Purple Yam (Dioscorea alata) Tuber Improves the Histological Appearance of the Ampulla of the Uterine Tube in a Mouse Model of Endometriosis

Authors

  • Sri Nabawiyati Nurul Makiyah Universitas Muhammadiyah Yogyakarta
  • Sherly Usman Universitas Muhammadiyah Yogyakarta
  • Rabiatul Adawiyah Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.33394/bioscientist.v14i1.20007

Keywords:

Endometriosis, Dioscorea alata, histopathology, anti-inflammatory, antifibrotic

Abstract

This study aimed to examine the effect of Dioscorea alata ethanol extract (EEDA) on the histological features of the ampulla of the uterine tube in a mouse model of endometriosis. This was a true experimental study with a posttest-only control group design using 30 mice divided into six groups: a normal control group (K), a negative control group (KN) induced with endometriosis, a positive control group (KP) induced with endometriosis and treated with letrozole, and three treatment groups induced with endometriosis and administered EEDA at doses of 50, 250, and 500 mg/kg body weight. The observed parameters included inflammatory cell infiltration, epithelial damage, and fibrosis. Data were analyzed using the Kolmogorov–Smirnov test for normality, which showed that the data were not normally distributed; therefore, the nonparametric Kruskal–Wallis test followed by the Mann–Whitney post hoc test was applied. The results showed that the KN group had the highest scores for inflammatory cell infiltration, epithelial damage, and fibrosis (p < 0.05). Administration of EEDA significantly reduced all three parameters compared with the KN group (p < 0.05), with histological improvement increasing in a dose-dependent manner and the most optimal dose observed at 500 mg/kg body weight. It can be concluded that Dioscorea alata ethanol extract may improve the histological features of the ampulla of the uterine tube through anti-inflammatory and antifibrotic mechanisms at an optimal dose of 500 mg/kg body weight; however, the specific molecular mechanisms still require further verification. These findings indicate the potential of Dioscorea alata ethanol extract as a candidate herbal-based alternative therapy in an experimental model of endometriosis.

References

Adamyan, L., Pivazyan, L., Obosyan, L., Kurbatova, K., Platonova, E., Mailova, K., & Stepanian, A. (2025). Expression profiles of E-cadherin and N-cadherin in endometriosis and other gynecological diseases towards targeted treatment: a systematic review. Obstetrics & Gynecology Science, 68(5), 349–371. https://doi.org/10.5468/ogs.25123

Allaire, C., Bedaiwy, M. A., & Yong, P. J. (2023). Diagnosis and management of endometriosis. In CMAJ. Canadian Medical Association Journal (Vol. 195, Number 10, pp. E363–E371). Canadian Medical Association. https://doi.org/10.1503/cmaj.220637

Anchan, M., Hande, A., Deshpande, S., Patel, R., Kalthur, G., Joshi, J. M., Datta, R., Shah, S., Sharma, K., Pandya, H., & Dutta, R. (2025). C57BL/6J mice best recapitulate fibrosis and inflammatory pathophysiology in syngeneic mouse model of endometriosis. Scientific Reports, 15(1). https://doi.org/10.1038/s41598-025-13900-9

Arifin, P. F., Suyatna, F. D., Arozal, W., Bhaskara Wikanendra, G., Susilowidodo, R. A., & Wisastra, R. (2020). Mucoactive Effect Evaluation And Acute Toxicity Study Of Natural Herbal Combination Of Echinacea Purpurea, Sambucus Nigra, Glycyrrhiza Glabra, Vitex Trifolia, And Zingiber Officinale. 1, 186–194. http://pharmacologyonline.silae.it

Barbe, A. M., Berbets, A. M., Davydenko, I. S., Koval, H. D., Yuzko, V. O., & Yuzko, O. M. (2020). Expression and Significance of Matrix Metalloproteinase-2 and Matrix Metalloproteinas-9 in Endometriosis. Journal of Medicine and Life, 13(3), 314–320. https://doi.org/10.25122/jml-2020-0117

Brahmana, I. B., Soetrisno, S., Pangestu, M., Cempaka, R., & Puspitasari, I. (2025). Induction of Fresh Chocolate Cyst Pulp into Endometriosis Mice Model. Journal of Obstetrics, Gynecology and Cancer Research, 10(7), 532–536. https://doi.org/10.24200/jogcr.10.7.532

Chen, K., Lu, X., Xu, D., Guo, Y., Ao, Y., & Wang, H. (2023). Prenatal exposure to corn oil, CMC-Na or DMSO affects physical development and multi-organ functions in fetal mice. Reproductive Toxicology, 118, 108366. https://doi.org/10.1016/j.reprotox.2023.108366

Chen, T., Hu, S., Zhang, H., Guan, Q., Yang, Y., & Wang, X. (2017). Anti-inflammatory effects of Dioscorea alata L. anthocyanins in a TNBS-induced colitis model. Food and Function, 8(2), 659–669. https://doi.org/10.1039/c6fo01273f

