
This work is licensed under a Creative Commons Attribution 4.0 International License.
Anti Inflammatory and Wound Healing Potential of Liverwort Extract and Collagen-Transdermal Patch in Diabetic Rats
Corresponding Author(s) : Ratu Fatimah
Nusantara Science and Technology Proceedings,
Multi-Conference Proceeding Series F
Abstract
Patients with diabetes often experience impaired wound healing, which is associated with intense inflammation. Liverwort extract is rich in secondary metabolites with anti-inflammatory properties, while collagen is crucial for skin regeneration and wound healing. This study investigated the effect of a transdermal patch containing liverwort extract and collagen derived from tilapia bones on inflammation and wound healing in diabetic rats. A completely randomized design was used, consisting of eight groups in total: a normal control group (C) on a standard diet, a negative control group (NC) injected with alloxan at a dose of 120 mg/kg body weight, a positive control group (PC) injected with alloxan and treated with a transdermal patch containing an antibiotic, and five groups injected with alloxan and treated with transdermal patches containing different ratios of liverwort extract and collagen for 14 days. An analysis of variance was used for all data with 5% significance levels (p<0.05). The results showed that alloxan significantly increased blood sugar levels, confirming that the rats were in a diabetic condition. Wound healing was compared among the non-diabetic group, the diabetic group, and the diabetic-treated groups, with significant differences observed. The percentage of white blood cells observed in peripheral blood smear examinations was significantly lower in the diabetic-treated groups compared to the diabetic group, indicating substantial improvement. An increased number of white blood cells is associated with greater inflammation. The topical application of the liverwort and collagen transdermal patch reduced this effect. These findings indicate that the liverwort and collagen transdermal patch has the potential for reducing inflammation and promoting wound healing.
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- Alves, A. L., Marques, A. L. P., Martins, E., Silva, T. H., & Reis, R. L. (2017). Cosmetic potential of marine fish skin collagen. Cosmetics, 4(4), 39.
- Antar, S. A., Ashour, N. A., Sharaky., M., Khattab., M., Ashour., N. A., Zaid., R. T., Roh., E. J., Elkamhawy, A., & Karmalawy, A. A. (2023). Diabetes mellitus: Classification, mediators, and complications: A gate to identify potential targets for the development of new effective treatments. Biomedicine and Pharmacotherapy, 165, 115734.
- Ardina, R., & Rosalinda. (2018). Morfologi apusan menggunakan eosinofil darah pada tepi pewarnaan giemsa, wright, dan kombinasi wright-giemsa. Jurnal Surya Medika, 3(2), 5–12. https://doi.org/10.33084/jsm.v3i2.91
- Asmat, U., Abad, K., & Ismail, K. (2016). Diabetes mellitus and oxidative stress - A concise review. Saudi Pharm J, 24(5), 547–553.
- Ata, S. T. W., Yulianty, R., Sami, F. J., & Ramli, N. (2016). Isolasi kolagen dari kulit dan tulang ikan cakalang (Katsuwonus pelamis). Journal of Pharmaceutical and Medicinal Sciences, 1(1), 27-30.
- Canzoneri, B. J., Lewis, D. F., Groome, L., & Wang, Y. (2009). Increased neutrophil numbers account for leukocytosis in women with preeclampsia. American Journal Perinatology, 26(10), 729-732.
- Dila, T. R., Raharjo, E. N., & Rukmana, D. I. (2023). Perbandingan pewarnaan giemsa, diff quick dan papanicolaou preparat efusi pleura di RSUD Aw Sjahranie. Jurnal Kesehatan Tambusai, 4(3), 4252-4258
- Ekaputra, E. (2013). Evolusi manajemen luka menguak 5 keajaiban moist dressing. Jakarta: CV Trans Info Media.
- Frykberg, R.G & J. Banks. (2015). Challenges in the treatment of chronic wounds. Adv Wound Care, 4(9), 560-562
- Gurtner, G. C. (2007). Wound healing: Normal and abnormal. Dalam: Thorne CH, penyunting. Grabb and Smith’s Plastic Surgery. Edisi ke 6. Philadelphia: Lippincott Williams & Wilkins; h. 15-22.
