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Pharmacological Basis for the Medicinal Use of Black Pepper and Piperine in Gastrointestinal Disorders

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Dried fruits of Piper nigrum (black pepper) are commonly used in gastrointestinal disorders. The aim of this study was to rationalize the medicinal use of pepper and its principal alkaloid, piperine, in constipation and diarrhea using in vitro and in vivo assays. When tested in isolated guinea pig ileum, the crude extract of pepper (Pn.Cr) (1–10 mg/mL) and piperine (3–300 μM) caused a concentration-dependent and atropine-sensitive stimulant effect. In rabbit jejunum, Pn.Cr (0.01–3.0 mg/mL) and piperine (30–1,000 μM) relaxed spontaneous contractions, similar to loperamide and nifedipine. The relaxant effect of Pn.Cr and piperine was partially inhibited in the presence of naloxone (1 μM) similar to that of loperamide, suggesting the naloxone-sensitive effect in addition to the Ca(2+) channel blocking (CCB)-like activity, which was evident by its relaxant effect on K+ (80 mM)-induced contractions. The CCB activity was confirmed when pretreatment of the tissue with Pn.Cr (0.03–0.3 mg/mL) or piperine (10–100 μM) caused a rightward shift in the concentration–response curves of Ca(2+), similar to loperamide and nifedipine. In mice, Pn.Cr and piperine exhibited a partially atropine-sensitive laxative effect at lower doses, whereas at higher doses it caused antisecretory and antidiarrheal activities that were partially inhibited in mice pretreated with naloxone (1.5 mg/kg), similar to loperamide. This study illustrates the presence of spasmodic (cholinergic) and antispasmodic (opioid agonist and Ca(2+) antagonist) effects, thus providing the possible explanation for the medicinal use of pepper and piperine in gastrointestinal motility disorders.
... The therapeutic effect of piperine in constipation and diarrhoea was investigated by Mehmood et al. [29] using (3-300 µM) of piperine on isolated guinea pig ileum. Thus, piperine holds spasmodic activity mediated via muscarinic receptors along with the antispasmodic activity mediated via calcium channel blocker and opioid receptor activation indicate possible mechanisms for the therapeutic use of piperine in constipation, diarrhea, and indigestion [29]. ...
... The therapeutic effect of piperine in constipation and diarrhoea was investigated by Mehmood et al. [29] using (3-300 µM) of piperine on isolated guinea pig ileum. Thus, piperine holds spasmodic activity mediated via muscarinic receptors along with the antispasmodic activity mediated via calcium channel blocker and opioid receptor activation indicate possible mechanisms for the therapeutic use of piperine in constipation, diarrhea, and indigestion [29]. ...
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Background Piperine is the piperidine alkaloid present in the fruits of Black pepper (Piper nigrum) and long pepper (Piper longum). It is a pungent constituent with remarkable pharmacological properties. Its appropriate use in some pathological conditions of CNS (central nervous system), CVS (cardiovascular system), GIT (gastro intestinal tract) dysfunctions, bone, and various other physiological activities like anti-asthmatic, anti-tumor immunomodulatory, cytoprotective, and hepatoprotective have been reported. Purpose The review tries to emphasize the mechanisms that are involved in various physiological activities of piperine along with its toxicity assessment. Study Design Different physiological and pharmacological characteristics of piperine were evaluated through a literature search from authorized manuscripts based on piperine studies, with more emphasis given to the dose and parameters assessed. Results Literature search of piperine showed remarkable properties like antioxidant, anti-apoptotic, anti-inflammatory, and bioavailability enhancing abilities that fit its appropriate use in pathological conditions of CNS (central nervous system), CVS (cardiovascular system), GIT (gastro intestinal tract) dysfunctions, bone, and various other physiological activities like anti-asthmatic, anti-tumor and immunomodulatory, cytoprotective, and hepatoprotective. Conclusion The basic properties which are responsible for most of the mechanistic approach of piperine in various diseases are its ‘antioxidant, anti-inflammatory, anti-apoptotic, and bio-availability enhancing abilities’ that provide the initial framework in managing and alleviating severe disease conditions.
... Health benefits of Black pepperIt stimulates the secretion of digestive enzymes It aids relieve in stomach gas, latulence and abdominal pain Enhances body's ability to break down and assimilate food It can also relieve peptic ulcers[9,10,11] Effective option for treatment of fat-related issues Constrain fat cell formation[16] ...
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Black pepper is known as the King of Spice and is native to South India, South Asia and Indian. It is been used in Asian cooking since 2000 BC. The source of pepper exports to neighboring countries was the Malabar Coast, which is present-day Kerala. Dried fruit of Black pepper is called as peppercorn and is extensively used in culinary. Its extracted oil is used in making ayurveda medicines because it possess anti-inflammatory and anti-microbial activities.
