1
|
Vitale S, Colanero S, Placidi M, Di Emidio G, Tatone C, Amicarelli F, D’Alessandro AM. Phytochemistry and Biological Activity of Medicinal Plants in Wound Healing: An Overview of Current Research. MOLECULES (BASEL, SWITZERLAND) 2022; 27:molecules27113566. [PMID: 35684503 PMCID: PMC9182061 DOI: 10.3390/molecules27113566] [Citation(s) in RCA: 31] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 05/28/2022] [Accepted: 05/30/2022] [Indexed: 12/12/2022]
Abstract
Wound healing is a complicated process, and the effective management of wounds is a major challenge. Natural herbal remedies have now become fundamental for the management of skin disorders and the treatment of skin infections due to the side effects of modern medicine and lower price for herbal products. The aim of the present study is to summarize the most recent in vitro, in vivo, and clinical studies on major herbal preparations, their phytochemical constituents, and new formulations for wound management. Research reveals that several herbal medicaments have marked activity in the management of wounds and that this activity is ascribed to flavonoids, alkaloids, saponins, and phenolic compounds. These phytochemicals can act at different stages of the process by means of various mechanisms, including anti-inflammatory, antimicrobial, antioxidant, collagen synthesis stimulating, cell proliferation, and angiogenic effects. The application of natural compounds using nanotechnology systems may provide significant improvement in the efficacy of wound treatments. Increasing the clinical use of these therapies would require safety assessment in clinical trials.
Collapse
Affiliation(s)
- Stefania Vitale
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (S.V.); (M.P.); (G.D.E.); (C.T.); (F.A.)
| | - Sara Colanero
- Department of Biosciences, University of Milan, Via Giovanni Celoria 26, 20133 Milan, Italy;
| | - Martina Placidi
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (S.V.); (M.P.); (G.D.E.); (C.T.); (F.A.)
| | - Giovanna Di Emidio
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (S.V.); (M.P.); (G.D.E.); (C.T.); (F.A.)
| | - Carla Tatone
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (S.V.); (M.P.); (G.D.E.); (C.T.); (F.A.)
| | - Fernanda Amicarelli
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (S.V.); (M.P.); (G.D.E.); (C.T.); (F.A.)
| | - Anna Maria D’Alessandro
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (S.V.); (M.P.); (G.D.E.); (C.T.); (F.A.)
- Correspondence:
| |
Collapse
|
2
|
Wound healing improvement in large animals using an indirect helium plasma treatment. CLINICAL PLASMA MEDICINE 2020. [DOI: 10.1016/j.cpme.2020.100095] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
|
3
|
Medellín-Luna MF, Castañeda-Delgado JE, Martínez-Balderas VY, Cervantes-Villagrana AR. Medicinal Plant Extracts and Their Use As Wound Closure Inducing Agents. J Med Food 2019; 22:435-443. [PMID: 30942656 DOI: 10.1089/jmf.2018.0145] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Skin insult and damage start a complex healing process that involves a myriad of coordinated reactions at both the cellular and molecular level occurring simultaneously. These processes can be divided into that of cell migration and tissue remodeling of the wound. In addition, it is well known that deep wounds that derive from surgical procedures need a multidisciplinary approach to have a successful wound healing process. Recently, there has been a renowned interest in the identification of active compounds derived from ornamental, edible, and wild plants being used in the cosmetic and skin product industry. Recent reports suggest that active components of several plants such as Propolis and Aloe vera could be used to induce the process of wound healing and tissue regeneration and reducing therefore the time to complete wound closure. Other plant species such as Achillea millefolium or Salvia officinalis have anti-inflammatory properties and promote cellular proliferation contributing to faster tissue regeneration. It has been described that Malva sylvestris influences the formation of fibrosis-free granulation tissue in the skin. Recent observations suggest that Casearia sylvestris induces the angiogenic process. These effects have been evaluated in cell lines, different animal models, and some in randomized clinical trials. In this review we summarize the evidence of plant extracts and their active components (when known) in the acceleration of the wound closure process and tissue repair.
