Antioxidant and Anti-inflammatory effect of Graptophyllum pictum (L.) Griff extract Study on SOD and COX-2 serum of experimental hemorrhoids

Authors

  • Abu Azhar Devisi Bedah Digestif Fakultas Kedokteran Universitas Diponegoro/ RSUP Dr. Kariadi, Indonesia
  • Ignatius Riwanto Devisi Bedah Digestif Fakultas Kedokteran Universitas Diponegoro/ RSUP Dr. Kariadi, Indonesia
  • Eriawan Agung Nugroho Devisi Bedah Urologi, Departemen Bedah RSUP Dr. Kariadi, Indonesia
  • Neni Susilaningsih Program Studi Biomedik, Fakultas Kedokteran Universitas Diponegoro, Indonesia
  • Yan Wisnu Prajoko Devisi Bedah Onklogi, Fakultas Kedokteran Universitas Diponegoro/ RSUP Dr. Kariadi, Indonesia
  • Parish Budiono Devisi Bedah Digestif Fakultas Kedokteran Universitas Diponegoro/ RSUP Dr. Kariadi, Indonesia
  • Sigit Adi Prasetyo Devisi Bedah Digestif Fakultas Kedokteran Universitas Diponegoro/ RSUP Dr. Kariadi, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v7i2.515

Keywords:

Graptophyllum pictum, hemorrhoids, Croton oil, COX-2, SOD

Abstract

Background The 1st, 2nd and small 3rd degree hemorrhoids are non-operatively treated by using anti-inflammatory and plebotonic medicines, high fiber diet and changing lifestyle. Graptophyllum pictum (L.) Griff (GP) is potential to be a hemorrhoid medicine (anti-inflammatory and plebotonic medicine) since its anti-inflammatory effect may be related to antioxidant property.

ObjectiveTo elaborate the anti-inflammatory and anti-oxidant effect of GP on experimental hemorrhoid in male Wistar rats.

MethodsA Randomized Controlled Trial Post-test only design in hemorrhoid-like rats using croton oil induced into the anus for 30 seconds each day for 3 consecutive days. 14 Wistar rats were randomly allocated into 2 groups. Group 1 got normal saline solution, while group 2 treated with GPE 100mg/Kg bw for 5 consecutive days. On the 9th experimental day, the blood was drawn for Elisa examination of COX-2 and SOD levels. As COX-2 and SOD normally distributed, pool t-test and product moment correlation was used for statistical analysis.

Results All of Wistar rats were still alive. COX-2 levels (ng/ml) in the GPE group was 266.28±158.47, was significantly lower compared to control (595.21±68.92) (p=0.000). Serum SOD levels (ng/ml) in the GPE was 77.00±11.0, and was significantly higher than the control 28.00±4.00 (p=0.02). Correlation between COX-2 and SOD serum level was significantly strong negative correlation (p=0,000 and r=-0.842)

Conclusions GPE at a dose of 100 mg/kg bw has antioxidant and anti-inflammatory effects on artificial hemorrhoids through decreased COX-2 levels, and elevated SOD levels. There is a strong negative correlation between SOD and COX-2 serum level. 

KeywordsGraptophyllum pictum, hemorrhoids, Croton oil, COX-2, SOD.

Downloads

Download data is not yet available.

