The Effect of Eurycoma longifolia Jack Tongkat Ali Hydrogel on Wound Contraction and Re-Epithelialization in In Vivo Excisional Wound Model

Authors

  • Maryam Riyadh Yaseen Al-Bayati Department of Pathology and Laboratory Medicine
  • Ghasak G. Faisal Department of Fundamental Dental and Medical Sciences, Faculty of Dentistry, International Islamic University, Selangor, Malaysia
  • Azliana Abd Fuaat Department of Pathology and Laboratory Medicine, Faculty of Medicine, International Islamic University, Selangor, Malaysia
  • Khairunisa Ahmad Affandi Department of Pathology and Laboratory Medicine, Faculty of Medicine, International Islamic University, Selangor, Malaysia
  • Muhammad Adil Zainal Abidin Department of Community Medicine, Faculty of Medicine, International Islamic University, Selangor, Malaysia

DOI:

https://doi.org/10.3889/oamjms.2022.9140

Keywords:

Wound healing, Eurycoma longifolia Jack (Tongkat Ali), Gas chromatography-mass spectrometer analysis

Abstract

BACKGROUND: Wound management is one of the significant health problems throughout the world. Medicinal plants have been used widely in wound management. Eurycoma longifolia Jack which is known as Tongkat Ali (TA) is a tropical medicinal plant in South East Asian countries.

AIM: The aim of the study was to investigate the effect of (TA) hydrogel on wound contraction and re-epithelialization in excisional wound model in rats.

METHODS: Twenty male Sprague Dawley rats were divided into four groups each group contained five rats (n = 5). Animal treatment groups are formed as: Untreated (−ve) control, Hydrocyn® aqua gel (+ve), vehicle hydrogel, and (TA) hydrogel. A full-thickness circular excisional wound was created on the dorsal back of each rat. The wounded area was measured and photographed on days 3, 6, 9, 12, 15, and 18 post wounding to determine the percentage of wound contraction and re-epithelialization.

RESULTS: (TA) hydrogel showed significant increase in the percentage of wound contraction by 43.38% compared with the other groups (p = 0.032, p < 0.050) during the first interval (inflammatory phase). Although in the later healing stages (proliferative and remodeling) and re-epithelialization, our test group (TA) hydrogel did not show statistically difference with the other groups yet it was comparable to medically certified wound healing agent.

CONCLUSION: (TA) hydrogel significantly accelerated the wound healing process during the early stage, the inflammatory stage. Whereas during the later healing stages and re-epithelialization, it showed almost the same effect of Hydrocyn® aqua gel.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Salehi M, Zamiri S, Samadian H, Ai J, Foroutani L, Ai A, et al. Chitosan hydrogel loaded with Aloe vera gel and tetrasodium ethylenediaminetetraacetic acid (EDTA) as the wound healing material: In vitro and in vivo study. J Appl Polym Sci. 2021;138(16):50225. https://doi.org/10.1002/app.50225 DOI: https://doi.org/10.1002/app.50225

Bektas N, Şenel B, Yenilmez E, Özatik O, Arslan R. Evaluation of wound healing effect of chitosan-based gel formulation containing vitexin. Saudi Pharm J. 2020;28(1):87-94. https://doi.org/10.1016/j.jsps.2019.11.008 DOI: https://doi.org/10.1016/j.jsps.2019.11.008

Kong F, Fan C, Yang Y, Lee BH, Wei K. 5-hydroxymethylfurfural-embedded poly (vinyl alcohol)/sodium alginate hybrid hydrogels accelerate wound healing. Int J Biol Macromol. 138:933-49. https://doi.org/10.1016/j.ijbiomac.2019.07.152 PMid:31351961 DOI: https://doi.org/10.1016/j.ijbiomac.2019.07.152

Han G, Ceilley R. Chronic wound healing: A review of current management and treatments. Adv Ther. 2017;34(3):599-610. https://doi.org/10.1007/s12325-017-0478-y PMid:28108895 DOI: https://doi.org/10.1007/s12325-017-0478-y

Cañedo-Dorantes L, Cañedo-Ayala M. Skin acute wound healing: A comprehensive review. Int J Inflamm. 2019;2019:3706315. https://doi.org/10.1155/2019/3706315 PMid:31275545 DOI: https://doi.org/10.1155/2019/3706315