- Hanistya, R., & Samlan, K. (2021). Formulasi dan karakteristik fisik sediaan plester hidrogel ekstrak daun ciplukan (Physalis angulata L.) dan batang kayu manis (Cinnamomum burmannii). The Journal of Muhammadiyah Medical Laboratory Technologist, 4(2) 201-208, https://doi.org/10.30651/jmlt.v4i2.11151
- Hermanto, F. J., et al. (2019). Evaluasi Sediaan Patch Daun Handeuleum (Graptophyllum griff L.) Sebagai Penurun Panas. Jurnal Kesehatan Bakti Tunas Husada, 19(2), 208-217. https://doi.org/10.36465/jkbth.v19i2.499
- Herrero-Cervera, A., Soehnlein, O., & Kenne, E. (2022). Neutrophils in chronic inflammatory diseases. Cellular & molecular immunology, 19(2), 177-191.
- Hidayati, N. A., Listyawati, S., & Setyawan, A. D. (2008). Kandungan kimia dan uji antiinflamasi ekstrak etanol Lantanacemara L. pada tikus putih (Rattus norvegicus L.) Jantan. Bioteknologi, 14.
- Holmes, C., Wrobel, J. S., MacEachern, M. P., & Boles, B. R. (2013). Collagen-based wound dressings for the treatment of diabetes-related foot ulcers: a systematic review. Diabetes, metabolic syndrome, and obesity: targets and therapy., 6, 17-29. doi: 10.2147/DMSO.S36024
- IDF (2017). IDF Diabetes Atlas Eighth edition 2017. International Diabetes Federation (IDF). International Diabetes Federation. doi: 10.1017/CBO9781107415324.004.
- Ighodaro, O. M., Adeosun, A. A. M., & Akinloye, O. A. (2017). Alloxan-induced diabetes, a common model for evaluating the glycemic-control potential of therapeutic compounds and plant extracts in experimental studies. Medicina, 53(6), 365-374. doi: 10.1016/j.medici.2018.02.001
- Jorns, A., Munday, R., Tiedge, M., & Lenzen, S. (1997). Comparative toxicity of alloxan, N alkylalloxans and ninhydrin to isolated pancreatic islets in vitro. Journal of endocrinology, 155(2), 283-294.
- Julianti, T. R., Mardianingrum, R., & Adlina, S. (2024). Potensi ekstrak rimpang kencur (Kaempferia galanga L.) dalam sediaan transdermal patch sebagai antiinflamasi. Perjuangan Nature Pharmaceutical Conference, 1(1,), 47-63
- KemenKes RI . (2018). Data Dan Informasi Profil Kesehatan Indonesia 2017.
- Lau, S. H. A., & Sunarti, S. (2018). Studi Tingkat Pengetahuan Penggunaan Daun Sendok (Plantago mayor L.) Sebagai Obat Diare Di Desa Salukanan Kecamatan Baraka Kabupaten Enrekang. Jurnal Farmasi Sandi Karsa, 4(6), 23-30.
- Liu, H., & Huang, K. (2016). Structural characteristics of extracted collagen from tilapia (Oreochromis mossambicus) bone: effects of ethylenediaminetetraacetic acid solution and hydrochloric acid treatment. International journal of food properties, 19(1), 63-75.
- Ludwiczuk, A., & Asakawa, Y. (2019). Bryophytes as a source of bioactive volatile terpenoids–A review. Food and Chemical Toxicology, 132, 110649.
- Luhurningtyas, F. P., Vifta, R. L., Syarohmawati, N., & Candra, M. A. (2020). Cholestrol Lowering Effect of Chitosan Nanoparticles Using Parijoto Fruits Extract. Jurnal Farmasi Sains dan Komunitas, 17(2), 102-111. tps://doi.org/10.24071/jpsc.00201
- Mathew-Steiner, S. S., Roy, S., & Sen, C. K. (2021). Collagen in wound healing. Bioengineering, 8(5), 63. doi: 10.3390/bioengineering8050063
- Ministry of Health of Republic Indonesia. (2024). Saatnya mengatur si manis. https://sehatnegeriku.kemkes.go.id/baca/blog/20240110/5344736/saatnya-mengatur-si-manis/. Accessed by 20th October 2024
- Motti, R., Palma, A. D., & de Falco, B. (2023). Bryophytes used in folk medicine: An ethnobotanical overview. Horticulturae, 9(2), 137.
