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Published on: September 21, 2012
Long-term mucosal alterations by sennosides and related compounds
1Department of Pharmacology, University of Bordeaux II, School of Pharmacy, France.
Abstract:
Sennosides and related compounds are presumed to be severe cell poisons after prolonged ingestion. Some histological and ultrastructural studies in animals and man with such laxative misuse have revealed myenteric plexus and colonic epithelium injuries; but others have failed to point out identical data. In a first histological and ultrastructural study in mouse, we were unable to find any intestinal mucosa injury after long-term sennoside ingestion. In a second long-term experiment, we compared the effects of sennosides and 1,8-dihydroxyanthraquinone (synthetic anthracene derivative) on the mouse jejunum and colon. Electron microscopic observations showed nervous myenteric plexus abnormalities only in 1,8-dihydroxyanthraquinone-treated animals. These results suggest that sennosides have a good intestinal mucosa tolerance as opposed to aglycosidic-related compounds.
Insights
Sennosides show good intestinal tolerance in long-term studies. Unlike related compounds, sennosides did not cause significant histological or ultrastructural damage to the mouse jejunum and colon.
Area of Science:
- Gastroenterology
- Toxicology
- Histopathology
Background:
- Prolonged ingestion of sennosides and related compounds is suspected to cause severe cell poisoning.
- Previous studies on laxative misuse reported conflicting findings regarding myenteric plexus and colonic epithelium injuries.
Purpose of the Study:
- To investigate the long-term effects of sennosides on intestinal mucosa.
- To compare the intestinal toxicity of sennosides with a synthetic anthracene derivative (1,8-dihydroxyanthraquinone).
Main Methods:
- Histological and ultrastructural examination of mouse jejunum and colon after long-term sennoside ingestion.
- Comparative analysis of sennoside and 1,8-dihydroxyanthraquinone effects using electron microscopy.
Main Results:
- No intestinal mucosa injury was observed in mice after long-term sennoside ingestion in the initial study.
- Electron microscopy revealed nervous myenteric plexus abnormalities exclusively in animals treated with 1,8-dihydroxyanthraquinone, not sennosides.
Conclusions:
- Sennosides demonstrate good intestinal mucosa tolerance.
- Aglycosidic-related compounds, such as 1,8-dihydroxyanthraquinone, may pose a higher risk of intestinal damage.
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