References

1. Margetis N. Pathophysiology of internal hemorrhoids. Annals of Gastroenterology. 2019;32(3): 264-72
2. Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management.Clinics in Colon and Rectal Surgery. 2016;29(1): 22-9
3. Becheanu G. Hemorrhoid. Pathology of the Gastrointestinal Tract. 2017: pp.341-344 doi: 10.1007/978-3-319-40560-5_1482
4. Coello A, Mills E, Ansdell H, Yarto L, Zhou Q, Johanson JF, et al. Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. World J Gastroenterol. 2016; 101(1): 181-8
5. Aziz Z, Huin WK, Hisham B, Tang WL, Yaacob S. Efficacy and tolerability of micronized purified flavonoid fractions (MPFF) for haemorrhoids: A systematic review and meta-analysis.World J Gastroentero.2018: 19(11): 152-1
6. Brown SR. Haemorrhoids: an update on management. Chronic Disease. 2017;8(10): 141-7
7. Puspitasari. Pengaruh pemberian ekstrak daun wungu (Graptophyllum pictum GRIFT) dan Pegagan (Centellaasiatica L) pada penderita wasir di desa Payaman Solokuro Lamongan. Skripsi Program Studi D4 pengobat tradisional, Fakultas Vokasi Universitas Airlangga. 2016 [cited 25 June 25th 2018]. Available from : http://repository.unair.ac.id/30804/
8. Hilmarni, Yohana Y, Rosi DH. Uji Toksisitas Ekstrak Daun Wungu (Graptophyllum Pictum) Terhadap Profil Hematologi Mencit Putih. 2016; 10(4): 225-35
9. Singh P, Khosa RL, Mishra G, Tahseen MA. A phytopharmacological review on Justiciapicta (Acanthaceae): A well-known tropical folklore medicinal plant. (Review article) Journal of Coastal Life Medicine. 2015; 3(12):1000-2
10. Shanchez C, Chinn BT. Hemorrhoids. Clinic In Colon and Rectal Surgery. 2011 March; 24(1): 5-13
11. Weber D, O’Brien K. Cancer and Cancer-Related Fatigue and the Interrelationships With Depression, Stress, and Inflammation. Journal of Evidence-Based Complementary & Alternative Medicine. 2017 Jul; 22(3): 502-12
12. Hashempur MH, Khademi F, Rahmanifard M, Zarshenas MM. An Evidence-Based Study on Medicinal Plants for Hemorrhoids in Medieval Persia. Journal of Evidence-Based Complementary & Medicine. 2017 Oct; 22(4): 969-81
13. Koca U, Aka C. Plants used in anatolian traditional medicine for the treatment of hemorrhoid. Records of Natural Products. 2017 Jan; 11(3): 235-50
14. Jiangseubchatveera N, Liawruangrath S, Santiarworn D, Pyne SG. Phytochemical screening, phenolic and flavonoid contents, antioxidant and cytotoxic activities of Graptophyllum pictum (L.) Griff. Chiang Mai Journal of Science. 2017; 44 (1): 193-202.
15. Ruiz-Ruiz JC, Matus-Basto AJ, Acereto-Escoffié P, Segura-Campos MR. Antioxidant and anti-inflammatory activities of phenolic compounds isolated from Melipona beecheii honey. Food Agric Immunol. 2017. doi: 10.1080/09540105.2017.1347148
16. Nile SH, Keum YS, Jalde SS, Patel RV. Antioxidant, anti-inflammatory, and enzyme inhibitory activity of natural plant flavonoids and their synthesized derivatives. J Biochem Mol Toxicol.2018: 32(1)
17. Hashempur MH, Khademi F, Rahmanifard M, Zarshenas MM. An Evidence-Based Study on Medicinal Plants for Hemorrhoids in Medieval Persia. J Evid Based Complementary Altern Med. 2017; 22(4):969-81.
18. Tingting Y, Lao X, Zheng H. Influencing COX-2 Activity by COX Related Pathways in Inflammation and Cancer. Mini-Reviews in Medicinal Chemistry. 2016; 16(15): 1230-43
19. Ungaro F, Rubbino F, Danese S. Actors and Factors in the Resolution of Intestinal Inflammation: Lipid Mediators As a New Approach to Therapy in Inflammatory Bowel Diseases .Front Immunol. 2017; 8: 1331
20. Faujdar S, Sati B, Sharma S, Pathak AK, Paliwal SK. Phytochemical Evaluation and Anti-Hemorrhoidal Activity of Bark of Acacia Ferruginea DC. J Tradit Complement Med. 2018; https://doi.org/10.1016/j.jtcme.2018.02.003

Additional Files

Published

2020-11-19

How to Cite

1.
Azhar A, Riwanto I, Nugroho EA, Susilaningsih N, Prajoko YW, Budiono P, Prasetyo SA. Antioxidant and Anti-inflammatory effect of Graptophyllum pictum (L.) Griff extract Study on SOD and COX-2 serum of experimental hemorrhoids. Medica Hospitalia J. Clin. Med. [Internet]. 2020 Nov. 19 [cited 2024 Dec. 22];7(2):422-6. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/515

Issue

Section

Original Article

Citation Check