Basic Research
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2005; 11(41): 6450-6458
Published online Nov 7, 2005. doi: 10.3748/wjg.v11.i41.6450
Grapefruit-seed extract attenuates ethanol-and stress-induced gastric lesions via activation of prostaglandin, nitric oxide and sensory nerve pathways
Tomasz Brzozowski, Peter C Konturek, Danuta Drozdowicz, Stanislaw J Konturek, Oxana Zayachivska, Robert Pajdo, Slawomir Kwiecien, Wieslaw W Pawlik, Eckhart G Hahn
Tomasz Brzozowski, Danuta Drozdowicz, Stanislaw J Konturek, Robert Pajdo, Slawomir Kwiecien, Wieslaw W Pawlik, Department of Physiology, Jagiellonian University Medical College, Cracow, Poland
Peter C Konturek, Eckhart G Hahn, Department of Medicine I, University of Erlangen-Nuremberg, Erlangen, Germany; Oxana Zayachivska National Medical University, Lviv, Ukraine
Author contributions: All authors contributed equally to the work.
Correspondence to: Professor Tomasz Brzozowski, Department of Physiology, Jagiellonian University Medical College, Cracow, Poland.
Telephone: +48-12-424-7231 Fax: +48-12-421-1578
Received: January 6, 2005
Revised: May 21, 2005
Accepted: May 24, 2005
Published online: November 7, 2005

AIM: Grapefruit-seed extract (GSE) containing flavonoids, possesses antibacterial and antioxidative properties but whether it influences the gastric defense mechanism and gastroprotection against ethanol- and stress-induced gastric lesions remains unknown.

METHODS: We compared the effects of GSE on gastric mucosal lesions induced in rats by topical application of 100% ethanol or 3.5 h of water immersion and restraint stress (WRS) with or without (A) inhibition of cyclooxygenase (COX)-1 activity by indomethacin and rofecoxib, the selective COX-2 inhibitor, (B) suppression of NO-synthase with L-NNA (20 mg/kg ip), and (C) inactivation by capsaicin (125 mg/kg sc) of sensory nerves with or without intragastric (ig) pretreatment with GSE applied 30 min prior to ethanol or WRS. One hour after ethanol and 3.5 h after the end of WRS, the number and area of gastric lesions were measured by planimetry, the gastric blood flow (GBF) was assessed by H2-gas clearance technique and plasma gastrin levels and the gastric mucosal generation of PGE2, superoxide dismutase (SOD) activity and malonyldialdehyde (MDA) concentration, as an index of lipid peroxidation were determined.

RESULTS: Ethanol and WRS caused gastric lesions accompanied by the significant fall in the GBF and SOD activity and the rise in the mucosal MDA content. Pretreatment with GSE (8-64 mg/kg i g) dose-dependently attenuated gastric lesions induced by 100% ethanol and WRS; the dose reducing these lesions by 50% (ID50) was 25 and 36 mg/kg, respectively, and this protective effect was similar to that obtained with methyl PGE2 analog (5 μg/kg i g). GSE significantly raised the GBF, mucosal generation of PGE2, SOD activity and plasma gastrin levels while attenuating MDA content. Inhibition of PGE2 generation with indomethacin or rofecoxib and suppression of NO synthase by L-NNA or capsaicin denervation reversed the GSE-induced protection and the accompanying hyperemia. Co-treatment of exogenous calcitonine gene-related peptide (CGRP) with GSE restored the protection and accompanying hyperemic effects of GSE in rats with capsaicin denervation.

CONCLUSION: GSE exerts a potent gastroprotective activity against ethanol and WRS-induced gastric lesions via an increase in endogenous PG generation, suppression of lipid peroxidation and hyperemia possibly mediated by NO and CGRP released from sensory nerves.

Keywords: Grapefriut-seed extract, Gastroprotection, Gastric blood flow, Superoxide dismutase, Prostaglandin, Calcitonine gene-related peptide