Ajith G, Goyal AS, Rodrigues FC, Thakur G. Natural polysaccharides for wound healing. In: Food, Medical, and Environmental Applications of Polysaccharides. Elsevier: The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, United Kingdom; 2021. https://doi.org/10.1016/b978-0-12-819239-9.00019-1 DOI: https://doi.org/10.1016/B978-0-12-819239-9.00019-1

Yaghoobi R, Kazerouni A, Kazerouni O. Evidence for clinical use of honey in wound healing as an anti-bacterial, anti-inflammatory antioxidant and anti-viral agent: A review. Jundishapur J Nat Pharm Prod. 2013;8(3):100-4. https://doi.org/10.17795/jjnpp-9487 PMid:24624197 DOI: https://doi.org/10.17795/jjnpp-9487

Boakye YD, Agyare C, Ayande GP, Titiloye N, Asiamah EA, Danquah KO. Assessment of wound-healing properties of medicinal plants: The case of Phyllanthus muellerianus. Front Pharmacol. 2018;9:1-12. https://doi.org/10.3389/fphar.2018.00945 DOI: https://doi.org/10.3389/fphar.2018.00945

Nguyen VL, Truong CT, Nguyen BC, Van Vo TN, Dao TT, Nguyen VD, et al. Anti-inflammatory and wound healing activities of calophyllolide isolated from Calophyllum inophyllum Linn. PLoS One. 2017;12(10):e0185674. https://doi.org/10.1371/journal.pone.0185674 PMid:29020015 DOI: https://doi.org/10.1371/journal.pone.0185674

Sharma A, Khanna S, Kaur G, Singh I. Medicinal plants and their components for wound healing applications. Future J Pharm Sci. 2021;7(1):53. https://doi.org/10.1186/s43094-021-00202-w DOI: https://doi.org/10.1186/s43094-021-00202-w

Rehman SU, Choe K, Yoo HH. Review on a traditional herbal medicine, eurycoma longifolia Jack (Tongkat Ali): Its traditional uses, chemistry, evidence-based pharmacology and toxicology. Molecules. 2016;21(3):331. https://doi.org/10.3390/molecules21030331 PMid:26978330 DOI: https://doi.org/10.3390/molecules21030331

Ruan J, Li Z, Zhang Y, Chen Y, Liu M, Han L, et al. Bioactive constituents from the roots of Eurycoma longifolia. Molecules. 2019;24(17):1-16. https://doi.org/10.3390/molecules24173157 DOI: https://doi.org/10.3390/molecules24173157

Varghese CP, C, A., Jin, S. C., Lim, Y. J., & Keisaban, T. Antioxidant and anti-inflammatory activity of Eurycoma longifolia Jack, a traditional medicinal plant in Malaysia. Int J Pharm Sci Nanotechnol. 2013;5(4):1875-8. https://doi.org/10.37285/ijpsn.2012.5.4.7 DOI: https://doi.org/10.37285/ijpsn.2012.5.4.7

Tran TV, Malainer C, Schwaiger S, Atanasov AG, Heiss EH, Dirsch VM, et al. NF-κB inhibitors from Eurycoma longifolia. J Nat Prod. 2014;77(3):483-8. https://doi.org/10.1021/np400701k PMid:24467387 DOI: https://doi.org/10.1021/np400701k

Alloha IB, Aziz NA, Faisal GG, Abllah Z, Arzmi MH. Effects of Eurycoma longifolia jack (Tongkat Ali) alcoholic root extract against oral pathogens. Pharmacogn J. 2019;11(6):1299-302. https://doi.org/10.5530/pj.2019.11.201 DOI: https://doi.org/10.5530/pj.2019.11.201

Faisal GG, Zakaria SM, Najmuldeen GF. In vitro antibacterial activity of Eurycoma longifolia Jack (Tongkat Ali) root extract. Int Med J Malaysia. 2015;14(1):77-81. https://doi.org/10.31436/imjm.v14i1.460 DOI: https://doi.org/10.31436/imjm.v14i1.460

Faisal GG, Zakaria SM, Najmuldeen GF, Al-Ani IM. Antifungal activity of Eurycoma longifolia jack (Tongkat ali) root extract. J Int Dent Med Res. 2016;9(1):70-4. DOI: https://doi.org/10.5530/jyp.2017.9.8

