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Toxicology
Reports
j o u r n al ho me p ag e : w w w . e l s e v i e r . c o m / l o c a t e / t o x r e p
Indomethacin-induced
gastric
ulceration
in
rats:
Protective
roles
of
Spondias
mombin
and
Ficus
exasperata
Saheed
Sabiu
a,∗,
Taofeeq
Garuba
b,
Taofik
Sunmonu
c,
Emmanuel
Ajani
a,
Abdulhakeem
Sulyman
a,
Ismaila
Nurain
a,
Abdulazeez
Balogun
caPhytomedicine,FoodFactorsandToxicologyResearchLaboratory,BiochemistryUnit,DepartmentofBiosciencesandBiotechnology,
KwaraStateUniversity,P.M.B.1530,Ilorin,Nigeria
bDepartmentofPlantBiology,UniversityofIlorin,Ilorin,Nigeria
cPhytomedicineandPlantBiochemistryResearchLaboratory,BiochemistryUnit,DepartmentofBiologicalSciences,
Al-HikmahUniversity,Ilorin,Nigeria
a
r
t
i
c
l
e
i
n
f
o
Articlehistory: Received9October2014 Receivedinrevisedform 30November2014 Accepted1January2015 Availableonline8January2015 Keywords:
Antacid Antioxidative Gastroprotective NSAIDS
Protonpumpinhibitor Vagotomy
a
b
s
t
r
a
c
t
This studyinvestigated the quantitative polyphenolic constituents and
gastroprotec-tive effectsof aqueousleaf extractsof Spondiasmombin and Ficusexasperata against
indomethacin-inducedgastriculcerinrats.Ulcerationwasinducedbyasingleoral
admin-istration ofindomethacin (30mg/kgbody weight).Wistarrats were pretreated with
esomeprazole(referencedrug)atadoseof20mg/kgbodyweight,S.mombinorF. exas-perataat100and200mg/kgbodyweightoncedailyfor21dayspriortoulcerinduction.At theendoftheexperiment,gastricsecretionsandantioxidantparameterswereevaluated. Weobservedthatthesignificantlyincreased(p<0.05)ulcerindex,gastricvolume, malon-dialdehydelevelandpepsinactivitywereeffectivelyreducedfollowingtreatmentwithS. mombinandF.exasperata.Theextractsalsomarkedlyattenuatedthereducedactivityof superoxidedismutaseaswellaspHandmucincontentintheulceratedrats.These find-ingsareindicativeofgastroprotectiveandantioxidativepotentialsoftheextractswhich isalsoevidentinthedegreeof%inhibitionagainstulceration.Theavailabledatainthis studysuggestthattheextractsofS.mombinandF.exasperataprovedtobecapableof ame-lioratingindomethacin-inducedgastriculcerationandtheprobablemechanismsarevia antioxidativeandprotonpumpinhibition.
©2015TheAuthors.PublishedbyElsevierIrelandLtd.Thisisanopenaccessarticleunder theCCBY-NC-NDlicense(http://creativecommons.org/licenses/by-nc-nd/4.0/).
1. Introduction
Gastric ulceration is a benign lesion onthemucosal epitheliumuponexposureofthestomachtoexcessacid andaggressivepepsinactivity[1].Itisthemostprevalent gastrointestinaldisorder everknown,accounting for an estimated15mortalityoutofevery15,000complications yearlyintheworld[2,3].Inspiteoftherapidlychanging
∗ Correspondingauthor.Tel.:+2348038179476. E-mailaddress:saeed.sabiu@gmail.com(S.Sabiu).
conceptofgastric ulcermanagementfromconventional vagotomy,prostaglandinanalogs,H2receptorantagonists andantacidstoprotonpumpinhibitors,gastrointestinal toxicity remains an impediment totheir application in clinical practice. Specifically,gastrointestinal toxicity of nonsteroidalanti-inflammatorydrugs(NSAIDs)originmay beas highas 4–8% per yearand thecomplications are even higher for those with additional risk factors such as prior history of ulcer disease [4]. Various synthetic antiulcerdrugsarepresentlyavailableandsomeofthese likecimetidine, misoprostol,ranitidine, omeprazoleand esomeprazoleareemployedtomanage and cureNSAID http://dx.doi.org/10.1016/j.toxrep.2015.01.002
2214-7500/©2015TheAuthors.PublishedbyElsevierIrelandLtd.ThisisanopenaccessarticleundertheCCBY-NC-NDlicense(http://creativecommons.org/ licenses/by-nc-nd/4.0/).
inducedgastriculcer.However,eachofthesedrugsconfers simplertoseveresideeffects,promptingasearchfor non-toxic,easilyaccessibleandaffordableantiulcermedication [5,6].Investigationonthephytotherapyofmedicinalplants thatarehighlyvaluedandwidelyusedinthetraditional systemsofmedicinemightprovideefficientformulation forbettermanagement.SpondiasmombinandFicus exas-peratabelongstothisclassoftherapeuticplants.
