Main Article Content

Abstract

Highlights:
1. This study analyzed the potential of Meniran extract gel for wound healing therapy, a plant-based medicine that has not been thoroughly researched in the context of promoting a healthy lifestyle.
2. The analysis found that Meniran extract gel has antioxidant properties that can be used for wound treatment to improve human health.


Abstract
Research on the use of medicinal plants to treat numerous diseases has been widely conducted. However, for chronic wound healing, the availability of medicinal plants for treatment remains rare. Gels containing active plant-based compounds may provide a solution. Phyllanthus niruri, known as "meniran" in Indonesian, is a medicinal plant used traditionally to cure various diseases. This study aimed to examine the antioxidant activities of Meniran extract gel, potentially for wound healing. Meniran was extracted using 70% methanol and formulated into a gel. The Meniran gel was composed of three formulations: 3%, 4%, and 5% sodium carboxymethylcellulose (CMC-Na) supplemented with 5% Meniran extract. The quality of the gel was assessed based on homogeneity, spreadability, pH, and viscosity. This study utilized 2,2"²-azino-bis (3-ethylbenzthiazoline-6-sulfonic acid) (ABTS) and 2,2-diphenyl-1-picrylhydrazyl (DPPH) assays to evaluate the antioxidant activity of Meniran gel at seven different concentrations through its scavenging capacities. The results were calculated to determine the median inhibitory concentration (IC50). Analysis of variance (ANOVA) and post-hoc Tukey's honestly significant difference (HSD) were used for statistical analysis (p < 0.05). The three Meniran gel formulations showed good quality with spreadability ranging from 5.37 to 5.59 cm, pH levels from 5.90 to 6.03, and viscosity from 9.080 to 9.230 cps. Higher gel concentrations led to an increase in the free radical DPPH- and ABTS-scavenging activities. The highest DPPH and ABTS assays were found at 1,000 μg/mL with IC50 values of 69.72 μg/mL and 20.15 μg/mL, respectively. In conclusion, Meniran gel formulas exhibit good standards and have antioxidant properties suitable for wound healing therapy.

Keywords

Antioxidant healthy lifestyle meniran gel Phyllantus niruri wound healing

Article Details

How to Cite
Julio Arif, Ali Napiah Nasution, Sri Wahyuni Nasution, Widowati, W., Nindia Salsabila Mia Dewi, & Kusuma, H. S. W. (2024). Antioxidant Activities and Potential Wound Healing Effects of Meniran (Phyllanthus niruri) Extract Gel. Folia Medica Indonesiana, 60(1), 69–77. https://doi.org/10.20473/fmi.v60i1.42396