- Muralidharan, N., Jeya Shakila, R., Sukumar, D., & Jeyasekaran, G. (2013). Skin, bone, and muscle collagen extraction from the trash fish, leather jacket (Odonus niger) and their characterization. Journal of food science and technology, 50, 1106-1113.
- Nuriman, A. (2013). Uji Efek Ekstrak Etanol Tumbuhan Lumut Hati (Marchantia polymorpha) Terhadap Pertumbuhan Koloni Salmonella Typhi Secara In Vitro. Doctoral dissertation. Universitas Brawijaya.
- Nurul, N., Welinda, D. A., & Muhammad, A. M. (2016). Uji aktivitas biji pepaya (Carica papaya L.) sebagai hepatoprotektor pada tikus putih (Rattus norvegicus). Proceeding of Mulawarman Pharmaceuticals Conferences, 3, 312-317. doi:10.25026/mpc.v3i2.126
- Prakash, V. E. D. (2017). Terpenoids as source of anti-inflammatory compounds. Asian Journal of Pharmaceutical and Clinical Research, 10(3), 68-76.
- Prameswari, O. M., & Widjanarko, S. B. (2014). Uji efek ekstrak air daun pandan wangi terhadap penurunan kadar glukosa darah dan histopatologi tikus diabetes mellitus the effect of water extract of pandan wangi leaf to decrease blood glucose levels and pancreas histopathology at diabetes mellitus rats. Jurnal Pangan dan Agroindustri, 2(2), 16–27.
- Prayoga, D. G. E., Nocianitri, K. A., & Puspawati, N. N. (2019). Identifikasi senyawa fitokimia dan aktivitas antioksidan ekstrak kasar daun pepe (Gymnema reticulatum Br.) pada berbagai jenis pelarut. Jurnal Ilmu dan Teknologi Pangan, 8(2), 111-121.
- Purnamasari, E. (2013). Uji efek antiinflamasi ekstrak etanol lumut hati Mastigophora diclados (Bird. Ex Web.) nees secara in Vivo. Skripsi. Fakultas Kedokteran dan Ilmu Kesehatan Program Studi Farmasi. Uin Syarif Hidayatullah Jakarta.
- Rahman, S. (2014). Efek hipoglikemik kombinasi infusa biji alpukat (Persea americana Mill.) dan Biji Pepaya (Carica papaya L Var. Bangkok) Asal Kab. Pinrang Pada Tikus (Rattus norvegicus) Jantan. Bionature, 15, 111–116.
- Rodrigues, M., Kosaric, N., Bonham, C. A., & Gurtner, G. C. (2019). Penyembuhan luka: Perspektif seluler. Physiol Rev., 99 (1), 665-706.
- Santoso, S., Rachmawati, B., & Retnoningrum, D. (2018). Perbedaan jumlah leukosit, neutrofil dan limfosit absolut pada penderita DM tipe 2 terkontrol dan tidak terkontrol. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 7(2), 854-862.
- Suarsana, I., Priosoeryanto, B. P., Bintang, M., & Wresdiyati, T. (2010). Profil glukosa darah dan ultrastruktur sel beta pankreas tikus yang diinduksi senyawa aloksan. Jitv, 15(2), 118-123.
- Subaiyah, Santosa, B., & Ariyadi, T. (2018). Perbandingan larutan turk dengan modifikasi larutan turk perasan jeruk nipis (Citrus aurantifolia Swingle) terhadap jumlah leukosit. Skripsi. Semarang: Universitas Muhammadiyah Semarang.
