GASTROPROTECTIVE AND REPARATIVE EFFECTS OF Alstonia boonei AGAINST ASPIRIN-INDUCED GASTROENTEROPATHY IN RAT’S MODEL

Authors

  • Blessing Emosho Ogeyemhe
  • Efosa Bolaji Odigie Department of Medical Laboratory Science, School of Basic Medical Sciences, University of Benin, Nigeria.

DOI:

https://doi.org/10.33003/fjs-2026-1006-4360

Keywords:

Alstonia boonei, Aspirin-induced gastroenteropathy, NSAID gastropathy

Abstract

Nonsteroidal anti-inflammatory drugs such as aspirin are widely used but are limited by their potential to induce gastrointestinal injury through oxidative stress, inflammation, and epithelial disruption. This study investigated the protective effects of Alstonia boonei against aspirin-induced gastroenteropathy by evaluating body and organ weights, oxidative stress markers, gross gastric lesions, and histopathological changes in the esophagus, stomach, and duodenum. Rats administered aspirin exhibited reduced weight gain, increased gastric and duodenal organ weights, elevated malondialdehyde levels, depletion of glutathione, and a markedly increased gastric lesion index. These changes were accompanied by severe mucosal alterations, including inflammatory infiltration, glandular distortion, villous disruption, and early erosive damage. Administration of A. boonei alone produced no adverse effects and maintained normal physiological and histological profiles, confirming its safety. Co-treatment with A. boonei resulted in progressive, dose-dependent protection against aspirin-induced injury. Improvements included restoration of weight gain, reduction of organ weight abnormalities, attenuation of oxidative stress, and significant decreases in gross gastric lesions. Histologically, the extract preserved epithelial integrity, reduced inflammatory cell infiltration, and supported normal glandular and villous architecture, with the most pronounced recovery observed at 1500–2000 mg/kg. At these doses, mucosal features approached those of the control group, indicating near-complete structural and biochemical restoration. Overall, the findings demonstrate that A. boonei confers substantial gastroprotective effects through antioxidant and anti-inflammatory mechanisms that stabilize gastrointestinal tissues and counteract aspirin-mediated injury. The extract shows promise as a natural therapeutic agent for mitigating NSAID-induced gastrointestinal damage and warrants further investigation.

Author Biographies

  • Blessing Emosho Ogeyemhe

    Department of Medical Laboratory Science

  • Efosa Bolaji Odigie, Department of Medical Laboratory Science, School of Basic Medical Sciences, University of Benin, Nigeria.

    Department of Medical Laboratory Science

References

Adjouzem, C. F., Gilbert, A., Mbiantcha, M., Yousseu Nana, W., Matah Marthe Mba, V., Djuichou Nguemnang, S. F., Tsafack, E. G., & Atsamo, A. D. (2020). Effects of Aqueous and Methanolic Extracts of Stem Bark of Alstonia boonei De Wild. (Apocynaceae) on Dextran Sodium Sulfate-Induced Ulcerative Colitis in Wistar Rats. Evidence-based complementary and alternative medicine: eCAM, 2020, 4918453. https://doi.org/10.1155/2020/4918453

Bhattacharyya, A., Chattopadhyay, R., Mitra, S., & Crowe, S. E. (2014). Oxidative stress: an essential factor in the pathogenesis of gastrointestinal mucosal diseases. Physiological reviews, 94(2), 329–354. https://doi.org/10.1152/physrev.00040.2012

Bindu, S., Mazumder, S., & Bandyopadhyay, U. (2020). Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective. Biochemical pharmacology, 180, 114147. https://doi.org/10.1016/j.bcp.2020.114147

Bjarnason, I., Scarpignato, C., Holmgren, E., Olszewski, M., Rainsford, K. D., & Lanas, A. (2018). Mechanisms of damage to the gastrointestinal tract from nonsteroidal anti-inflammatory drugs. Gastroenterology, 154(3), 500–514. https://doi.org/10.1053/j.gastro.2017.11.081

Carr, D. F., & Pirmohamed, M. (2018). Biomarkers of adverse drug reactions. Experimental biology and medicine (Maywood, N.J.), 243(3), 291–299. https://doi.org/10.1177/1535370217733425

Chandimali, N., Bak, S. G., Park, E. H., & Lee, S. J. (2025). Free radicals and their impact on health and antioxidant defenses: A review. Cell Death Discovery, 11, 19. https://doi.org/10.1038/s41420-024-02278-8

Chen, Y., Mei, Y. Q., Hou, L., & Li, K. J. (2025). Therapeutic potential of plant-derived natural products against drug-induced liver injury. Frontiers in pharmacology, 16, 1652860. https://doi.org/10.3389/fphar.2025.1652860

