Apple polyphenol extracts prevent aspirin-induced damage to the rat gastric mucosa

Br J Nutr. 2008 Dec;100(6):1228-36. doi: 10.1017/S0007114508988747.

Abstract

Aspirin causes gastroduodenal ulcers and complications. Food bioactive compounds could exert beneficial effects in the gastrointestinal tract. We evaluated whether apple polyphenol extract (APE) reduced aspirin-induced injury to the rat gastric mucosa. Rats were treated with APE (10(-4) m catechin equivalent) before oral aspirin (200 mg/kg). Cyclo-oxygenase-2 (COX-2), transforming growth factor-alpha (TGF alpha) and heparin-binding epidermal-growth-factor-like growth factor (HB-EGF) mRNA and protein expression were assessed by RT-PCR and Western blot analysis, respectively; malondialdehyde (MDA) was determined by HPLC; gastric secretion was evaluated in pylorus-ligated rats. APE decreased acute and chronic aspirin injury both macroscopically and microscopically (approximately 50 % decrease in lesion score; P < 0.05). Aspirin up-regulated mRNA and protein expression of COX-2 and HB-EGF, but not of TGF alpha; APE reduced aspirin-induced mRNA and protein over-expression of COX-2 and HB-EGF; aspirin significantly increased gastric MDA and this effect was counteracted by APE pre-treatment. APE did not significantly affect gastric acid secretion. In conclusion, APE reduces aspirin-induced gastric injury independently of acid inhibition. We speculate that APE might be of therapeutic use in the prophylaxis of aspirin-related gastropathy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / blood
  • Anti-Inflammatory Agents, Non-Steroidal / toxicity*
  • Aspirin / blood
  • Aspirin / toxicity*
  • Biological Availability
  • Cyclooxygenase 2 / metabolism
  • Drug Evaluation, Preclinical / methods
  • Flavonoids / therapeutic use*
  • Gastric Acid / metabolism
  • Gastric Mucosa / drug effects
  • Heparin-binding EGF-like Growth Factor
  • Intercellular Signaling Peptides and Proteins / metabolism
  • Lipid Peroxidation / drug effects
  • Male
  • Phenols / therapeutic use*
  • Phytotherapy / methods*
  • Plant Extracts / therapeutic use
  • Polyphenols
  • Rats
  • Rats, Wistar
  • Stomach Ulcer / chemically induced
  • Stomach Ulcer / prevention & control*
  • Transforming Growth Factor alpha / metabolism

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Flavonoids
  • Hbegf protein, rat
  • Heparin-binding EGF-like Growth Factor
  • Intercellular Signaling Peptides and Proteins
  • Phenols
  • Plant Extracts
  • Polyphenols
  • Transforming Growth Factor alpha
  • Cyclooxygenase 2
  • Ptgs2 protein, rat
  • Aspirin