- Suptijah, P., Indriani, D., & Wardoyo, S. E. (2018). Isolasi dan karakterisasi kolagen dari kulit ikan patin (Pangasius sp.). Jurnal Sains Natural, 8(1), 8-23.
- Susilowati, D., Dewi, S. D., & Iswara, A. (2022). Gambaran hasil pewarnaan papanicolaou, diff quick, dan giemsa pada sampel efusi pleura.
- Wardani, V. K., & Saryanti, D. (2021). Formulasi transdermal patch ekstrak etanol biji pepaya (Carica papaya, L.) dengan basis Hydroxypropil Metilcellulose (HPMC). Smart Medical Journal, 5(1), 38-44. doi: 10.13057/smj.v4i1. 43613.
- Worsley, A. L., Lui., D. H., & Boahene, W. N. (2022). The importance of inflammation control for the treatment of chronic diabetic wound. Int Wound Journal, 20, 2346-2359. doi:10.1111/iwj.14048
References
Alves, A. L., Marques, A. L. P., Martins, E., Silva, T. H., & Reis, R. L. (2017). Cosmetic potential of marine fish skin collagen. Cosmetics, 4(4), 39.
Antar, S. A., Ashour, N. A., Sharaky., M., Khattab., M., Ashour., N. A., Zaid., R. T., Roh., E. J., Elkamhawy, A., & Karmalawy, A. A. (2023). Diabetes mellitus: Classification, mediators, and complications: A gate to identify potential targets for the development of new effective treatments. Biomedicine and Pharmacotherapy, 165, 115734.
Ardina, R., & Rosalinda. (2018). Morfologi apusan menggunakan eosinofil darah pada tepi pewarnaan giemsa, wright, dan kombinasi wright-giemsa. Jurnal Surya Medika, 3(2), 5–12. https://doi.org/10.33084/jsm.v3i2.91
Asmat, U., Abad, K., & Ismail, K. (2016). Diabetes mellitus and oxidative stress - A concise review. Saudi Pharm J, 24(5), 547–553.
Ata, S. T. W., Yulianty, R., Sami, F. J., & Ramli, N. (2016). Isolasi kolagen dari kulit dan tulang ikan cakalang (Katsuwonus pelamis). Journal of Pharmaceutical and Medicinal Sciences, 1(1), 27-30.
Canzoneri, B. J., Lewis, D. F., Groome, L., & Wang, Y. (2009). Increased neutrophil numbers account for leukocytosis in women with preeclampsia. American Journal Perinatology, 26(10), 729-732.
Dila, T. R., Raharjo, E. N., & Rukmana, D. I. (2023). Perbandingan pewarnaan giemsa, diff quick dan papanicolaou preparat efusi pleura di RSUD Aw Sjahranie. Jurnal Kesehatan Tambusai, 4(3), 4252-4258
Ekaputra, E. (2013). Evolusi manajemen luka menguak 5 keajaiban moist dressing. Jakarta: CV Trans Info Media.
Frykberg, R.G & J. Banks. (2015). Challenges in the treatment of chronic wounds. Adv Wound Care, 4(9), 560-562
Gurtner, G. C. (2007). Wound healing: Normal and abnormal. Dalam: Thorne CH, penyunting. Grabb and Smith’s Plastic Surgery. Edisi ke 6. Philadelphia: Lippincott Williams & Wilkins; h. 15-22.
Hanistya, R., & Samlan, K. (2021). Formulasi dan karakteristik fisik sediaan plester hidrogel ekstrak daun ciplukan (Physalis angulata L.) dan batang kayu manis (Cinnamomum burmannii). The Journal of Muhammadiyah Medical Laboratory Technologist, 4(2) 201-208, https://doi.org/10.30651/jmlt.v4i2.11151
Hermanto, F. J., et al. (2019). Evaluasi Sediaan Patch Daun Handeuleum (Graptophyllum griff L.) Sebagai Penurun Panas. Jurnal Kesehatan Bakti Tunas Husada, 19(2), 208-217. https://doi.org/10.36465/jkbth.v19i2.499
Herrero-Cervera, A., Soehnlein, O., & Kenne, E. (2022). Neutrophils in chronic inflammatory diseases. Cellular & molecular immunology, 19(2), 177-191.
