Author(s): Alpha Fardah Athiyyah, Andy Darma, Khadijah Rizky Sumitro, Reza Gunadi Ranuh, Rabiatul Adawiah, Wibi Riawan, Widjiati Widjiati, Subijanto Marto Sudarmo

Email(s): andy.darma@fk.unair.ac.id

DOI: 10.52711/0974-360X.2025.00508   

Address: Alpha Fardah Athiyyah1,2, Andy Darma1,2*, Khadijah Rizky Sumitro1,2, Reza Gunadi Ranuh1,2, Rabiatul Adawiah1,2, Wibi Riawan3, Widjiati Widjiati4, Subijanto Marto Sudarmo1,2
1Department of Child Health, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
2Department of Child Health, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
3Department of Biomolecular Biochemistry, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
4Department of Veterinary Medicine, Faculty of Veterinary Medicine, Universitas Airlangga, Surabaya, Indonesia.
*Corresponding Author

Published In:   Volume - 18,      Issue - 8,     Year - 2025


ABSTRACT:
Gastric mucosal injury is a common condition affecting the gastrointestinal tract that is frequently caused by the use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. In this study, we determined the effect of various doses of ibuprofen on gastric mucosal damage in rat models. Male Wistar rats (n = 32) aged 12 weeks with body weights ranging from 200-250g were randomly assigned to two experimental doses of ibuprofen: 200mg/kg body weight (BW) and 300mg/kg BW for 1 day. Specific doses of ibuprofen in sterile water were orally administered to the rats on day 0, followed by treatment with distilled water. Rats were euthanized at 1-, 3-, 5-, and 7-days post treatment and gastric mucosa damage was assessed microscopically. Gastric mucosal damage was assessed based on five parameters: inflammation, epithelial defect, oxyntic atrophy, hemorrhage, and submucosal edema, using Roger’s modified (2012) histology activity index (HAI). Ibuprofen treatment at 200 and 300mg/kg BW significantly exacerbated gastrointestinal hemorrhage at 1-, 3-, 5- and 7-days post administration. Both doses can cause gastric mucosal injury on the first day post-treatment and persist longer at higher doses. Conclusively, administration of ibuprofen at 200mg/kg BW induced gastric mucosal damage, which was exacerbated at a higher dose of 300mg/kg BW.


Cite this article:
Alpha Fardah Athiyyah, Andy Darma, Khadijah Rizky Sumitro, Reza Gunadi Ranuh, Rabiatul Adawiah, Wibi Riawan, Widjiati Widjiati, Subijanto Marto Sudarmo. Comparative Analysis of Gastric Mucosal damage in Wistar Rats Subjected to Varying Doses of Ibuprofen. Research Journal Pharmacy and Technology. 2025;18(8):3530-6. doi: 10.52711/0974-360X.2025.00508

Cite(Electronic):
Alpha Fardah Athiyyah, Andy Darma, Khadijah Rizky Sumitro, Reza Gunadi Ranuh, Rabiatul Adawiah, Wibi Riawan, Widjiati Widjiati, Subijanto Marto Sudarmo. Comparative Analysis of Gastric Mucosal damage in Wistar Rats Subjected to Varying Doses of Ibuprofen. Research Journal Pharmacy and Technology. 2025;18(8):3530-6. doi: 10.52711/0974-360X.2025.00508   Available on: https://www.rjptonline.org/AbstractView.aspx?PID=2025-18-8-11


