Effect of Ethanol Extract of Rosella Flower Petals (Hibiscus sabdariffa L.) on Healing Cut Wounds in White Rats (Rattus norvegicus)

Authors

  • Ade Dwi Pratiwi Universitas Methodist Indonesia
  • Jekson Martiar Siahaan 2) Department of Physiology, Faculty of Medicine, Universitas Methodist Indonesia, Medan
  • Endy Juli Anto Department of Parasitology and Immunology, Faculty of Medicine, Universitas Methodist Indonesia, Medan
  • Putri Chairani Eyanoer Department of Community and Preventive Medicine, Universitas Sumatera Utara, Medan

DOI:

https://doi.org/10.26911/theijmed.2024.09.01.15

Abstract

Background: Wounds are skin disorders in the form of damage to continuity due to a pathological process, if not treated properly it can cause serious complications such as failure to heal and chronic problems due to untreated wound infections, especially post-operative infections and scar tissue. The next problem is that excessive antibiotics can cause side effects and increase the risk of antimicrobial resistance and delay wound healing. So a new strategy is needed with herbal-based therapy that has the effect of treating infections and does not cause side effects in patients.

Subjects and Method: The research was conducted with a post test only randomized control group design to test macroscopic observations of the average size of the wound length, hyperemia and swelling in 30 white Wistar rats (Rattus norvegicus) after receiving ethanol extract of rosella petals (Hibiscus sabdarifa L.). The dependent variables of the study were wound closure time, hyperemia and wound swelling. The independent variable of the research was varying doses of ethanol extract of rosella flower petals (Hibiscus sabdarifa L.) 6%, 12% and 15%. The parameters assessed are the length of the wound and the macroscopic assessment of the wound. Data were analyzed using the Kruskal-Wallis test, p<0.05 was considered statistically significant.

Results: Administration of Hibiscus sabdariffa L. 6%, 12% and 15% ethanol extract gel on the 12th day resulted in a significant acceleration of the wound healing process (p=0.024). There was a significant difference between negative control (Mean=3,281 mm ; SD=1,681 mm), positive control (Mean=2,813 mm ; SD=1,106 mm), 6% Rosella flower petal extract gel (Mean=2,916 mm ; SD=1,224 mm ), 12% (Mean=1,290 mm ; SD=1,098 mm), and 15% (Mean=1,035 mm ; SD=0.952 mm) (p=0.024), in the macroscopic assessment there was no significant difference in the wound healing process on day 3, 6, 9, 12 and 15 except for signs of swelling on days 6 (p=0.038) and 9 (p=0.038) which had a significant difference compared to controls.

Conclusion: Administration of Hibiscus sabdariffa L. 15% ethanol extract gel had the fastest time in wound closure and healing (Mean=1.035 mm ; SD=0.952 mm) for 12 days (p=0.024), the longest time in wound closure and healing was the negative control (gel placebo) (Mean=0.976 mm ; SD=1.103 mm) namely for 15 days (p=0.158).      

Keywords: Wound healing, Roselle, Gel Ekstrak Etanol, Hyperemia

References

Fajarningrum PYA (2022). Article review: Incision wound healing topical preparations from herbal plants. J Jejaring Matematika Sains. 4: 33-44. DOI: 10.36873/jjms.2021.v4.i1.705.

Cruz, DA, Ramírez IP, Pérez-Jiménez J, Nava G, Reynoso-Camacho R (2019). Comparison of the bioactive potential of roselle (Hibiscus sabdariffa l.) calyx and its by-product: Phenolic characterization by UPLC-QTOF MSE and their anti-obesity e ffect in vivo. Food Res Int. 126:108589. DOI: 10.1016/j.foodres.2019.108589.

Bowden LG, Byrne HM, Maini PK, Moulton DE (2016). A Morphoelastic model for dermal wound closure. Biomech Model Mechanobiol, 15: 663-81. DOI: 10.1007/s10237-015-0716-7.

Caldwell MD (2020). Bacteria and antibio-tics in wound healing. Surg Clin North Am. 100: 757-776. DOI: 10.1016/j.suc.2020.05.007.

