A Study on the Effectiveness of Jatropha multifida L. Latex–CMC (Carboxymethyl Chitosan) in the In Vivo Healing of Second-Degree Burns (Expression of FGF, Fibroblasts, and Collagen)
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Burn injuries remain a significant health concern because delayed healing can increase the risk of infection, scarring, disability, and treatment-related costs. This study aimed to evaluate the effectiveness of a gel formulation combining 15% Jatropha multifida L. latex and 3% carboxymethyl chitosan (CMC) in the healing of second-degree burns. Male Sprague–Dawley rats were assigned to six groups: saline, gel base, J. multifida latex, 3% CMC, Bioplacenton, and J. multifida–CMC gel. Second-degree burns were induced using a heated metal probe, and treatments were administered according to group allocation. Skin tissue samples were collected on days 5, 10, and 15. Fibroblast growth factor (FGF) expression was examined using immunohistochemical analysis, fibroblast numbers were quantified using hematoxylin–eosin staining, and collagen density was evaluated using Masson’s trichrome staining. Data were analyzed using parametric or nonparametric statistical tests with a significance level of p < 0.05. The combined gel increased FGF expression, particularly on day 15, and produced significant differences in fibroblast numbers across all observation periods. Collagen density also improved significantly on days 10 and 15, indicating enhanced extracellular matrix formation and tissue remodeling. These effects may be attributed to the complementary bioactive properties of J. multifida latex and the moist, biocompatible environment provided by CMC. In conclusion, J. multifida–CMC gel demonstrated potential as an antibiotic-free therapeutic option for second-degree burn healing; however, further toxicity assessments and clinical studies are required to confirm its safety and efficacy.
Ardizzone, A., Bova, V., Casili, G., Repici, A., Lanza, M., Giuffrida, R., Colarossi, C., Mare, M., Cuzzocrea, S., & Esposito, E. (2023). Role of basic fibroblast growth factor in cancer: biological activity, targeted therapies, and prognostic value. Cells, 12(7), 1002.
Aryantini, D., Sari, E., & Dewi, S. W. (2021). Karakter spesifik ekstrak daun yodium (Jatropha multifida L.) dari tiga lokasi tempat tumbuh di Jawa Timur. Journal of Pharmaceutical Science and Technology (PST), 3(1), 156. https://doi.org/10.30649/pst.v3i1.109
Aydoğdu, M., Sağlam, F., & Kaya, H. (2020). The global burden and epidemiology of burn injuries. Burns Open, 4(3), 92–99. https://doi.org/10.1016/j.burnso.2020.04.002
Bastari, B. B., Yunita, E., Sari, K., Asteria, M., Famil, J., & Oktoviani, O. (2023). Comparison of propolis extracts and bioplacenton at epidermal re-epithelialization process in burn wound of mice (Mus musculus). Sang Pencerah: Jurnal Ilmiah Universitas Muhammadiyah Buton, 9(2), 355–363. https://doi.org/10.35326/pencerah.v9i2.3007
Brych, E., et al. (2021). Quality of life after burn injury: A systematic review. Burns, 47(6), 1243–1254.
Chen, L., et al. (2021). Analgesic Protocols for Burn Injury Research in Rodent Models. Experimental Animals, 70(2), 145-155.
DOI: 10.1538/expanim.20-0123
Cheng, N.-C., Lin, W.-J., Ling, T.-Y., & Young, T.-H. (2019). Sustained release of epidermal growth factor by poly(AA-co-HEMA) hydrogel for corneal wound healing. Biomaterials, 34(28), 7406–7414. https://doi.org/10.1016/j.biomaterials.2013.06.048
Cialdai, F., et al. (2022). Role of fibroblasts in wound healing and tissue remodeling. Frontiers in Bioengineering and Biotechnology. https://doi.org/10.3389/fbioe.2022.1001684
Cristina, L., et al. (2023). The economic and clinical burden of burn injuries in a tertiary care government hospital in Central Manila: A prospective study. Burns Open.
Dai, T., Tanaka, M., Huang, Y. Y., & Hamblin, M. R. (2011). Chitosan preparations for wounds and burns: Antimicrobial and wound-healing effects. Expert Review of Anti-infective Therapy, 9(7), 857–879. https://doi.org/10.1586/eri.11.59
Dougnon, V. T., Bankole, H. S., Gbenou, J. D., Klotoe, J. R., Dougnon, T. J., Loko, F., ... & Fah, L. (2012). Wound healing activity of Jatropha multifida L. latex on mice. International Journal of Pharmaceutical Sciences Review and Research, 15(1), 22–27.
Frontiers in Bioengineering and Biotechnology. (2024). Biomaterials, Volume 12. https://doi.org/10.3389/fbioe.2024.1429771
Gonçalves, S. A., Pinto, R. J. B., Silvestre, A. J. D., & Freire, C. S. R. (2021). Bacterial nanocellulose-based wound dressings: Potential of biocomposites for biomedical applications. Materials, 14(15), 4304. https://doi.org/10.3390/ma14154304
Gospodarek, A. M., Kozioł, M. M., Tobiasz, M., Baj, J., Radzikowska-Büchner, E., & Przekora, A. (2022). Burn wound healing: Clinical complications, medical care, treatment, and dressing types: The current state of knowledge for clinical practice. International Journal of Environmental Research and Public Health, 19(3), 1338. https://doi.org/10.3390/ijerph19031338
Gurtner, G. C., Werner, S., Barrandon, Y., & Longaker, M. T. (2008). Wound healing and regeneration. Nature, 453(7193), 314–321. https://doi.org/10.1038/nature07039
Hall, J. E., & Guyton, A. C. (2017). Textbook of medical physiology (13th ed.). Elsevier.
