Effect of Moringa Leave Ethanol Extract on Accelerating Wound Healing Process

Fidi Bhawana Jaya, Mas Rizky Anggun Adipurna Syamsunarno, Edhyana Sahiratmadja, Ifa Sulistiyorini

Abstract


TGF-β and VEGF are vital in cell proliferation and regeneration, as evidenced in processes like wound healing. The leaves of Moringa oleifera Lam exhibit anti-inflammatory and cell regenerative properties that may facilitate the transition from the inflammatory to the proliferative phase, enhancing wound repair. This research sought to discern the potential of orally administered moringa leaf extract in augmenting systemic wound healing, focusing on TGF-β and VEGF serum as in vivo molecular markers. This research was conducted at the Animal Laboratory of the Faculty of Medicine, Universitas Padjadjaran, and the Laboratory of Molecular Genetics, Universitas Padjadjaran, from January to March 2022. We divided thirty Swiss Webster mice into two categories: healthy and wound-treated. Wounded mice received 100 mg/kgBW Na CMC as a negative control, 500 mg/kgBW zinc syrup as a positive control, and M. oleifera leaves ethanol extract (MOLE) in doses of 280 and 560 mg/kgBW orally from day 3 to day 6. Wound progression was documented and measured on days 0, -1, -3, and -6. Day-6 blood samples were obtained, and TGF-β and VEGF serum levels were gauged using ELISA. Results from day 6 revealed that wound coverage in the 280 and 560 mg/kgBW MOLE groups was 13.76±5% and 13.38±4%, respectively. These percentages notably surpassed that of the negative control group (p=0.005). However, the TGF-β and VEGF serum levels in the MOLE-treated groups did not differ significantly from the negative control (p=0.081 and p=0.149, respectively). Thus, the study concludes that while MOLE expedites wound closure, it does so without the systemic involvement of TGF-β and VEGF in vivo.


Keywords


Moringa oleifera leaves extract; TGF-β; VEGF; wound healing

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References


Laut M, Ndaong N, Utami T, Junersi M, Seran YB. Efektivitas pemberian salep ekstrak etanol daun anting-anting (Acalypha indica Linn.) terhadap kesembuhan luka insisi pada mencit (Mus musculus). J Kaji Vet. 2019;7(1):1–11.

Wintoko R, Yadika ADN. Manajemen terkini perawatan luka. JK Unila. 2020;4(2):183–9.

Guest JF, Fuller GW, Vowden P. Cohort study evaluating the burden of wounds to the UK's National Health Service in 2017/2018: update from 2012/2013. BMJ Open. 2020;10(12):e045253.

Meiliana A, Dewi NM, Wijaya A. Stem cell therapy in wound healing and tissue regeneration. Indones Biomed J. 2016;8(2):61–70.

Landén NX, Li D, Ståhle M. Transition from inflammation to proliferation: a critical step during wound healing. Cell Mol Life Sci. 2016;73(20):3861–85.

Wang L, Qin W, Zhou Y, Chen B, Zhao X, Zhao H, et al. Transforming growth factor β is essential in enhancing wound healing by topical application of povidone-iodine. Sci Rep. 2017;7(1):991.

Putra A, Alif I, Hamra N, Santosa O, Kustiyah AR, Muhar AM, et al. MSC-released TGF-β regulates α-SMA expression of myofibroblast during wound healing. J Stem Cells Regen Med. 2020;16(2):73–9.

Ghazawi FM, Zargham R, Gilardino MS, Sasseville D, Jafarian F. Insights into the pathophysiology of hypertrophic scars and keloids: how do they differ? Adv Skin Wound Care. 2018;31(1):582–95.

Gopalakrishnan L, Doriya K, Kumar DS. Moringa oleifera: a review on nutritive importance and its medicinal application. Food Sci Hum Wellness. 2016;5(2):49–56.

Kusmiyati, Keman S, Amin M, Suwarno, Nugroho HSW. The role of Moringa oleifera leaves against oxidative stress and chronic inflammation: a review. Indian J Public Health Res Dev. 2018;9(6):257–62.

Walton KL, Johnson KE, Harrison CA. Targeting TGF-β mediated SMAD signaling for the prevention of fibrosis. Front Pharmacol. 2017;8:461.

Amaliya A, Muhaimina RK, Susanto A, Sutjiatmo AB. Histological assessment of palatal donor site wound healing after application of Moringa oleifera Lamarck leaf extract in rats. Eur J Dent. 2019;13(2):248–54.

