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Published in: Journal of Cancer Research and Clinical Oncology 8/2022

27-05-2022 | Cytostatic Therapy | Original Article – Cancer Research

Investigation of the protective effect of gel incorporating Eugenia jambolana leaf extract on 5-fluorouracil-induced oral mucositis: an animal study

Authors: Nilay Aksoy, Emine Sen, Susi Sukmasari, Özlem Bingöl Özakpınar, Feyze Arıcıoğlu, Yasemin Yücel Yücel, Muhammet Rıdvan Dumlu, Abd Almonem Doolaanea, Mohammad Nasrin AbdulRahman, Vakur Olgac, Pırıl Bozkan, Bugra Ozen

Published in: Journal of Cancer Research and Clinical Oncology | Issue 8/2022

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Abstract

Purpose

The study aimed to evaluate the possible preventive effect of two concentrations (3 and 5% w/w) of Eugenia jambolana (EJ) extract against 5-FU-induced mucositis.

Method

Sixteen adult rats were separated into four groups: two control and two preventive groups. Animals in Groups 1, 2, and 3 were injected intraperitoneally with 60 mg/kg/day of 5-FU on Day 1 followed by 150 mg/kg/day on Day 5. The rats in Group 4 (negative control) were given physiological saline at the same times and doses. Furthermore, on the fifth day of the study, the cheek and sublingual mucosa were irritated by external superficial scratches using the tip of an 18-G needle, followed by the application 15 µL of 20% acetic acid, after which 3 and 5% EJ w/w gels were applied topically for animals in Groups 2 and 3, respectively.

Results

The weight and the mucositis scores were recorded. Antioxidant and anti-inflammatory markers and biochemical tests were analyzed. Significant differences were found between the study groups in weight loss, clinical mucositis scores, mortality rates, and antioxidant and anti-inflammatory parameters.