Hidayati, N. A., Listyawati, S., & Setyawan, A. D. (2008). Kandungan kimia dan uji antiinflamasi ekstrak etanol Lantanacemara L. pada tikus putih (Rattus norvegicus L.) Jantan. Bioteknologi, 14.
Holmes, C., Wrobel, J. S., MacEachern, M. P., & Boles, B. R. (2013). Collagen-based wound dressings for the treatment of diabetes-related foot ulcers: a systematic review. Diabetes, metabolic syndrome, and obesity: targets and therapy., 6, 17-29. doi: 10.2147/DMSO.S36024
IDF (2017). IDF Diabetes Atlas Eighth edition 2017. International Diabetes Federation (IDF). International Diabetes Federation. doi: 10.1017/CBO9781107415324.004.
Ighodaro, O. M., Adeosun, A. A. M., & Akinloye, O. A. (2017). Alloxan-induced diabetes, a common model for evaluating the glycemic-control potential of therapeutic compounds and plant extracts in experimental studies. Medicina, 53(6), 365-374. doi: 10.1016/j.medici.2018.02.001
Jorns, A., Munday, R., Tiedge, M., & Lenzen, S. (1997). Comparative toxicity of alloxan, N alkylalloxans and ninhydrin to isolated pancreatic islets in vitro. Journal of endocrinology, 155(2), 283-294.
Julianti, T. R., Mardianingrum, R., & Adlina, S. (2024). Potensi ekstrak rimpang kencur (Kaempferia galanga L.) dalam sediaan transdermal patch sebagai antiinflamasi. Perjuangan Nature Pharmaceutical Conference, 1(1,), 47-63
KemenKes RI . (2018). Data Dan Informasi Profil Kesehatan Indonesia 2017.
Lau, S. H. A., & Sunarti, S. (2018). Studi Tingkat Pengetahuan Penggunaan Daun Sendok (Plantago mayor L.) Sebagai Obat Diare Di Desa Salukanan Kecamatan Baraka Kabupaten Enrekang. Jurnal Farmasi Sandi Karsa, 4(6), 23-30.
Liu, H., & Huang, K. (2016). Structural characteristics of extracted collagen from tilapia (Oreochromis mossambicus) bone: effects of ethylenediaminetetraacetic acid solution and hydrochloric acid treatment. International journal of food properties, 19(1), 63-75.
Ludwiczuk, A., & Asakawa, Y. (2019). Bryophytes as a source of bioactive volatile terpenoids–A review. Food and Chemical Toxicology, 132, 110649.
Luhurningtyas, F. P., Vifta, R. L., Syarohmawati, N., & Candra, M. A. (2020). Cholestrol Lowering Effect of Chitosan Nanoparticles Using Parijoto Fruits Extract. Jurnal Farmasi Sains dan Komunitas, 17(2), 102-111. tps://doi.org/10.24071/jpsc.00201
Mathew-Steiner, S. S., Roy, S., & Sen, C. K. (2021). Collagen in wound healing. Bioengineering, 8(5), 63. doi: 10.3390/bioengineering8050063
Ministry of Health of Republic Indonesia. (2024). Saatnya mengatur si manis. https://sehatnegeriku.kemkes.go.id/baca/blog/20240110/5344736/saatnya-mengatur-si-manis/. Accessed by 20th October 2024
Motti, R., Palma, A. D., & de Falco, B. (2023). Bryophytes used in folk medicine: An ethnobotanical overview. Horticulturae, 9(2), 137.
Muralidharan, N., Jeya Shakila, R., Sukumar, D., & Jeyasekaran, G. (2013). Skin, bone, and muscle collagen extraction from the trash fish, leather jacket (Odonus niger) and their characterization. Journal of food science and technology, 50, 1106-1113.