REFERENCES:
1.    Adinortey MB, Ansah C, Galyuon I, Nyarko A. In Vivo Models Used for Evaluation of Potential Antigastroduodenal Ulcer Agents. Ulcers. 2013; 2013: 1–12. Hindawi Publishing Corporation. http://dx.doi.org/10.1155/2013/796405.  
2.    Khoder G, Al-Menhali AA, Al-Yassir F, Karam SM. Potential role of probiotics in the management of gastric ulcer (Review). Exp Ther Med. 2016; 12(1): 3–17. DOI: 10.3892/etm.2016.3293.
3.    Roberts-Thomson IC. Rise and fall of peptic ulceration: A disease of civilization? J Gastroenterol Hepatol. 2018; 33(7): 1321–6. Journal of Gastroenterology and Hepatology Foundation and John Wiley and Sons Australia, Ltd. doi:10.1111/jgh.14090.
4.    Marlicz W, Łoniewski I, Grimes DS, Quigley EM. Nonsteroidal anti-inflammatory drugs, proton pump inhibitors, and gastrointestinal injury: Contrasting interactions in the stomach and small Intestine. Mayo Clin Proc. 2014; 89(12): 1699–709. Mayo Clinic Proc. http://dx.doi.org/10.1016/j.mayocp.2014.07.015.
5.    Melcarne L, García-Iglesias P, Calvet X. Management of NSAID-associated peptic ulcer disease. Expert Rev Gastroenterol Hepatol. 2016; 10(6): 723–33. Taylor and Francis. DOI: 10.1586/17474124.2016.1142872.
6.    Abraham P, Indirani K, Desigamani K. Nitro-arginine methyl ester, a non-selective inhibitor of nitric oxide synthase reduces ibuprofen-induced gastric mucosal injury in the rat. Dig Dis Sci. 2005; 50(9): 1632–40. Springer Science. DOI: 10.1007/s10620-005-2908-y.
7.    Bradbury F. How important is the role of the physician in the correct use of a drug? An observational cohort study in general practice. Int J Clin Pract Suppl. 2004; (144): 27–32. DOI: 10.1111/j.1742-1241.2004.027_e.x.
8.    Chavez ML, DeKorte CJ. Valdecoxib: A Review. Clinical Therapeutics. 2003; 25(3): 817–851. DOI: 10.1016/s0149-2918(03)80110-8.
9.    Wahbi AA, Hassan E, Hamdy D, Khamis E, Barary M. Spectrophotometric methods for the determination of Ibuprofen in tablets. Pak J Pharm Sci. 2005; 18(4): 1-6. PMID: 16380350. 
10.    Varrassi G, Pergolizzi J V, Dowling P, Paladini A. Ibuprofen Safety at the Golden Anniversary : Are all NSAIDs the Same ? A Narrative Review. Adv Ther. 2020; 37(1): 61–82. https://doi.org/10.1007/s12325-019-01144-9.
11.    Konturek PK, Brzozowski T, Konturek SJ, Dembiński A. Role of epidermal growth factor, prostaglandin, and sulfhydryls in stress-induced gastric lesions. Gastroenterology. 1990; 99(6): 1607–15. DOI: 10.1016/0016-5085(90)90464-c.
12.    Ukawa H, Yamakuni H, Kato S, Takeuchi K. Effects of cyclooxygenase-2 selective and nitric oxide-releasing nonsteroidal antiinflammatory drugs on mucosal ulcerogenic and healing responses of the stomach. Dig Dis Sci. 1998; 43(9): 2003–11. Plenum Publishing Corporation. doi: 0163-2116/98/0900-2003. DOI: 10.1023/a:1018846912032.
13.    Wang JY, Yamasaki S, Takeuchi K, Okabe S. Delayed healing of acetic acid-induced gastric ulcers in rats by indomethacin. Gastroenterology. 1989; 96(2 PART 1): 393–402. Elsevier. DOI: 10.1016/0016-5085(89)91563-1.
14.    Lanza FL, Collaku A, Liu DJ. Endoscopic comparison of gastroduodenal injury with over-the-counter doses of new fast- dissolving ibuprofen and paracetamol formulations: A randomized, placebo-controlled, 4-way crossover clinical trial. Clin Exp Gastroenterol. 2018; 11: 169–77. doi: 10.2147/CEG.S153231.
15.    Laine L, Kivitz AJ, Bello AE, Grahn AY, Schiff MH, Taha AS. Double-blind randomized trials of single-tablet ibuprofen/high- dose famotidine vs. ibuprofen alone for reduction of gastric and duodenal ulcers. Am J Gastroenterol. 2012; 107(3): 379 –86. Nature publishing group. doi: 10.1038/ajg.2011.443.