... The piperine, and pepper extract showed similar effect to that of Ach [569]. Pepper has been utilized for medicinal purpose like constipation [591] Antioxidant Activity Few in vitro investigations proved that reactive oxygen species are retarded by piperine and showed defensive activity against oxidative lesions [244]. In an in vivo study, it has been observed that piperine or black pepper are able to reduce lipid peroxidation and exhibited antioxidant potential. ...
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Medicinal or herbal spices are grown in tropical moist evergreen forestland, surrounding most of the tropical and subtropical regions of Eastern Himalayas in India (Sikkim, Darjeeling regions), Bhutan, Nepal, Pakistan, Iran, Afghanistan, a few Central Asian countries, Middle East, USA, Europe, South East Asia, Japan, Malaysia, and Indonesia. According to the cultivation region surrounded, economic value, and vogue, these spices can be classified into major, minor, and colored tropical spices. In total, 24 tropical spices and herbs (cardamom, black jeera, fennel, poppy, coriander, fenugreek, bay leaves, clove, chili, cassia bark, black pepper, nutmeg, black mustard, turmeric, saffron, star anise, onion, dill, asafoetida, celery, allspice, kokum, greater galangal, and sweet flag) are described in this review. These spices show many pharmacological activities like anti-inflammatory, antimicrobial, anti-diabetic, anti-obesity, cardiovascular, gastrointestinal, central nervous system, and antioxidant activities. Numerous bioactive compounds are present in these selected spices, such as 1,8-cineole, monoterpene hydrocarbons, γ-terpinene, cuminaldehyde, trans-anethole, fenchone, estragole, benzylisoquinoline alkaloids, eugenol, cinnamaldehyde, piperine, linalool, malabaricone C, safrole, myristicin, elemicin, sinigrin, curcumin, bidemethoxycurcumin, dimethoxycurcumin, crocin, picrocrocin, quercetin, quercetin 4’-O-β-glucoside, apiol, carvone, limonene, α-phellandrene, galactomannan, rosmarinic acid, limonene, capsaicinoids, eugenol, garcinol, and α-asarone. Other than that, various spices are used to synthesize different types of metal-based and polymer-based nanoparticles like zinc oxide, gold, silver, selenium, silica, and chitosan nanoparticles which provide beneficial health effects such as antioxidant, anti-carcinogenic, anti-diabetic, enzyme retardation effect, and antimicrobial activity. The nanoparticles can also be used in environmental pollution management like dye decolorization and in chemical industries to enhance the rate of reaction by the use of catalytic activity of the nanoparticles. The nutritional value, phytochemical properties, health advantages, and both traditional and modern applications of these spices, along with their functions in food fortification, have been thoroughly discussed in this review
... Piperine and pepper extracts in hexane and ethanol have excellent analgesic and anti-inflammatory properties.. Piperine is a bio-enhancer because it increases drug bioavailability. A higher apparent permeability coefficient and shorter clearance time may be responsible for piperine's rapid absorption across the intestinal membrane (Gorgani et al., 2017;Mehmood and Gilani, 2010;Srinivasan, 2009) (Table 4). ...
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Human respiratory diseases caused by viral infections leads to morbidity. Among infectious diseases, viral infections associated with the respiratory tract remain the primary reason for global deaths due to their transmissibility. Since immemorial, traditional Indian medicinal plants, their extracts, and several phytochemicals can treat various diseases. Sources for this review paper are data derived from a peer-reviewed journal that emphasizes the economic importance of medicinal plants. Several plant-based medicines have been reported to be effective against multiple viral infections, including the Human Adenovirus, Enterovirus, Influenza virus, Hepatitis virus, etc. This review emphasizes use of the Indian medicinal plants like as Withania somnifera (Ashwagandha, Winter Cherry), Moringa oleifera (Drumstick), Ocimum tenuiflorum (Tulsi), Azadirachta indica (Neem), Curcuma longa (Turmeric), Terminalia chebula (Chebulic Myrobalan), Punica granatum (Pomegranate) and the Indian household spices (ginger, garlic and black pepper). It further describes their secondary phytoconstituents extraction procedure, mode of action and the potential application to improve clinical outcomes of neutraceuticals against various viral infections.
... [134] The methanolic extract of black pepper and piperine showed antispasmodic activity which was mediated via opioid receptor activation and calcium ion channel blocking activities. [135] . The decoction of Saussurea lappa can heal ethylic acid-induced duodenal ulcers in rats, probably because of the enhancement of motility and the increase of motilin and cholecystokinin expression in the duodenum. ...