References

  1. Bilgen F, Ural A, Kurutas EB, et al (2019). The effect of oxidative stress and Raftlin levels on wound healing. International Wound Journal 16, 1178–1184. doi: 10.1111/iwj.13177.
  2. Casado-Diaz A, Moreno-Rojas JM, Verdú-Soriano J, et al. (2022). Evaluation of antioxidant and wound-healing properties of EHO-85, a novel multifunctional amorphous hydrogel containing Olea europaea leaf extract. Pharmaceutics 14, 349. doi: 10.3390/pharmaceutics14020349.
  3. Comino-Sanz IM, López-Franco MD, Castro B, et al (2021). The role of antioxidants on wound healing: A review of the current evidence. Journal of Clinical Medicine 10, 3558. doi: 10.3390/jcm10163558.
  4. Das B, Nayak AK, Nanda U (2013). Topical gels of lidocaine HCl using cashew gum and Carbopol 940: Preparation and in vitro skin permeation. International Journal of Biological Macromole cules62, 514–517. doi: 10.1016/j.ijbiomac.2013.0 9.049.
  5. Demilew W, Adinew GM, Asrade S (2018). Evaluation of the wound healing activity of the crude extract of leaves of Acanthus polystachyus Delile (Acanthaceae). Evidence-Based Comple mentary and Alternative Medicine, 1–9. doi: 10.1155/2018/2047896.
  6. Dhivya S, Padma VV, Santhini E (2015). Wound dressings – a review. BioMedicine 5, 22. doi: 10.7603/s40681-015-0022-9.
  7. Diller RB, Tabor AJ (2022). The role of the extracellular matrix (ECM) in wound healing: A review. Biomimetics 7, 87. doi: 10.3390/biomimet ics7030087.
  8. Dunnill C, Patton T, Brennan J, et al (2017). Reactive oxygen species (ROS) and wound healing: the functional role of ROS and emerging ROS"modulating technologies for augmentation of the healing process. International Wound Journal 14, 89–96. doi: 10.1111/iwj.12557.
  9. Ezzat MI, Okba MM, Ahmed SH, et al (2020). In-depth hepatoprotective mechanistic study of Phyllanthus niruri: In vitro and in vivo studies and its chemical characterization ed. Dewanjee S. PLoS One 15. doi: 10.1371/journal.pon e.0226185.
  10. Geethangili M, Ding S-T (2018). A review of the phytochemistry and pharmacology of Phyllanthus urinaria L. Frontiers in Pharmacology. doi: 10.3389/fphar.2018.01109.
  11. Ghuman S, Ncube B, Finnie JF, et al (2019). Antioxidant, anti-inflammatory and wound healing properties of medicinal plant extracts used to treat wounds and dermatological disorders. South African Journal of Botany 126, 232–240. doi: 10.1016/j.sajb.2019.07.013.
  12. Giribabu N, Rao PV, Kumar KP, et al (2014). Aqueous extract of Phyllanthus niruri Leaves displays in vitro antioxidant activity and prevents the elevation of oxidative stress in the kidney of streptozotocin-induced diabetic male rats. Evidence-Based Complementary and Alternative Medicine, 1–10. doi: 10.1155/2014/834815.
  13. Girsang E, Lister INE, Ginting CN, et al (2020). Antioxidant and antiaging activity of rutin and caffeic acid. Pharmaciana 10, 147. doi: 10.12928/p harmaciana.v10i2.13010.
  14. Gopalakrishnan A, Ram M, Kumawat S, et al (2016). Quercetin accelerated cutaneous wound healing in rats by increasing levels of VEGF and TGF-β1. Indian Journal of Experimental Biology 54, 187–195. Available at: http://www.ncbi.nlm.ni h.gov/pubmed/27145632.
  15. Hasanah H, Syukri D, Ismed I (2022). A effect of maltodextrin concentration on antioxidants activity and stability of natural coloring powder of secang wood (Caesalpinia sappan L) in various conditions of pH and temperature. Andalasian International Journal of Agriculture and Natural Sciences (AIJANS) 3, 1–19. doi: 10.25077/aijans. v3.i02.1-19.2022.
  16. IBM Corp (2011). IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp. Available at: https://www.ibm.com/id-id/products /spss-statistics.