Yaseen MR, Faisal GG, Fuaat AA, Affandi KA, Alallam B, Nasir MH. Preparation of Euyrycoma longifolia Jack (E.L) Tongkat Ali (Ta) root extract hydrogel for wound application. Pharmacogn J. 2021;13(6):1456-1463. https://doi.org/10.5530/PJ.2021.13.185 DOI: https://doi.org/10.5530/pj.2021.13.185

Abubakar BM, Salleh FM, Wagiran A. Chemical composition of Eurycoma longifolia (Tongkat Ali) and the quality control of its herbal medicinal products. J Appl Sci. 2017;17(7):324-38. https://doi.org/10.3923/jas.2017.324.338 DOI: https://doi.org/10.3923/jas.2017.324.338

Khanam Z, Wen CS, Bhat IU. Phytochemical screening and antimicrobial activity of root and stem extracts of wild Eurycoma longifolia Jack (Tongkat Ali). J King Saud Univ Sci. 2015;27(1):23-30. https://doi.org/10.1016/j.jksus.2014.04.006 DOI: https://doi.org/10.1016/j.jksus.2014.04.006

Shah A, Amini-Nik S. The role of phytochemicals in the inflammatory phase of wound healing. Int J Mol Sci. 2017;18(5):1068. https://doi.org/10.3390/ijms18051068 DOI: https://doi.org/10.3390/ijms18051068

Barku VY. Wound Healing: Current Perspectives: London: IntechOpen Limited; 2019. p. 56-8.

Umar NM, Parumasivam T, Toh SM. An overview of cutaneous wounds and the beneficial roles of medicinal plants in promoting wound healing. Pharm Sci. 2021;27(4):489-502. https://doi.org/10.34172/ps.2021.16 DOI: https://doi.org/10.34172/PS.2021.16

Dumville JC, Stubbs N, Keogh SJ, Walker RM. Hydrogel dressings for treating pressure ulcers. Cochrane Database Syst Rev. 2015;2:CD011226. https://doi.org/10.1002/14651858.CD011226 PMid:25914909 DOI: https://doi.org/10.1002/14651858.CD011226.pub2

Almeida JF, Ferreira P, Lopes A, Gil MH. Photocrosslinkable biodegradable responsive hydrogels as drug delivery systems. Int J Biol Macromol. 2011;49(5):948-54. https://doi.org/10.1016/j.ijbiomac.2011.08.010 PMid:21871915 DOI: https://doi.org/10.1016/j.ijbiomac.2011.08.010

Mary AP, Giri S. GC-MS Analysis of bioactive compounds Achyranthes aspera. World J Pharm Res 2018;7(1):1045-56. https://doi.org/10.20959/wjpr20181-10540

OECD 404. Guidelines for the Testing of Chemicals. Acute Dermal Irritation/Corrosion. OECD Guidelines for the Testing of Chemicals, Section 4 Health Effects. OECD; 2015. p. 1-8.

Bourke AR, Draize HJ. The Appraisal of Chemicals in Foods, Drugs and Cosmetics, Association of Food and Drug Officials of the United States. Austin, Texas: CiNii Articles; 1959. p. 49-52.

Banerjee S, Chattopadhyay P, Ghosh A, Pathak MP, Singh S, Veer V. Acute dermal irritation, sensitization, and acute toxicity studies of a transdermal patch for prophylaxis against (±) anatoxin-a poisoning. Int J Toxicol. 1972;32(4):308-13. https://doi.org/10.1177/1091581813489996 PMid:23696561 DOI: https://doi.org/10.1177/1091581813489996

Morton JJ, Malone MH. Evaluation of vulneray activity by an open wound procedure in rats. Archi Int Pharm Thera. 1972;196(1):117-26. PMid:5059357

Arifin WN, Zahiruddin WM. Sample size calculation in animal studies using resource equation approach. Malays J Med Sci. 2017;24(5):101-5. https://doi.org/10.21315/mjms2017.24.5.11 PMid:29386977 DOI: https://doi.org/10.21315/mjms2017.24.5.11

Jørgensen LB, Sørensen JA, Jemec GB, Yderstræde KB. Methods to assess area and volume of wounds a systematic review. Int Wound J. 2016;13(4):540-53. https://doi.org/10.1111/iwj.12472 PMid:26250714 DOI: https://doi.org/10.1111/iwj.12472