S. mombin(SM) commonly knownas “Iyeye” in the South-WesternpartofNigeriaisafructiferoustreeinthe FamilyAnacardiaceae.Theplantgrowsinrainforestsand coastalareas,attainingaheightof15–22m[7].Itis com-monlyusedinfolkmedicinetocuremanydiseasesdueto itspotentbioactiveprinciplesincludingtannins,saponins, flavonoids, phenolics and anthraquinone glycosides [8]. Antioxidantvitamins;alpha-tocopherolandascorbicacid have been detectedin itsleaves extracts [9]. Tea from itsflowersandleavesistakenasananalgesicand anti-inflammatorycureagainststomachacheanddiscomfort [10].Ayokaetal.[7]havealsoreporteddecoctionfromits leavestobetherapeuticagainsturethritis,cystitisaswell aseyeand throatinflammations.ThegumfromSMhas alsobeenexploitedasanexpectorantandvermifuge.The leafextractoftheplanthasbeenoutstandinglyadvocated foruseinspeedywoundhealingprocesses,hemorrhoids andinflamedmucousmembraneduetoitstannincontent [11].Itspharmacologicalpotenciessuchasantioxidative, antimicrobial,antimalarialandantibacterialhavealsobeen documented[8,10,12,13].
F. exasperata Valh (FE), called “Epin”, “Anwerenwa” and“Kawusa”respectivelyamongtheYorubas,Igbosand Hausas in Nigeria, is commonly known as ‘sand paper tree’belongingtoMoraceaeFamily.Phytochemical anal-ysisoftheleafextractofFEhasrevealedthepresenceof flavonoids,tannins,saponnins,alkaloids andcyanogenic glycosides [14]. Its medicinalefficacy in treating many diseases has been researched. For instance, the South-WesternpeopleofNigeriausesthedecoctionandinfusion ofFEleavesforthemanagement,controlandtreatmentof hypertension,diabetesmellitusandcertain cardiovascu-lardysfunction[15].LeavesofFEcookedwithbananasare eatenforthetreatmentofgonorrhea[16].Itsleafextractis alsotakentosuppressstomachache,treatpepticulcerand asantidotetopoison[5].
WiththeremarkableattributesofSM andFE partic-ularlyin alleviatingstomachache relateddisorders and woundhealingenhancement,thepresentstudycompared theirtherapeuticefficacytoareferencedrug (esomepra-zole)onindomethacin-inducedgastriculcerationinrats. 2. Materials
2.1. Chemicalsanddrugs
Indomethacinandesomeprazolewererespectively pro-cured from Kapit Pharmaceutical Limited, Nigeria and Ranbaxy Laboratories, India. Trichloroacetic acid (TCA), dimethylaminobenzaldehyde,epinephrine,acetylacetone, bovineserumalbumin(BSA),gallicacid,aluminum chlo-ride,quercetinandthiobarbituricacid(TBA)wereproducts ofSigmaChemicalCo.(St.Louis,MO,USA).Distilledwater
wasobtainedfromBiochemistryLaboratory,KwaraState University,Malete,Nigeria.Assaykitsusedwerefrom Ran-doxLaboratorieslimited,UnitedKingdom.Otherchemicals usedwereofanalyticalgradefromreputablecompaniesin theworld.
2.2. Plantcollectionandauthentication
FreshleavesofSMandFEwerecollectedinApril2014 followingidentificationofthetwoplantsatthebotanical gardenof Universityof Ilorin,Ilorin,Nigeria.Theleaves wereauthenticatedattheUniversity’sHerbarium,where voucher specimens (nos.14/20567and 14/20568) were preparedanddeposited.
