Research Article

Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model

Volume: 28 Number: 1 June 28, 2025

Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model

Abstract

COVID-19 infection is always accompanied by a cytokine storm that causes acute respiratory distress syndrome (ARDS). The reduction of pro-inflammatory cytokines is expected to be used for treating COVID-19 patients. Guava (Psidium guajava L.) was believed to have properties as an antioxidant and anti-inflammatory. This study aims to determine the effect of guava extract (PGE) on the ARDS rats model so that it can be used as a PGE treatment for the effects caused by ARDS. This study was conducted on 25 Sprague Dawley rats model in 5 treatment groups. Lipopolysaccharides (LPS) induction was carried out to create ARDS rats model. Determination of pro-inflammatory cytokines in lung Interleukin-18 (IL-18), IL-12 and serum IL-1β, Tumour Necrosis Factor alpha (TNF-α) was performed by ELISA, NOD-, LRR- and Pyrin domain-containing protein 3 (NRLP3) expressions were determined by the quantitative Reverse Transcription-Polymerase Chain Reaction (qRT-PCR) method and IL-6, Nuclear factor kappa B (NF-κB) were analysed by immunohisto-chemistry assay. The results showed that PGE contained phenolic compound, daidzin and genistin. The IL-18, IL-12, Il-1β, TNF-α, IL-6, NF-kB and NRLP3 in ARDS model rats were decreased by PGE treatment. In conclusion, PGE can be used as a therapy for treating ARDS by decreasing pro-inflammatory marker.

Keywords

References

  1. [1] Ragab D, Salah Eldin H, Taeimah M, Khattab R, Salem R. The COVID-19 Cytokine Storm; What We Know So Far. Frontiers in immunology. 2020; 11(2020): 1-35. https://doi.org/10.3389/fimmu.2020.01446.
  2. [2] Kunnumakkara AB, Rana V, Parama D, Banik K, Girisa S, Henamayee S, et al. COVID-19, cytokines, inflammation, and spices: How are they related?. Life sciences. 2021; 284(2021): 1-35. https://doi.org/10.1016/j.lfs.2021.119201.
  3. [3] Batah SS, Fabro AT. Pulmonary pathology of ARDS in COVID-19: A pathological review for clinicians. Respir Med. 2021; 176(2021): 1-7. https://doi.org/10.1016/j.rmed.2020.106239.
  4. [4] Shimizu M. Clinical Features of Cytokine Storm Syndrome. In: Cron, R., Behrens, E. (eds) Cytokine Storm Syndrome. Springer, Cham, 2019, pp.31-41. https://doi.org/10.1007/978-3-030-22094-5_3.
  5. [5] Wang L, Huang X, Kong G, Xu H, Li J, Hao D, et al. Ulinastatin attenuates pulmonary endothelial glycocalyx damage and inhibits endothelial heparanase activity in LPS-induced ARDS. Biochemical and biophysical research communications. 2016; 478(2): 669–675. https://doi.org/10.1016/j.bbrc.2016.08.005.
  6. [6] Qiu Y, Lin J, Yang Y, Zhou J, Gong LN, Qin Z, et al. Lack of Efficacy of Ulinastatin Therapy During Cardiopulmonary Bypass Surgery. Chinese medical journal. 2015; 128(23): 3138–3142. https://doi.org/10.4103/0366-6999.170364.
  7. [7] Sun R, Li Y, Chen W, Zhang F, Li T. Total ginsenosides synergize with ulinastatin against septic acute lung injury and acute respiratory distress syndrome. International journal of clinical and experimental pathology. 2015; 8(6): 7385–7390. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4525974.
  8. [8] Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England). 2020; 395(10223): 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5.

Details

Primary Language

English

Subjects

Pharmacology and Pharmaceutical Sciences (Other)

Journal Section

Research Article

Publication Date

June 28, 2025

Submission Date

December 6, 2022

Acceptance Date

December 27, 2022

Published in Issue

Year 2024 Volume: 28 Number: 1

APA
Priyandoko, D., Widowati, W., Novianto, A., Kusuma, H. S. W., Yuninda, V. A., & Azis, R. (2025). Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model. Journal of Research in Pharmacy, 28(1), 269-277. https://izlik.org/JA84TT63FB
AMA
1.Priyandoko D, Widowati W, Novianto A, Kusuma HSW, Yuninda VA, Azis R. Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model. J. Res. Pharm. 2025;28(1):269-277. https://izlik.org/JA84TT63FB
Chicago
Priyandoko, Didik, Wahyu Widowati, Agung Novianto, Hanna Sari Widya Kusuma, Viranda Andria Yuninda, and Rizal Azis. 2025. “Guava (Psidium Guajava L.) Extract Inhibits Cytokine Storm in Acute Respiratory Distress Syndrome Rats Model”. Journal of Research in Pharmacy 28 (1): 269-77. https://izlik.org/JA84TT63FB.
EndNote
Priyandoko D, Widowati W, Novianto A, Kusuma HSW, Yuninda VA, Azis R (June 1, 2025) Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model. Journal of Research in Pharmacy 28 1 269–277.
IEEE
[1]D. Priyandoko, W. Widowati, A. Novianto, H. S. W. Kusuma, V. A. Yuninda, and R. Azis, “Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model”, J. Res. Pharm., vol. 28, no. 1, pp. 269–277, June 2025, [Online]. Available: https://izlik.org/JA84TT63FB
ISNAD
Priyandoko, Didik - Widowati, Wahyu - Novianto, Agung - Kusuma, Hanna Sari Widya - Yuninda, Viranda Andria - Azis, Rizal. “Guava (Psidium Guajava L.) Extract Inhibits Cytokine Storm in Acute Respiratory Distress Syndrome Rats Model”. Journal of Research in Pharmacy 28/1 (June 1, 2025): 269-277. https://izlik.org/JA84TT63FB.
JAMA
1.Priyandoko D, Widowati W, Novianto A, Kusuma HSW, Yuninda VA, Azis R. Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model. J. Res. Pharm. 2025;28:269–277.
MLA
Priyandoko, Didik, et al. “Guava (Psidium Guajava L.) Extract Inhibits Cytokine Storm in Acute Respiratory Distress Syndrome Rats Model”. Journal of Research in Pharmacy, vol. 28, no. 1, June 2025, pp. 269-77, https://izlik.org/JA84TT63FB.
Vancouver
1.Didik Priyandoko, Wahyu Widowati, Agung Novianto, Hanna Sari Widya Kusuma, Viranda Andria Yuninda, Rizal Azis. Guava (Psidium guajava L.) extract inhibits cytokine storm in acute respiratory distress syndrome rats model. J. Res. Pharm. [Internet]. 2025 Jun. 1;28(1):269-77. Available from: https://izlik.org/JA84TT63FB