Coger V, Million N, Rehbock C, Sures B, Nachev M, Barcikowski S, Wistuba N, Strauß S, Vogt PM (2019). Tissue concentrations of zinc, iron, copper, and magnesium during the phases of full thickness wound healing in a rodent model. Biol Trace Elem Res. 191:167-176. DOI: 10.1007/s12011-018-1600-y

Elhawary H, Covone J, Abdulkarim S, Janis JE (2023). Practical Review on delayed primary closure: basic science and clinical applications. Plast Reconstr Surg Glob Open. 11:E5172. DOI: 10.1097/GOX.0000000000005172

Fernandes A, Maharani R, Sunarta S, Rayan RJJPED (2018). Karakteristik kimia dan potensi daun tanaman akar bulou (mikania micrantha kunth) sebagai obat luka tradisional. J Penelit Sos Ekon Kehutan. 4:109-116. DOI: 10.20886/-jped.2018.4.2.109-116.

Gonzalez AC, Costa TF, Andrade ZA, Medrado AR (2016). Wound healing - A literature review. An Bras Dermatol. 91:614-620. DOI: 10.1590/abd1806-4841.20164741.

Purbowati ISM, Syamsu K, Warsiki E, Rukmini HS (2015). Evaluasi Toksi-sitas, Aktivitas Antibakteri Dan Antioksidan Komponen Bioaktif Rosela Dengan Variasi Jenis Pelarut (Evaluation Of Toxicity, Antibacterial And Antioxidant Activity Of Rosella Bioactive Components With Various Types Of Solvents). Jurnal Teknologi Industri Pertanian. 25(8): 182-189.

Kirby GT, Mills SJ, Cowin AJ, Smith LE (2015). Stem cells for cutaneous wound healing. Biomed Res Int. 285869. DOI: 10.1155/2015/285869

Li S, Wu B, Fu W, Reddivari L (2019). The Anti-inflammatory effects of dietary anthocyanins against ulcerative coli-tis. Int J Mol Sci. 20(10):2588. DOI: 10.3390/ijms20102588.

Lindholm C, Searle R (2016). Wound management for the 21st century: combining effectiveness and efficien-cy. Int Wound J. 13(2):5-15. DOI: 10.1111/iwj.12623.

Lubis M, Siregar GA, Bangun H, Ilyas S (2020). The effect of roselle flower petals extract (hibiscus sabdariffa linn.) on reducing inflammation in dextran sodium sulfateinduced coli-tis. 17(2): 395-401. DOI: 10.17392/-1095-20.

Ma EZ, Khachemoune A (2023). Flavonoids and their therapeutic applications in skin diseases. Arch Dermatol Res. 315(3):321-331. DOI: 10.1007/s00403-022-02395-3.

Mumpuni NC, Triwahyuni IE, Lestari PE (2021). Efektivitas ekstrak bunga rosella (hibiscus sabdariffa l) siste-mik terhadap penyembuhan ulser pada tikus wistar (rattus norvegicus). 18(2): 56-60. DOI:10.19184/stoma.-v18i2.28057.

Nasution M, Muslimdjas Y (2021). Uji efektivitas madu konsentrasi 50% dan 100% dibandingkan dengan povidone iodine terhadap penyembuhan luka sayat pada mencit (mus musculus) (Testing the effectiveness of 50% and 100% concentration of honey compared to povidone iodine on healing of cut wounds in mice (mus musculus)). Jimki: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia, 8(3): 47-53. DOI:10.53366/jimki.v8i3.237.

Pang C, Ibrahim A, Bulstrode NW, Ferretti P (2017). An overview of the thera-peutic potential of regenerative medicine in cutaneous wound heal-ing. Int Wound J. 14(3) 450-459. DOI: 10.1111/iwj.12735.

Pangaribuan L (2016). Pemanfaatan mas-ker bunga rosela untuk pencerahan kulit wajah (using a rosella flower mask for facial skin lightening). Jur-nal Keluarga Sehat Sejahtera. DOI: 10.24114/jkss.v14i28.4696.

Punjataewakupt A, Napavichayanun S, Aramwit P (2019). The downside of antimicrobial agents for wound heal-ing. Eur J Clin Microbiol Infect Dis. 38: 39-54. DOI: 10.1007/s10096-018-3393-5.

Rambe PS, Putra IB, Yosi A (2022). The effect of roselle leaf (hibiscus sabda-riffa l.) extract gel on wound healing. J Med Life. 15(10): 1246-1251. DOI: 10.25122/jml-2021-0425.

Rodrigues M, Kosaric N, Bonham CA, Gurtner GC (2019). Wound healing: a cellular perspective. Physiol Rev. 99(1): 665-706. DOI: 10.1152/phys-rev.00067.2017.