Conclusion

The preventive effect of 3% gel was significant, with no mortality rate, making it an option for preventive strategies.
Literature
go back to reference Anand H, Misro MM, Sharma SB, Prakash S (2012) Cytoprotective effects of fruit pulp of Eugenia jambolana on H 2 O 2-induced oxidative stress and apoptosis in rat leydig cells in vitro. Andrologia 45(3):145–157CrossRef Anand H, Misro MM, Sharma SB, Prakash S (2012) Cytoprotective effects of fruit pulp of Eugenia jambolana on H 2 O 2-induced oxidative stress and apoptosis in rat leydig cells in vitro. Andrologia 45(3):145–157CrossRef
go back to reference Beutler E (1963) Improved method for the determination of blood glutathione. J Lab Clin Med 61:882–888PubMed Beutler E (1963) Improved method for the determination of blood glutathione. J Lab Clin Med 61:882–888PubMed
go back to reference Cheng KKF (2007) Oral mucositis, dysfunction, and distress in patients undergoing cancer therapy. J Clin Nurs 16(11):2114–2121CrossRef Cheng KKF (2007) Oral mucositis, dysfunction, and distress in patients undergoing cancer therapy. J Clin Nurs 16(11):2114–2121CrossRef
go back to reference Collins FS, Varmus H (2015) A new initiative on precision medicine. N Engl J Med 372(9):793–795CrossRef Collins FS, Varmus H (2015) A new initiative on precision medicine. N Engl J Med 372(9):793–795CrossRef
go back to reference Dos Reis PED, Ciol MA, De Melo NS, Figueiredo PTDS, Leite AF, Manzi NDM (2016) Chamomile infusion cryotherapy to prevent oral mucositis induced by chemotherapy: a pilot study. Support Care Cancer 24(10):4393–4398CrossRef Dos Reis PED, Ciol MA, De Melo NS, Figueiredo PTDS, Leite AF, Manzi NDM (2016) Chamomile infusion cryotherapy to prevent oral mucositis induced by chemotherapy: a pilot study. Support Care Cancer 24(10):4393–4398CrossRef
go back to reference Keefe DMK, Brealey J, Goland GJ, Cummins A (2000) Chemotherapy for cancer causes apoptosis that precedes hypoplasia in crypts of the small intestine in humans. Gut 47(5):632–637CrossRef Keefe DMK, Brealey J, Goland GJ, Cummins A (2000) Chemotherapy for cancer causes apoptosis that precedes hypoplasia in crypts of the small intestine in humans. Gut 47(5):632–637CrossRef
go back to reference Münstedt K, Momm F, Hübner J (2019) Honey İn the management of side effects of radiotherapy-or radio/chemotherapy-induced oral mucositis. A systematic review. Complement Ther Clin Pract 34:145–152CrossRef Münstedt K, Momm F, Hübner J (2019) Honey İn the management of side effects of radiotherapy-or radio/chemotherapy-induced oral mucositis. A systematic review. Complement Ther Clin Pract 34:145–152CrossRef
go back to reference O’reilly M, Mellotte G, Ryan B, O’connor A (2020) Gastrointestinal side effects of cancer treatments. Ther Adv Chronic Dis 11:2040622320970354CrossRef O’reilly M, Mellotte G, Ryan B, O’connor A (2020) Gastrointestinal side effects of cancer treatments. Ther Adv Chronic Dis 11:2040622320970354CrossRef
go back to reference Rani V, Gupta A, Awasthi S, Suneja T, Yadav M, Verma S (2020) Antidiabetic activity of ındian medicinal plants. Herbal Medicine İn India. Springer, Singapore, pp 155–174CrossRef Rani V, Gupta A, Awasthi S, Suneja T, Yadav M, Verma S (2020) Antidiabetic activity of ındian medicinal plants. Herbal Medicine İn India. Springer, Singapore, pp 155–174CrossRef
go back to reference Raval JK, Prasad M, Parmar HC, Patel JM, Vihol PD, Patel JH, Kalyani I (2019) Ameliorative effects of Eugenia Jambolana seeds aqueous extract on diabetes induced oxidative stress in rats. Haryana Vet 58(2):232–235 Raval JK, Prasad M, Parmar HC, Patel JM, Vihol PD, Patel JH, Kalyani I (2019) Ameliorative effects of Eugenia Jambolana seeds aqueous extract on diabetes induced oxidative stress in rats. Haryana Vet 58(2):232–235
go back to reference Richard MJ, Portal B, Meo J, Coudray C, Hadjian A, Favier A (1992) Malondialdehyde Kit evaluated for determining plasma and lipoprotein fractions that react with thiobarbituric acid. Clin Chem 38(5):704–709CrossRef Richard MJ, Portal B, Meo J, Coudray C, Hadjian A, Favier A (1992) Malondialdehyde Kit evaluated for determining plasma and lipoprotein fractions that react with thiobarbituric acid. Clin Chem 38(5):704–709CrossRef