Cherrada, N., Chemsa, A. E., Gheraissa, N., Laib, I., Gueboudji, Z., El-Shazly, M., Zaater, A., Abid, A., Sweilam, S. H., Emran, T. B., Nani, S., Benamor, B., Ghemam Amara, D., Atoki, A. V., & Messaoudi, M. (2024). Gastroprotective Efficacy of North African Medicinal Plants: A Review on Their Therapeutic Potential for Peptic Ulcers. Food science & nutrition, 12(11), 8793–8824. https://doi.org/10.1002/fsn3.4536

Cherrada, N., Chemsa, A. E., Gheraissa, N., Laib, I., Gueboudji, Z., El-Shazly, M., Zaater, A., Abid, A., Sweilam, S. H., Emran, T. B., Nani, S., Benamor, B., Ghemam Amara, D., Atoki, A. V., & Messaoudi, M. (2024). Gastroprotective Efficacy of North African Medicinal Plants: A Review on Their Therapeutic Potential for Peptic Ulcers. Food science & nutrition, 12(11), 8793–8824. https://doi.org/10.1002/fsn3.4536

Hijos-Mallada, G., Sostres, C., & Gomollón, F. (2022). NSAIDs, gastrointestinal toxicity and inflammatory bowel disease. Gastroenterología y Hepatología (English Edition), 45(3), 215-222. https://doi.org/10.1016/j.gastre.2021.06.002

Hladkykh, F., & Chyzh, M. (2021). Nonsteroidal anti-inflammatory drugs: A modern understanding of the mechanisms of damage to the digestive tract, the shortcomings of pathogenetic drugs and prospects for biological therapy of NSAID-induced esophagogastroenterocolonopathy. Gastroenterology, 54(4), 253–266. https://doi.org/10.22141/2308-2097.54.4.2020.216714

Iwamoto, J., Saito, Y., Honda, A., & Matsuzaki, Y. (2013). Clinical features of gastroduodenal injury associated with long-term low-dose aspirin therapy. World journal of gastroenterology, 19(11), 1673–1682. https://doi.org/10.3748/wjg.v19.i11.1673

Kakizaki, F., Miyazaki, T., Ueda, H., Iwamoto, J., Honda, A., & Ikegami, T. (2025). Small intestinal bacteria accelerate aspirin-induced small intestinal injuries. Experimental and Molecular Pathology, 143, 104984. https://doi.org/10.1016/j.yexmp.2025.104984

Lavie, C., Howden, C. W., Scheiman, J., & Tursi, J. (2017). Upper gastrointestinal toxicity associated with long-term aspirin therapy: Consequences and prevention. Current Problems in Cardiology, 42(5), 146–166. https://doi.org/10.1016/j.cpcardiol.2017.01.006

Martins-Gomes, C., Nunes, F. M., & Silva, A. M. (2024). Natural products as dietary agents for the prevention and mitigation of oxidative damage and inflammation in the intestinal barrier. Antioxidants, 13(1), 65. https://doi.org/10.3390/antiox13010065

Matsui, H., Shimokawa, O., Kaneko, T., Nagano, Y., Rai, K., & Hyodo, I. (2011). The pathophysiology of non-steroidal anti-inflammatory drug (NSAID)-induced mucosal injuries in stomach and small intestine. Journal of clinical biochemistry and nutrition, 48(2), 107–111. https://doi.org/10.3164/jcbn.10-79

Mollica, A., Zengin, G., Sinan, K. I., Marletta, M., Pieretti, S., Stefanucci, A., Etienne, O. K., Jekő, J., Cziáky, Z., Bahadori, M. B., Picot-Allain, C., & Mahomoodally, M. F. (2022). A Study on Chemical Characterization and Biological Abilities of Alstonia boonei Extracts Obtained by Different Techniques. Antioxidants (Basel, Switzerland), 11(11), 2171. https://doi.org/10.3390/antiox11112171

Mugale, M. N., Dev, K., More, B. S., Mishra, V. S., Washimkar, K. R., Singh, K., Maurya, R., Rath, S. K., Chattopadhyay, D., & Chattopadhyay, N. (2024). A comprehensive review on preclinical safety and toxicity of medicinal plants. Clinical Complementary Medicine and Pharmacology, 4(1), 100129. https://doi.org/10.1016/j.ccmp.2024.100129

Muro, P., Zhang, L., Li, S., Zhao, Z., Jin, T., Mao, F., & Mao, Z. (2024). The emerging role of oxidative stress in inflammatory bowel disease. Frontiers in endocrinology, 15, 1390351. https://doi.org/10.3389/fendo.2024.1390351

Okorie, N. H., Mbah, C. J., Ugodi, G. W., & Magbo, C. C. (2022). Investigation into the gastro-protective properties of Alstonia boonei (de wild) leaves and stem bark. Tropical Journal of Natural Product Research, 6(3), 403–407. https://tjnpr.org/viewarticle.aspx?articleid=2258

