The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats

Aims/Objective: One of the impediments in overcoming hypertension is treatment failure caused by patient compliance in conventional medicine. Herbal remedies receive less defiance, and thus have been studied considerably. This study aimed to evaluate the efficacy of Piper sarmentosum aqueous extract...

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Main Authors: Hashim Fauzy, Fatimatuzzahra, Mohd Zainudin, Maizura, Ismawi, Hidayatul Radziah, FT Elshami, Taher
Format: Conference or Workshop Item
Language:English
English
Published: 2019
Subjects:
Online Access:http://irep.iium.edu.my/75226/
http://irep.iium.edu.my/75226/
http://irep.iium.edu.my/75226/19/75226%20The%20antihypertensive%20efficacy.pdf
http://irep.iium.edu.my/75226/2/Kucing%20Conference-PSAEORALpdf.pdf
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spelling iium-752262019-11-12T07:45:33Z http://irep.iium.edu.my/75226/ The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats Hashim Fauzy, Fatimatuzzahra Mohd Zainudin, Maizura Ismawi, Hidayatul Radziah FT Elshami, Taher R Medicine (General) Aims/Objective: One of the impediments in overcoming hypertension is treatment failure caused by patient compliance in conventional medicine. Herbal remedies receive less defiance, and thus have been studied considerably. This study aimed to evaluate the efficacy of Piper sarmentosum aqueous extract (PSAE) in reducing blood pressure via endothelial dysfunction amelioration as compared to angiotensin-converting-enzyme (ACE) inhibitor, Perindopril. Methods: Blood pressure indices, level of mesenteric artery nitric oxide (NO) and endothelin1 (ET-1) were studied in four different groups (n=6) of spontaneously hypertensive rats (SHR) i.e. i) received distilled water, ii) 3 mg/kg Perindopril, iii) 500 mg/kg PSAE, and iv) a combination of 1.5 mg/kg Perindopril and 500 mg/kg PSAE. The rats were treated for 28 consecutive days, and blood pressure was measured weekly. NO and ET-1 level were analysed at the end of treatment period, after the rats were humanely sacrificed. Results: All three groups that received treatments have significantly lower systolic, diastolic, and mean arterial pressure (P<0.05), as well as higher NO level (P<0.05), and lower ET-1 level (P<0.05) as compared to the group receiving distilled water. However, rats that received Perindopril have the lowest systolic, diastolic, and mean arterial pressure, highest NO level, and lowest ET-1 level, followed by SHR treated by combined therapy and PSAE. Conclusion: Use of PSAE alone in once daily (OD) dose does not demonstrate better outcome than use of conventional Perindopril therapy in hypertensive subject. Further trials are imperative to fully establish the efficacy, tolerability, and possible adjuvant capacity of this potentially therapeutic agent. 2019 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/75226/19/75226%20The%20antihypertensive%20efficacy.pdf application/pdf en http://irep.iium.edu.my/75226/2/Kucing%20Conference-PSAEORALpdf.pdf Hashim Fauzy, Fatimatuzzahra and Mohd Zainudin, Maizura and Ismawi, Hidayatul Radziah and FT Elshami, Taher (2019) The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats. In: The 4th International Conference on Advances in Medical Science (ICAMS 2019), 12th-14th April 2019, Kuching, Sarawak. (Unpublished) https://www.klconference.com/icams2019/sites/default/files/Abstract%20Book%20ICAMS%202019.pdf
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic R Medicine (General)
spellingShingle R Medicine (General)
Hashim Fauzy, Fatimatuzzahra
Mohd Zainudin, Maizura
Ismawi, Hidayatul Radziah
FT Elshami, Taher
The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats
description Aims/Objective: One of the impediments in overcoming hypertension is treatment failure caused by patient compliance in conventional medicine. Herbal remedies receive less defiance, and thus have been studied considerably. This study aimed to evaluate the efficacy of Piper sarmentosum aqueous extract (PSAE) in reducing blood pressure via endothelial dysfunction amelioration as compared to angiotensin-converting-enzyme (ACE) inhibitor, Perindopril. Methods: Blood pressure indices, level of mesenteric artery nitric oxide (NO) and endothelin1 (ET-1) were studied in four different groups (n=6) of spontaneously hypertensive rats (SHR) i.e. i) received distilled water, ii) 3 mg/kg Perindopril, iii) 500 mg/kg PSAE, and iv) a combination of 1.5 mg/kg Perindopril and 500 mg/kg PSAE. The rats were treated for 28 consecutive days, and blood pressure was measured weekly. NO and ET-1 level were analysed at the end of treatment period, after the rats were humanely sacrificed. Results: All three groups that received treatments have significantly lower systolic, diastolic, and mean arterial pressure (P<0.05), as well as higher NO level (P<0.05), and lower ET-1 level (P<0.05) as compared to the group receiving distilled water. However, rats that received Perindopril have the lowest systolic, diastolic, and mean arterial pressure, highest NO level, and lowest ET-1 level, followed by SHR treated by combined therapy and PSAE. Conclusion: Use of PSAE alone in once daily (OD) dose does not demonstrate better outcome than use of conventional Perindopril therapy in hypertensive subject. Further trials are imperative to fully establish the efficacy, tolerability, and possible adjuvant capacity of this potentially therapeutic agent.
format Conference or Workshop Item
author Hashim Fauzy, Fatimatuzzahra
Mohd Zainudin, Maizura
Ismawi, Hidayatul Radziah
FT Elshami, Taher
author_facet Hashim Fauzy, Fatimatuzzahra
Mohd Zainudin, Maizura
Ismawi, Hidayatul Radziah
FT Elshami, Taher
author_sort Hashim Fauzy, Fatimatuzzahra
title The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats
title_short The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats
title_full The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats
title_fullStr The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats
title_full_unstemmed The antihypertensive efficacy of Piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats
title_sort antihypertensive efficacy of piper sarmentosum aqueous extract as compared to perindopril in spontaneously hypertensive rats
publishDate 2019
url http://irep.iium.edu.my/75226/
http://irep.iium.edu.my/75226/
http://irep.iium.edu.my/75226/19/75226%20The%20antihypertensive%20efficacy.pdf
http://irep.iium.edu.my/75226/2/Kucing%20Conference-PSAEORALpdf.pdf
first_indexed 2023-09-18T21:46:26Z
last_indexed 2023-09-18T21:46:26Z
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