Antihemorrhoidal activity of organic acids ofCapsella bursa‐pastorison croton oil‐induced hemorrhoid in rats

Abstract

This study was aimed to investigate the antihemorrhoidal effects of ethanol (CBE) and water extracts (CBW) of Capsella bursa‐pastoris, an edible plant and a precipitant (CBW‐1) obtained from the CBW in croton oil (CO)‐induced hemorrhoid model in rats. CBW‐1 was contain three organic acids, citric acid (36.09%), malic acid (35.56%), and quinic acid (17.73%). Hemorrhoids were evaluated by histopathology of recto‐anal tissues and biochemical parameters in plasma and recto‐anal tissues of rats. CBW, CBE, and CBW‐1 significantly reduced hemorrhagic necrotic enteritis induced by CO. CO also increased the cytokines and lipid peroxidation (LPO) in serum, and myeloperoxidase (MPO) activity and LPO in recto‐anal tissues, and reduced the GSH, CAT, GPx, and SOD levels in serum and recto‐anal tissues. However, CBE, CBW, and CBW‐1 ameliorated the levels of the cytokines, LPO, MPO, and the antioxidants. Our results conclude that the curative effect of Capsella bursa‐pastoris is closely related with its organic acids constituents, citric, malic, and quinic acids. Practical applications The fresh leaves of Capsella bursa‐pastoris are edible, eaten raw or cooked, and also used in salad. It has a widespread traditional usage in the treatment of the hemorrhoids in the Anatolia and in the Middle East Countries. According to our literature survey, any scientific evidence has not been found in the literature that C. bursa‐pastoris could be used in the treatment of hemorrhoids. Therefore, in the current study, we aimed to investigate the antihemorrhoidal and antioxidant effects of ethanol and water extracts, and a precipitant (CBW‐1) obtained from the CBW of C. bursa‐pastoris in croton oil (CO)‐induced hemorrhoid model in rats. The current results showed that its water extract and CBW‐1 containing three organic acids, citric acid (36.09%), malic acid (35.56%), and quinic acid (17.73%) significantly reduced the hemorrhagic necrotic enteritis induced by CO ameliorating the levels of the cytokines, LPO, MPO, and the antioxidants. Our results conclude that the curative effect of C. bursa‐pastoris is closely related with its organic acids constituents, citric, malic, and quinic acids.

Impact of Capsella bursa-pastoris (Shepherd’s Purse) Herbal Tea Preparations on Symptoms and Severity of Hemorrhoidal Disease: A Prospective Randomized Study

“…12 Additionally, it was reported that Capsella bursa-pastoris plays a role in the biosynthesis of several active substances, including tannins, sulforaphanes, tyramines, sterols, flavonoids, choline, acetylcholine, and histamine. 3,20,25 Apaydin Yildirim et al 3 demonstrated the anti-hemorrhoidal effects of ethanol and water extracts of Capsella bursapastoris on croton oil-induced hemorrhoids in rats. Accordingly, Capsella bursa-pastoris reduced the severity of hemorrhagic necrotic enteritis and the levels of cytokines and lipid peroxidation in serum, as well as myeloperoxidase and anti-oxidants in the recto-anal tissues.…”

“…Its leaves and roots can be eaten both raw and cooked. 3 The tea formulations made from the whole plant or the dried herb have been used for different purposes. 2 In addition to its hemostatic and oxytocic properties, Capsella bursa-pastoris is also known for its anti-oxidant, anti-inflammatory, anti-ulcer, and in-vivo anti-cancer activities.…”

“…2 In addition to its hemostatic and oxytocic properties, Capsella bursa-pastoris is also known for its anti-oxidant, anti-inflammatory, anti-ulcer, and in-vivo anti-cancer activities. 2,3,6,21,24,27 As a result, its use has been investigated in several experimental and clinical treatments, including for hemorrhoids, 3 hepatic steatosis and hypercholesterolemia, 4 urinary tract infections, 13 cataracts, 26 nose bleeding, 4 and heavy menstrual bleeding. 6,20 Capsella bursa-pastoris has been used as a traditional medicine to treat hemorrhoidal disease in Anatolia and the Middle East.…”

“…6,20 Capsella bursa-pastoris has been used as a traditional medicine to treat hemorrhoidal disease in Anatolia and the Middle East. 2,3,25 Furthermore; it is also used as a foodstuff in many regions of Turkey. 15 Apaydin Yildirim et al 3 reported the antioxidant activity of Capsella bursa-pastoris in an experimental rat model of hemorrhoids.…”

“…2,3,25 Furthermore; it is also used as a foodstuff in many regions of Turkey. 15 Apaydin Yildirim et al 3 reported the antioxidant activity of Capsella bursa-pastoris in an experimental rat model of hemorrhoids. However, there is no clinical study to date, in which the use of Capsella bursa-pastoris was evaluated in patients with hemorrhoids.…”