Effectiveness of Sage Leaf Gel on Neutrophil Count in Wound Healing

Florence Meliawaty, Frita Ferlita Shafri Djohan, Muhamad Syahrul Ramdhani

Abstract


A wound involves damage to the epithelial layer of the skin, extending to the subcutis and surrounding tissues. The body initiates a healing process starting with inflammation. Neutrophils play a crucial role in this phase; excessive neutrophils can cause tissue necrosis, while insufficient neutrophils may lead to infection. Neutrophils are essential for bacterial eradication during inflammation. Sage leaf extract, known for its anti-inflammatory, antioxidant, and antibacterial properties, may aid in wound healing. This study evaluates the effectiveness of 5% sage leaf extract gel on neutrophil count during the wound healing process in Wistar rats. This study was conducted in several Universitas Jenderal Achmad Yani Cimahi laboratories from 29 May 2023 to 23 February 2024. A post-test-only control group design was used with 25 samples divided into five groups: (K-1) no treatment, tissue sampled at 13 minutes; (K-2) no treatment, tissue sampled at 103 minutes; (KN) healthy/normal control; (KP1) 5% sage leaf extract gel, tissue sampled at 13 minutes; (KP2) 5% sage leaf extract gel, tissue sampled at 103 minutes. Data analysis was performed using the Kruskal-Wallis test followed by the Mann-Whitney post hoc test (p≤0.05), indicating a statistically significant difference. The highest mean neutrophil count was observed in the KP2 group, which received 5% sage leaf extract gel and had tissue sampled at 103 minutes. The study concludes that a 5% sage leaf extract gel is effective in increasing neutrophil counts during the healing of punch wounds in Wistar rats, which contributes to accelerated wound healing.

Keywords


Neutrophil; sage; wound healing

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References


Firdaus NZ, Alda AA, Gunawan IS. Potensi kandungan biji anggur dalam mempercepat penyembuhan luka. JPPP. 2020;2(2):139–46.

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

Montazer Lotf-Elahi MS, Farzinnia G, Jaafari-Ashkavandi Z. Clinicopathological study of 1000 biopsied gingival lesions among dental outpatients: a 22-year retrospective study. BMC Oral Health. 2022;22(1):154.

Sitorus EP, Julianto I. Teknik-teknik biopsi kulit. CDK. 2018;45(6):466–71.

Serra MB, Barroso WA, da Silva NN, Silva SDN, Borges ACR, Abreu IC, et al. From inflammation to current and alternative therapies involved in wound healing. Int J Inflam. 2017;2017:3406215.

Zhao H, Wu L, Yan G, Chen Y, Zhou M, Wu Y, et al. Inflammation and tumor progression: signaling pathways and targeted intervention. Signal Transduct Target Ther. 2021;6(1):263.

Gierlikowska B, Stachura A, Gierlikowski W, Demkow U. Phagocytosis, degranulation and extracellular traps release by neutrophils—the current knowledge, pharmacological modulation and future prospects. Front Pharmacol. 2021;12:666732.

Cui LL, Zhang Y, Chen ZY, Su YY, Liu Y, Boltze J. Early neutrophil count relates to infarct size and fatal outcome after large hemispheric infarction. CNS Neurosci Ther. 2020;26(8):829–36.

Bo L, Guojun T, Li G. An expanded neuroimmunomodulation axis: sCD83-indoleamine 2,3-dioxygenase-kynurenine pathway and updates of kynurenine pathway in neurologic diseases. Front Immunol. 2018;9:1363.

Dutta S, Sengupta P. Men and mice: relating their ages. Life Sci. 2016;152:244–8.

Purwanto E, Rajab MA, Angraini R. Potensi kandungan bahan-bahan alami untuk proses penyembuhan luka: literatur review. J Ilm Keperawatan Kebidanan Holistic Care. 2023;6(2):18–25.

Slipranata M, Lestari FB, Sandi NA, Salasia SIO. Potensi ekstrak daun sage (Salvia officinalis L.) sebagai anti-Streptococcus suis penyebab zoonotik meningitis. J Sain Vet. 2016;34(2):198–202.

Blezeinsky FN, Gumay AR, Hardian. Efek pemberian ekstrak daun Carica pubescens terhadap jumlah neutrofil pada tikus Sprague Dawley yang diinduksi azoxymethane. JKD. 2019;8(3):955–63.

Hikmah U, Triastuti A. Mechanism and immunomodulator bioactive compounds of Phyllanthus niruri (meniran). JIF. 2022;18(2):205–18.

Karimzadeh S, Farahpour MR. Topical application of Salvia officinalis hydroethanolic leaf extract improves wound healing process. Indian J Exp Biol. 2017;55(2):98–106.

Dahlan MS. Metode MSD: pintu gerbang memahami epidemiologi, biostatistik, dan metode penelitian. 2nd Edition. Jakarta: Sagung Seto; 2017.

Chisholm JM, Pang DS. Assessment of carbon dioxide, carbon dioxide/oxygen, isoflurane and pentobarbital killing methods in adult female Sprague-Dawley rats. PLoS One. 2016;11(9):e0162639.

Dahliani R, Nahzi MYI, Setyawardhana RHD. Pengaruh ekstrak daun karamunting (Rhodomyrtus tomentosa) terhadap jumlah sel neutrofil pada pulpa. Dentin. 2021;5(3):122–8.

Tousif MI, Nazir M, Riaz N, Saleem M, Tauseef S, Azam SM, et al. Terpenoids as human neutrophil elastase (HNE) inhibitors: a comprehensive review of natural anti-inflammatory isoprenoids. Chembiochem. 2023;24(22):e202300346.

Azalia D, Rachmawati I, Zahira S, Andriyani F, Sanini TM, Supriyatin, et al. Uji kualitatif senyawa aktif flavonoid dan terpenoid pada beberapa jenis tumbuhan Fabaceae dan Apocynaceae di kawasan TNGPP Bodogol. Bioma. 2023;8(1):32–43.

Hamidah M, Moektiwardoyo M, Abdassah M. Review artikel: senyawa aktif antiinflamasi daun jawer kotok (Plectranthus scutellarioides (L.) R.Br.). Farmaka. 2019;17(1):89–96.

Prima W, Samsu N, Khotimah H. Comparison of the effect of vitamin E and rosmarinic acid on expression of p65 NF-kB subunit in diabetes rat. AMS. 2020;6(2):117–23.

Li Y, Wang W, Yang F, Xu Y, Feng C, Zhao Y. The regulatory roles of neutrophils in adaptive immunity. Cell Commun Signal. 2019;17(1):147.

Pribadi N, Rahayu RP, Ismiyatin K, Putri CR, Surboyo MDC. The effect of lipoteichoic acid from Lactobacillus plantarum on dental pulp inflammation. Eur J Dent. 2021;15(4):682–6.

Faisal SF, Inggriyani CG, Mulia VD. Hubungan jumlah neutrofil dengan umur luka memar pada mencit (Mus musculus) strain Balb-C. JIM Kedokteran Biomedis. 2018;3(1):8–13.

Raziyeva K, Kim Y, Zharkinbekov Z, Kassymbek K, Jimi S, Saparov A. Immunology of acute and chronic wound healing. Biomolecules. 2021;11(5):700.




DOI: https://doi.org/10.29313/gmhc.v13i1.14302

pISSN 2301-9123 | eISSN 2460-5441


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