Abstract

Context: Okra, Abelmoschus esculentus (L.) (Malvaceae), is a medicinal plant widely used in Turkish traditional medicine for the treatment of various diseases such as ulcers and gastritis.Objective: In the present study, we evaluated the gastroprotective effect of okra against ethanol-induced acute gastric mucosal injury in animal models.Materials and methods: Wistar rats were treated with 500, 250 or 100 mg/kg okra; 20 mg/kg famotidine (Fam); and 75 mg/kg quercetin (Que). Following a 60 min period, all the rats were given 1 mL of ethanol (80%). One hour after the administration of ethanol, all groups were sacrificed.Results: At 5000 mg/kg, the extract produced (okra) no signs of toxicity in animals. Okra 500, 250, 100, Fam 20 and Que 75 inhibited ulcer formation by 81.0, 67.5, 67.0, 76.3 and 72.4%, respectively. Okra 500 significantly decreased edema, hemorrhage and inflammation scores compared with the ethanol group (p < 0.05). The oxidant levels decreased significantly in the all study groups compared within ethanol group (p < 0.001). Serum β-carotene and retinol levels significantly increased 40.2 and 45.4% in the okra 500 group. In okra 500, 250 and Fam 20 groups, apoptosis significantly decreased (p < 0.001), while okra 500, 250 and Fam 20 groups showed a higher percentage of cell proliferation compared with the ethanol group (p < 0.001).Discussion and conclusions: Our in vivo data indicate that okra has a gastroprotective effect against ethanol and could reduce the gastric ulcer as seen from biochemical and histopathological results. We suggest that okra could be a possible therapeutic antiulcer agent.

Highlights

  • Due to the excessive usage of non-steroidal anti-inflammatory drugs, alcohol consumption or smoking, nutritional deficiencies, Helicobacter pylori infection and stressful lifestyle, gastric ulcer is still a major worldwide health problem

  • A few transferasemediated dUTP nick end labeling (TUNEL)-positive cells were observed in the gastric mucosa

  • The number of TUNEL-positive cells in the ethanol group was remarkably increased compared with the sham group

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Summary

Introduction

Due to the excessive usage of non-steroidal anti-inflammatory drugs, alcohol consumption or smoking, nutritional deficiencies, Helicobacter pylori infection and stressful lifestyle, gastric ulcer is still a major worldwide health problem. Ethanol is a commonly used as an ulcerogenic agent in humans and experimental animals and it causes damage of the gastric mucosa with severe gastric hemorrhagic lesions (Cemek et al 2010; Liju et al 2015). An experimental model of ethanol-induced gastric mucosal damage is often used. Ethanol is metabolized by alcohol dehydrogenases to acetaldehyde, is further metabolized to acetic acid. Acetic acid has toxic effects on the living tissues such as stomach. The gastric wall mucus secretion is considered to be an important defensive barrier that protects the gastrointestinal mucosa from toxins (Jarret et al 2011; Liju et al 2015; Sidahmed et al 2015)

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