Chen, Y., & Li, T. (2025). Unveiling the Mechanisms of Pain in Endometriosis: Comprehensive Analysis of Inflammatory Sensitization and Therapeutic Potential. International Journal of Molecular Sciences, 26(4), 1770. https://doi.org/10.3390/ijms26041770

Czubak, P., Herda, K., Niewiadomska, I., Putowski, L., Łańcut, M., & Masłyk, M. (2025). Understanding Endometriosis: A Broad Review of Its Causes, Management, and Impact. International Journal of Molecular Sciences, 26(18), 8878. https://doi.org/10.3390/ijms26188878

Erben, U., Loddenkemper, C., Doerfel, K., Spieckermann, S., Haller, D., Heimesaat, M. M., Zeitz, M., Siegmund, B., & Kühl, A. A. (2014). Original Article A guide to histomorphological evaluation of intestinal inflammation in mouse models. In Int J Clin Exp Pathol (Vol. 7, Number 8). www.ijcep.com/

Feng, H., Shi, H., Yang, F., Yun, Y., & Wang, X. (2023). Impact of anthocyanins derived from Dioscorea alata L. on growth performance, carcass characteristics, antioxidant capacity, and immune function of Hainan black goats. Frontiers in Veterinary Science, 10. https://doi.org/10.3389/fvets.2023.1283947

Garcia Garcia, J. M., Vannuzzi, V., Donati, C., Bernacchioni, C., Bruni, P., & Petraglia, F. (2023). Endometriosis: Cellular and Molecular Mechanisms Leading to Fibrosis. In Reproductive Sciences (Vol. 30, Number 5, pp. 1453–1461). Institute for Ionics. https://doi.org/10.1007/s43032-022-01083-x

Guo, B., Chen, J. hua, Zhang, J. hui, Fang, Y., Liu, X. jing, Zhang, J., Zhu, H. qing, & Zhan, L. (2023). Pattern-recognition receptors in endometriosis: A narrative review. In Frontiers in Immunology (Vol. 14). Frontiers Media S.A. https://doi.org/10.3389/fimmu.2023.1161606

Hao, Y., & Gao, X. (2022). Diosgenin protects retinal pigment epithelial cells from inflammatory damage and oxidative stress induced by high glucose by activating AMPK/Nrf2/HO-1 pathway. Immunity, Inflammation and Disease, 10(12). https://doi.org/10.1002/iid3.698

Hoorsan, H., Simbar, M., Tehrani, F. R., Fathi, F., Mosaffa, N., Riazi, H., & Banafshi, O. (2022). Murine Models of Endometriosis: A Systematic Review. In International Journal of Women’s Health and Reproduction Sciences (Vol. 10, Number 3, pp. 121–134). Aras Part Medical International Press. https://doi.org/10.15296/ijwhr.2022.23

Králíčková, M., Laganà, A. S., Ghezzi, F., & Vetvicka, V. (2020). Endometriosis and risk of ovarian cancer: what do we know? Archives of Gynecology and Obstetrics, 301(1), 1–10. https://doi.org/10.1007/s00404-019-05358-8

Lebot, V., Lawac, F., & Legendre, L. (2023). The greater yam (Dioscorea alata L.): A review of its phytochemical content and potential for processed products and biofortification. Journal of Food Composition and Analysis, 115, 104987. https://doi.org/10.1016/j.jfca.2022.104987

Liu, Y., Wang, J., & Zhang, X. (2022). An Update on the Multifaceted Role of NF-kappaB in Endometriosis. International Journal of Biological Sciences, 18(11), 4400–4413. https://doi.org/10.7150/ijbs.72707

Makiyah, S. N. N., & Zahra, A. N. (2025). Science Midwifery The immunomodulatory activity of dioscorea alata on spleen histology of rats induced with 50% alcohol. In Science Midwifery (Vol. 13, Number 1). Online. www.midwifery.iocspublisher.orgJournalhomepage:www.midwifery.iocspublisher.org

Nassir, M., Levi, M., & Shaked, N. T. (2024). The Synergic Effect of Tubal Endometriosis and Women’s Aging on Fallopian Tube Function: Insights from a 3D Mechanical Model. Bioengineering, 11(8). https://doi.org/10.3390/bioengineering11080852

Ni, C., & Li, D. (2024). Ferroptosis and oxidative stress in endometriosis: A systematic review of the literature. In Medicine (United States) (Vol. 103, Number 11, p. E37421). Lippincott Williams and Wilkins. https://doi.org/10.1097/MD.0000000000037421

Oală, I. E., Mitranovici, M. I., Chiorean, D. M., Irimia, T., Crișan, A. I., Melinte, I. M., Cotruș, T., Tudorache, V., Moraru, L., Moraru, R., Caravia, L., Morariu, M., & Pușcașiu, L. (2024). Endometriosis and the Role of Pro-Inflammatory and Anti-Inflammatory Cytokines in Pathophysiology: A Narrative Review of the Literature. In Diagnostics (Vol. 14, Number 3). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/diagnostics14030312