Collapse
Affiliation(s)
- Mitzzy F Medellín-Luna
- 1 Laboratorio de investigación en terapéutica experimental, Ciencias Químicas, Área de Ciencias de la Salud, Universidad Autónoma de Zacatecas, Zacatecas, México.,2 Maestría en Ciencias fármaco-biológicas, Universidad Autónoma de San Luis Potosí, San Luis Potosí, México
| | - Julio E Castañeda-Delgado
- 3 Cátedras CONACYT-Unidad de Investigación Biomédica de Zacatecas, Instituto Mexicano del Seguro Social (IMSS), Zacatecas, México
| | - V Yordani Martínez-Balderas
- 1 Laboratorio de investigación en terapéutica experimental, Ciencias Químicas, Área de Ciencias de la Salud, Universidad Autónoma de Zacatecas, Zacatecas, México.,4 Maestría en Ciencias Biomédicas, Área de Ciencias de la Salud, Universidad Autónoma de Zacatecas, Zacatecas, México
| | - Alberto R Cervantes-Villagrana
- 1 Laboratorio de investigación en terapéutica experimental, Ciencias Químicas, Área de Ciencias de la Salud, Universidad Autónoma de Zacatecas, Zacatecas, México.,4 Maestría en Ciencias Biomédicas, Área de Ciencias de la Salud, Universidad Autónoma de Zacatecas, Zacatecas, México
| |
Collapse
|
4
|
Martinello T, Gomiero C, Perazzi A, Iacopetti I, Gemignani F, DeBenedictis GM, Ferro S, Zuin M, Martines E, Brun P, Maccatrozzo L, Chiers K, Spaas JH, Patruno M. Allogeneic mesenchymal stem cells improve the wound healing process of sheep skin. BMC Vet Res 2018; 14:202. [PMID: 29940954 PMCID: PMC6019727 DOI: 10.1186/s12917-018-1527-8] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2018] [Accepted: 06/18/2018] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Skin wound healing includes a system of biological processes, collectively restoring the integrity of the skin after injury. Healing by second intention refers to repair of large and deep wounds where the tissue edges cannot be approximated and substantial scarring is often observed. The objective of this study was to evaluate the effects of mesenchymal stem cells (MSCs) in second intention healing using a surgical wound model in sheep. MSCs are known to contribute to the inflammatory, proliferative, and remodeling phases of the skin regeneration process in rodent models, but data are lacking for large animal models. This study used three different approaches (clinical, histopathological, and molecular analysis) to assess the putative action of allogeneic MSCs at 15 and 42 days after lesion creation. RESULTS At 15 days post-lesion, the wounds treated with MSCs showed a higher degree of wound closure, a higher percentage of re-epithelialization, proliferation, neovascularization and increased contraction in comparison to a control group. At 42 days, the wounds treated with MSCs had more mature and denser cutaneous adnexa compared to the control group. The MSCs-treated group showed an absence of inflammation and expression of CD3+ and CD20+. Moreover, the mRNA expression of hair-keratine (hKER) was observed in the MSCs-treated group 15 days after wound creation and had increased significantly by 42 days post-wound creation. Collagen1 gene (Col1α1) expression was also greater in the MSCs-treated group compared to the control group at both days 15 and 42. CONCLUSION Peripheral blood-derived MSCs may improve the quality of wound healing both for superficial injuries and deep lesions. MSCs did not induce an inflammatory response and accelerated the appearance of granulation tissue, neovascularization, structural proteins, and skin adnexa.
Collapse
Affiliation(s)
- T. Martinello
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell’Università 16, 35020, Legnaro – Agripolis, Padua, Italy
| | - C. Gomiero
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell’Università 16, 35020, Legnaro – Agripolis, Padua, Italy
| | - A. Perazzi
- Department of Animal Medicine, Production and Health, University of Padua, Padua, Italy
| | - I. Iacopetti
- Department of Animal Medicine, Production and Health, University of Padua, Padua, Italy
| | - F. Gemignani
- Department of Animal Medicine, Production and Health, University of Padua, Padua, Italy
| | - G. M. DeBenedictis
- Department of Animal Medicine, Production and Health, University of Padua, Padua, Italy
| | - S. Ferro
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell’Università 16, 35020, Legnaro – Agripolis, Padua, Italy
| | | | | | - P. Brun
- Department of Molecular Medicine, University of Padua, Padua, Italy
| | - L. Maccatrozzo
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell’Università 16, 35020, Legnaro – Agripolis, Padua, Italy
| | - K. Chiers
- Department of Pathology, Bacteriology and Poultry Diseases, University of Gent, Ghent, Belgium
| | - J. H. Spaas
- Global Stem cell Technology-ANACURA group, Noorwegenstraat 4, 9940 Evergem, Belgium
| | - M. Patruno
- Department of Comparative Biomedicine and Food Science, University of Padua, Viale dell’Università 16, 35020, Legnaro – Agripolis, Padua, Italy
| |
Collapse
|
5
|
Muhs A, Lyles JT, Parlet CP, Nelson K, Kavanaugh JS, Horswill AR, Quave CL. Virulence Inhibitors from Brazilian Peppertree Block Quorum Sensing and Abate Dermonecrosis in Skin Infection Models. Sci Rep 2017; 7:42275. [PMID: 28186134 PMCID: PMC5301492 DOI: 10.1038/srep42275] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Accepted: 01/09/2017] [Indexed: 01/06/2023] Open
Abstract
Widespread antibiotic resistance is on the rise and current therapies are becoming increasingly limited in both scope and efficacy. Methicillin-resistant Staphylococcus aureus (MRSA) represents a major contributor to this trend. Quorum sensing controlled virulence factors include secreted toxins responsible for extensive damage to host tissues and evasion of the immune system response; they are major contributors to morbidity and mortality. Investigation of botanical folk medicines for wounds and infections led us to study Schinus terebinthifolia (Brazilian Peppertree) as a potential source of virulence inhibitors. Here, we report the inhibitory activity of a flavone rich extract "430D-F5" against all S. aureus accessory gene regulator (agr) alleles in the absence of growth inhibition. Evidence for this activity is supported by its agr-quenching activity (IC50 2-32 μg mL-1) in transcriptional reporters, direct protein outputs (α-hemolysin and δ-toxin), and an in vivo skin challenge model. Importantly, 430D-F5 was well tolerated by human keratinocytes in cell culture and mouse skin in vivo; it also demonstrated significant reduction in dermonecrosis following skin challenge with a virulent strain of MRSA. This study provides an explanation for the anti-infective activity of peppertree remedies and yields insight into the potential utility of non-biocide virulence inhibitors in treating skin infections.
