Laxative Potential of The Konjac Flour (Amorphophallus muelleri Blume) in Treatment of Loperamide Induced Constipation on Sprague Dawley Rats
Authors: Simon Bambang Widjanarko, Novita Wijayanti, Aji Sutrisno
Abstract:
There is long history of konjac tubers being used as a cure for certain diseases in China and Japan. Konjac flour is prepared from konjac tubers and it contains high concentration of glucomannan. Konjac Glucomannan (KGM) is dietary fiber and the role of which has been demonstrated in weight reduction, lowering blood cholesterol and sugar level, promoting intestinal activity etc. Konjac glucomanan has a property of swelling by absorbing water, more than a hundred times its own weight. Therefore it helps increasing weight of feces, water content of feces, and promotes satiety feeling. Mode of actions of dietary fibre as laxatives agents includes holding water inside the bowel lumen, inhibition of water absorption in the colon and stimulating colonic motility. Number of fecal pellets did not effected in rats were fed on 300 and 600 mg/kg of konjac flour, as well as constipated control and Dulcolax treatment. Water content, weight of fecal pellets and gastrointestinal transit ratio were higher in rats treated with 600 mg/kg than 300 mg/kg of konjac flour. Rats were administered with Dulcolax showed the highest gastrointestinal transit ratio, followed by 600 mg/kg konjac flour. The lowest feed consumption was noted in 600 mg/kg konjac flour diet group.
Keywords: Laxative, konjac flour, Amorphophallus muelleri Blume, glucomannan, constipation.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1089016
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[1] Mostafa SM, Bhandari S, Ritchie G, Gratton N, and Wenstone R. 2003. Constipation and its implications in the critically ill patient. British Journal of Anaesthesia. 91 (6): 815-19.
[2] Lembo A, and Camilleri M. 2003. Chronic constipation. The New England Journal of Medicine. 349 (4): 1360-1368.
[3] Biggs WS, and Dery WH. 2006. Evaluation and treatment of constipation in infants and children. American Family Physician. 73 (3): 469-477.
[4] Hsieh C. 2005. Treatment of constipation in older adults. American Family Physician. 72 (11): 2277-2284.
[5] Schiller LR. 2001. Review article: the therapy of constipation. Alimentary Pharmacology and Therapeutics. 15: 749-763.
[6] Emmanuel AV, Tack J, Quigley EM, and Talley NJ. 2009. Pharmacological management of constipation. Neurogastroenterology and Motility. 21 (2): 41-54.
[7] Niwa T, Nakao M, Hoshi S, Yamada K, Inagaki K, Nishida M, and Nabeshima T. 2002. Effect of dietary fiber on morphine-induced constipation in rats. Bioscience, Biotechnology and Biochemistry. 66 (6): 1233-1240.
[8] Oh HG, Lee HY, Seo MY, Kang YR, Kim JH, Park JW, Kim OJ, Back HI, Kim SY, Oh MR, Park SH, Kim MG, Jeon JY, Hwang MH, Shin SJ, and Chae SW. 2011. Effects of Ficus carica paste on constipation induced by high protein feed and movement restriction in beagles. Laboratory Animal Research. 27 (4): 275-281.
[9] Rush EC, Patel M, Plank LD, and Ferguson LR. 2002. Kiwifruit promotes laxation in the elderly. Asia Pasific Journal of Clinical Nutrition. 11 (2): 164-168.
[10] Chan AOO, Leung G, Tong T, and Wong NYH. 2007. Increasing dietary fiber intake in terms of kiwifruit improves constipation in Chinese patients. World Journal of Gastroenterology. 13 (35): 4771-4775.
[11] Widyastuti TEW, Srianta I and Lestari LA. 2008. Papaw flour (Carica papaya) as laxative agent on Sprague Dawley rats measured in caecum and feces. Medicinal Plant Journal. 7 (1): 76-83.
[12] Sharma S, Paliwal S, Dwivedi J, and Tilak A. 2011. First report on laxative of Citrullus lanatus. Pharmacology. 2: 790-797.
[13] Xu J, Zhou X, Chen C, Deng Q, Huang Q, Yang J, Yang N, and Huang F. 2012. Laxative effects of partially defatted flaxseed meal on normal and experimental constipated mice. BMC Complementary and Alternative Medicine. 12 (14).
[14] Wintola OA, Sunmoru TO, and Afolayan AJ. 2010. The effect of Aloe ferox Mill. in the treatment of loperamid-induced constipation in Wistar rats. BMC Gastroenterology. 10 (95): 1-5.
[15] Ashafa AOT, Sunmonu TO, Abass AA and Oghe AA. 2011. Laxative potential of the ethanolic leaf extract of Aloe vera (L.) Burm. f. in wistar rats with loperamide-induced constipation. Journal of Natural Pharmaceuticals. 2 (3): 158-162.
[16] Sudari D and Winarno MW. 2010. Effect of laxative juice of (Tamarindus indica Linn.) leaf on Wistar rats induced by Gambier fruit extract (Uncaria gambir Roxb). Health Research and Development Media. 20, (3): 100-103.
