lesion area percentage and ulcer depth were assessed. A significant reduction in the percentage of gastric mucosal lesion area was observed in the 1350 mg/kg GLI group compared to the positive control (p=0.040), and a more pronounced reduction was noted in the 2700 mg/kg GLI group (p= 0.008). Ulcer depth scoring indicated a significant difference between the 675 and 1350 mg/kg GLI groups (p=0.040), and a highly significant decrease was found in the 2700 mg/kg GLI group relative to the negative control (p=0.008). Administration of guava leaf infusion was demonstrated to confer gastroprotection by attenuating both the area and depth of aspirin-induced gastric mucosal lesions.
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1.Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J. Harrison’s principle of internal medicine. 20th ed. New York: McGraw-Hill Education; 2018. p.2220–2226.
2.Laucirica I, Garcia Iglesias P, Calvet X. Peptic ulcer. Med Clin (Engl Ed). 2023;161(6):260–266. Doi: 10.1016/j.medcle.2023.05.015
3.Vakil N. Peptic Ulcer Disease: A Review. JAMA. 2024;332(21):1832–1842. doi:10.1001/jama.2024.19094
4.Almadi MA, Lu Y, Alali AA, Barkun AN. Peptic ulcer disease. Lancet (London, England). 2024;404(10447):68–81. Doi: 10.1016/S0140-6736(24)00155-7
5.Zhang W, Lian Y, Li Q, Sun L, Chen R, Lai X, Zhang J, Zhu X, Xu X, Chen J, Zhao Y. Preventative and therapeutic potential of flavonoids in peptic ulcers. Molecules. 2020;25(20):1–24. Doi: 10.3390/molecules25204626
6.Shanmugapriya K, Kim H, Kang HW. EGFR-conjugated hydrogel accelerates wound healing on ulcer-induced burn wounds by targeting collagen and inflammatory cells using photoimmunomodulatory inhibition. Mater Sci Eng C. 2020;118(2021)1115114:1-14. Doi: 10.1016/j.msec.2020.111541
7.Xie X, Ren K, Zhou Z, Dang C, Zhang H. The global, regional and national burden of peptic ulcer disease from 1990 to 2019: a population-based study. BMC Gastroenterol. 2022;58(2022):1-12. Doi: 10.1186/s12876-022-02130-2
8.Kuna L, Jakab J, Smolic R, Raguz-Lucic N, Vcev A, Smolic M. Peptic ulcer disease: a brief review of conventional therapy and herbal treatment options. J Clin Med. 2019;8(2),179:1-13. Doi: 10.3390/jcm8020179
9.Díaz-de-Cerio E, Verardo V, Gómez-Caravaca AM, Fernández-Gutiérrez A, Segura-Carretero A. Health effects of Psidium guajava L. leaves: an overview of the last decade. Int J Mol Sci. 2017;18(4),897:1-24. Doi: 10.3390/ijms18040897
10.Liu C, Jullian V, Chassagne F. Ethnobotany, phytochemistry, and biological activities of Psidium guajava in the treatment of diarrhea: a review. Front Pharmacol. 2024;15(2024), 1459066:1-18. Doi: 10.3389/fphar.2024.1459066
11.Cherrada N, Chemsa AE, Gheraissa N, Laib I, Gueboudji Z, El-Shazly M, Zaater A, Abid A, Sweilam SH, Bin Emran T, Nani S, Benamor B, Amara DG, Atoki AV, Messaoudi M. Gastroprotective efficacy of North African medicinal plants: a review on their therapeutic potential for peptic ulcers. Food Sci Nutr. 2024;12(11):8793–8824. Doi: 10.1002/fsn3.4536
12.Ruiz-Hurtado PA, Garduño-Siciliano L, Domínguez-Verano P, Balderas-Cordero D, Gorgua-Jiménez G, Canales-Álvarez O, Canales-Martínez MM, Rodríguez-Monroy MA. Propolis and its gastroprotective effects on NSAID-induced gastric ulcer disease: a systematic review. Nutrients. 2021;13(9),3169:1-34. Doi: 10.3390/nu13093169
13.Daswani PG, Gholkar MS, Birdi TJ. Psidium guajava: a single plant for multiple health problems of rural Indian population. Pharmacogn Rev. 2017;11(22):167–174. Doi: 10.4103/phrev.phrev_17_17
14.Yumita A, Hikmawanti NPE, Hanani E, Saputri CW, Hanana PH, Ero JND, Marcelena M, Baytisani T, Sofiana FA, Shania AF, Saputri ESA, Islami FPN. Exploring the polyphenol contents and antioxidant capacity of the leaf extracts of selected Indonesian Syzygium species. Trop J Nat Prod Res. 2023;7(6):1034–1040. Doi: 10.26538/tjnpr/v7i6.8