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Introduction: Murakkab drugs of Unani medicine has been an important aspect of disease treatment since antiquity. Physicians prepared different formulations for various diseases. Jawarish Jalinoos is an Unani polyherbal formulation listed under the Majooniath category in the National Formulary of Unani Medicine, Part-I. It has a long history of traditional use for the management of several disorders related to gastrointestinal, cardiac, kidney, metabolism, and general health. The present study examined the effects of Jawarish Jalinoos in gastrointestinal and other disorders. Materials and Methods: Empirical searches were conducted on the medicinal plant via significant search engines such as Google Scholar, Scopus, PubMed, Microsoft academic, and Web of Science from inception up to July 2021. Besides, references from classical Unani literature and books, non-English journals were also included. Results: The ingredients of Jawarish Jalinoos contain, almost all, more or less, essential oils and their essential oil value should give a reliable therapeutic index. Its ingredients contain α- pinene, β- pinene, limonene, jatamansone, α-terpinyl acetate, eugenol, linalool, coumarin, gingerols, monoterpenes, sesquiterpenes, shogaols, etc., which possesses potent antimicrobial, anti-inflammatory, gastroprotective, neuroprotective, and antioxidant properties. Discussion and Conclusion: Till now, not a single study has been done on its pharmacological properties. According to different Unani Qarabadeen’s (Pharmacopoeias) this formulation is used in various ailments such as Zo’f-ī -Azae-Raeesa (weakness of the principle organs such as brain, heart, and liver), Zo’f-ī-mi’da (stomach weakness), Nafakh-ī-Shikam (flatulence), Khafqān (palpitation), Haemorrhoids, Tinea, Niqras (Gout), Sang-ī-Gurdā (Renal calculus), Sang-ī-Mathānā (Vesicular calculus), but scientific studies and clinical trials are needed on this compound formulation to ensure its scientific validation.
... Piperine (1-piperoyl piperidine) is a nitrogen-containing alkaloid present in the fruit of black pepper (Piper nigrum), and other Piper species [40]. Alkaloids over the years have been recognized as important phytoconstituents with interesting biological properties [58]. Hence, it can be hypothesized that piperine has parasite-killing potential as demonstrated by other alkaloids, such as quinine and chloroquine. ...
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Malaria remains a public health problem and a leading cause of death worldwide. Consequently, the discovery of novel agents, including substances from medicinal plants, is urgently needed. Piper nigrum has long been used by the community in the treatment of the symptoms of malaria. In a previous study, Piper nigrum was demonstrated to exhibit promising antiplasmodial activity against Plasmodium falciparum 3D7 and INDO strains. The aim of this study was to further investigate the antimalarial activity (curative and prophylactic) of piperine (a major isolated constituent of Piper nigrum) in Plasmodium berghei ANKA-infected mice. Piperine 10, 20, and 40 mg/kg body weight (bw), artesunate 5 mg/kg bw, and DMSO were administered orally for four days to different groups of Swiss Webster mice. Then, mice were monitored for parasitaemia, body weight, rectal temperature, survival rate, and clinical parameters. Piperine 40 mg/kg bw in curative and prophylactic tests had the maximum parasitaemia chemosuppression of 79.21% and 58.8% (p < 0.05), respectively, with a significant effect on the survival rate compared with control animals. In the curative test, piperine 40 mg/kg bw reduced the mean clinical score compared with the control group. Additionally, piperine showed an ability to protect organs (lungs, liver, spleen, and kidneys) from some damage in a dose-dependent manner. This study can be used as a basis for further discovery of novel chemotherapeutic or chemoprophylactic compounds.
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Use of natural polymer in the development of Drug Delivery Systems (DDS) has greatly increased in recent past because of their biocompatible, non-allergic and biodegradable nature. Natural polymers are usually hydrophilic supports, so in order to be a carrier of a hydrophobic drug their nature needs to be changed. Each developed system behaves differently towards different drugs in terms of loading and sustained release of the drug as well. In the present work we report differential binding of piperine & curcumin with cetyltrimethylammonium bromide (CTAB) modified cellulose, alginate and pectin. Difference in interaction between the piperine and curcumin with supports has been visualized using in-vitro as well as in-silico studies. Initial results obtained after in-silico studies have been validated via time dependent anti-trypsin, serum protein binding, anti-cathepsin, anti-oxidant, and anti-α-amylase activities. FT-IR, SEM, fluorescence and Particle size have been used to characterize the piperine loaded on CTAB-modified polymeric supports.