2.3. Experimentalanimals
Albino ratsoftheWistar strainat amean weightof 180.00±1.85gwereusedforthestudy.Theanimalswere obtained and reared as described by Sabiu et al. [17], following approval from the Independent Ethical Com-mitteeontheUseandCareofLaboratoryAnimalsofthe KwaraStateUniversity,Malete,Nigeria.Acertified num-berKSU/IECCULA/001/05/014wasassignedandissuedfor theresearch.
3. Methods
3.1. Preparationofextracts
LeavesofSMandFEwereair-driedatroom tempera-turefor10daystoconstantweight.Thedriedsampleswere thenpulverizedwithanelectricblender(modelMS-223; Blender/MillerIII,Taiwan,China),weighedandkept air-tightpriortoextraction.Powderedsamples(500geach) of both plants were separately extracted in 5l of dis-tilledwater for48hwithcontinuousshaking byorbital shaker maintained at 300rpm. The solutions obtained werethenfiltered(withWhatmanNo.1filterpaper)and theresultingfiltrateslyophilizedtogive15.5g(SM)and 12.4g(FE)residues,correspondingtoyieldsof3.1%and 2.48% respectively. The lyophilizedsamples were sepa-ratelyreconstitutedindistilledwatertogivedosesof100 and 200mg/kg body weightofeach extract usedinthe study.
3.2. Determinationoftotalphenolics
FollowingthereportedmethodofWolfeetal.[18],the total phenolcontents in the plant extractswere deter-mined.Briefly,analiquotofeachextract(1ml)wasmixed with5mlFolin-Ciocalteureagent(previouslydilutedwith water1:10v/v)and4ml(75g/l)ofsodiumcarbonate.The tubes were vortexed for 15s and allowed to stand for 30minat 40◦C for color development.Absorbancewas readat765nmusingaspectrophotometer(Beckman,DU 7400,USA).Extractswereevaluatedatafinalconcentration of1mg/ml.Totalphenoliccontentwasexpressedasmg/g gallicacidequivalentusingtheequationobtainedfroma calibrationcurveofgallicacid.
3.3. Determinationoftotalflavonoids
Totalflavonoidswereestimatedusingthemethodof Ordon-ezetal.[19].Inbrief,halfamlof2%AlCl3ethanolic solutionwasaddedto0.5mloftheextracts.After1hat roomtemperature,theabsorbancewasreadat420nm.The developmentofyellowcolorwastakingasindicationof thepresenceofflavonoids.Extractsampleswereevaluated atfinalconcentrationof1mg/ml.Totalflavonoidcontent wascalculatedasquercetinequivalent(mg/g)usingthe equationobtainedfromthecalibrationcurve.
3.4. Ulcerinduction
Gastriculcerationwasinducedintheanimalsaccording totheproceduredescribedbySayantietal.[20].Briefly,rats wereadministeredwithasingleoraldoseofindomethacin (30mg/kgbodyweight).Theyweredeprivedoffoodbut had free access to water 24hprior to ulcer induction. Variousdegrees of ulceration have manifested 4hafter indomethacinadministration.
3.5. Animalgroupingandtreatments
Sixty three albino rats were randomized into nine groups of seven rats each. Group 1 (normal control) animals received only distilled water. Rats in group 2 (ulceratedcontrol)weregivenonlyindomethacin.Groups 3 and 4 animals were administered respectively with 200mg/kgb.w. of FE and SM only (to monitor likely negative/toxicological effect of the extracts). Animals in group 5 were given indomethacin after pretreat-ment with esomeprazole (20mg/kgb.w.). Groups 6, 7, 8 and 9 comprised ulcerated rats pretreated with FE (100mg/kgb.w.),FE(200mg/kgb.w.),SM(100mg/kgb.w.) andSM(200mg/kgb.w.)respectively.Treatmentswiththe reference drug and extractslasted for 21 days prior to indomethacinadministration. Thesewere orally admin-istered once daily using oral intubator with adlibitum provisionoffoodandwaterthroughouttheexperimental period.
3.6. Isolationofstomachandcollectionofgastricjuice Onthetwenty-thirdday(4hpostulcerinduction),the animalswerehumanelysacrificedbycervicaldislocation. Theabdomenwasopenedandthestomachexcised.The stomachwasthereafter openedalong greatercurvature andgastriccontentwasdrainedintoacentrifugetube.Five mlofdistilledwaterwasaddedandtheresultantsolution wascentrifugedat3000rpmfor10min.Thesupernatant obtained was thereafter used for biochemical analyses. Thecleanedstomachswerepreservedin0.1Mphosphate salinebuffer(1:4(w/v),pH7.4)priortomacroscopic exam-inationandhomogenization.
