Abstract

Stress is a typical body's natural defense to a generic physical or psychic change. A specific linking mechanism between ulcer onset and psycho-physical stress prolonged exposure has been reported. We decided to investigate the possible effects of Borago officinalis L. (Borago) in preventing physical (stress)-induced gastric ulcers in a rat model. Eighty male Sprague-Dawley rats were randomly divided into 16 groups, pretreated with a control solution, omeprazole (20 mg/kg), Borago methanolic extract (25, 50, 100, 250, and 500 mg/kg), Borago organic extract (50, 100, 250, and 500 mg/kg), Borago aqueous extract (5, 10, 20, 30, and 40 mg/kg), and D(-)-2-Amino-5-phosphonovaleric acid (AP5) (25 mg/kg) and kept in stressful conditions such as water immersion and restraint-induced stress ulcers. The animals were sacrificed and their stomach scored for the severity and the number of gastric ulcers. Methanolic extract (500 mg/kg) significantly reduced both ulcer parameters (***p < 0.001 and **p < 0.01, respectively). Aqueous and organic extract significantly decreased severity score at 5 and 10 mg/kg (**p < 0.01 and ***p < 0.001, respectively), and at 250 and 500 mg/kg (***p < 0.001), respectively, while gastric ulcers' resulted number significantly reduced only at 10 mg/kg (*p < 0.05) and at 500 mg/kg (**p < 0.01), respectively. On the other hand, aqueous extract significantly increased the mucosal gastric content of cAMP (*p < 0.05) and NR2A and NR2B subunits (*p < 0.05 and **p < 0.01, respectively) at 5 mg/kg. Organic extract showed also a significant cytotoxic effect at 500 and 1,000 mg/kg with a 3T3 cell viability reduction of 43.6% (**p < 0.01) and 92.1% (***p < 0.001), respectively. Borago aqueous extract at 10 mg/kg could be considered as a potential protective agent against stress-induced ulcers, and it is reasonable to possibly ascribe such protective activity to a modulation of the NR2A and NR2B subunit expression.

Highlights

  • Stress is a typical body’s natural defense to a generic physical or psychic change, which involves a temporary alteration of organism homeostasis [1]

  • The stress-induced gastric ulcer model showed a high severity score and gastric ulcer number, 3.7 ± 0.4 and 8.0 ± 2.2, respectively, while an opposite significant trend was observed for omeprazole, 0.6 ± 0.1 (∗∗∗p < 0.001) and 1.0 ± 0.3 (∗∗∗p < 0.001), respectively (Figure 1) as shown (Figures 2A,B)

  • In order to verify any possible molecular modulation of the glutamatergic NMDA receptor, we evaluated mRNA expression of its different subunits by means of real-time reverse transcription-polymerase chain reaction (RT-PCR) on stomach tissue samples from a stress-induced ulcer rat model treated with omeprazole and Borago extracts

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Summary

Introduction

Stress is a typical body’s natural defense to a generic physical or psychic change, which involves a temporary alteration of organism homeostasis [1]. Besides an increased adrenocorticotropic hormone (ACTH) and corticosteroid release, is characterized by an increase in catecholamine release, which, per se, has a protective effect at the gastric level Neurotransmitters such as noradrenaline (NE), dopamine (DA), and γ-aminobutyric acid (GABA) exert a protective effect on the gastric mucosa through an inhibitory control on acid secretion and motility. Further studies highlighted the presence of N-methyl-D-aspartate (NMDA) receptor subunits NR1, NR2A, and NR2B mRNAs at myenteric and submucosal ganglia level [8, 9] This evidence, along with the ability of such receptors to increase intracellular calcium concentration, led to formulate several hypotheses concerning the involvement of the receptors in gastric ulcer onset [10]. Some studies suggested that the cAMP/cGMP ratio might be linked to the onset of ulcerative conditions [15, 16]

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