Effect of turmeric (Curcuma longa L.) extract on gastric histopathology of diclofenac sodium-induced rats
Abstract
Background: Prolonged use of diclofenac sodium can cause gastric mucosal damage through cyclooxygenase inhibition and oxidative stress. Turmeric (Curcuma longa L.) contains curcumin and other bioactive compounds with potential gastroprotective properties.
Objective: To determine the dose-dependent gastroprotective effect of turmeric extract against diclofenac sodium-induced gastric mucosal injury in rats.
Methods: This experimental study used 28 male Sprague-Dawley rats randomly allocated into four groups (n=7): normal control, negative control (diclofenac 10 mg/kgBW for 7 days), and two treatment groups receiving turmeric extract at 100 mg/kgBW (P1) or 200 mg/kgBW (P2) for 14 days following diclofenac induction. Gastric tissues were evaluated histopathologically using a qualitative description.
Results: The negative control group showed severe erosion and inflammatory infiltration. Both treatment groups demonstrated gastroprotective effects with minimal epithelial damage and no inflammatory changes. The 200 mg/kgBW dose showed superior protection compared to 100 mg/kgBW.
Conclusion: Turmeric extract provides dose-dependent gastroprotection against diclofenac-induced gastric injury, with 200 mg/kgBW demonstrating superior efficacy.
References
Marifah R, Tjandra O. Survei pola penggunaan obat anti inflamasi non steroid (OAINS) di Puskesmas Tanjungrejo Jekulo Kudus periode Januari-Juni 2019. Tarumanagara Med J. 2022;4: 321-325. https://doi.org/10.24912/tmj.v4i2.20817
WHO. The selection and use of essential medicines 2023. Executive Summary of the report of the 24th WHO Expert Committee on Selection and Use of Essential Medicines. 2023.
Soleha M, Isnawati A, Fitri N, Adelina R, Soblia HT, Winarsih W. Profil Penggunaan Obat Antiinflamasi Nonstreoid di Indonesia. J Kefarmasian Indones. 2018; 109-117. https://doi.org/10.22435/jki.v8i2.316
Fokunang C. Overview of non-steroidal anti-inflammatory drugs (nsaids) in resource limited countries. MOJ Toxicol. 2018;4. https://doi.org/10.15406/mojt.2018.03.00081
Conaghan PG. A turbulent decade for NSAIDs: update on current concepts of classification, epidemiology, comparative efficacy, and toxicity. Rheumatol Int. 2012;32: 1491-1502. https://doi.org/10.1007/s00296-011-2263-6
Sohail R, Mathew M, Patel KK, Reddy SA, Haider Z, Naria M, Habib A, Abdin ZU, Razzaq Chaudhry W, Akbar A. Effects of Non-steroidal Anti-inflammatory Drugs (NSAIDs) and Gastroprotective NSAIDs on the Gastrointestinal Tract: A Narrative Review. Cureus. 2023 Apr 3;15(4):e37080. https://doi.org/10.7759/cureus.37080
Bjarnason I, Scarpignato C, Holmgren Erik and Olszewski M, Rainsford KD, Lanas A. Mechanisms of damage to the gastrointestinal tract from nonsteroidal anti-inflammatory drugs. Gastroenterology. 2018;154: 500-514. https://doi.org/10.1053/j.gastro.2017.10.049
Mardhiyah R, Fauzi A, Syam AF. Diagnosis dan Tata Laksana Enteropati akibat Obat Anti Inflamasi Non Steroid (OAINS). J Penyakit Dalam Indones. 2017;2: 190. https://doi.org/10.7454/jpdi.v2i3.84
Khan MI, Khan MR. Gastroprotective potential of Dalbergia sissoo roxb. Stem bark against diclofenac-induced gastric damage in rats. Osong Public Health Res Perspect. 2013;4: 271-277. https://doi.org/10.1016/j.phrp.2013.09.006
Tandoh A, Danquah CA, Ossei PPS, Benneh CK, Ayibor WG, Woode E. Protective effects of andrographolide against diclofenac-induced gastric damage. Sci Afr. 2021;13: e00944. https://doi.org/10.1016/j.sciaf.2021.e00944
El-Deen E, El-Mahdy N, Rashidy M, Ghorab M, Gad S, Yassin H. Diclofenac-induced gastric ulceration in rats: Protective roles of pantoprazole and misoprostol. Br J Pharm Res. 2016;11: 1-12. https://doi.org/10.9734/BJPR/2016/24636
Boarescu I, Pop RM, Boarescu Paul-Mihai and Bocșan IC, Gheban D, Râjnoveanu R-M, Râjnoveanu A, et al. Anti-inflammatory and analgesic effects of curcumin nanoparticles associated with diclofenac sodium in experimental acute inflammation. Int J Mol Sci. 2022;23: 11737. https://doi.org/10.3390/ijms231911737
Khalida NS. Karakterisasi dan Uji Pelepasan Mikroemulsi Topikal Natrium Diklofenak Menggunakan Virgin Coconut Oil (VCO) sebagai Fase Minyak. 2019.
Riskesdas. Laporan Nasional Riskesdas 2018. Repositori Badan Kebijakan Pembangunan Kesehatan; 2020.
Afriyana R, Mirza J, Nurmasuri N. Potensial Ekstrak Herbal Kunyit (Curcuma longa) sebagai Anti Bakteri dan Anti Inflamasi. Agromedicine. 2023;10.