go back to reference Sahebjamee M, Mansourian A, Hajimirzamohammad M, Zadeh MT, Bekhradi R, Kazemian A, Doroudgar K (2015) Comparative efficacy of aloe vera and benzydamine mouthwashes on radiation-induced oral mucositis: a triple-blind, randomised, controlled clinical trial. Oral Health Prev Dent 13(4):309–315PubMed Sahebjamee M, Mansourian A, Hajimirzamohammad M, Zadeh MT, Bekhradi R, Kazemian A, Doroudgar K (2015) Comparative efficacy of aloe vera and benzydamine mouthwashes on radiation-induced oral mucositis: a triple-blind, randomised, controlled clinical trial. Oral Health Prev Dent 13(4):309–315PubMed
go back to reference Sharma P, Jhawat V, Mathur P, Dutt R (2022) Innovation in cancer therapeutics and regulatory perspectives. Med Oncol 39(5):1–12CrossRef Sharma P, Jhawat V, Mathur P, Dutt R (2022) Innovation in cancer therapeutics and regulatory perspectives. Med Oncol 39(5):1–12CrossRef
go back to reference Sharma RJ, Gupta RC, Singh S, Bansal AK, Singh IP (2016) Stability of anthocyanins-and anthocyanidins-enriched extracts, and formulations of fruit pulp Of Eugenia Jambolana (‘Jamun’). Food Chem 190:808–817CrossRef Sharma RJ, Gupta RC, Singh S, Bansal AK, Singh IP (2016) Stability of anthocyanins-and anthocyanidins-enriched extracts, and formulations of fruit pulp Of Eugenia Jambolana (‘Jamun’). Food Chem 190:808–817CrossRef
go back to reference Silverman S (2007) Diagnosis and management of oral mucositis. J Support Oncol 5(2 Suppl 1):13–21PubMed Silverman S (2007) Diagnosis and management of oral mucositis. J Support Oncol 5(2 Suppl 1):13–21PubMed
go back to reference Sonis ST (2004) A biological approach to mucositis. J Support Oncol 2(1):21–32 PubMed Sonis ST (2004) A biological approach to mucositis. J Support Oncol 2(1):21–32 PubMed
go back to reference Sonis ST (2004b) Oral mucositis in cancer therapy. J Support Oncol 2(6 Suppl 3):3–8PubMed Sonis ST (2004b) Oral mucositis in cancer therapy. J Support Oncol 2(6 Suppl 3):3–8PubMed
go back to reference Sonis ST (2007) Pathobiology of oral mucositis: novel insights and opportunities. J Support Oncol 5(9 Suppl 4):3–11PubMed Sonis ST (2007) Pathobiology of oral mucositis: novel insights and opportunities. J Support Oncol 5(9 Suppl 4):3–11PubMed
go back to reference Sukmasari S, Mohd FN, Qader OAJA, Rahman MNA (2018) Total phenolic content, flavonoid content, and antioxidant capacity of Syzygium cumini (L.) skeels leaves grown in Wonosobo, java, Indonesia and comparison against current findings of Syzygium cumini leaves and Syzygium polyanthum (Wight) walp Leaves. Journal Of Pharmaceutical Sciences And Research 10(1):31–35 Sukmasari S, Mohd FN, Qader OAJA, Rahman MNA (2018) Total phenolic content, flavonoid content, and antioxidant capacity of Syzygium cumini (L.) skeels leaves grown in Wonosobo, java, Indonesia and comparison against current findings of Syzygium cumini leaves and Syzygium polyanthum (Wight) walp Leaves. Journal Of Pharmaceutical Sciences And Research 10(1):31–35
go back to reference Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F (2021) Global cancer statistics 2020: globocan estimates of incidence and mortality worldwide for 36 cancers İn 185 Countries. A Cancer J Clin 71(3):209–249CrossRef Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F (2021) Global cancer statistics 2020: globocan estimates of incidence and mortality worldwide for 36 cancers İn 185 Countries. A Cancer J Clin 71(3):209–249CrossRef
go back to reference Vanlancker E, Vanhoecke B, Smet R, Props R, Van De Wiele T (2016) 5-Fluorouracil sensitivity varies among oral micro-organisms. J Med Microbiol 65(8):775–783CrossRef Vanlancker E, Vanhoecke B, Smet R, Props R, Van De Wiele T (2016) 5-Fluorouracil sensitivity varies among oral micro-organisms. J Med Microbiol 65(8):775–783CrossRef
Metadata
Title
Investigation of the protective effect of gel incorporating Eugenia jambolana leaf extract on 5-fluorouracil-induced oral mucositis: an animal study
Authors
Nilay Aksoy
Emine Sen
Susi Sukmasari
Özlem Bingöl Özakpınar
Feyze Arıcıoğlu
Yasemin Yücel Yücel
Muhammet Rıdvan Dumlu
Abd Almonem Doolaanea
Mohammad Nasrin AbdulRahman
Vakur Olgac
Pırıl Bozkan
Bugra Ozen
Publication date
27-05-2022
Publisher
Springer Berlin Heidelberg
Published in
Journal of Cancer Research and Clinical Oncology / Issue 8/2022
Print ISSN: 0171-5216
Electronic ISSN: 1432-1335
DOI
https://doi.org/10.1007/s00432-022-04065-3

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