Nuriman, A. (2013). Uji Efek Ekstrak Etanol Tumbuhan Lumut Hati (Marchantia polymorpha) Terhadap Pertumbuhan Koloni Salmonella Typhi Secara In Vitro. Doctoral dissertation. Universitas Brawijaya.
Nurul, N., Welinda, D. A., & Muhammad, A. M. (2016). Uji aktivitas biji pepaya (Carica papaya L.) sebagai hepatoprotektor pada tikus putih (Rattus norvegicus). Proceeding of Mulawarman Pharmaceuticals Conferences, 3, 312-317. doi:10.25026/mpc.v3i2.126
Prakash, V. E. D. (2017). Terpenoids as source of anti-inflammatory compounds. Asian Journal of Pharmaceutical and Clinical Research, 10(3), 68-76.
Prameswari, O. M., & Widjanarko, S. B. (2014). Uji efek ekstrak air daun pandan wangi terhadap penurunan kadar glukosa darah dan histopatologi tikus diabetes mellitus the effect of water extract of pandan wangi leaf to decrease blood glucose levels and pancreas histopathology at diabetes mellitus rats. Jurnal Pangan dan Agroindustri, 2(2), 16–27.
Prayoga, D. G. E., Nocianitri, K. A., & Puspawati, N. N. (2019). Identifikasi senyawa fitokimia dan aktivitas antioksidan ekstrak kasar daun pepe (Gymnema reticulatum Br.) pada berbagai jenis pelarut. Jurnal Ilmu dan Teknologi Pangan, 8(2), 111-121.
Purnamasari, E. (2013). Uji efek antiinflamasi ekstrak etanol lumut hati Mastigophora diclados (Bird. Ex Web.) nees secara in Vivo. Skripsi. Fakultas Kedokteran dan Ilmu Kesehatan Program Studi Farmasi. Uin Syarif Hidayatullah Jakarta.
Rahman, S. (2014). Efek hipoglikemik kombinasi infusa biji alpukat (Persea americana Mill.) dan Biji Pepaya (Carica papaya L Var. Bangkok) Asal Kab. Pinrang Pada Tikus (Rattus norvegicus) Jantan. Bionature, 15, 111–116.
Rodrigues, M., Kosaric, N., Bonham, C. A., & Gurtner, G. C. (2019). Penyembuhan luka: Perspektif seluler. Physiol Rev., 99 (1), 665-706.
Santoso, S., Rachmawati, B., & Retnoningrum, D. (2018). Perbedaan jumlah leukosit, neutrofil dan limfosit absolut pada penderita DM tipe 2 terkontrol dan tidak terkontrol. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 7(2), 854-862.
Suarsana, I., Priosoeryanto, B. P., Bintang, M., & Wresdiyati, T. (2010). Profil glukosa darah dan ultrastruktur sel beta pankreas tikus yang diinduksi senyawa aloksan. Jitv, 15(2), 118-123.
Subaiyah, Santosa, B., & Ariyadi, T. (2018). Perbandingan larutan turk dengan modifikasi larutan turk perasan jeruk nipis (Citrus aurantifolia Swingle) terhadap jumlah leukosit. Skripsi. Semarang: Universitas Muhammadiyah Semarang.
Suptijah, P., Indriani, D., & Wardoyo, S. E. (2018). Isolasi dan karakterisasi kolagen dari kulit ikan patin (Pangasius sp.). Jurnal Sains Natural, 8(1), 8-23.
Susilowati, D., Dewi, S. D., & Iswara, A. (2022). Gambaran hasil pewarnaan papanicolaou, diff quick, dan giemsa pada sampel efusi pleura.
Wardani, V. K., & Saryanti, D. (2021). Formulasi transdermal patch ekstrak etanol biji pepaya (Carica papaya, L.) dengan basis Hydroxypropil Metilcellulose (HPMC). Smart Medical Journal, 5(1), 38-44. doi: 10.13057/smj.v4i1. 43613.
Worsley, A. L., Lui., D. H., & Boahene, W. N. (2022). The importance of inflammation control for the treatment of chronic diabetic wound. Int Wound Journal, 20, 2346-2359. doi:10.1111/iwj.14048