Aplikasi Topikal Ekstrak Daun Kesambi Meningkatkan Penyembuhan Luka Pada Mencit
Abstract
Proses penyembuhan luka pada kulit akibat injuri terdiri dari 3 fase, fase inflamasi, fase proliferasi dan fase remodeling. Schleichera oleosa memiliki senyawa aktif yang mampu menghambat proses inflamasi. penelitian ini bertujuan untuk mengetahui efek aplikasi topikal ekstrak daun kesambi untuk penyembuhan luka pada mencit. 30 mencit jantan yang dieksisi kulit punggungnya, dibagi menjadi 5 kelompok, kontrol negatif (K-) yang tidak diberi apa-apa, kelompok perlakuan yang diberi salep ekstrak daun kesambi dengan konsentrasi 0% (P0), 5% (P1), 10% (P2) dan 15% (P3). Sebelum diaplikasikan, salep di evaluasi organoleptik, homogenitas, pH dan viskositasnya. Setelah diaplikasikan ke luka kulit pada mencit, diamati eritema yang terjadi di kulit yang sehat sekitar luka, adanya krusta dan granulasi pada hari ke-28. Pengukuran persentase konstriksi dan intensitas warna eritema dilakukan pada hari ke-1, ke-7, ke-14, ke-21 dan ke-28. Hasil penelitian menunjukkan bahwa semua sediaan salep memiliki bentuk fisik yang baik, pH sesuai untuk kulit, sedangkan berdasarkan SNI, hanya salep dengan ekstrak daun kesambi 15% yang memiliki viskositas baik. Aplikasi sediaan salep ekstrak daun kesambi tidak menimbulkan iritasi pada kulit mencit yang sehat, dan tidak ditemukan krusta atau granulasi pada luka. Persentase konstriksi luka yang tertinggi adalah pada kelompok P3, sedangkan instensitas warna eritema tidak memiliki perbedaan pada semua kelompok mencit.
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Nejati, R., Kovacic, D., & Slominski, A. Neuro-immune-endocrine functions of the skin: an overview. Expert Rev Dermatol.; 2013 [cited 2020 June 7];8(6):581–583. Available from : https://www.doi.org/10.1586/17469872.2013.856690
Cañedo-Dorantes , L., & Cañedo-Ayala, M. Skin Acute Wound Healing: A Comprehensive Review. International Journal of Inflammation; 2019 [cited 2020 June 7]:1-15. Available from : https://www.doi.org/10.1155/2019/3706315
Schultz, G., Chin, G., & Moldawer, L. Wound Repair in the Context of Extracellular Matrix. In R. Fitridge , & M. Thompson (Eds.), Mechanism of Vascular Diseases. Adelaide: Barr Smith Press. 2011 [cited 2020 June 7]:423-445. Available from : https://www.ncbi.nlm.nih.gov/books/NBK534261/
Pasparakis , M., Haase , I., & Nestle, F. Mechanisms Regulating Skin Immunity and Inflammation. Nat Rev Immuno; 2014 [cited 2020 june 7];14(5):289-301. Available from : https://www.doi.org/10.1038/nri3646
Suita, E. Kesambi (Schleichera oleosa MERR). Bogor, Jawa Barat, Indonesia: Balai Penelitian Teknologi Perbenihan Tanaman Hutan. 2012 [cited 2020 June 7]. Available from : https://www.forda-mof.org/files/Kesambi_-_Seri_Teknologi_Perbenihan_Tanaman_Hutan.pdf
Goswami, S., Singh, R. P., & Gilhotra, R. The effect of isolated quercetin of the leaf extract of Schleichera oleosa (lour) oken on Ascardia galli. International Journal of Pharmaceutical Research; 2020 [cited 2020 June 7];12(2):544-554.11p. Available from : https://www.doi.org/10.31838/ijpr/2020.12.02.0071
Kubola , J., Siriamornpun , S., & Meeso , N. Phytochemicals, vitamin C and sugar content of Thai wild fruits. Food Chem; 2011 [cited 2020 June 7]; 126(3):972–81. Available from : https://www.doi.org/10.1016/j.foodchem.2010.11.104
Pettit, G., Numata , A., Cragg , G., Herald , D., & Takada , T. Isolation and structures of schleicherastatins 1-7 and schleicheols 1 and 2 from the teak forest medicinal tree Schleichera oleosa. J Nat Prod; 2000 [cited 2020 June 7];63(1):72–8. Available from : https://www.doi.org/10.1021/np990346r
Ghosh , P., Chakraborty , P., Mandal, A., Rasul , M., Chakraborty, Madhumita, & Saha , A. Triterpenoids from Schleichera oleosa of Darjeeling Foothills and Their Antimicrobial Activity. Indian J Pharm Sci; 2011 [cited 2020 June 7];73(2):231–3. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267311/
Ambriz-Pérez, D., Leyva-López, N., Gutierrez-Grijalva , E., & Heredia, B. Phenolic compounds: Natural alternative in inflammation treatment. A Review. Cogent Food & Agriculture; 2016 [cited 2020 June 7];2(1131412):1-14. Available from : https://www.doi.org/10.1080/23311932.2015.1131412
Malekia, S., Crespob, J., & Cabanillas, B. Anti-inflammatory effects of flavonoids. Food Chemistry; 2019 [cited 2020 June 7];299:125124. Available from : https://www.doi.org/10.1016/j.foodchem.2019.125124
Almeida, P., Boleti, A., Rüdiger, A., Lourenço, G., Junior, V., & Lima, E. Anti-Inflammatory Activity of Triterpenes Isolated from Protium paniculatum Oil-Resins. Evidence-Based Complementary and Alternative Medicine; 2015 [cited 2020 June 7]:1-10. Available from : https://www.doi.org/10.1155/2015/293768