15.Ogbiko C, Usman D, Eboka J, Igbe I. Anti-ulcer activity of methanol extract of Plantago rugelii Decne. (Plantaginaceae). Trop J Nat Prod Res. 2017;1(2):84–88. Doi: 10.26538/tjnpr/v1i2.9
16.Nweze C, Lay T, Muhammad A, Ubhenin A. Hypoglycemic, hepatoprotective and hypolipidemic effects of Pleurotus ostreatus in alloxan-induced hyperglycemic rats. Trop J Nat Prod Res. 2017;1(4):163–167. Doi: 10.26538/tjnpr/v1i4.8
17.Gutierrez-Montiel D, Guerrero-Barrera AL, Chávez-Vela NA, Avelar-Gonzalez FJ, Ornelas-García IG. Psidium guajava L.: from byproduct and use in traditional Mexican medicine to antimicrobial agent. Front Nutr. 2023;10,1134561:1-18. Doi: 10.3389/fnut.2023.1108306
18.Ibeh LN, Ijioma SN, Emmanuel O, Timothy CO, Ugbogu EA. Psidium guajava leaf extract improves gastrointestinal functions in rats and rabbits: an implication for ulcer and diarrhoea management. Biomarkers. 2021;26(8):737–746. Doi: 10.1080/1354750X.2021.1992651
19.Vimala G, Shoba FG. A review on antiulcer activity of few Indian medicinal plants. Int J Microbiol. 2014;2014(1):1–12. Doi:10.1155/2014/519590
20.Tai FWD, McAlindon ME. Non-steroidal anti-inflammatory drugs and the gastrointestinal tract. Clin Med. 2021;21(2):131–134. Doi: 10.7861/clinmed.2021-0039
21.Bindu S, Mazumder S, Bandyopadhyay U. Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective. Biochem Pharmacol. 2020;180,114147:1-21. Doi: 10.1016/j.bcp.2020.114147
22.Shim YK, Kim N. Nonsteroidal anti-inflammatory drug and aspirin-induced peptic ulcer disease. Korean J Gastroenterol. 2016;67(6):300–312. Doi: 10.4166/kjg.2016.67.6.300
23.Sha’aban A, Zainal H, Khalil NA, Abd Aziz F, Ch’ng ES, Teh CH, Mohammed M, Ibrahim B. Prediction of low-dose aspirin-induced gastric toxicity using nuclear magnetic resonance spectroscopy-based pharmacometabolomics in rats. Molecules. 2022;27(7),2126:1-11. Doi: 10.3390/molecules27072126
24.McEvoy L, Carr DF, Pirmohamed M. Pharmacogenomics of NSAID-induced upper gastrointestinal toxicity. Front Pharmacol. 2021;12,667223:1-15. Doi: 10.3389/fphar.2021.684162
25.O’Brien CW, Juraschek SP, Wee CC. Prevalence of aspirin use for primary prevention of cardiovascular disease in the United States: Results from the 2017 National Health Interview Survey. Ann Intern Med. 2019;171(8):596–598. Doi: 10.7326/M19-0953
26.Uduak EU, Timbuak JA, Musa SA, Ikyembe DT, Abdurrashid S, Hamman WO. Ulceroprotective effect of methanol extract of Psidium guajava leaves on ethanol induced gastric ulcer in adult Wistar rats. Asian J Med Sci. 2012;4(2):75–78.
27.Manekeng HT, Mbaveng AT, Ntyam Mendo SA, Agokeng AJD, Kuete V. Evaluation of acute and subacute toxicities of Psidium guajava methanolic bark extract: a botanical with in vitro antiproliferative potential. Evid Based Complement Alternat Med. 2019; 2019(1):1–13. Doi: 10.1155/2019/8306986
28.Birdi T, Krishnan GG, Kataria S, Gholkar M, Daswani P. A randomized open label efficacy clinical trial of oral guava leaf decoction in patients with acute infectious diarrhoea. J Ayurveda Integr Med. 2020;11(2):163–172. Doi: 10.1016/j.jaim.2020.04.001
29.Janhavi P, Divyashree S, Sanjailal KP, Muthukumar SP. DoseCal: a virtual calculator for dosage conversion between human and different animal species. Arch Physiol Biochem. 2022;128(2):426–430. Doi: 10.1080/13813455.2019.1687523
30.Lu S, Wu D, Sun G, Geng F, Shen Y, Tan J, Sun X, Luo Y. Gastroprotective effects of Kangfuxin against water-immersion and restraint stress-induced gastric ulcer in rats: Roles of antioxidation, anti-inflammation, and pro-survival. Pharm Biol. 2019;57(1):770–777. Doi: 10.1080/13880209.2019.1682620
31.Kim YS, Park HJ, Kim H, Song J, Lee D. Gastroprotective effects of Paeonia extract mixture HT074 against experimental gastric ulcers in rats. Evid Based Complement Alternat Med. 2019;2019(1):1–13. Doi: 10.1155/2019/3546258
32.Turner PV, Vaughn E, Sunohara-Neilson J, Ovari J, Leri F. Oral gavage in rats: animal welfare evaluation. J Am Assoc Lab Anim Sci. 2012;51(1):25–30.