16.    Hung KKC, Graham CA, Lo RSL, Leung YK, Leung LY, Man SY, et al. Oral paracetamol and/or ibuprofen for treating pain after soft tissue injuries: Single centre double-blind, randomised controlled clinical trial. PLoS One. 2018; 13(2): 1–13. DOI: 10.1371/journal.pone.0192043.
17.    Takeuchi K, Tanaka A, Kato S, Amagase K, Satoh H. Roles of COX inhibition in pathogenesis of NSAID-induced small intestinal damage. Clin Chim Acta. 2010; 411(7–8): 459–66. Elsevier. doi:10.1016/j.cca.2009.12.026.
18.    Lazzaroni M, Bianchi Porro G. Gastrointestinal side-effects of traditional non-steroidal anti-inflammatory drugs and new formulations. Aliment Pharmacol Ther. 2004; 20(SUPPL.2): 48–58. DOI: 10.1111/j.1365-2036.2004.02037.x.
19.    Wallace JL, McKnight W, Reuter BK, Vergnolle N. NSAID-Induced gastric damage in rats: Requirement for inhibition of both cyclooxygenase 1 and 2. Gastroenterology. 2000; 119(3): 706–14. American Gastroenterological Association. doi:10.1053/gast.2000.16510.
20.    Darma A, Riawan W, Sumitro KR, Athiyyah AF, Ranuh R, Qorib MF, et al. Effects of Lactobacillus plantarum IS-10506 on gastric protective mucosal factors: an ibuprofen-induced gastric mucosal injury. Bali Med J. 2023; 12(1): 514–8. DOI: 10.15562/bmj.v12i1.3948.
21.    Rogers, A. B. Histologic Scoring of Gastritis and Gastric Cancer in Mouse Models. Methods in Molecular Biology. 2012; 921: 189–203. DOI: 10.1007/978-1-62703-005-2_22.
22.    Alhamadi N, Asiri AH, Alshahrani FM, Alqahtani AY, Al Qout MM, Alnami RA, et al. Gastrointestinal Complications Associated With Non-steroidal Anti-inflammatory Drug Use Among Adults: A Retrospective, Single-Center Study. Cureus. 2022; 14(6): 1–10. DOI: 10.7759/cureus.26154. 
23.    Lichtenberger LM, Richards JE, Hills BA. Effect of 16,16-Dimethyl Prostaglandin E2 on the Surface Hydrophobicity of Aspirin- Treated Canine Gastric Mucosa. Gastroenterology . 1985; 88(1): 308–14. doi.org/10.1016/S0016-5085(85)80185-2.
24.    Ugan RA, Un H. The protective roles of butein on indomethacin induced gastric ulcer in mice. Eurasian J Med. 2020; 52(3): 265– 70. DOI: 10.5152/eurasianjmed.2020.20022.
25.    Halici Z, Polat B, Cadirci E, Topcu A, Karakus E, Kose D, et al. Inhibiting renin angiotensin system in rate limiting step by aliskiren as a new approach for preventing indomethacin induced gastric ulcers. Chem Biol Interact. 2016; 258: 266–75. Elsevier.  DOI: 10.1016/j.cbi.2016.09.011.
26.    Toktay E, Selli J. Histopathological Overview of Experimental Ulcer Models. Eurasian J Med. 2022; 54: S120–6. DOI 10.5152/eurasianjmed.2022.22312.
27.    Mellemkjær L, Blot WJ, Sørensen HT, Thomassen L, McLaughlin JK, Nielsen GL, et al. Upper gastrointestinal bleeding among users of NSAIDs: A population-based cohort study in Denmark. Br J Clin Pharmacol. 2002; 53(2): 173–81. DOI: 10.1046/j.0306-5251.2001.01220.x.
28.    Anyanwu LJC, Mohammad AM. Gastrointestinal bleeding following NSAID ingestion in children. Ann Pediatr Surg. 2013; 9(2): 87–9. DOI: 10.1097/01.XPS.0000428237.26252.84.  
29.    Evans A, Nation R, Sansom L, Bochner F, Somogyi A. Effect of racemic ibuprofen dose on the magnitude and duration of platelet cyclo‐oxygenase inhibition: relationship between inhibition of thromboxane production and the plasma unbound concentration of S(+)‐ ibuprofen. Br J Clin Pharmacol. 1991; 31(2): 131–8. DOI: 10.1111/j.1365-2125.1991.tb05500.x.
30.    Yoshikawa T, Naito Y. The role of neutrophils and inflammation in gastric mucosal injury. Free Radic Res. 2000; 33(6): 785–94. DOI: 10.1080/10715760000301301.


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