  17. Kartini K, Winarjo BM, Fitriani EW, et al (2017). Formulation and pH-physical stability evaluation of gel and cream of plantago major leaves extract. MPI (Media Pharmaceutica Indonesiana) 1, 174–180. doi: 10.24123/mpi.v1i3.330.
  18. Kharisma DNI, Safitri CINH (2020). Formulation and physical quality assessment of gel formulations with rice bran extract. Prosiding SNPBS (Seminar Nasional Pendidikan Biologi dan Saintek) 228–235. Available at: https://proceedings.ums.ac.id/index.php/snpbs/article/view/768.
  19. Khorsandi K, Hosseinzadeh R, Esfahani H, et al (2022). Accelerating skin regeneration and wound healing by controlled ROS from photodynamic treatment. Inflammation and Regeneration 42, 40. doi: 10.1186/s41232-022-00226-6.
  20. Lee S, Kim MS, Jung S-J, et al (2018). ERK activating peptide, AES16-2M promotes wound healing through accelerating migration of keratinocytes. Scientific Reports 8, 14398. doi: 10.1038/s41598-018-32851-y.
  21. Mappa T, Edy HJ, Kojong N (2013). Gel formulation of Sasaladahan leaf extract (Peperomia pellucida (L/). H. B. K) and its effectiveness test on burns in rabbits (Oryctolagus Cuniculus). Pharmacon 2, 49–55. doi: 10.35799/pha.2.2013.1606.
  22. Martin P, Nunan R (2015). Cellular and molecular mechanisms of repair in acute and chronic wound healing. British Journal of Dermatology 173, 370–378. doi: 10.1111/bjd.13954.
  23. Maulina L, Sugihartini N (2015). Formulation gel ethanolic extract of pericarp mangosteen (Garcinia mangostana L.) with variation of gelling agentas wound healing dosage form. Pharmaciana. doi: 10.12928/pharmaciana.v5i1.22 85.
  24. Mediani A, Abas F, Maulidiani M, et al (2017). Characterization of metabolite profile in Phyllanthus niruri and correlation with bioactivity elucidated by nuclear magnetic resonance based metabolomics. Molecules 22, 902. doi: 10.3390/m olecules22060902.
  25. Monika P, Chandraprabha MN, Rangarajan A, et al (2022). Challenges in healing wound: Role of complementary and alternative medicine. Fronti ers in Nutrition. doi: 10.3389/fnut.2021.791899.
  26. Nurlely N, Rahmah A, Ratnapuri PH, et al (2021). Physical characteristics test of leaf extract gel preparation kirinyuh (Chromolaena odorata L.) with variations carbopol and HPMC. Jurnal Pharmascience 8, 79. doi: 10.20527/jps.v8i2.9346.
  27. Nurman S, Yulia R, Irmayanti, et al. (2019). The optimization of gel preparations using the active compounds of Arabica coffee ground nanopar ticles. Scientia Pharmaceutica 87, 32. doi: 10.3390 /scipharm87040032.
  28. Pallavali RR, Degati VL, Lomada D, et al (2017). Isolation and in vitro evaluation of bacteriophages against MDR-bacterial isolates from septic wound infections ed. Das G. PLoS One 12, e0179245. doi: 10.1371/journal.pone.0179245.
  29. Patil PB, Datir SK, Saudagar RB (2019). A review on topical gels as drug delivery system. Journal of Drug Delivery and Therapeutics 9, 989–994. doi: 10.22270/jddt.v9i3.2678.
  30. Prahastuti S, Hidayat M, Hasiana ST, et al (2020). The ethanol extract of the bastard Cedar (Guazuma ulmifolia L.) as antioxidants. Pharmaciana 10, 77. doi: 10.12928/pharmaciana.v10i1.13636.
  31. Puspita NA, Alhebshi H (2019). The effect of Phyllanthus niruri L extracts on human leukemic cell proliferation and apoptosis induction. Indonesian Journal of Pharmacy 30, 241. doi: 10.14499/indonesianjpharm30iss4pp241.
  32. Pyrzynska K, Pękal A (2013). Application of free radical Diphenylpicrylhydrazyl (DPPH) to estimate the antioxidant capacity of food samples. Analytical Methods 5, 4288. doi: 10.1039/c3ay40 367j.
  33. Ramandeep K, Nahid A, Neelabh C, et al (2017). Phytochemical screening of Phyllanthus niruri collected from kerala region and its antioxidant and antimicrobial potentials. Journal of Pharmaceutical Sciences and Research 9, 1312–1316. Available at: https://www.proquest.com/doc view/1938991205?parentSessionId=8KxvGcDOTkdDHoMrNM4fgEc0Xc8aIcO2k12fodtNTWQ%3D&sourcetype=Scholarly Journals.