33.Colby LA, Nowland MH, Kennedy LH. Clinical laboratory animal medicine. 5th ed. New Jersey: Wiley Blackwell; 2020. p.138-142.
34.Flecknell P. Examples of dilutions of anaesthetic mixtures for small rodents. In: Laboratory animal anaesthesia. 4th ed. Amsterdam: Elsevier; 2016. p.265–270. Doi: 10.1016/B978-0-12-800036-6.00023-5
35.Adefisayo MA, Akomolafe RO, Akinsomisoye SO, Alabi QK, Ogundipe OL, Omole JG, Olamilosoye KP. Gastroprotective effect of methanol extract of Vernonia amygdalina leaf on aspirin-induced gastric ulcer in Wistar rats. Toxicol Rep. 2017;4:625-633. Doi: 10.1016/j.toxrep.2017.11.004
36.Ercan G, Tartar RI, Solmaz A, Gulcicek OB, Karagulle OO, Meric S, Caroyen H, Kusaslan R, Kemik A, Kayali DG, Cetinel S, Celik A. Potent therapeutic effects of ruscogenin on gastric ulcer established by acetic acid. Asian J Surg. 2020;43(2):405-416. Doi: 10.1016/j.asjsur.2019.07.001
37.Khayyal MT, Wadie W, El-Haleim EA, Ahmed KA, Kelber O, Ammar RM, Aziz HA. STW 5 is effective against nonsteroidal anti-inflammatory drug-induced gastro-duodenal lesions in rats. World J Gastroenterol. 2019;25(39):5926–5935. Doi: 10.3748/wjg.v25.i39.5926
38.Masbuchin AN, Nurdiana, Suryana BPP. Gastroprotective Effect of Welsh Onion (Allium fistulosum) Toward Gastropathy in Indomethacin-Induced Rat. Health Journal of the Faculty of Medicine, Brawijaya University. 2014;1(3):181–187.
39.Usman S. The extent of gastric mucosal damage in ethanol-induced model rats. Mutiara Medika. 2016;16(1):34–39.
40.Tarnawski AS, Ahluwalia A. The critical role of growth factors in gastric ulcer healing: the cellular and molecular mechanisms and potential clinical implications. Cells. 2021;10(8),1964:1-19. Doi: 10.3390/cells10081964
41.Périco LL, Rodrigues VP, Ohara R, Bueno G, Nunes VVA, dos Santos RC, Camargo ACL, Justulin Júnior LA, de Andrade SF, Steimbach VMB, da Silva LM, da Rocha LRM, Vilegas W, dos Santos C, Hiruma-Lima CA. Sex-specific effects of Eugenia punicifolia extract on gastric ulcer healing in rats. World J Gastroenterol. 2018;24(38):4369–4383. Doi: 10.3748/wjg.v24.i38.4369
42.Zarricueta ML, Fagundes FL, Pereira QC, Pantaleão SQ, Santos RC. Relationship between hormonal modulation and gastroprotective activity of malvidin and cyanidin chloride: in vivo and in silico approach. Pharmaceutics. 2022;14(3),565:1-25. Doi: 10.3390/pharmaceutics14030565
43.Alazzouni AS, Abdel Aziz EA, Elnabtity S, Salem AI. Comparative histological and histochemical studies between ranitidine and nizatidine in treatment of peptic ulcer with evaluation of their adverse effects on male sex hormones. J Basic Appl Zool. 2020;81(61):4–16. Doi: 10.1186/s41936-020-00196-6
44.Asnaashari S, Dastmalchi S, Javadzadeh Y. Gastroprotective effects of herbal medicines (roots). Int J Food Prop. 2018;21(1):902-920. Doi: 10.1080/10942912.2018.1473876
45.Sudira IW, Merdana IM, Qurani SN. Preliminary phytochemical analysis of guava leaves (Psidium guajava L.) extract as antidiarrheal in calves. Adv Trop Biodivers Environ Sci. 2019;3(2):21–23. Doi: 10.24843/atbes.2019.v03.i02.p01
46.Ruksiriwanich W, Khantham C, Muangsanguan A, Phimolsiripol Y, Barba FJ, Sringarm K, Rachtanapun P, Jantanasakulwong K, Jantrawut P, Chittasupho C, Chutoprapat R, Boonpisuttinant K, Sommano SR. Guava (Psidium guajava L.) leaf extract as bioactive substances for anti-androgen and antioxidant activities. Plants. 2022;11(24),3514:1-14. Doi: 10.3390/plants11243514