3.7. Determinationofgastricsecretionparameters
Gastric acidoutput(volume) was determinedin the supernatant(2ml)bytitrationwith0.0025NNaOHusing Toepfer’s reagent as indicator. The pH of gastric juice
Table1
Ulcerscoresanddescriptiveremark.
Score Remark
0 Almostnormalmucosa
1 Vascularcongestions
2 Oneortwolesions
3 Severelesions
4 Veryseverelesions
5 Mucosafulloflesions
wasdeterminedusingapHmeter,whiletheprocedures
ofSanyal et al. [21]and Corneet al.[22] wereused to
determinespecificpepsinactivityandmucinconcentration respectively.
3.8. Quantificationofulceration
Degreesofulcerationintheindomethacin-treated ani-mals were quantified using the procedure outlined by SzaboandHollander[23].Briefly,cleanedstomachswere pinnedonacorkboardandulcerswerescoredusing dis-sectingmicroscope withsquare-grid eyepiece based on gradingona0–5scale(depictingseverityofvascular con-gestionsandlesions/hemorrhagicerosions)aspresentedin Table1.Areasofmucosaldamagewereexpressedasa per-centageofthetotalsurfaceareaoftheglandularstomach estimatedinsquaremillimeters.Meanulcerscoreforeach animalwasexpressedasulcerindex(U.I)andthe percent-ageofinhibitionagainstulcerationwasdeterminedusing theexpressions:
U.I.=[Ulceratedarea/totalstomacharea]×100. %Ulcerinhibition=[U.I.incontrol−U.I.intest]
×100/U.I.incontrol.
3.9. Preparationofstomachhomogenateandassayof antioxidantindices
Immediatelyafterulcerscoring,wholestomachtissues weregroundwithliquidnitrogeninamortar.Theground tissues (0.5geach) were then homogenizedin ice cold 0.1Mphosphatesalinebuffer(1:4(w/v),pH7.4)andthe homogenatescentrifugedat2500rpmfor10minat4◦C. Theresultingsupernatantswerefrozenat−20◦Ctoensure maximum release of theenzymes located in thetissue beforebeingusedfortheenzymeassay.
Activity of superoxide dismutase (SOD) and level of lipid peroxidation measured in terms of malondialde-hyde (MDA) were respectively assayed in the stomach homogenatebythemethodsofMarklundandMarklund [24]andDevasagayamandTarachand[25].
3.10. Statisticalanalysis
Inhibition against ulceration was expressed in per-centage.Otherresultswereexpressedasmeanofseven determinations±standarderrorofmean.One-way anal-ysisofvariance (ANOVA) complementedwithStudent’s
Table2
TotalphenolicandflavonoidcontentsofaqueousleafextractsofS.mombin andF.exasperata.Valuesexpressedpergofplantextract.
Aqueous extract Totalphenol(mg gallicacidg−1) Totalflavonoids (mgquerceting−1) S.mombin 85.50±0.20 60.53±0.10 F.exasperata 68.40±0.15 42.63±0.20
Valueswereexpressedpergofplantextractandaremeansoftriplicate
determination±standarddeviation.
t-testusingSPSSsoftwarepackageforwindows(Version
16) for differences between means was used to detect
anysignificantdifference(p<0.05)betweenthetreatment
groupsinthisstudy.
4. Results
Quantitative phytochemical analysis of aqueous leaf
extractsofSMandFErevealedthepresenceoftotalphenols
andflavonoids(Table2).
