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      Mechanisms of the Gastric Antiulcerogenic Activity of Anacardium humile St. Hil on Ethanol-Induced Acute Gastric Mucosal Injury in Rats

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          Abstract

          Leaves and bark infusions Anacardium humile St. Hil. (Anacardiaceae), known as in Brazil as “cajuzinho do cerrado”, have been used in folk medicine as an alternative treatment for ulcers and gastritis. This study evaluated the gastroprotective activity of an ethyl acetate extract of the leaves of A. humile (AcF) and the mechanism involved in this gastroprotection. Pretreatment concentrations (50, 100, 200 mg.kg −1) were administered by gavage. Following a 60 min. period, all the rats were orally administered 1 mL of absolute ethanol. One hour after the administration of ethanol, all groups were sacrificed, and the gastric ulcer index was calculated. Prostaglandin PGE 2 concentration, gastric adherent mucous, and the participation of nitric oxide (NO) and sulfhydryl compounds in the gastroprotection process were also analyzed using the most effective tested dose (50 mg·kg −1). A histological study of the glandular stomach for the evaluation of the epithelial damage and mucus content was also performed. AcF significantly reduced the gastric damage produced by ethanol. This effect was statistically significant for the 50 mg·kg −1 group compared to control. Also, it significantly increased the PGE 2 (by 10-fold) and mucous production, while pretreatment with NG-nitro-L-arginine methyl ester (L-NAME) or N-ethylmaleimide (NEM) completely abolished the gastroprotection. AcF has a protective effect against ethanol, and this effect, might be due to the augmentation of the protective mechanisms of mucosa.

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          Most cited references30

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          Evidence for protective and antioxidant properties of rutin, a natural flavone, against ethanol induced gastric lesions.

          This study was designed to determine the ulcer-protecting effects of rutin, a natural flavone, against gastric lesions induced by 50% ethanol, the experimental model related to lesion pathogenesis with production of reactive species. The possible involvement of sulphydryl compounds (SH), neutrophil infiltration, and the capacity of this flavone to restrain the oxidative process produced in the gastric tissue were also investigated. The levels of thiobarbituric acid (TBA, as index of lipid peroxidation), the myeloperoxidase activity (MPO, as a marker of neutrophil infiltration), the content of mucosal sulphydryls (SH) groups and the activity of glutathione peroxidase (GSH-Px, an important antioxidant enzyme) were determined. Pretreatment with the highest dose of rutin (200 mg/kg), 120 min before 50% ethanol, resulted in the most effective necrosis prevention. TBA reactive substances in the gastric mucosa, were increased by ethanol injury, and this increase was inhibited by the administration of 200 mg/kg of rutin. However, the flavonoid was not able to modify the ethanol-induced neutrophil infiltrate expressed as myeloperoxidase activity. Exposure of the gastric mucosa to 50% ethanol induced a significant diminution in gastric non-protein SH content; this parameter also was not modified by the treatment with rutin. GSH-Px activity decreased in the gastric mucosa after ethanol-treatment. In contrast, rutin at all tested doses induced a significant increase in this enzymatic activity, higher than in control group. These results suggest that the gastroprotective effect of rutin in this experimental model appears through an anti-lipoperoxidant effect, and also by enhancement of the anti-oxidant enzymatic (GSH-Px) activity.
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            Flavonoids with Gastroprotective Activity

            Peptic ulcers are a common disorder of the entire gastrointestinal tract that occurs mainly in the stomach and the proximal duodenum. This disease is multifactorial and its treatment faces great difficulties due to the limited effectiveness and severe side effects of the currently available drugs. The use of natural products for the prevention and treatment of different pathologies is continuously expanding throughout the world. This is particularly true with regards to flavonoids, which represent a highly diverse class of secondary metabolites with potentially beneficial human health effects that is widely distributed in the plant kingdom and currently consumed in large amounts in the diet. They display several pharmacological properties in the gastroprotective area, acting as anti-secretory, cytoprotective and antioxidant agents. Besides their action as gastroprotectives, flavonoids also act in healing of gastric ulcers and additionally these polyphenolic compounds can be new alternatives for suppression or modulation of peptic ulcers associated with H. pylori. In this review, we have summarized the literature on ninety-five flavonoids with varying degrees of antiulcerogenic activity, confirming that flavonoids have a therapeutic potential for the more effective treatment of peptic ulcers.
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              Histology of alcoholic hemorrhagic "gastritis": a prospective evaluation.

