Sennoside is an orally active apoptosis inducer and stimulant laxative, found in Senna ( Cassia angustifolia ). Sennoside induces overexpression of wild-type p53 and p21 / WAF as part of pathways mediating colonic epithelial cell apoptosis . Sennoside stimulates colonic peristalsis, reverses net water, sodium, chloride absorption to secretion and enhances potassium and calcium secretion. Sennoside increases paracellular permeability to small molecules, accelerates colon transit and softens fecal pellets. Sennoside can be used for the research of constipation, melanosis coli , and colorectal cancer .
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