Wound Healing Potential of Virgin Coconut Oil in Combination With Extract of Neem Leaves (Azadirachta Indica L.) in Diabetic Rat Model

Authors

  • Luh Ade Wilankrisna Politeknik Kesehatan Kemenkes Denpasar, Denpasar, Indonesia
  • Desak Made Lestari Dewi Politeknik Kesehatan Kemenkes Denpasar, Denpasar, Indonesia
  • Burhannuddin Politeknik Kesehatan Kemenkes Denpasar, Denpasar, Indonesia
  • Heri Setiyo Bekti Politeknik Kesehatan Kemenkes Denpasar, Denpasar, Indonesia
  • Nur Habibah Politeknik Kesehatan Kemenkes Denpasar, Denpasar, Indonesia
  • I Wayan Karta Politeknik Kesehatan Kemenkes Denpasar, Denpasar, Indonesia

DOI:

https://doi.org/10.23887/jstundiksha.v13i2.83677

Keywords:

Diabetic ulcer, Neem leaves, Interleukin-6

Abstract

High blood sugar levels in DM can inhibit wound healing and increase the risk of infection. Diabetic ulcer therapy with commercial anti-inflammatory drugs is relatively expensive and has side effects. VCO and diamond leaf extract have the potential as an alternative therapy with anti-inflammatory effects, but further research is needed regarding the right dose. This study aimed to analyze the impact of VCO administration with supplementation of diamond leaf extract (Azadirachta indica L.) on IL-6 levels in wound healing of type 2 DM model rats. This research is a true experimental research with a post-test-only control group design. This study used 25 male mice which were divided into five groups, namely: group P1 5% Intaran leaf extract, P2 10% Intaran leaf extract, P3 15% Intaran leaf extract, negative control (NaCl 0.9%), and positive control (Povidone Iodine). Data were analyzed using the Shapiro-Wilk statistical test, followed by the One-Way Anova test, the confirmation test, and the LSD test. The results showed a significant difference in IL-6 levels between the treatment groups, as evidenced by the One Way ANOVA statistical test results. Considerable value was obtained in the test of IL-6 levels on day 4 Sig. 0.003 and day 14 Sig. 0,046. It can be concluded that the treatment group giving VCO supplementation with intern leaf extract at a concentration of 10% affects wound healing with a decrease in IL-6 levels on day 14. This study provides an important contribution to DM wound healing efforts by using affordable natural ingredients with low potential side effects.

References

Asrul, N. A. M., Rivai, A. T. O., Syisnawati, S. H., & R. (2023). Ekstrak Moringa Oleifera Mempercepat Proses Penyembuhan Luka. Systemic Review: Jurnal Farmasetis, 12(2), 187–194. https://doi.org/10.30872/mul.%20dent.%20j.v2i1.5533. DOI: https://doi.org/10.32583/far.v12i2.1109

Dafriani, P., Niken, N., Ramadhani, N., & Marlinda, R. (2020). Potensi Virgin Coconut Oil (VCO) Pada Minyak Herbal Sinergi (MHS) Terhadap Ulkus Diabetes. Jurnal Kesehatan Perintis, 7(1), 51–56. https://doi.org/10.33653/jkp.v7i1.418. DOI: https://doi.org/10.33653/jkp.v7i1.418

Danush K. Wijekularathna, A. B. W. M., & Scariano, S. M. (2022). Power analysis of several normality tests: A Monte Carlo simulation study. Communications in Statistics - Simulation and Computation, 51(3), 757–773. https://doi.org/10.1080/03610918.2019.1658780. DOI: https://doi.org/10.1080/03610918.2019.1658780

Dinparastisaleh, R., & Mirsaeidi, M. (2021). Antifibrotic and anti-inflammatory actions of α-melanocytic hormone: New roles for an old player. Pharmaceuticals, 14(1), 1–20. https://doi.org/10.3390/ph14010045. DOI: https://doi.org/10.3390/ph14010045

