Pemberian Krim Ekstrak Moringa oleifera L. pada Tikus dengan Luka Insisi: Studi terhadap Kadar IL-1, IL-10 dan rasio IL-1:IL-10
The Application of Moringa oleifera L. Cream on Rats with Incision Wound: Study on the IL-1 Level, IL-10 Level and IL-1:IL-10 ratio
DOI:
https://doi.org/10.36408/mhjcm.v9i3.778Keywords:
Luka insisi, Moringa oleifera L., perawatan lukaAbstract
LATAR BELAKANG : Saat ini, berbagai tanaman asli Indonesia dikembangkan sebagai bahan perawatan luka untuk hasil penyembuhan yang lebih baik. Salah satunya, yaitu Moringa oleifera L., yang merupakan tanaman asli Indonesia serta berpotensi dapat membantu penyembuhan luka melalui regulasi jalur sitokin inflamasi, interleukin (IL)-1 dan IL-10.
TUJUAN : Untuk mengetahui pengaruh pemberian ekstrak Moringa oleifera L. terhadap IL-1, IL-10, dan rasio IL-1: IL-10 di jaringan kulit, pada tikus dengan luka insisi.
METODE : Penelitian ini menggunakan desain post test only controlled group dengan sampel berupa 15 tikus Wistar yang dilakukan luka insisi. Sampel dibagi menjadi 3 kelompok perlakuan: perawatan luka dengan framycetin sulphate (KP), krim ekstrak Moringa oleifera L. 15% (M), dan krim plasebo (KN). Pengukuran kadar IL-1, IL-10, dan rasio IL-1: IL-10 dilakukan pada hari ke-10 perlakuan melalui pengambilan jaringan.
HASIL : Kadar IL-1 pada kelompok perlakuan (M) tidak berbeda bermakna dibanding KN dan KP (33,56±4,68 vs 40,92±27,32 vs 30,23±3,92 pg/mL, p=0,543). Kelompok KP memiliki IL-10 lebih tinggi dibandingkan kelompok M dan KN (113,95±9,38; 91,75±5,65 dan 94,93±2,39 pg/mL, p<0,001), dan tidak didapatkan perbedaan antara kelompok M dan KN (p=0,296). Rasio IL-1: IL-10 kelompok KP, M, dan KN tidak menunjukan perbedaan bermakna (0,27±0,05, 0,37±0,06 dan 0,44±0,30, p=0,249).
KESIMPULAN: Pemberian ekstrak Moringa oleifera L. secara topikal tidak mempengaruhi kadar IL-1 dan rasio IL-1 : IL-10 di jaringan kulit tikus dengan luka insisi. Kadar IL-10 di jaringan kulit tidak berbeda dibanding kelompok kontrol negatif, serta lebih rendah dibanding kelompok framycetin sulphate.
KATA KUNCI : Luka insisi, Moringa oleifera L., perawatan luka
Downloads
References
Wigunarti AH, Pujiyanto S, Suprihadi A, Dima LLRH, Lolo WA. Uji aktivitas antibakteri ekstrak daun kelor (moringa oleifera l.) terhadap bakteri escherichia coli dan staphylococcus aureus. [Antibacterial activity test of moringa oleifera l. extracts on eschericia coli and staphylococcus aureus]. Pharmacon. 2016;5(2):282–9. Indonesian
Isnan W, Muin N. Ragam manfaat tanaman kelor ( moringa oleifera lamk) bagi masyarakat. [Benefits of moringa oleifera l.] Info Tek Eboni. 2017;14(1):63–75. Indonesian
Riastiwi I, Damayanto IPGP, Ridwan, Handayani T, Leksonowati A. Moringa oleifera distribution in java and lesser sunda islands attributed with annual rainfall. Biosaintifika J Biol Biol Educ. 2018;10(3):613–21.
Azevedo ÍM, Araújo-Filho I, Teixeira MMA, Moreira MDF de C, Medeiros AC. Wound healing of diabetic rats treated with moringa oleifera extract. Acta Cir Bras. 2018;33(9):799–805.
Lambole V, Kumar U. Effect of moringa oleifera lam. on normal and dexamethasone suppressed wound healing. Asian Pac J Trop Biomed. 2012;2(1 SUPPL.):S219–23.