Azevedo ÍM, Araújo-Filho I, Teixeira MMA, Moreira MDFC, Medeiros AC. Wound healing of diabetic rats treated with Moringa oleifera extract. Acta Cir Bras. 2018;33(9):799–805.

Syamsunarno MRAA, Alia F, Anggraeni N, Sumirat VA, Praptama S, Atik N. Ethanol extract from Moringa oleifera leaves modulates brown adipose tissue and bone morphogenetic protein 7 in high-fat diet mice. Vet World. 2021;14(5):1234–40.

Tan NS, Wahli W. Studying wound repair in the mouse. Curr Protoc Mouse Biol. 2013;3(3):171–85.

Wang C, Lu J, Zhou L, Li J, Xu J, Li W. Effects of long-term exposure to zinc oxide nanoparticles on development, zinc metabolism and biodistribution of minerals (Zn, Fe, Cu, Mn) in mice. PLoS One. 2016;11(10):e0164434.

Dev D, Sarkar A, Roy B. Acanthus leucostachyus leaf extracts promote excision wound healing in mice. Asian Pac J Trop Biomed. 2022;12(11):475–82.

Pang Y, Zhang Y, Huang L, Xu L, Wang K, Wang D, et al. Effects and mechanisms of total flavonoids from Blumea balsamifera (L.) DC. on skin wound in rats. Int J Mol Sci. 2017;18(12):2766.

Gothai S, Muniandy K, Zarin MA, Sean TW, Kumar SS, Munusamy MA, et al. Chemical composition of Moringa oleifera ethyl acetate fraction and its biological activity in diabetic human dermal fibroblasts. Pharmacogn Mag. 2017;13(Suppl 3):S462–9.

Al-Ghanayem AA, Alhussaini MS, Asad M, Joseph B. Moringa oleifera leaf extract promotes healing of infected wounds in diabetic rats: evidence of antimicrobial, antioxidant and proliferative properties. Pharmaceuticals (Basel). 2022;15(5):528.

Tan WS, Arulselvan P, Ng SF, Taib CNM, Sarian MN, Fakurazi S. Improvement of diabetic wound healing by topical application of vicenin-2 hydrocolloid film on Sprague Dawley rats. BMC Complement Altern Med. 2019;19(1):20.

Taskan MM, Yuce HB, Karatas O, Gevrek F. Topical quercetin gel application improved wound healing in Wistar rats. Ann Med Res. 2019;26(10):2397–404.

Chin CY, Ng PY, Ng SF. Moringa oleifera standardised aqueous leaf extract-loaded hydrocolloid film dressing: in vivo dermal safety and wound healing evaluation in STZ/HFD diabetic rat model. Drug Deliv Transl Res. 2019;9(2):453–68.

Tofiq SA, Azeez HA, Othman HH. Wound healing activities of Moringa oleifera leaves extract cultivated in Kurdistan region-Iraq. Jordan J Biol Sci. 2021;14(4):637–45.

Mori HM, Kawanami H, Kawahata H, Aoki M. Wound healing potential of lavender oil by acceleration of granulation and wound contraction through induction of TGF-β in a rat model. BMC Complement Altern Med. 2016;16:144.

Honnegowda TM, Kumar P, Udupa EGP, Kumar S, Kumar U, Rao P. Role of angiogenesis and angiogenic factors in acute and chronic wound healing. Plast Aesthet Res. 2015;2(5):243–9.

Zhang XG, Li XM, Zhou XX, Wang Y, Lai WY, Liu Y, et al. The wound healing effect of Callicarpa nudiflora in scalded rats. Evid Based Complement Alternat Med. 2019;2019:1860680.

Zhou J, Ni M, Liu X, Ren Z, Zheng Z. Curcumol promotes vascular endothelial growth factor (VEGF)-mediated diabetic wound healing in streptozotocin-induced hyperglycemic rats. Med Sci Monit. 2017;23:555–62.

Hartono DRN, Sulisetyawati TIB, Jularso E. The potential effect of Moringa oleifera leaves extract on vascular endothelial growth factor expression in Wistar rat oral cancer cells. Dent J. 2019;52(2):71–5.

Lim WF, Mohamad Yusof MI, Teh LK, Salleh MZ. Significant decreased expressions of CaN, VEGF, SLC39A6 and SFRP1 in MDA-MB-231 xenograft breast tumor mice treated with Moringa oleifera leaves and seed residue (MOLSr) extracts. Nutrients. 2020;12(10):2993.




DOI: https://doi.org/10.29313/gmhc.v11i2.11620

pISSN 2301-9123 | eISSN 2460-5441


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