Ferdina, R. B., Putri, B., & R.A. (2022). Penggunaan Obat Kumur Povidone Iodine Sebagai Tindakan Pra- Prosedural Untuk Mengurangi Risiko Penularan Covid 19. Menara Ilmu. Jurnal Penelitian Dan Kajian Ilmiah, 16(2), 77–83. DOI: https://doi.org/10.31869/mi.v16i2.3291

Hafizsha, N. I., Gunanti, G., Noviana, D., & Widhyari, S. D. (2021). Konsentrasi IL- 6 Serum terhadap Penyembuhan Luka Pasca Pemasangan Implan Paduan Logam pada Babi (Sus scrofa. Acta VETERINARIA Indonesiana, 9(1), 21–29. https://doi.org/10.29244/avi.9.1.21-29. DOI: https://doi.org/10.29244/avi.9.1.21-29

Hirano, T. (2020). IL-6 in inflammation, autoimmunity and cancer. International Immunology, 33(3), 127–148. https://doi.org/10.1093/intimm/dxaa078. DOI: https://doi.org/10.1093/intimm/dxaa078

Huang, C., & Ogawa, R. (2020). The vascular involvement in soft tissue fibrosis—lessons learned from pathological scarring. International Journal of Molecular Sciences, 21(7). https://doi.org/10.3390/ijms21072542 DOI: https://doi.org/10.3390/ijms21072542

Husni, H. (2020). The Effect of Inquiry-based Learning on Religious Subjects Learning Activities: An Experimental Study in High Schools. Jurnal Penelitian Pendidikan Islam, 8(1), 43. https://doi.org/10.36667/jppi.v8i1.434. DOI: https://doi.org/10.36667/jppi.v8i1.434

Ibrenna, G., Manik, S., J., Y., & Denny, S. (2023). Wound Healing Potential of Formulated Ointment by Using Virgin Coconut Oil in Combinatioan with Ethanol Extract of Artocarpus lakoocha. Roxb.Leaves.Research Journal of Pharmacy and Technology, 16(8), 3530–4. https://doi.org/10.52711/0974-360X.2023.00583. DOI: https://doi.org/10.52711/0974-360X.2023.00583

Jaharuddin, N. F. (2020). Efektivitas Aplikasi Topikal Madu Hutan dan Propolis terhadap Penyembuhan Luka Pada Mencit (Mus musculus. Alami Journal (Alauddin Islamic Medical) Journal, 4(2), 1–9. https://doi.org/10.24252/alami.v4i2.12516. DOI: https://doi.org/10.24252/alami.v4i2.12516

Jasmine, J., Purwatno, D. S., & Kaligis, S. H. (2022). Peran Interleukin-6 sebagai Faktor Prediktif Derajat Keparahan COVID-19. EBiomedik, 10(1), 98–106. https://doi.org/10.35790/ebm.v10i1.38840.

Jayalakshmi, M. S., Thenmoszhi, P., & Vijayaraghavan, P. (2021). Plant Leaves Extract Irrigation on Wound Healing in Diabetic Foot Ulcer. Evidence-Based Complementary and Alternative Medicine, 21(1), 1–9. https://doi.org/10.1155/2021/9924725. DOI: https://doi.org/10.1155/2021/9924725

Johnson, B. Z., Stevenson, A. W., Prêle, C. M., Fear, M. W., & Wood, F. M. (2020). The role of IL-6 in skin fibrosis and cutaneous wound healing. Biomedicines, 8(5), 1–18. https://doi.org/10.3390/BIOMEDICINES8050101. DOI: https://doi.org/10.3390/biomedicines8050101

Karta, I. W., & Burhannuddin. (2022). Suplementasi Produk Olahan Kelapa Virgin Coconut Oil (VCO) Dengan Ekstrak Daun Intaran (Azadirachta indica) Dalam.. Menghambat Pertumbuhan Bakteri Jerawat Propianibacterium Acnes. Jurnal Penelitian Pascapanen Pertanian, 19(1), 1–26. https://doi.org/10.33992/meditory.v11i2.3062. DOI: https://doi.org/10.33992/meditory.v11i2.3062

