Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer

Renas Raouf Hama Amin, Tavga Ahmed Aziz Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, IraqCorrespondence: Tavga Ahmed Aziz, Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, Iraq, Tel +96477015235...

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Main Authors: Hama Amin RR, Aziz TA
Format: Article
Language:English
Published: Dove Medical Press 2022-05-01
Series:Journal of Inflammation Research
Subjects:
Online Access:https://www.dovepress.com/gastroprotective-effect-of-azilsartan-through-ameliorating-oxidative-s-peer-reviewed-fulltext-article-JIR
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author Hama Amin RR
Aziz TA
author_facet Hama Amin RR
Aziz TA
author_sort Hama Amin RR
collection DOAJ
description Renas Raouf Hama Amin, Tavga Ahmed Aziz Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, IraqCorrespondence: Tavga Ahmed Aziz, Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, Iraq, Tel +9647701523544, Email tavga.aziz@univsul.edu.iqObjective: The present study was designed to evaluate the possible gastroprotective effects of different doses of azilsartan in ethanol-induced gastric ulcers in rats.Methodology: Forty-eight male adult Wistar rats were used and allocated randomly into four groups: negative control treated with distilled water, positive control treated with ethanol, lansoprazole treated group, and azilsartan (1mg, 5mg, and 10mg/kg) treated group. The treatment protocol was for 15 days, and all the groups except for the negative control group received 1mL of ethanol on the last day 1hr before scarification. Gastric content was collected for measuring the volume, free acidity, and pH. The stomach was used for measuring the gastric lesion area and ulcer index. Blood samples were collected for measuring serum hydroxyproline, gastrin, CRP, TNF-α, MDA, and TAOC. Gastric tissues were sent for histopathological examinations.Results: Ethanol administration significantly increased gastric lesion, gastric ulcer index, and gastric acidity. Ethanol also decreased serum levels of hydroxyproline and TAOC and increased serum gastrin, CRP, TNF-α, and MDA. Azilsartan 10mg/kg was able to decrease the lesion by 43.6% and increase gastric pH and significantly decreased MDA level. Both 5mg/kg and 10mg/kg azilsartan have successfully restored the level of hydroxyproline, gastrin, and TNF-α. The histopathological finding showed gastroprotection by azilsartan in a dose-dependent manner.Conclusion: The study revealed that azilsartan possesses a gastroprotective effect. The proposed mechanisms could be increased blood flow to the stomach, antioxidant capacity, and anti-inflammatory activity along with restoring hydroxyproline and gastrin levels. These findings suggest azilsartan as a promising candidate to be tested in a clinical setting.Keywords: gastric ulcer, azilsartan, anti-inflammatory, antioxidant, hydroxyproline, gastrin
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spelling doaj.art-3d379ab77c0646eea4d99fa958cbb4722022-12-22T00:40:26ZengDove Medical PressJournal of Inflammation Research1178-70312022-05-01Volume 152911292375215Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric UlcerHama Amin RRAziz TARenas Raouf Hama Amin, Tavga Ahmed Aziz Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, IraqCorrespondence: Tavga Ahmed Aziz, Department of Pharmacology and Toxicology, College of Pharmacy, University of Sulaimani, Sulaimani, Iraq, Tel +9647701523544, Email tavga.aziz@univsul.edu.iqObjective: The present study was designed to evaluate the possible gastroprotective effects of different doses of azilsartan in ethanol-induced gastric ulcers in rats.Methodology: Forty-eight male adult Wistar rats were used and allocated randomly into four groups: negative control treated with distilled water, positive control treated with ethanol, lansoprazole treated group, and azilsartan (1mg, 5mg, and 10mg/kg) treated group. The treatment protocol was for 15 days, and all the groups except for the negative control group received 1mL of ethanol on the last day 1hr before scarification. Gastric content was collected for measuring the volume, free acidity, and pH. The stomach was used for measuring the gastric lesion area and ulcer index. Blood samples were collected for measuring serum hydroxyproline, gastrin, CRP, TNF-α, MDA, and TAOC. Gastric tissues were sent for histopathological examinations.Results: Ethanol administration significantly increased gastric lesion, gastric ulcer index, and gastric acidity. Ethanol also decreased serum levels of hydroxyproline and TAOC and increased serum gastrin, CRP, TNF-α, and MDA. Azilsartan 10mg/kg was able to decrease the lesion by 43.6% and increase gastric pH and significantly decreased MDA level. Both 5mg/kg and 10mg/kg azilsartan have successfully restored the level of hydroxyproline, gastrin, and TNF-α. The histopathological finding showed gastroprotection by azilsartan in a dose-dependent manner.Conclusion: The study revealed that azilsartan possesses a gastroprotective effect. The proposed mechanisms could be increased blood flow to the stomach, antioxidant capacity, and anti-inflammatory activity along with restoring hydroxyproline and gastrin levels. These findings suggest azilsartan as a promising candidate to be tested in a clinical setting.Keywords: gastric ulcer, azilsartan, anti-inflammatory, antioxidant, hydroxyproline, gastrinhttps://www.dovepress.com/gastroprotective-effect-of-azilsartan-through-ameliorating-oxidative-s-peer-reviewed-fulltext-article-JIRgastric ulcerazilsartananti-inflammatoryantioxidanthydroxyprolinegastrin.
spellingShingle Hama Amin RR
Aziz TA
Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer
Journal of Inflammation Research
gastric ulcer
azilsartan
anti-inflammatory
antioxidant
hydroxyproline
gastrin.
title Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer
title_full Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer
title_fullStr Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer
title_full_unstemmed Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer
title_short Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer
title_sort gastroprotective effect of azilsartan through ameliorating oxidative stress inflammation and restoring hydroxyproline and gastrin levels in ethanol induced gastric ulcer
topic gastric ulcer
azilsartan
anti-inflammatory
antioxidant
hydroxyproline
gastrin.
url https://www.dovepress.com/gastroprotective-effect-of-azilsartan-through-ameliorating-oxidative-s-peer-reviewed-fulltext-article-JIR
work_keys_str_mv AT hamaaminrr gastroprotectiveeffectofazilsartanthroughamelioratingoxidativestressinflammationandrestoringhydroxyprolineandgastrinlevelsinethanolinducedgastriculcer
AT azizta gastroprotectiveeffectofazilsartanthroughamelioratingoxidativestressinflammationandrestoringhydroxyprolineandgastrinlevelsinethanolinducedgastriculcer