Collapse
Affiliation(s)
- Amelia Muhs
- Center for the Study of Human Health, Emory University, 550 Asbury Circle, Candler Library 107E, Atlanta, Georgia, USA
| | - James T. Lyles
- Center for the Study of Human Health, Emory University, 550 Asbury Circle, Candler Library 107E, Atlanta, Georgia, USA
| | - Corey P. Parlet
- Department of Microbiology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA
| | - Kate Nelson
- Department of Dermatology, Emory University School of Medicine, 615 Michael St., Rm 105L WhiteheadBldg, Atlanta, GA, USA
| | - Jeffery S. Kavanaugh
- Department of Microbiology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA
| | - Alexander R. Horswill
- Department of Microbiology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA
| | - Cassandra L. Quave
- Center for the Study of Human Health, Emory University, 550 Asbury Circle, Candler Library 107E, Atlanta, Georgia, USA
- Department of Dermatology, Emory University School of Medicine, 615 Michael St., Rm 105L WhiteheadBldg, Atlanta, GA, USA
| |
Collapse
|
6
|
de Campos EP, Trombini LN, Rodrigues R, Portella DL, Werner AC, Ferraz MC, de Oliveira RVM, Cogo JC, Oshima-Franco Y, Aranha N, Gerenutti M. Healing activity of Casearia sylvestris Sw. in second-degree scald burns in rodents. BMC Res Notes 2015; 8:269. [PMID: 26111930 PMCID: PMC4482163 DOI: 10.1186/s13104-015-1251-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 06/17/2015] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Every year thousands of people are victims of burns, mainly scald burns. Many of these victims have small size wounds and superficial partial thickness and do not seek specialized medical care. As in Brazil Casearia sylvestris Sw., popularly known as guaçatonga is widely used for its analgesic, antiseptic and anti-inflammatory activities, this study sought to evaluate the effects of its hydroalcoholic extract in healing process of burns injuries. METHODS The obtained extract was validated applying a thin layer chromatography and sophisticated validation method using Bothrops jararacussu snake venom that is necrotic and inflammatory, and by which guaçatonga extract was able to neutralize the irreversible neuromuscular blockade induced by the venom. After induction of the scald injury, the animals were treated daily with saline solution spray; spray containing extract; biofilm; or biofilm impregnated with extract. RESULTS Significant differences were observed between the four groups studied considering: extension of the healing area, neovascularization, fibroblast proliferation, and epithelialization. CONCLUSION The anti-inflammatory and bactericidal effects of C. sylvestris Sw. suggests a potential therapeutic benefit in the treatment of inflammatory conditions in second-degree scald burn injuries, as well as, counteracting against the in vitro paralysis induced by B. jararacussu venom.
Collapse
Affiliation(s)
- Evandro Pedro de Campos
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Letícia Nava Trombini
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Rafaela Rodrigues
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Décio Luis Portella
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Adriana Carolina Werner
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Miriele Cristina Ferraz
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Robson Vicente Machado de Oliveira
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - José Carlos Cogo
- Serpentarium of the Vale do Paraíba University (CEN-UNIVAP), Av Shishima Hifumi 2911, 12244-000, São José dos Campos, São Paulo, Brazil.
| | - Yoko Oshima-Franco
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Norberto Aranha
- Department of Technological and Environmental Process, University of Sorocaba (UNISO), Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| | - Marli Gerenutti
- Laboratory for the Toxicological Research (Lapetox), Department of Pharmaceutical Sciences, University of Sorocaba (UNISO), Cidade Universitária, Rodovia Raposo Tavares km 92.5, 18023-000, Sorocaba, São Paulo, Brazil.
| |
Collapse
|