  34. Ramirez H, Patel SB, Pastar I (2014). The role of TGFβ signaling in wound epithelialization. Advances in Wound Care 3, 482–491. doi: 10.1089/wound.2013.0466.
  35. Rusmana D, Wahyudianingsih R, Elisabeth M, et al (2017). Antioxidant activity of Phyllanthus niruri extract, rutin and quercetin. The Indonesian Biomedical Journal 9, 84. doi: 10.18585/inabj.v9i 2.281.
  36. Sanchez MC, Lancel S, Boulanger E, et al (2018). Targeting oxidative stress and mitochondrial dysfunction in the treatment of impaired wound healing: A systematic review. Antioxidants 7, 98. doi: 10.3390/antiox7080098.
  37. Sayuti NA (2015). Formulation and physical stability of Cassia alata L. leaf extract gel. Jurnal Kefarmasian Indonesia. doi: 10.22435/jki.v5i2.44 01.74-82.
  38. Seeger MA, Paller AS (2015). The roles of growth factors in keratinocyte migration. Advances in Wound Care 4, 213–224. doi: 10.1089/wound.201 4.0540.
  39. Shah P, Modi HA (2015). Comparative study of DPPH, ABTS and FRAP assays for determination of antioxidant activity. International Journal for Research in Applied Science & Engineering Technology (IJRASET) 3, 636–641. Available at: https://www.researchgate.net/publication/307464470_Comparative_Study_of_DPPH_ABTS_and_FRAP_Assays_for_Determination_of_Antioxidant_Activity.
  40. Siahaan MSY, Pangkahila W, Aman IGM (2017). Gel ekstrak daun Meniran (Phyllanthus niruri) meningkatkan epitelisasi penyembuhan luka pada kulit tikus putih jantan galur Wistar (Rattus norvegicus). Jurnal Biomedik. doi: 10.35790/jbm. 9.1.2017.15314.
  41. Slamet S, Anggun BD, Pambudi DB (2020). Physical stability test formula ready gel Moringa leaf extract (Moringa oleifera Lamk.). Jurnal Ilmiah Kesehatan 13, 115–22. doi: 10.48144/jiks.v 13i2.260.
  42. Sukweenadhi J, Yunita O, Setiawan F, et al (2020). Antioxidant activity screening of seven Indonesian herbal extract. Biodiversitas Journal of Biological Diversity. doi: 10.13057/biodiv/d210532.
  43. Sunitha J (2017). Antimicrobial effect of leaves of Phyllanthus niruri and Solanum nigrum on caries causing bacteria: An in vitro study. Journal of Clinical and Diagnostic Research. doi: 10.7860/JCDR/2017/23602.10066.
  44. Tarigan IL, Muadifah A, Amini HW, et al (2019). Antibacterial activity of extracts and gel preparations and Gnetum gnemon L (Gnetum gnemon L) against Staphylococcus aureus. Chempublish Journal 4, 89–100. doi: 10.22437/ch p.v4i2.7631.
  45. Widowati W, Fauziah N, Herdiman H, et al (2016). Antioxidant and anti aging assays of Oryza sativa Extracts, Vanillin and Coumaric acid. Journal of Natural Remedies 16, 88. doi: 10.18311/jnr/2016 /7220.
  46. Widowati W, Janeva Bw, Nadya S, et al (2018). Antioxidant and antiaging activities of Jasminum sambac extract, and its compounds. Journal of Reports in Pharmaceutical Sciences 7, 270. doi: 10.4103/2322-1232.254804.
  47. Widowati W, Wargasetia TL, Zakaria TM, et al (2022). Antioxidant activity of TEMON (Clitoria ternatea and Citrus sp.) as an infused herbal tea. Majalah Obat Tradisional 27, 32. doi: 10.22146/mot.71628.
  48. Yao Z, Niu J, Cheng B (2020). Prevalence of chronic skin wounds and their risk factors in an inpatient hospital setting in Northern China. Advances in Skin & Wound Care 33, 1–10. doi: 10.1097/01.AS W.0000694164.34068.82.
  49. Yazarlu O, Iranshahi M, Kashani HRK, et al (2021). Perspective on the application of medicinal plants and natural products in wound healing: A mechanistic review. Pharmacol Res 174, 105841. doi: 10.1016/j.phrs.2021.105841.

Most read articles by the same author(s)