[17] Kakino M, Tazawa S, Maruyama H, Tsuruma K, Araki Y, Shimazawa M, and Hara H. 2010. Laxative effect of agarwood on low-fiber diet-induced constipation in rats. BMC Complementary and Alternative Medicine. 10 (68): 1-8.
[18] Hara H, Ise Y, Morimoto N, Shimazawa M, Ichinashi K, Ohyama M, and Iinuma M. 2008. Laxative effect of agarwood leaves and its mechanism. Bioscience, Biotechnology and Biochemistry. 72 (2): 335-345.
[19] Meite S, Bahi C, Yeo D, Datte JY, Djaman JA, and N’nguessan DJ. 2010. Laxative activities of Mareya micrantha (Benth) Mull. Arg. (Euphorbiaceae) leaf aqueous extract in rats. BMC Complementary and Alternative Medicine. 10 (7).
[20] Passaretti S, Comin M, Donzelli R, Rocca F, Colombo E, Ferrara A, Dinelli M, Prada A, and Curzio M. 1991. Action of glucomannans on complaints in patients affected with chronic constipation: a multicentric clinical evaluation. Italy Journal Gastroenterology. 23 (7): 421-425
[21] Chen HL, Cheng HC, Liu YJ, Liu SY, and Wu WT. 2006. Konjac acts as a natural laxative by increasing stool bulk and improving colonic ecology in healthy adults. Nutrition. 22 (11): 1112-1119.
[22] Baucke VL, Miele E, and Staiano A. 2004. Fiber (Glucomannan) is beneficial in the treatment of childhood constipation. Pediatrics. 113 (3).
[23] Signorelli P, Croce P, and Dede A. 1996. A clinical study of the use of a combination of glucomannan with lactulose in the constipation of pregnancy. Minerva Ginecology. 48 (12): 577-582.
[24] Chen HL, Cheng HC, Wu WT, Liu YJ and Liu SY. 2008. Supplementation of konjac glucomannan into a low-fiber Chinese diet promoted bowel movement and improved colonic ecology in constipated adults: a placebo-controlled, diet-controlled trial. Journal of the American College of Nutrition. 27 (1): 102-108.
[25] Sumarwoto. 2005. Iles-iles (Amorphophallus muelleri Blume); Description and other properties of Iles-iles. Biodiversity. 6 (3): 185-190.
[26] Widjanarko, S.B, Faridah, A and Sutrisno, A. 2011. Effect of Multi-level ethanol leaching on physic-chemical properties of konjac flour (Amorphophallus oncophillus). Asean Food Conference 2011. BITEC, BANGKOK, Thailand June 16-18, 2011.
[27] Shandu BK, Tripp JH, Candy DCA, and Harries J T. 1981. Loperamide: studies on its mechanism of action. Gut. 22: 658-662.
[28] Hughes S, Higgs NB, and Turnberg LA. 1984. Loperamide has antisecretory activity in the human jejunum in vivo. Gut. 25: 931-935
[29] Sohji Y, Kawashima K and Shimizu M. 1978. Pharmacological studies of loperamide, an anti-diarrheal agent. Nihon Yakurigaku Zasshi. 74 (1): 155-63.
[30] Awouters F, Mengens A, Verlinden M, Schuurkes J, Niemegeers C, and Janssen PA. 1993. Loperamid: survey of studies on mechanism of its anti-diarrheal activity. Digestive Diseases and Sciences. 38 (6): 977-995.
[31] Sumarwoto. 2006. Review: Mannan content of Iles-iles tuber (Amorphophallus muelleri Blume). Biotechnology. 4 (1): 28-32.
[32] Saito T, Mizutani F, Iwanaga Y, Morikawa K, and Kato H. 2002. Laxative and Anti-diarrheal Activity of Polycarbophil in Mice and Rats. Japanese Journal of Pharmacology. 89 (2): 133-41.
[33] Cummings JH. 1984. Constipation, dietary fiber and the control of large bowel function. Postgraduate Medical Journal. 60: 811-819.
[34] Kurasawa S, Haack VS, and Marlett JA. 2000. Plant residue and bacteria as bases for increased stool weight accompanying consumption of higher dietary fiber diets. Journal of the American College of Nutrition. 19 (4): 426–433.
[35] Slavin JL, Savarino V, Paredes-Diaz A, and Fotopoulos G. 2009. A review of the role of soluble fiber in health with specific reference to wheat dextrin. Journal of International Medical Research. 37 (1): 1-17.
[36] Fukumoto S, Tatewaki M, Yamada T, Fujimiya M, Mantyh C, Voss M, Eubanks S, Harris M, Pappas TN, and Takahashi T. 2003. Short-chain fatty acids stimulate colonic transit via intraluminal 5-HT release in rats. American Journal of Physiology - Regulatory, Integrative and Comparative Physiology. 284: R1269-R1276.