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The aim of this study is to present the benefits and risks associated with the consumption of black pepper and cinnamon, which are very popular spices in Poland. The article presents the current state of knowledge about health properties and possible dangers, such as liver damage, associated with their consumption. The experimental part presents the results of the research on the antioxidant properties against the DPPH radical, which was 80.85 ± 3.84–85.42 ± 2.34% for black pepper, and 55.52 ± 7.56–91.87 ± 2.93% for cinnamon. The total content of polyphenols in black pepper was 10.67 ± 1.30–32.13 ± 0.24 mg GAE/g, and in cinnamon 52.34 ± 0.96–94.71 ± 3.34 mg GAE/g. In addition, the content of piperine and pepper oil in black pepper was determined, as well as the content of coumarin in cinnamon. The content of piperine in the black pepper samples was in the range of 3.92 ± 0.35–9.23 ± 0.05%. The tested black pepper samples contained 0.89 ± 0.08–2.19 ± 0.15 mL/100 g d.m. of essential oil. The coumarin content in the cinnamon samples remained in the range of 1027.67 ± 50.36–4012.00 ± 79.57 mg/kg. Taking into account the content of coumarin in the tested cinnamon samples, it should be assumed that the majority of cinnamon available in Polish retail is Cinnamomum cassia (L.) J. Presl.
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Aim of this review is to show the most important bioactive compounds in hot spices such as black pepper (Piper nigrum L.), chilli pepper (Capsicum annuum L.) and medicinal plant such AS garlic (Allium sativum L.), and its modes of action. Piperine is an alkaloid responsible for the pungency of black pepper, along with chavicine (C17H19NO3) which is an alkaloid found in black pepper and other species of the genus Piper. It is one of the four geometric isomers of piperine. The active compound in black pepper is piperine (Bioperine; N-[(E,E)-Piperoyl]piperidine; Piperine (aliphatic); 1-[(2E,4E)-5-(1,3-benzodioxol-5-yl)penta-2,4-dienoyl]piperidine and etc.) which is responsible for bio enhancing effect. It has been found that piperine bioavailability enhancing property may be attributed to increased absorption, which may be due to alteration in membrane lipid dynamics and change in the conformation of enzymes in the intestines. Capsinoids is a family of compounds that are analogues of capsaicin, which is the pungent component in chilli peppers. Capsinoids are widely present at low levels in chilli pepper fruit which include capsiate, dihydrocapsiate, and nordihydrocapsiate. Capsaicin (C18H27NO3 or 8-Methyl-N-vanillyl-trans-6-nonenamide) is the active substance responsible for the irritating and pungent effects of various species of hot peppers. Allicin (C6H10S2O; allyl 2-propenethiosulfinate or diallyl thiosulfinate) is an organosulfur compound obtained from garlic, a species in the family Alliaceae. It was first isolated and studied in year 1944 and it is thought to be the principal bioactive compound present in aqueous garlic extract or raw garlic homogenate. When garlic is chopped or crushed, alliinase enzyme, present in garlic, is activated and acts on alliin (C6H11NO3S) to produce allicin. Other important sulfur containing compounds present in garlic are allyl methyl thiosulfonate, 1-propenyl allyl thiosulfonate, and γ-l glutamyl-S-alkyl-l-cysteine. These compounds provide garlic its characteristic odour and flavour. Small amounts of nonvolatile water-soluble sulfur compounds such as S-allyl cysteine are found in garlic as well. These biological responses of all this bioactive compounds have been largely attributed to reduction of risk factors for cardiovascular diseases and cancer, stimulation of immune function, enhanced detoxification of foreign compound, antihepatotoxicity, cholesterol content reduction, antimicrobial effect, antifungal effect, antiinflammatory effect and antioxidant effect when consumed by animals or humans.
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Piperine is a piperidine-ring containing alkaloid and a major constituent of Piper nigrum Linn. and Piper longum Linn. species, belonging to the Piperaceae family. The present study explored their mode of action in gastrointestinal disorders, such as diarrhea and colic. Piperine at the dose of 10 mg/kg provided complete protection from castor oil-induced diarrhea in mice, similar to that of loperamide. In isolated rabbit jejunum preparations, piperine exhibited concentration-dependent inhibition of spontaneous contractions with an EC50 value of 149.1 μM (89.26–249.20, 95% CI). When used to treat high K+ (80 mM)-induced sustained contractions, piperine inhibited such contractions with an EC50 value of 80.86 μM (56.10–116.50, 95% CI), which suggested a calcium channel blocking (CCB) effect. The CCB effect was further confirmed when pretreatment of the tissues with piperine (10–100 μM) caused a rightward shift in the Ca++ concentration–response curves (CRCs) in Ca++-free medium, similar to that caused by verapamil. Loperamide also caused the inhibition of spontaneous and high K+-induced contractions as well as shifted the Ca++ CRCs to the right at concentrations of 1–10 μM. These data indicate that piperine exhibits antidiarrheal and antispasmodic activities, mediated possibly through calcium channel blockade.
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