Author(s):
Avinash A. Gunjal, Ashish V. Kulkarni, Devendra S. Shirode, Prasad K. Bairagi, Vasant Y. Chavan, Niraj S. Vyawahare
Email(s):
avinashgunjal4247@gmail.com
DOI:
10.52711/0974-360X.2025.00851
Address:
Avinash A. Gunjal*, Ashish V. Kulkarni, Devendra S. Shirode, Prasad K. Bairagi, Vasant Y. Chavan, Niraj S. Vyawahare
Department of Pharmacology, Dr. D. Y. Patil College of Pharmacy, Akurdi, Pune - 411044, Maharashtra, India.
*Corresponding Author
Published In:
Volume - 18,
Issue - 12,
Year - 2025
ABSTRACT:
Background and Objectives: L-carnitine (LC) is essential for energy production and the breakdown of fatty acids in mammals, plants, and specific bacteria. LC is known for its anti-inflammatory and antioxidant activities. The primary goal of this investigation was to examine the potential of L-carnitine L-tartrate (LCLT) as a supplement in treating hemorrhoids by using the model of Croton oil-induced hemorrhoid. Materials and Methods: LCLT was procured from Sigma Aldrich, USA. Hemorrhoids were created in the anorectal region of the experimental rats using the Croton oil-induced hemorrhoid model. Subsequently, the rats were treated with LCLT (300 and 500 mg/kg) and a standard medication Pilex granules (400 mg/kg), for a period of 7 days. On the 7th day, after 1 hour of treatment anti-hemorrhoidal potential was evaluated by examining the severity score, Evans blue (EB) dye exudation, rectoanal coefficient (RAC), cytokines profiling, and histopathology of anorectal tissue. Results: Supplementation with LCLT significantly reduced the severity score, Evans blue exudation, recto-anal coefficient, and cytokines like PG-E2, TNF-a, IL-6, and MMP-3. Additionally, histopathological examination showed a marked reduction in inflammation, congestion, and mononuclear cell (MNC) infiltration in anorectal tissue. Conclusion: This study demonstrated that LCLT can be used as a supplement to treat hemorrhoids because of its anti-inflammatory and antioxidant activities.
Cite this article:
Avinash A. Gunjal, Ashish V. Kulkarni, Devendra S. Shirode, Prasad K. Bairagi, Vasant Y. Chavan, Niraj S. Vyawahare. Preclinical Evaluation of Anti-hemorrhoidal Activity of L-carnitine L-tartrate (LCLT) via Stimulation of Anti-inflammatory and Antioxidant Activity in Croton Oil-induced Hemorrhoid Model. Research Journal Pharmacy and Technology. 2025;18(12):5891-8. doi: 10.52711/0974-360X.2025.00851
Cite(Electronic):
Avinash A. Gunjal, Ashish V. Kulkarni, Devendra S. Shirode, Prasad K. Bairagi, Vasant Y. Chavan, Niraj S. Vyawahare. Preclinical Evaluation of Anti-hemorrhoidal Activity of L-carnitine L-tartrate (LCLT) via Stimulation of Anti-inflammatory and Antioxidant Activity in Croton Oil-induced Hemorrhoid Model. Research Journal Pharmacy and Technology. 2025;18(12):5891-8. doi: 10.52711/0974-360X.2025.00851 Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2025-18-12-41
REFERENCE:
1. Dhaswadikar SR, Parmar KM, Kamble SK, Kathuria I, Dhobi M, Birajdar A, et al. Anti-hemorrhoidal potential of standardized leaf extract of Dolichandrone falcata. Phytomedicine Plus. 2022; Feb 1; 2(1): 100172.
2. Mott T, Latimer K, Edwards C. Hemorrhoids: Diagnosis and Treatment Options. Am Fam Physician [Internet]. 2018 Feb 1 [cited 2024 Jun 8]; 97(3): 172–9. Available from: https://www.aafp.org/pubs/afp/issues/2018/0201/p172.html
3. Faujdar S, Sati B, Sharma S, Pathak AK, Paliwal SK. Phytochemical evaluation and anti-hemorrhoidal activity of bark of Acacia ferruginea DC. J Tradit Complement Med [Internet]. 2019 Apr 1 [cited 2024 May 20];9(2):85. Available from: /pmc/articles/PMC6435949/