TheeffectsofaqueousleafextractsofSMandFEonthe ulcerindexand%inhibitionagainstulcerinthe experimen-talanimalsareshowninFigs.1and2respectively.Oral administrationof 30mg/kgb.w.of indomethacincaused a significant(p<0.05) increase in thedegree of ulcera-tion(ulcerindex)intherats.Asignificantimprovement inthelevelofinhibitionagainstulcerationwashowever observedintheextracts-treatedanimals.Theextractsat 200mg/kgb.w.offeredbetterprotectionagainstulceration
Fig.1.Effect ofaqueous leafextracts ofS. mombin andF. exasper-ataonulcerindexofindomethacinulceratedrats(n=7,X±SEM).Bars withdifferentsuperscriptsfortheparameteraresignificantly differ-ent(p<0.05).IND:indomethacin(30mg/kgb.w.),ESP: esomeprazole (20mg/kgb.w.),FE1:Ficusexasperata(100mg/kgb.w.),FE2:Ficus exas-perata(200mg/kgb.w.),SM1:Spondiasmombin(100mg/kgb.w.),SM2: Spondiasmombin(200mg/kgb.w.). 0 10 20 30 40 50 60 70 80 90 100 IND (Ulcerated control)
IND + ESP IND + FE1 IND + FE2 IND + SM1 IND + SM2
% U lce r inh ibit ion
Fig.2. EffectofaqueousleafextractsofS.mombin andF.exasperata ondegreeofprotectionagainstulcerationinindomethacinulcerated rats (n=7, X±SEM). Bars represent % degree of protection offered againstulceration.IND:indomethacin(30mg/kgb.w.),ESP:esomeprazole (20mg/kgb.w.),FE1:Ficusexasperata(100mg/kgb.w.),FE2:Ficus exas-perata(200mg/kgb.w.),SM1:Spondiasmombin(100mg/kgb.w.),SM2: Spondiasmombin(200mg/kgb.w.).
Fig.3. Effectsofaqueous leafextractsofS. mombinandF. exasper-ata ongastricvolume andpHofindomethacinulceratedrats (n=7, X±SEM).Barswithdifferentsuperscriptsforeachparameterare sig-nificantlydifferent(p<0.05).IND:indomethacin(30mg/kgb.w.),ESP: esomeprazole(20mg/kgb.w.),FE1:F.exasperata(100mg/kgb.w.),FE2: F.exasperata(200mg/kgb.w.),SM1:S.mombin(100mg/kgb.w.),SM2:S. mombin(200mg/kgb.w.).
thanthe100mg/kgb.w.regimensandcomparedwellwith thestandarddrug(Esomeprazole)used.
Fig.3showstheeffectofaqueousleafextractsofSM andFEongastricsecretionsofindomethacinulceratedrats. Indomethacinadministrationcausedsignificant(p<0.05) decrease in pH value with a corresponding significant (p<0.05)increaseingastricvolumeofgastriccontent. Pre-treatmentwiththeextractsproducedsignificantincrease in pHvaluecoupledwithsignificantdecreasein gastric volumewhencomparedwithulceratedcontrolrats.
Indomethacinadministrationbroughtabouta signifi-cant(p<0.05)increaseinspecificpepsinactivityaswell assignificantreduction(p<0.05)inmucincontentof gas-tricjuiceofulceratedratswhencomparedwiththenormal control(Fig.4).Theobservedchangesintheseparameters weresignificantlyattenuated(p<0.05)intheSMandFE extracts-treated rats.TreatmentwithSM revealedmore potentefficacyinthemodulationofbothpepsinandmucin contentsofgastricjuiceofulceratedrats.
Fig.4. EffectsofaqueousleafextractsofS.mombinandF.exasperata onpepsinactivityandmucincontentofindomethacinulceratedrats (n=7,X±SEM).Barswithdifferentsuperscriptsforeachparameterare significantlydifferent(p<0.05).IND:indomethacin(30mg/kgb.w.),ESP: esomeprazole(20mg/kgb.w.),FE1:F.exasperata(100mg/kgb.w.),FE2: F.exasperata(200mg/kgb.w.),SM1:S.mombin(100mg/kgb.w.),SM2:S. mombin(200mg/kgb.w.).
Fig. 5.Effect of aqueous leaf extracts of S. mombin and F. exas-perata on gastric. Malondialdehyde (MDA) level of indomethacin ulcerated rats (n=7, X±SEM). Bars with different superscripts for theparameteraresignificantlydifferent(p<0.05).IND:indomethacin (30mg/kgb.w.),ESP:esomeprazole(20mg/kgb.w.),FE1:Ficusexasperata (100mg/kgb.w.),FE2:Ficusexasperata(200mg/kgb.w.),SM1:Spondias mombin(100mg/kgb.w.),SM2:Spondiasmombin(200mg/kgb.w.).