Shedoeva A, Leavesley D, Upton Z, Fan C (2019). Wound healing and the use of medicinal plants. Evid Based Com-plement Alternat Med. 2019: 2684108. DOI: 10.1155/2019/2684-108.

Siahaan JM, Batara Simangunsong SB, Siagian LO, Neu MK, Anto EJ, Fauzi TM, Sinatra J, Suryati SM, Hutasoit ESP (2022). Monograf mengungkap peran infusa daun kelor (moringa oleifera) terhadap gula darah dan kolesterol pada mencit (mus mus-culus) yang mengalami ulkus diabe-tikum (Monograph reveals the role of moringa leaf infusa on blood sugar and cholesterol in mice (mus muscu-lus) experienced with diabetic ulcers), Wiyata Bestari Samasta.

Siahaan JM, Illyas S, Lindarto D, Nainggo-lan M (2020). The effect of ethanol and ethyl acetate fraction of chayote fruit (sechium edule jacq. swartz) on the oxidative stress and insulin resistance of male white rat model type 2 diabetes mellitus. Maced J Med Sci. 8: 962-969. DOI:10.3889/-oamjms.2020.4517

Siahaan JM, Illyas S, Lindarto D, Nainggo-lan M (2021). The effect of ethanol extract and ethyl acetic fraction of standardised chayote squash to reduce blood sugar level and the function of pancreatic ß-cell of male albino rats induced by Stz-Na-Hfd. Maced J Med Sci. 14: 65-73. DOI: 10.3889/oamjms.2020.4517.

Singh G, Utami N, Aminah H (2014). Effect of topical application of binahong [anredera cordifolia (ten.) steenis] leaf paste in wound healing process in mice. Althea Med J. 1(1): 6-11. DOI: 10.15850/amj.v1n1.289.

Styawan A, Putri A, Cholifa R (2021). Analisis kadar tanin dari kelopak bunga rosella merah (analysis of tannin levels from red rosella flower petals) (hibiscus sabdariffa, l.) secara permanganometri. Urecol Journal. Part D: Applied Sciences, 1: 1-8. DOI:10.53017/ujas.31.

Tottoli EM, Dorati R, Genta I, Chiesa E, Pisani S, Conti B (2020). Skin wound healing process and new emerging technologies for skin wound care and regeneration. Pharmaceutics. 12(8): 735. DOI: 10.3390/pharmaceutics12-080735.

Tsai PJ, Mcintosh JC, Pearce PD, Camden BJ, Jordan B (2002). Anthocyanin and antioxidant capacity in roselle (hibiscus sabdariffa l.) extract. 35: 351-356. DOI:10.1016/S0963-9969-(01)00129-6.

Vijayakumar S, Morvin Yabesh JE, Arulmozhi P, Praseetha PK (2018). Identification and isolation of antimicrobial compounds from the flower extract of hibiscus rosa-sinensis l: in silico and in vitro approaches. Microb Pathog. 123: 527-535. DOI: 10.1016/j.micpath.-2018.08.003.

Vilkickyte G, Zilius M, Petrikaite V, Rau-done L (2022). Proanthocyanidins from vaccinium vitis-idaea l. leaves: perspectives in wound healing and designing for topical delivery. Plants (Basel), 11(19): 2615. DOI: 10.3390/-plants11192615

Worster B, Zawora MQ, Hsieh C (2015). Common questions about wound care. Am Fam Physician, 91, 86-92. PMID: 25591209.

Xue M, Jackson CJ (2015). Extracellular matrix reorganization during wound healing and its impact on abnormal scarring. Adv

Wound Care (New Rochelle). 4: 119-136. DOI: 10.1089-/wound.2013.0485.

Yadav E, Singh D, Yadav P, Verma A (2018). Antioxidant And anti-inflam-matory properties of prosopis cine-raria based phenolic rich ointment in wound healing. Biomed Pharmaco-ther. 108: 1572-1583. DOI: 10.1016/-j.biopha.2018.09.180.

Zhen J, Villani TS, Guo Y, Qi Y, Chin K, Pan MH, Ho CT, et al. (2016). Phyto-chemistry, antioxidant capacity, total phenolic content and anti-inflam-matory activity of hibiscus sabdariffa leaves. Food Chem, 190, 673-680. DOI: 10.1016/j.foodchem.2015.-06.006.

Downloads

Published

2023-01-10

Issue

Section

Articles