Abdalla AM, Alwasilah HY, Mahjoub RAH, Mohammed HI, Yagoub M. Evaluation of antimicrobial activity of moringa oleifera leaf extracts against pathogenic bacteria isolated from urinary tract infected patients. J Adv Lab Res Biol. 2016;7(2):47–51.
Karthivashan G, Kura AU, Arulselvan P, Isa NM, Fakurazi S. The modulatory effect of moringa oleifera leaf extract on endogenous antioxidant systems and inflammatory markers in an acetaminophen-induced nephrotoxic mice model. PeerJ. 2016;2016(7):1–18.
Nilamsari RV, Adharini WI, Lestari ND, Tsuboi H, Rifa’i M. Combination moringa oleifera extract and ifalmin as potential formulation of preventing inflammation in diabetic mice model. J Exp Life Sci. 2020;10(1):37–42.
Erwiyani AR, Haswan D, Agasi A, Karminingtyas SR. Pengaruh sediaan gel dan krim ekstrak etanol daun kelor (moringa oleifera lamk) terhadap penurunan luas luka bakar pada tikus. [The effect of moringa oleifera l. ethanol extract gel and cream on rat's burn wound area] Indones J Pharm Naturual Prod. 2020;03(June):41–52. Indonesian
Xiao X, Wang J, Meng C, Liang W, Wang T, Zhou B, et al. Moringa oleifera lam and its therapeutic effects in immune disorders. Front Pharmacol. 2020;11(December):1–9.
Dorsett-Martin WA. Rat models of skin wound healing: A review. Wound Repair Regen. 2004;12(6):591–9.
National Insitute of Health and care Excellence. Surgical site infections: prevention and treatment CG74. Clin Guidel. 2020;(August). 1-75
Bonnar P, Dhar P, Rotstein O, Morris A, Downing M, Pearsall E, et al. Surgical Site infection prevention: a clinical practice guideline. Best Practice in Surgery. 2017.1-50
Leaper DJ, Edmiston CE. World Health Organization: global guidelines for the prevention of surgical site infection. J Hosp Infect. 2017;95(2):135–6.
Gillespie BM, Bull C, Walker R, Lin F, Roberts S, Chaboyer W. Quality appraisal of clinical guidelines for surgical site infection prevention: A systematic review. PLoS One. 2018;13(9):1–17.
Harvey G, Mcinnes E. Disinvesting in ineffective and inappropriate practice: the neglected side of evidence-based health care? Worldviews Evidence-Based Nurs. 2015;12(6):309–12.
Gillespie BM, Walker RM, McInnes E, Moore Z, Eskes AM, O’Connor T, et al. Preoperative and postoperative recommendations to surgical wound care interventions: A systematic meta-review of cochrane reviews. Int J Nurs Stud. 2020;102.
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.
Yin G, Wang Z, Wang Z, Wang X. Topical application of quercetin improves wound healing in pressure ulcer lesions. Exp Dermatol. 2018;27(7):779–86.
Hatahet T. Comparison of topical quercetin nanoformulations for skin protection: Human health and pathology [dissertation]. [France]. Universtiy Montpellier; 2018. 104 p.
Fatmawati A dan NPA. Penetapan kadar flavonoid total ekstrak etanol daun kelor (moringa oleifera lam) dengan metode kromatografi lapis tipis densitometri. [Total flavonoid from ethanol extract of moringa oleifera l. using thin layered chromatography densitometry]. Proc Conf Matern Healthc Pharm. 2019;1(1):1–7. Indonesian
Djahilape SR, Suprijono A, Wulan AAH. Perbedaan aktivitas antioksidan ekstrak etanol dan fraksi etil asetat daun kelor (moringa oleifera lam) serta penetapan kadar flavonoid total. [Difference antioxidant activity of ethanol extract and ethyl acetate fraction extract of moringa oleifera and its flavonoid level]. Media Farm Indones. 2018;11(1):1014–23. Indonesian
Liu T, Zhang L, Joo D, Sun SC. NF-κB signaling in inflammation. Signal Transduct Target Ther. 2017;2(March):1–9.
Morgan MJ, Liu ZG. Crosstalk of reactive oxygen species and NF-κB signaling. Cell Res. 2011;21(1):103–15.