Karta, I. W., Wardhani, N. I. W., Jannah, S. Y., & Burhannuddin. (2022). Uji Fitomikia dan Uji Repellent Virgin Coconut Oil (VCO) yang Tersuplementasi Minyak Atsiri Serai Wangi (Citronella oil. Meditory: The Journal of Medical Laboratory, 10(1), 54–63. https://doi.org/10.33992/m.v10i1.1928. DOI: https://doi.org/10.33992/m.v10i1.1928

Krawiec, A., Cherwinzska-Ledwig, O., & Piotrowska, A. (2023). Active Ingredients and Natural Raw Materials Used in Foot Care Diabetic Patient – A Literature Review. Cosmetics, 10(4), 96. https://doi.org/10.3390/cosmetics10040096. DOI: https://doi.org/10.3390/cosmetics10040096

Kumar, S., Bharali, A., Sarma, H., Kushari, S., Gam, S., Hazarika, I., Prasad, S. K., & Laloo, D. (2023). Traditional complementary and alternative medicine (TCAM) for diabetic foot ulcer management: A systematic review. J Ayurveda Integr Med, 14(4). https://doi.org/10.1016/j.jaim.2023.100745. DOI: https://doi.org/10.1016/j.jaim.2023.100745

Kumari, P., & Singh, M. (2024). The Biochemical Wonders of Azadirachta indica A . Juss : A Comprehensive Review of its Properties and Potential Benefits. 20(2), 90–98. https://cyberleninka.ru/article/n/the-biochemical-wonders-of-azadirachta-indica-a-juss-a-comprehensive-review-of-its-properties-and-potential-benefits.

L.R., K., J.S., M., M., L., J., H., I., S., X., C., A., U., S.E., G., & E.A, G. (2019). Strain- and Species-Level Variation in the Microbiome of Diabetic Wounds Is Associated with Clinical Outcomes and Therapeutic Efficacy. Cell Host Microbe, 25(5), 641–655. https://doi.org/10.1016/j.chom.2019.03.006. DOI: https://doi.org/10.1016/j.chom.2019.03.006

Maryam, A., Mohammadreza, D., Abdolhussein, S., Ghobad, R., & Javad, K. (2021). Effect of Concept Mapping Education on Critical Thinking Skills of Medical Students: A Quasi-experimental Study. Ethiopian Journal of Health Sciences, 31(2), 409–418. https://doi.org/10.4314/ejhs.v31i2.24. DOI: https://doi.org/10.4314/ejhs.v31i2.24

Nasrine, A., Narayana, S., Gulzar Ahmed, M., Sultana, R., Noushida, N., Raunak Salian, T., Almuqbil, M., Almadani, M. E., Alshehri, A., Alghamdi, A., Alshehri, S., & Mohammed Basheeruddin Asdaq, S. (2023). Neem (Azadirachta Indica) and silk fibroin associated hydrogel: Boon for wound healing treatment regimen. Saudi Pharm J, 31(10). https://doi.org/10.1016/j.jsps.2023.101749. DOI: https://doi.org/10.1016/j.jsps.2023.101749

Niculet, E., Chioncel, V., Elisei, A., Miulescu, M., Buzia, O., Nwabudike, L., Craescu, M., Draganescu, M., Bujoreanu, F., Marinescu, E., Arbune, M., Radaschin, D., Bobeica, C., Nechita, A., & Tatu, A. (2021). Multifactorial expression of IL‑6 with update on COVID‑19 and the therapeutic strategies of its blockade (Review). Experimental and Therapeutic Medicine, 21(3), 1–10. https://doi.org/10.3892/etm.2021.9693. DOI: https://doi.org/10.3892/etm.2021.9693

Nurmalasari, Y., Nofita, N., & Sijabat, A. I. (2020). Perbandingan Air Perasan Daucus Carota L. Dengan Povidone Iodine Topikal Dalam Penyembuhan Luka Insisi Mencit. Jurnal Ilmiah Kesehatan Sandi Husad, 9(2), 673–679. https://doi.org/10.35816/jiskh.v12i2.378. DOI: https://doi.org/10.35816/jiskh.v12i2.378