Olanlokun, J. O., Olowofolahan, A. O., Bodede, O., Adegbuyi, A. T., Prinsloo, G., Steenkamp, P., & Olorunsogo, O. O. (2021). Anti-Inflammatory Potentials of the n-Hexane Fraction of Alstonia boonei Stem Bark in Lipopolysaccharide-Induced Inflammation in Wistar Rats. Journal of inflammation research, 14, 3905–3920. https://doi.org/10.2147/JIR.S304076

Organisation for Economic Co-operation and Development (OECD). (2022, June 30). Test No. 425: Acute Oral Toxicity: Up-and-Down Procedure. OECD Guidelines for the Testing of Chemicals, Section 4. https://www.oecd.org/en/publications/2022/06/test-no-425-acute-oral-toxicity-up-and-down-procedure_g1gh2953.html

Oyebode, O. A., Erukainure, O. L., Ibeji, C. U., Koorbanally, N. A., & Islam, M. S. (2019). Phytochemical constituents, antioxidant and antidiabetic activities of different extracts of the leaves, stem and root barks of Alstonia boonei: An in vitro and in silico study. Ethnobotany & Pharmacology, 166(4), 444–456. https://doi.org/10.1080/23818107.2019.1624980

Park, J. U., Kang, J. H., Rahman, M. A. A., Hussain, A., Cho, J. S., & Lee, Y. I. (2019). Gastroprotective Effects of Plants Extracts on Gastric Mucosal Injury in Experimental Sprague-Dawley Rats. BioMed research international, 2019, 8759708. https://doi.org/10.1155/2019/8759708

Sohail, R., Mathew, M., Patel, K. K., Reddy, S. A., Haider, Z., Naria, M., Habib, A., Abdin, Z. U., Razzaq Chaudhry, W., & Akbar, A. (2023). Effects of Non-steroidal Anti-inflammatory Drugs (NSAIDs) and Gastroprotective NSAIDs on the Gastrointestinal Tract: A Narrative Review. Cureus, 15(4), e37080. https://doi.org/10.7759/cureus.37080

Takeuchi K. (2012). Pathogenesis of NSAID-induced gastric damage: importance of cyclooxygenase inhibition and gastric hypermotility. World journal of gastroenterology, 18(18), 2147-2160. https://doi.org/10.3748/wjg.v18.i18.2147

Tawfik, A. G., Gomez-Lumbreras, A., Del Fiol, G., Kawamoto, K., Trinkley, K. E., Reese, T., Jones, A., & Malone, D. C. (2025). Nonsteroidal anti-inflammatory drugs and risk of gastrointestinal bleeding: A systematic review and meta-analysis. Clinical Pharmacology & Therapeutics. Advance online publication. https://doi.org/10.1002/cpt.70054

Tulassay, Z., & Herszényi, L. (2010). Gastric mucosal defense and cytoprotection. Best practice & research. Clinical gastroenterology, 24(2), 99–108. https://doi.org/10.1016/j.bpg.2010.02.006

Uroko, R., Sangodare, R., Onyeabo, C., Agbafor, A., Uchenna, O., Nwuke, C., & Asadu, C. (2020). Investigation of antioxidant composition and antioxidative activities of ethanol extract of Alstonia boonei. Nigerian Journal of Pharmaceutical Research, 16(1), 71-80. https://doi.org/10.4314/njpr.v16i1.8

Wallace J. L. (2013). Mechanisms, prevention and clinical implications of nonsteroidal anti-inflammatory drug-enteropathy. World journal of gastroenterology, 19(12), 1861-1876. https://doi.org/10.3748/wjg.v19.i12.1861

Wallace, J. L. (2012). NSAID gastropathy and enteropathy: Distinct pathogenesis likely necessitates distinct prevention strategies. British Journal of Pharmacology, 165(1), 67–74. https://doi.org/10.1111/j.1476-5381.2011.01509.x

Zhou, J., Li, N., Li, X., Ye, J., Wang, M., & Sun, G. (2025). Review on recent advancements in understanding acetylsalicylic acid-induced gastrointestinal injury: Mechanisms, medication, and dosage refinement. Naunyn-Schmiedeberg's Archives of Pharmacology, 398(11), 3297–3320. https://doi.org/10.1007/s00210-024-03521-w

Body Weight and Organ Weights After Treatment with Aspirin and A. Boonei

Downloads

Published

18-03-2026

How to Cite

Ogeyemhe, B. E., & Odigie, E. B. (2026). GASTROPROTECTIVE AND REPARATIVE EFFECTS OF Alstonia boonei AGAINST ASPIRIN-INDUCED GASTROENTEROPATHY IN RAT’S MODEL. FUDMA JOURNAL OF SCIENCES, 10(6), 88-94. https://doi.org/10.33003/fjs-2026-1006-4360

Most read articles by the same author(s)