Kavitha KV. Choice of wound care in diabetic foot ulcer: A practical approach. World J Diabetes. 2014;5(4):546.
Junker JPE, Kamel RA, Caterson EJ, Eriksson E. Clinical impact upon wound healing and inflammation in moist, wet, and dry environments. Adv Wound Care. 2013;2(7):348–56.
Ousey K, Cutting KF, Rogers AA, Rippon MG. The importance of hydration in wound healing: Reinvigorating the clinical perspective. J Wound Care. 2016;25(3):122–30.
Marlene V. Moist Wound Healing : Past and present. Wound care canada. 2010;10(2):12–9.
Mohan M, Jailani M, Amirsyah M. Comparison of effectiveness of silver sulfadiazine and gentamicin on abrasion wound healing. J Rekonstruksi dan Estet. 2021;4(1):20.
Hasatsri S, Angspatt A, Aramwit P. Randomized clinical trial of the innovative bilayered wound dressing made of silk and gelatin: safety and efficacy tests using a split-thickness skin graft model. Evidence-based Complement Altern Med. 2015;2015:1-8.
Ali A, Akhtar N, Khan MS, Rasool F, Iqbal FM, Khan MT, et al. Moisturizing effect of cream containing moringa oleifera (sohajana) leaf extract by biophysical techniques: In vivo evaluation. J Med Plants Res. 2013;7(8):386–91.
Fard M, Arulselvan P, Karthivashan G, Adam S, Fakurazi S. Bioactive extract from moringa oleifera inhibits the pro-inflammatory mediators in lipopolysaccharide stimulated macrophages. Pharmacogn Mag. 2015;11(44):556.
Gondo HK. Moringa leaf powder (moringa oleifera) decrease of inflammation plasma cytokine of pregnant rats with diabetes mellitus. Open Access Maced J Med Sci. 2021;9:1043–6.
Kant V, Jangir BL, Kumar V, Nigam A, Sharma V. Quercetin accelerated cutaneous wound healing in rats by modulation of different cytokines and growth factors. Growth Factors. 2020;38(2):105–19.
Beken B, Serttas R, Yazicioglu M, Turkekul K, Erdogan S. Quercetin improves inflammation, oxidative stress, and impaired wound healing in atopic dermatitis model of human keratinocytes. Pediatr Allergy, Immunol Pulmonol. 2020;33(2):69–79.
Huang YW, Zhu QQ, Yang XY, Xu HH, Sun B, Wang XJ, et al. Wound healing can be improved by (2)-epigallocatechin gallate through targeting Notch in streptozotocin-induced diabetic mice. FASEB J. 2019;33(1):953–64.
Ahmed KS, Jahan IA, Jahan F, Hossain H. Antioxidant activities and simultaneous HPLC-DAD profiling of polyphenolic compounds from moringa oleifera lam. Leaves grown in Bangladesh. Food Res. 2021;5(1):401–8.
Sanin DE, Prendergast CT, Mountford AP. IL-10 production in macrophages is regulated by a tlr-driven creb-mediated mechanism that is linked to genes involved in cell metabolism. J Immunol. 2015;195(3):1218–32.
Özgen N, Guo J, Gertsberg Z, Danilo P, Rosen MR, Steinberg SF. Reactive oxygen species decrease cAMP response element binding protein expression in cardiomyocytes via a protein kinase D1-dependent mechanism that does not require Ser133 phosphorylation. Mol Pharmacol. 2009;76(4):896–902.
Shen J, Sun X, Pan B, Cao S, Cao J, Che D, et al. IL-17 induces macrophages to M2-like phenotype via NF-κB. Cancer Manag Res. 2018;10:4217–28.
Sodvadiya M, Patel H, Mishra A, Nair S. Emerging insights into anticancer chemopreventive activities of nutraceutical moringa oleifera: molecular mechanisms, signal transduction and in vivo efficacy. Curr Pharmacol Reports. 2020;6(2):38–51.
Al-ghurabi BH. Clinical relevance of il1b/ il-10 and tnf-alpha /il-10 ratio in chronic periodontitis patients of recent scientific. International Journal of Recent Scientific Research. 2018;8(September):1–4.
Additional Files
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2022 Frederick Surya Utoyo, Udin Bahrudin, Yan Wisnu Prajoko, Endang Mahati, Nani Maharani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.