Figs.5and6revealedtheeffectsofaqueousleafextracts ofSMandFEonthelipidperoxidationandSODactivity of gastricmucosalofindomethacinulceratedrats.MDA levelwassignificantlyincreased(p<0.05)intheulcerated animals(Fig.1).Asignificantreduction(p<0.05)wasalso observedintheactivityofSOD(Fig.2)inthe indomethacin-inducedanimals.Commendably,bothextractsparticularly at200mg/kgb.w.regimenresultedinsignificant improve-ment (p<0.05)in these parameters and the observable effectscomparedfavorablywellwithbothnormalcontrol andstandarddrug(esomeprazole)employedinthestudy. 5. Discussion
Inhibitoryactionofindomethacinonprostaglandin syn-thesiscoupledwithfreeradicalsformationhasbeenopined ascriticalbiochemicaleventsinthepathogenesisof gas-triculceration[26–28].Anunderstandingoftheseevents mightbeofutmostrelevanceindesigningnewantiulcer drugs. With the inherent adverse side effects and con-siderablyhighcostofsyntheticdrugs,exploitingnatural productsofplantsourcewhicharebelievedtobenon-toxic, efficaciousandaffordablewillbemostappropriateinthe treatmentofgastriculcer.Phytotherapyisrapidlygaining groundsinsustaininghumanhealthandintheprevention
Fig. 6.Effect ofaqueous leafextractsof S.mombin and F. exasper-ata ongastricsuperoxidedismutase (SOD)activity ofindomethacin ulcerated rats (n=7, X±SEM). Bars with different superscripts for theparameteraresignificantlydifferent(p<0.05).IND:indomethacin (30mg/kgb.w.),ESP:esomeprazole(20mg/kgb.w.),FE1:Ficusexasperata (100mg/kgb.w.),FE2:Ficusexasperata(200mg/kgb.w.),SM1:Spondias mombin(100mg/kgb.w.),SM2:Spondiasmombin(200mg/kgb.w.).
ofcertaindiseaseslikegastriculcerresultingfromdrug toxicity[28,29].Thishasbeenascribedtopossessionof phytonutrientswithexcellentantioxidantpropertiesthat playsignificantrolesin managingtoxicityrelated disor-ders.Interestingly,studieshaverevealedthepresenceof someof thesebioactiveprinciplesinSMand FEaswell asreportedthemtopromotegoodhealth[5,8,14,7].Inthis study,wehavealsospecificallyquantifiedthepolyphenolic constituentsofaqueousleafextractsofSMandFEaswellas comparedtheirgastroprotectiveeffectson indomethacin-inducedulcerationinrats.
Biochemicalanalysisofgastricsecretions(forpH, gas-tric volume, bicarbonate,pepsin) and mucosalintegrity for stomach is usually employed to ascertainits status following exposuretopharmacological agents [30]. The pHgives an idea of thelevel of acidityand volume of gastric secretions. Low pH value is a manifestation of decreasedhydrogenionconcentrationingastricjuice.This hasbeenlinkedtopathogenesisofulcerandgastric dam-ageinexperimentalanimals[31].Inasetal.[27]havealso attributedgastrointestinalinjurytoerodedmucincontent. This erosion is facilitated by onslaughts of both inter-nal(pepsinandoxidantsproducedinthegastriclumen) andexternal(drugsandchemicals)aggressiveagentson mucosalepithelia.
Inthepresentstudy,thesignificantincrease inulcer index and gastric volume following oral administra-tion of indomethacin in the ulcerated rats may be attributed to either free radicals formation or inhibi-tionofprostaglandinsynthesis. Decreasedprostaglandin level has been attributed to impaired gastroprotection andincreasedgastricacidsecretionwhichareimportant eventsintheetiologyofmucosalulceration.Thisagrees withthereportsofBechetal.[32],Biplabetal.[30]and Muhammedetal.[33]whereindomethacinwasreported tohavecausedalterationsingastricsecretionsofrats. Con-versely,pretreatmentswiththetwoextractssignificantly reducedtheseparameters.Infacttheeffects noticedfor pHcomparedfavorablywellwithbothnormalcontroland standarddrugusedinthisstudyandindeedsuggestiveof theirpossiblegastroprotectiveattributes.