4. Gallo G, Sacco R, Sammarco G. Epidemiology of Hemorrhoidal Disease. 2018;1–5.
5. Dubey T, Bhanukiran K, Prasad SK, Hemalatha S. Optimization of Extraction Process and Anti-Hemorrhoidal Activity of Blumea lacera (Burm.f.) DC. Leaves in Croton Oil-induced Hemorrhoid Model. https://doi.org/101177/09731296231170936 [Internet]. 2023 Jun 9 [cited 2024 May 20]; 19(3): 709–19. Available from: https://journals.sagepub.com/doi/full/10.1177/09731296231170936
6. Lohsiriwat V. Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol [Internet]. 2012 [cited 2024 Jun 8]; 18(17): 2009–17. Available from: https://pubmed.ncbi.nlm.nih.gov/22563187/
7. Azeemuddin M, Viswanatha GL, Rafiq M, Thippeswamy AH, Baig MR, Kavya KJ, et al. An improved experimental model of hemorrhoids in rats: evaluation of antihemorrhoidal activity of an herbal formulation. ISRN Pharmacol [Internet]. 2014 Mar 11 [cited 2024 May 20]; 2014:1–7. Available from: https://pubmed.ncbi.nlm.nih.gov/25006493/
8. Corsale I, Carrieri P, Martellucci J, Piccolomini A, Verre L, Rigutini M, et al. Flavonoid mixture (diosmin, troxerutin, rutin, hesperidin, quercetin) in the treatment of I-III degree hemorroidal disease: a double-blind multicenter prospective comparative study. Int J Colorectal Dis [Internet]. 2018 Nov 1 [cited 2024 May 20]; 33(11): 1595–600. Available from: https://pubmed.ncbi.nlm.nih.gov/29934701/
9. Yang JY, Peery AF, Lund JL, Pate V, Sandler RS. Burden and Cost of Outpatient Hemorrhoids in the United States Employer-Insured Population, 2014. Am J Gastroenterol [Internet]. 2019 May 1 [cited 2024 Jun 8]; 114(5): 798–803. Available from: https://journals.lww.com/ajg/fulltext/2019/05000/burden_and_cost_of_outpatient_hemorrhoids_in_the.22.aspx
10. Sandler RS, Peery AF. Rethinking What We Know About Hemorrhoids. Clin Gastroenterol Hepatol [Internet]. 2019 Jan 1 [cited 2024 Jun 8]; 17(1): 8–15. Available from: https://pubmed.ncbi.nlm.nih.gov/29601902/
11. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation: An epidemiologic study. Gastroenterology. 1990 Feb 1; 98(2): 380–6.
12. Evans P, Halliwell B. Micronutrients: oxidant/antioxidant status. 2000 [cited 2024 May 20]; Available from: https://doi.org/10.1049/BJN2000296
13. Adeva-Andany MM, Calvo-Castro I, Fernández-Fernández C, Donapetry-García C, Pedre-Piñeiro AM. Significance of l-carnitine for human health. IUBMB Life [Internet]. 2017 Aug 1 [cited 2024 Jun 8]; 69(8): 578–94. Available from: https://pubmed.ncbi.nlm.nih.gov/28653367/
14. Lovells H, FedEx B. GRAS Notice (GRN) No. 993 https://www.fda.gov/food/generally-recognized-safe-gras/gras-notice-inventory Hogan Lovells. 2021 [cited 2024 Jun 8]; Available from: www.hoganlovells.com
15. Alhasaniah AH. l-carnitine: Nutrition, pathology, and health benefits. Saudi J Biol Sci [Internet]. 2023; Feb 1 [cited 2024 May 20]; 30(2). Available from: /pmc/articles/PMC9827390/
16. Dey YN, Wanjari MM, Kumar D, Lomash V, Jadhav AD. Curative effect of Amorphophallus paeoniifolius tuber on experimental hemorrhoids in rats. J Ethnopharmacol [Internet]. 2016 Nov 4 [cited 2024 Jun 6]; 192: 183–91. Available from: https://pubmed.ncbi.nlm.nih.gov/27426509/
17. Dönmez C, Yalçın FN, Boyacıoğlu Ö, Korkusuz P, Akkol EK, Nemutlu E, et al. From nutrition to medicine: Assessing hemorrhoid healing activity of Solanum melongena L. via in vivo experimental models and its major chemicals. J Ethnopharmacol. 2020 Oct 28; 261.
18. Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management. Clin Colon Rectal Surg [Internet]. 2016 Mar 1 [cited 2024 Jun 11]; 29(1): 22. Available from: /pmc/articles/PMC4755769/
19. Gülçin I. Antioxidant and antiradical activities of L-carnitine. Life Sci [Internet]. 2006 Jan 18 [cited 2024 Jul 4];78(8):803–11. Available from: https://pubmed.ncbi.nlm.nih.gov/16253281/
20. Majed F, Nafees S, Rashid S, Ali N, Hasan SK, Ali R, et al. Terminalia chebula attenuates DMBA/Croton Oil-Induced oxidative stress and inflammation in Swiss albino mouse skin. Toxicol Int. 2015 Jan 1; 22(1): 21–9.
21. Sangchart P, Panyatip P, Damrongrungruang T, Priprem A, Mahakunakorn P, Puthongking P. Anti-Inflammatory Comparison of Melatonin and Its Bromobenzoylamide Derivatives in Lipopolysaccharide (LPS)-Induced RAW 264.7 Cells and Croton Oil-Induced Mice Ear Edema. Molecules 2021, Vol 26, Page 4285 [Internet]. 2021 Jul 15 [cited 2024 Jun 11]; 26(14): 4285. Available from: https://www.mdpi.com/1420-3049/26/14/4285/htm