Harliananda, V., Aghasy, M. M., & Hardinsyah, H. (2019). Uji aktivitas antibakteri sediaan salep kombinasi ekstrak etanol daun jarak tintir (Jatropha multifida L.) terhadap Staphylococcus aureus dan Escherichia coli. Pharmacon: Jurnal Farmasi Indonesia, 16(2), 93–101.
Hernandez, M. G., Zhang, Y., & Gálvez, A. O. (2021). Phytochemical and biological activities of Jatropha species. Phytomedicine Plus, 1(3), 100058. https://doi.org/10.1016/j.phyplu.2021.100058
Hishida, T., Kubo, A., Furuyama, A., Sasaki, M., Yamashita, Y., & Koga, Y. (2020). Histological analysis of a rat model of second-degree burn wounds treated with chitosan hydrogel and bFGF. Burns, 46(6), 1397–1405. https://doi.org/10.1016/j.burns.2020.01.008
Jeschke, M. G., et al. (2020). Burn injury. Nature Reviews Disease Primers, 6(1), 11. https://doi.org/10.1038/s41572-020-0145-5
Khan, B. A., Karim, F., Khan, M. K., Haider, F., & Khan, S. (2021). Synthesis and characterization of polymeric responsive CMC/Pectin hydrogel films loaded with Tamarix aphylla extract as potential wound dressings. Biocell, 45(5), 1273–1285. https://doi.org/10.32604/biocell.2021.015323
Kinasih, I., Darmawi, D., & Wahyuni, S. (2021). Aktivitas antibakteri ekstrak daun Jatropha multifida L. terhadap Staphylococcus aureus dan Escherichia coli. Jurnal Ilmu dan Teknologi Kesehatan, 9(1), 37–42.
Kornhaber, R., et al. (2021). The effectiveness of psychosocial interventions for psychological outcomes in adult burn survivors: A systematic review and meta-analysis. Burns, 47(5), 1009–1020.
Miricescu, D., Totan, A., Stanescu-Spinu, I., Badoiu, S. C., & Greabu, M. (2021). Growth factors involved in wound healing process. Journal of Mind and Medical Sciences, 8(1), 39–45. https://doi.org/10.22543/7674.81.P3945
Nouvlessounon, D., Adoukonou-Sagbadja, H., Avlessi, F., Alowanou, G. G., & Sohounhloue, D. K. C. (2023). Pharmacological potentials and ethnobotanical relevance of Jatropha multifida L. extracts: A mini-review. African Journal of Traditional, Complementary and Alternative Medicines, 20(1), 12–22.
Patel, N. R., Patel, D. A., & Patel, P. M. (2015). Formulation and Evaluation of Topical Gel of Antifungal Drug. International Journal of Pharmaceutical Sciences and Research, 6(8), 3378-3384.
Rusdy, H., Hermansyah, H., & Mutmainnah, M. (2022). Kajian farmakognostik dan aktivitas antioksidan dari tanaman Jatropha multifida L. Jurnal Penelitian Farmasi Indonesia, 11(2), 123–132.
Saputra, R., Fahma, F., & Sunarti, T. C. (2021). Physical and Mechanical Properties of Carboxymethyl Cellulose (CMC) Film from Water Hyacinth with Glycerol Plasticizer. Jurnal Penelitian Pascapanen Pertanian, 18(1), 1-10.
Suwenita, S., Mariani, M., & Fitriah, F. (2019). Efektivitas sediaan topikal ekstrak daun binahong terhadap jumlah fibroblas dan kadar kolagen pada tikus. Jurnal Kedokteran Brawijaya, 31(3), 195–201. https://doi.org/10.21776/ub.jkb.2019.031.03.6
Syromiatnikova, V. Y., Kvon, A. I., Starostina, I. G., & Gomzikova, M. O. (2024). Strategies to enhance the efficacy of FGF2-based therapies for skin wound healing. Archives of Dermatological Research, 316(7), 405. https://doi.org/10.1007/s00403-024-02953-x
Tottoli, E. M., 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. https://doi.org/10.3390/pharmaceutics12080735
Wang, H., et al. (2020). Ethical Considerations and Pain Management in Burn Wound Healing Studies. Journal of Burn Care & Research, 41(4), 789-798.
DOI: 10.1093/jbcr/iraa045
Wang, Y., et al. (2020). A composite hydrogel with co-delivery of antimicrobial peptides and platelet-derived growth factor for enhancing wound healing. Journal of Materials Chemistry B, 8(35), 7937–7947. https://doi.org/10.1039/D0TB01074A
Zahra, R., Ahmad, A., & Aslam, M. (2021). Therapeutic potential of growth factors for wound healing in burn injuries. Frontiers in Molecular Biosciences, 8, 739559. https://doi.org/10.3389/fmolb.2021.739559
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