Sharadha, M., Gowda, D., Vishal, G., & Akhila, A. An over view on topical drug delivery system–Updated review. Int.J.Res.Pharm.Sci.; 2020 [cited 2020 June 7];11(1):368-385. Available from : https://www.doi.org/10.26452/ijrps.v11i1.1831
Morton , J., & Malone , M. Evaluation of vulneray activity by an open wound procedure in rats. Archives Internationales de Pharmacodynamie et de Therapie; 1972 [cited 2020 June 7];196(1):117-126. Available from : https://pubmed.ncbi.nlm.nih.gov/5059357/
Murtini, G. Farmasetika Dasar. Jakarta: Kementrian Kesehatan RI. 2016 [cited 2020 June 7]:76-93. Available from : http://bppsdmk.kemkes.go.id/pusdiksdmk/wp-content/uploads/2017/08/Farmestika-Komprehensif.pdf
Dewan Standardisasi Nasional. SNI 16-4399-1996 Sediaan tabir surya. 1996 [cited 2020 June 7] Available from : https://kupdf.net/queue/sni-2016-4399-1996-tabir-surya_5af65742e2b6f52b79ea82cc_pdf?queue_id=-1&x=1591161105&z=MTU4LjE0MC4xNjMuMzc=
Ely, J., & Stone, M. The Generalized Rash: Part I. Differential Diagnosis. American Family Physician; 2010 [cited 2020 June 16];81(6):726-734. Available from : https://www.aafp.org/afp/2010/0315/p726.html
Brown, A. An overview of managing hypergranulation in wounds. JNC; 2019 [cited 2020 June 17];33(3):42-44. Available from : https://www.jcn.co.uk/files/downloads/articles/9-hypergranulation.pdf
Gonzalez, A., Andrade, Z., Costa, T., & Medrado, A. Wound healing - A literature review. An Bras Dermatol.; 2016 [cited 2020 June 17];91(5):614-20. Available from : https://www.doi.org/10.1590/abd1806-4841.20164741
Bianchi, J. Protecting The Integrity of The Periwound Skin. Wounds Essentials; 2012 [cited 2020 June 17];1:58-64. Available from : https://www.woundsinternational.com/uploads/resources/content_10452.pdf
Healy, B., & Freedman, A. ABC of wound healing Infections. BMJ; 2006 [cited 2020 June 17];332:838-841. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1432149/pdf/bmj33200838.pdf
Purnamawati, S., Indrastuti, N., Danarti, R., & Saefudin, T. The Role of Moisturizers in Addressing Various Kinds of Dermatitis: A Review. Clinical Medicine & Research; 2017 [cited 2020 June 17];15(3-4):75-87. Available from : https://www.doi.org/10.3121/cmr.2017.1363
Field, C., & Kerstein, M. Overview of wound healing in a moist environment. The American Journal of Surgery; 1994 [cited 2020 June 18];167(1):S2-S6. Available from : https://www.doi.org/10.1016/0002-9610(94)90002-7
Chitra, S., & Devi, C. Effect of Alpha-tocopherol on pro-oxidant and antioxidant enzyme status in radiation-treated oral squamous cell carcinoma. Indian J Med Sci; 2008 [cited 2020 June 18];62(4):141-148. Available from : http://www.bioline.org.br/pdf?ms08026
Gürgen, S., Erdo?an, D., Elmas, Ç., Kaplano?lu, G., & Özer, Ç. Chemoprotective effect of ascorbic acid, ?-tocopherol, and selenium on cyclophosphamide-induced toxicity in the rat ovarium. Nutrition; 2013 [cited 2020 June 18];29(5):777-784. Available from : https://www.sciencedirect.com/science/article/abs/pii/S0899900712004248#!
Engin, K. Alpha-tocopherol: looking beyond an antioxidant. Mol Vis; 2009 [cited 2020 June 18];15:855-60. Available from : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672149/pdf/mv-v15-855.pdf
Orsted, H., Keast, D., Forest-Lalande, L., & Mégie, M. Basic Principles of Wound Healing. Wound Care Canada; 2011 [cited 2020 June 18];9(2):4-12. Available from : https://professionals.wrha.mb.ca/old/professionals/woundcare/documents/PrinciplesWoundHealing_WCCSpring2011.pdf
Soundararajan, M., & Sivakkumar, T. Pharmacognostical investigation, phytochemical studies of Schleichera oleosa (lour) oken leaves. Int. J. Res. Pharm. Sci.; 2017 [cited 2020 June 18];8(2):109-119. Available from : https://www.researchgate.net/publication/318772086_Pharmacognostical_investigation_phytochemical_studies_of_Schleichera_oleosa_lour_oken_leaves
Agar , O., Dikmen , M., Ozturk, N., Yilmaz , M., Temel , H., & Turkmenoglu , F. Comparative Studies on Phenolic Composition, Antioxidant, Wound Healing and Cytotoxic Activities of Selected Achillea L. Species Growing in Turkey. Molecules; 2015 [cited 2020 June 18];20:17976-18000. Available from : https://www.doi.org/10.3390/molecules201017976
Gomathi, K., Gopinath, D., Ahmed, M., & Jayakumar, R. Quercetin incorporated collagen matrices for dermal wound healing processes in rat. Biomaterials; 2003 [cited 2020 June 18];24(16):2767-2772. Available from : https://www.doi.org/10.1016/S0142-9612(03)00059-0
Yin , G., Wang , Z., Wang , Z., & Wang , X. Topical Application of Quercetin Improves Wound Healing in Pressure Ulcer Lesions. Exp Dermatol; 2018 [cited 2020 June 18];27(7):779-786. Available from : https://www.doi.org/10.1111/exd.13679
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