Silalahi M. Pemanfaatan Curcuma longa (L.) oleh Masyarakat Lokal di Indonesia dan Kandungan Metabolit Sekundernya. Jurnal Pro-Life. 2017;4: 430-440.
Nugraha MIA, Harfiani E, Pramesyanti A. Systematic Review: Potensi Kurkumin dalam Rimpang Kunyit (Curcuma longa Linn) sebagai Antiinflamasi pada Gastritis akibat Infeksi Helicobacter pylori. Seminar Nasional Riset Kedokteran (SENSORIK). 2022.
Agustin YMN, Meylina L, Sastyarina Y. Uji Aktivitas Antioksidan Kombinasi Ekstrak Umbi Bawang Tiwai (Eleutherine bulbosa (Mill) Urb) dan Rimpang Kunyit(Curcuma domestica Val.). Proc Mul Pharm Conf. 2020;10: 151-155. https://doi.org/10.25026/mpc.v10i1.382
Pratiwi A, Ritonga ZH. Anti-bacterial activity test of surgery rhizome (Curcuma domestica Val) against bacteria Streptococcus mutans. Jurnal Farmasimed (JFM). 2022;4: 38-43. https://doi.org/10.35451/jfm.v4i2.1008
Widiartini W, Siswati E, Setiyawati A, Rohmah IM, Prastyo E. Pengembangan Usaha Produksi Tikus Putih (Rattus norvegicus) Tersertifikasi dalam Upaya Memenuhi Kebutuhan Hewan Laboratorium. 2013.
Wati DP, Ilyas S. Prinsip Dasar Tikus sebagai Model Penelitian. Medan: USU Press; 2024.
Putra AD, Rijal S, Wello EA, Yuniarti L, Murfat Z. Pengaruh Ekstrak Kunyit Terhadap Kadar pH Lambung Tikus yang di Induksi Etanol Absolut. fmj. 2022;2: 711-717. https://doi.org/10.33096/fmj.v2i10.131
Bachri MS, Sofia V, Khairunnisa C. Pengaruh gastroprotektor kombinasi tepung garut (marantha arundinaceae) dan kunyit (curcuma domestica val.) Pada tikus model tukak lambung. Fitofarmaka JIF. 2022;12: 24-34. https://doi.org/10.33751/jf.v12i1.3194
Santoso J. Efektivitas infusa rimpang kunyit (curcuma domestica val.) Sebagai gastroprotektor pada tikus dengan model tukak lambung. J Permata Indonesia. 2017. https://doi.org/10.59737/jpi.v8i1.119
Radi ZA, Khan NK. Effects of cyclooxygenase inhibition on the gastrointestinal tract. Experimental and Toxicologic Pathology. 2006;58: 163-173. https://doi.org/10.1016/j.etp.2006.06.004
Ikrima K, Amalia R, Mutakin M, Levita J. Peran Spesies Oksigen Reaktif pada Inflamasi serta Antioksidan Alami sebagai Fitoterapi. Farmaka. 2019.
Nurhidayati ED. Hubungan Antara Pemberian Aluminium Dengan Gambaran Histopatologi Hati Tikus Wistar Jantan. 2019.
Elseweidy MM. Role of Natural Antioxidants in Gastritis. Gastritis and Gastric Cancer - New Insights in Gastroprotection, Diagnosis and Treatments. InTech; 2011. https://doi.org/10.5772/24336
Pasaribu J, Loho L, Lintong P. Gambaran histopatologi lambung tikus wistar (rattus norvegicus) yang diberikan lengkuas (alpinia galanga willd) setelah diinduksi oleh asam mefenamat. eBM. 2013;1. https://doi.org/10.35790/ebm.1.1.2013.4570
Wajabula AM, Maelissa MM, Rahawarin H. Efek inhalasi minyak kayu putih (melaleuca leucadendron) terhadap jumlah sel spermatid mencit jantan (mus musculus) yang diinduksi stres akut. ppmr. 2022;4: 53-59. https://doi.org/10.30598/pamerivol4issue1page44-50
Wardoyo AV, Kurniawati E, Susianti S, Busman H. Pengaruh Pemberian Injeksi Intramuskular Sel Punca Mesenkimal Tali Pusat Manusia terhadap Gambaran Histopatologi Hati Tikus Putih (Rattus Norvegicus) yang Diinduksi Aspirin. méd prof j of Lampung. 2022;12: 88-94. https://doi.org/10.53089/medula.v12i1.406
Prasetyo A. Uji efek protektif madu pada jaringan duodenum tikus jantan galur wistar yang diberi pajanan aspirin. jk. 2022;11: 833-837. https://doi.org/10.29303/jk.v11i2.4690
Yulianto AA, Alhamdi F. Analisis Pengendalian Persediaan Bahan Baku Kardus Dengan Menggunakan Metode Eqonomic Order Quantity. jppie. 2022;1: 59-64. https://doi.org/10.47233/jppie.v1i1.431
Shabrina AF, Carolia N, Tjiptaningrum A. Efek Perasan Rimpang Kunyit (Curcuma longa L.) Terhadap Gambaran Epitel Lambung Mencit yang Diinduksi Indometasin. Jurnal Kesehatan Holistic. 2024;8: 44-56. https://doi.org/10.33377/jkh.v8i1.188
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