Park, W., Lim, W., Kim, M., Jang, H., Park, S. J., Song, G., & Park, S. (2025). Female reproductive disease, endometriosis: From inflammation to infertility. Molecules and Cells, 48(1), 100164. https://doi.org/10.1016/j.mocell.2024.100164

Qiu, P., Chen, J., Wu, J., Wang, Q., Hu, Y., Li, X., Shi, H., & Wang, X. (2023). The effect of anthocyanin from Dioscorea alata L. after purification, identification on antioxidant capacity in mice. Food Science & Nutrition, 11(10), 6106–6115. https://doi.org/10.1002/fsn3.3547

Sapmaz, T., Coskun, G., Saker, D., Pence, H. H., Keles, P., Hayretdag, C., Kuras, S., Topkaraoglu, S., Erdem, E., Efendic, F., Sevgin, K., Tekayev, M., Polat, S., Sapmaz, E., & Irkorucu, O. (2022). Effects of metformin, letrozole and atorvastatin on inflammation and apoptosis in experimental peritoneal and ovarian endometriosis in the rat. Pathology - Research and Practice, 235, 153951. https://doi.org/10.1016/j.prp.2022.153951

Shi, J., Tan, X., Feng, G., Zhuo, Y., Jiang, Z., Banda, S., Wang, L., Zheng, W., Chen, L., Yu, D., & Guo, C. (2023). Research advances in drug therapy of endometriosis. In Frontiers in Pharmacology (Vol. 14). Frontiers Media SA. https://doi.org/10.3389/fphar.2023.1199010

Shifon, S., Tyrinova, T., Veretelnikova, T., Pasman, N., & Chernykh, E. (2025). Endometriosis as an immune-mediated disease: pathogenetic mechanisms and therapeutic strategies. Frontiers in Immunology, 16. https://doi.org/10.3389/fimmu.2025.1727183

Vissers, G., Giacomozzi, M., Verdurmen, W., Peek, R., & Nap, A. (2024). The role of fibrosis in endometriosis: a systematic review. In Human Reproduction Update (Vol. 30, Number 6, pp. 706–750). Oxford University Press. https://doi.org/10.1093/humupd/dmae023

Wang, D., Luo, Y., Wang, G., & Yang, Q. (2020). CircATRNL1 promotes epithelial–mesenchymal transition in endometriosis by upregulating Yes-associated protein 1 in vitro. Cell Death and Disease, 11(7). https://doi.org/10.1038/s41419-020-02784-4

Wang, X., Jia, Y., Li, D., Guo, X., Zhou, Z., Qi, M., Wang, G., & Wang, F. (2023). The Abundance and Function of Neutrophils in the Endometriosis Systemic and Pelvic Microenvironment. In Mediators of Inflammation (Vol. 2023). Hindawi Limited. https://doi.org/10.1155/2023/1481489

Wilson, T. R., Peterson, K. R., Morris, S. A., Kuhnell, D., Kasper, S., & Burns, K. A. (2025). Neutrophils initiate proinflammatory immune responses in early endometriosis lesion development. https://doi.org/10.1172/jci

Wu, T., Zhang, R., Jiang, Q., Li, Z., & Wu, R. (2020). Expression of cellular adherent and invasive molecules in recurrent ovarian endometriosis. Journal of International Medical Research, 48(11). https://doi.org/10.1177/0300060520971993

Xu, X., Li, J., Lin, H., Lin, Z., & Ji, G. (2025). The role of TGF-β superfamily in endometriosis: a systematic review. Frontiers in Immunology, 16. https://doi.org/10.3389/fimmu.2025.1638604

Yun, Y., Shi, H., Wang, Y., Yang, F., Zhang, Y., Feng, H., Chen, J., & Wang, X. (2023). Pre-Protection and Mechanism of Crude Extracts from Dioscorea alata L. on H2O2-Induced IPEC-J2 Cells Oxidative Damage. Animals, 13(8). https://doi.org/10.3390/ani13081401

Zhang, W., Li, K., Jian, A., Zhang, G., & Zhang, X. (2024). Prospects for potential therapy targeting immune associated factors in endometriosis (Review). Molecular Medicine Reports, 31(3), 57. https://doi.org/10.3892/mmr.2024.13422

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Published

2026-03-27

How to Cite

Makiyah, S. N. N., Usman, S., & Adawiyah, R. (2026). Purple Yam (Dioscorea alata) Tuber Improves the Histological Appearance of the Ampulla of the Uterine Tube in a Mouse Model of Endometriosis. Bioscientist : Jurnal Ilmiah Biologi, 14(1), 225–238. https://doi.org/10.33394/bioscientist.v14i1.20007

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