Okoye, K., & Hosseini, S. (2024). Test of Normality and Reliability of Data in R. In R Programming: Statistical Data Analysis in Research (pp. 67–85). Springer Nature Singapore. https://doi.org/10.1007/978-981-97-3385-9_3. DOI: https://doi.org/10.1007/978-981-97-3385-9_3

Radzikowska-Büchner, E., Łopuszyńska, I., Flieger, W., Tobiasz, M., Maciejewski, R., & Flieger, J. (2023). An Overview of Recent Developments in the Management of Burn Injuries. International Journal of Molecular Sciences, 24(22). https://doi.org/10.3390/ijms242216357. DOI: https://doi.org/10.3390/ijms242216357

Salsabila, S. A., & Sudiono, J. (2022). Anti Inflammatory Effect of Tamarillo Peel Extract on Il-6 Rat Post Carrageenin Induction. Jurnal Biomedika Dan, 5(1), 75–81. https://doi.org/10.18051/JBiomedKes.2022.v5.75-81. DOI: https://doi.org/10.18051/JBiomedKes.2022.v5.75-81

Sarihati, I. G. A. D., Cahyani, K. I. S., Arjani, I. A. M., Kurniawan, S. B., & Bekti, H. S. (2020). Gambaran Kadar Serum Interleukin-6 pada Perokok Aktif. Meditory: The Journal of Medical Laboratory, 8(2), 109–120. https://doi.org/10.33992/m.v8i2.1282.

Sihotang, T. F., Jayawardhita, A. A. G., & Berata, I. D. (2019). Efektivitas Pemberian Gel Ekstrak Daun Binahong terhadap Kepadatan Kolagen pada Penyembuhan Luka Insisi Mencit Diabetes. Indonesia MedicusVeterinus, 8(1), 456–463. https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/564.

Spielman, A. F., Griffin, M. F., Parker, J., Cotterell, A. C., Wan, D. C., & Longaker, M. T. (2023). Beyond the Scar: A Basic Science Review of Wound Remodeling. Advances in Wound Care, 12(2), 57–67. https://doi.org/10.1089/wound.2022.0049. DOI: https://doi.org/10.1089/wound.2022.0049

Suarni, L., & Fitarina, F. (2019). Gambaran Kadar Serum Interleukin-6 pada Perokok Aktif. Meditory: The Journal of Medical Laboratory, 8(2), 109–120. https://doi.org/10.33992/m.v8i2.1282. DOI: https://doi.org/10.33992/m.v8i2.1282

Tauheed, A. M., Mamman, M., Ahmed, A., Sani, N. A., Suleiman, M. M., Sulaiman, M. H., & Balogun, E. O. (2021). Acute, sub-acute, sub-chronic and chronic toxicity studies of four important Nigerian ethnomedicinal plants in rats. Clinical Phytoscience, 7(1), 1. https://doi.org/10.1186/s40816-020-00244-2. DOI: https://doi.org/10.1186/s40816-020-00244-2

Zulkarnain, O., Yusra, S., & Cahyanto, H. N. (2023). Pengaruh Penggunaan Topikal Kandungan Zink terhadap Proses Penurunan Inflamasi pada Ulkus Diabetik Pasien Home Care Surabaya. Jurnal Ilmiah Ilmu Dan Teknologi Rekayasa, 5(1), 14–20. https://doi.org/10.31962/jiitr.v5i1.113. DOI: https://doi.org/10.31962/jiitr.v5i1.113

Downloads

Published

2024-07-25

How to Cite

Luh Ade Wilankrisna, Desak Made Lestari Dewi, Burhannuddin, Heri Setiyo Bekti, Nur Habibah, & I Wayan Karta. (2024). Wound Healing Potential of Virgin Coconut Oil in Combination With Extract of Neem Leaves (Azadirachta Indica L.) in Diabetic Rat Model. JST (Jurnal Sains Dan Teknologi), 13(2), 299–306. https://doi.org/10.23887/jstundiksha.v13i2.83677

Issue

Section

Articles