              The term "hemorrhagic gastritis" is frequently applied to the subepithelial hemorrhages seen at endoscopy in alcoholic patients without a clear understanding of the histologic nature of these lesions. We prospectively screened 125 actively drinking alcoholic patients undergoing upper endoscopy for gastrointestinal bleeding. Gastric subepithelial hemorrhages were found in 20 of these patients. Biopsy specimens of hemorrhagic lesions and nonhemorrhagic mucosa 1 and 3 cm away were taken with a "jumbo" forceps. Gastric biopsy specimens from 12 patients with Barrett's esophagus served as controls for biopsy-induced trauma. Biopsy slides from the patients and controls were coded before histologic scoring. Mean hemorrhage scores (range, 0-4) for the target lesions (2.9 +/- 0.3) were significantly greater than scores for the adjacent mucosa (1 cm, 1.0 +/- 0.2; 3 cm, 1.1 +/- 0.2) or control biopsy specimens (0.8 +/- 0.1). Hemorrhage was superficial, occurring primarily in the foveolar region. Mucosal edema (score range, 0-4) was a prominent feature in the adjacent, nonhemorrhagic mucosa (target lesion, 0.7 +/- 0.2; 1 cm, 1.9 +/- 0.4; 3 cm, 2.0 +/- 0.3; controls, 0.8 +/- 0.1). Edema extended into the deeper gland zones in 11 of 20 patients but in none of the 12 controls (p less than 0.05). Inflammatory cell infiltrates were mild and scores did not vary significantly among the three biopsy sites in alcoholic patients. We conclude that subepithelial hemorrhages seen at endoscopy in alcoholic patients represent localized hemorrhage of the foveolar region with edema in the surrounding mucosa but without prominent inflammatory cell infiltration. Rather than use the term "hemorrhagic gastritis," endoscopists should simply describe these lesions as subepithelial hemorrhages.
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                Author and article information

                Journal
                Molecules
                Molecules
                molecules
                Molecules
                MDPI
                1420-3049
                15 October 2010
                October 2010
                : 15
                : 10
                : 7153-7166
                Affiliations
                [1 ]Departamento de Anatomia, Biologia Celular, Fisiologia e Biofísica, Instituto de Biologia, Universidade Estadual de Campinas, Campinas, SP, Brazil; E-Mails: aninhadabio@ 123456gmail.com (A‑C.A.A.); mcola1@ 123456yahoo.com.br (M.C.); vicbio@ 123456yahoo.com (V.B.); anabia5@ 123456yahoo.com.br (A‑B.A.A.); elisfarias.com@ 123456gmail.com (E.F-S); abrito@ 123456unicamp.br (A.R.M.S-B)
                [2 ]Laboratório de Tecnologia Farmacêutica, Universidade Federal da Paraíba - UFPB, Cx. Postal 5009, 58051-970, João Pessoa, PB, Brazil; E-Mail: leoniab@ 123456uol.com.br (L-M.B.)
                [3 ]Departamento de Morfologia, Instituto de Biociências, Universidade Estadual Paulista, Botucatu, SP, Brazil; E-Mail: claudia@ 123456ibb.unesp.br (C-H.P.)
                [4 ]Departamento de Fisiologia, Instituto de Biociências, Universidade Estadual Paulista, Botucatu, SP, Brazil; E-Mail: hiruma@ 123456ibb.unesp.br (C.A.H-L.)
                [5 ]Departamento de Química Orgânica, Instituto de Química, Universidade Estadual Paulista, Araraquara, SP, Brazil; E-Mails: loursant@ 123456iq.unesp.br (L-C.S.); vilegasw@ 123456gmail.com (W.V.)
                Author notes
                [* ] Author to whom correspondence should be addressed; E-Mail: domcarecone@ 123456yahoo.com.br .
                Article
                molecules-15-07153
                10.3390/molecules15107153
                6259165
                20953159
                aa2c8d8c-df74-44c6-9aa7-3c79634cde85
                © 2010 by the authors;

                licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                : 09 September 2010
                : 08 October 2010
                : 14 October 2010
                Categories
                Article

                anacardium humile,antiulcer activity,cytoprotection,medicinal plants

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