Wound Healing Potential of Virgin Coconut Oil in Combination With Extract of Neem Leaves (Azadirachta Indica L.) in Diabetic Rat Model
DOI:
https://doi.org/10.23887/jstundiksha.v13i2.83677Keywords:
Diabetic ulcer, Neem leaves, Interleukin-6Abstract
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
How to Cite
Issue
Section
License
Copyright (c) 2024 Wilan Krisna
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with the Jurnal Sains dan Teknologi (JST) agree to the following terms:
- Authors retain copyright and grant the journal the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. (See The Effect of Open Access)