Demilew W, Adinew GM, Asrade S. Evaluation of the wound healing activity of the crude extract of leaves of Acanthus polystachyus Delile (Acanthaceae). Evid Based Complement Altern Med. 2018;2018:2047896. https://doi.org/10.1155/2018/2047896 DOI: https://doi.org/10.1155/2018/2047896

Comotto M, Saghazadeh S, Bagherifard S, et al. Breathable hydrogel dressings containing natural antioxidants for management of skin disorders. J Biomater Appl. 2019;33(9):1265-76. https://doi.org/10.1177/0885328218816526 PMid:30961462 DOI: https://doi.org/10.1177/0885328218816526

Ahmad N, Teh BP, Halim SZ, Zolkifli NA, Ramli N, Muhammad H, et al. Eurycoma longifolia infused coffee an oral toxicity study. Nutrients. 2020;12(10):3125. https://doi.org/10.3390/nu12103125 PMid:33066137 DOI: https://doi.org/10.3390/nu12103125

Singhvi G, Hans N, Shiva N, Dubey SK. Xanthan gum in drug delivery applications. In: Natural Polysaccharides in Drug Delivery and Biomedical Applications. Amsterdam, Netherlands: Elsevier Inc.; 2019. https://doi.org/10.1016/B978-0-12-817055-7.00005-4 DOI: https://doi.org/10.1016/B978-0-12-817055-7.00005-4

Shapla UM, Solayman M, Alam N, Khalil MI, Gan SH. 5-Hydroxymethylfurfural (HMF) levels in honey and other food products: Effects on bees and human health. Chem Central J. 2018;12(1):35. https://doi.org/10.1186/s13065-018-0408-3 DOI: https://doi.org/10.1186/s13065-018-0408-3

Kong F, Lee BH, Wei K. 5-Hydroxymethylfurfural mitigates lipopolysaccharide-stimulated inflammation via suppression of MAPK, NF-κB and mTOR activation in RAW 264.7 cells. Molecules. 2019;24(2):275. https://doi.org/10.3390/molecules24020275 PMid:30642099 DOI: https://doi.org/10.3390/molecules24020275

Rodrigues HG, Vinolo MA, Magdalon J, Vitzel K, Nachbar RT, Pessoa AF, et al. Oral administration of oleic or linoleic acid accelerates the inflammatory phase of wound healing. J Investig Dermatol. 2012;132(1):208-215. https://doi.org/10.1038/jid.2011.265 DOI: https://doi.org/10.1038/jid.2011.265

Gallelli G, Cione E, Serra R, Leo A, Citraro R, Matricardi P, et al. Nano hydrogel embedded with quercetin and oleic acid as a new formulation in the treatment of diabetic foot ulcer: A pilot study. Int Wound J. 2020;17(2):485-90. https://doi.org/10.1111/iwj.13299 PMid:31876118 DOI: https://doi.org/10.1111/iwj.13299

Abdulelah FM, Abdulbaqi MR, Jaafar ZM. Ex-vivo anticancer evaluation of tongkat ali roots extract against lymphocyte cell line of human CML patient. Syst Rev Pharm. 2021;12(1):1206-11.

Intlekofer AM, Finley LW. Metabolic signatures of cancer cells and stem cells. Nat Metab. 2019;1(2):177-88. https://doi.org/10.1038/s42255-019-0032-0 DOI: https://doi.org/10.1038/s42255-019-0032-0

Pastar I, Stojadinovic O, Yin NC, Ramirez H, Nusbaum AG, Sawaya A, et al. Epithelialization in wound healing: A comprehensive review. Adv Wound Care. 2014;3(7):445-64. https://doi.org/10.1089/wound.2013.0473 PMid:25032064 DOI: https://doi.org/10.1089/wound.2013.0473

Downloads

Published

2022-04-12

How to Cite

1.
Al-Bayati MRY, Faisal GG, Fuaat AA, Affandi KA, Abidin MAZ. The Effect of Eurycoma longifolia Jack Tongkat Ali Hydrogel on Wound Contraction and Re-Epithelialization in In Vivo Excisional Wound Model. Open Access Maced J Med Sci [Internet]. 2022 Apr. 12 [cited 2024 Nov. 23];10(A):634-43. Available from: https://oamjms.eu/index.php/mjms/article/view/9140