A combination of events including release of pre-formedmucus,woundretractionandre-epithelializationis involvedinulcer-healingprocessaftertoxicologicalinjury [23,34].Besidesprovidingsignificantbufferingcapacityfor theneutralizationofluminalacid,themucusalsooffers protectionagainstbothendogenousaggressorsand exoge-nous gastrotoxic agents such as indomethacin, thereby enhancingtherateoflocal healingprocess [35].In this study,theincreasedpepsinactivitycoupledwithdecrease in mucin secretion in the indomethacin-ulcerated rats indicatedalteredhydrophobicityandreducedprotective ability of the mucosal membrane against hemorrhagic erosion, thus, resulting in tissue damage. This implied decreasedabilityofthegastricmucosatowithstandthe offensiveonslaughtofindomethacin.Besidesantioxidant actionthatprotectsthemucuslayerandarrestsulcer pro-gression,drugsthatincreasethesynthesisandsecretion ofgastric mucuswould accelerate gastriculcerhealing. Pretreatmentwiththeextractshowever,facilitatedulcer healingprocess,whichisassociatedwithdecreasedpepsin
activityand elevatedmucinlevelinthegastricmucosa. This in turn has encouraged speedy wound healing of theulceratedareasofthemucosalepitheliaandshielded thegastrointestinalmembrane,thus abrogatingthe cat-astrophicinfluenceofindomethacinintheulceratedrats [34].Thisisindicativeofenhancedmucussecretory poten-tialoftheextractsandsuggestiveoftheirsignificantrolein ulcerhealingprocess.Healingofmucosaepitheliacellswas prominentlydisplayedbytheextractsat200mg/kgb.w. dose,depictinga betterulcerhealingcapacity and com-paredfavorablywellwiththereferencedrugused.
Cells or tissues are in a stable state if the rates of freeradicalformationandscavengingcapacityare essen-tiallyconstantandinequilibrium.However,animbalance betweenthem resultsin oxidative stress which further deregulatescellularfunctionsleadingtodifferent patho-logicalconditions[17].Inthepresentstudy,theincreased concentrationofMDAaswellasreducedactivityofSODin thestomachofindomethacin-ulceratedratsisa manifes-tationoffacilitatedlipidperoxidationandoverproduction offree radicals resultingin mucosaldamage. Free radi-calsthwartantioxidantenzymesactivitiesandinitiatelipid peroxidationwhichisanimportanteventinthetoxicity mechanismofindomethacin[36].Indomethacinhas previ-ouslybeenreportedtodecreaseantioxidantenzymes(SOD, CATandGST)activityinratstomachtherebyinducing gas-triculceration[37].Thisisassociatedwithoverpowering ofthecellularantioxidantdefensesystemsbyfreeradicals ravaginginfluence thatsubsequentlyresultsin stomach oxidativeinjury.However,thesignificantlyreduced con-centrationsofMDAcoupledwithmarkedincreaseinthe activityofSODinratspretreatedwithaqueousleafextracts ofbothplantsisanobviousindicationofantiperoxidative potentialandthusantioxidativepotential.
Generally,theprotectionofferedbytheaqueousleaf extractsofSMandFEagainstindomethacin-induced gas-triculcerationmaybelinkedtotheirbeneficialmedicinal attributes occasioned by phytometabolite constituents. Theseincludeabilitytoscavengefreeradicalsand regu-latemucosalmembranepermeabilitytherebycountering theeffectofindomethacinongastricacidsecretion.This isinagreementwiththesubmissions ofInasetal.[27], Muhammed et al. [33] and Gege-Adebayo et al. [38], wheregastroprotectivepotentialsofplantextractsagainst indomethacin-ulceratedrats wereassociated with their polyphenoliccompoundsandothervariousbioactive prin-ciples.Sinceesomeprazoleisaprotonpumpinhibitor,then theeffectproducedbythetwoextractsmighthaveperhaps mimicitsmechanismofactionbymodulatingcellsinthe mucosalliningofthestomachagainstexcessacidsecretion [39,40].
6. Conclusion
Overall, the attenuation of gastric affronts of indomethacinbyadministrationofaqueousleafextracts ofSMand FEat 200mg/kgb.w.regimenis indicativeof theirexcellentgastroprotectiveandantioxidative poten-tialsinrats.Effortsareongoingtoinvestigatetheexact antiulcerogenic principle(s) in these extracts and also
harnesstheirpossiblesynergisticefficacyagainstgastric ulcer.
Conflictofinterest
The authors declared that there are no conflicts of interest.
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