Healing Effects of Luteolin Versus Silver Sulphadiazine on Second-Degree Burn Wounds in Animal Model

Comparing Wound Healing Effect of Luteolin Vs. SSD Ointments

Authors

  • Seyed Alireza Salimi-Tabatabaee Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
  • Fatemeh Karamali Department of Cardiovascular Medicine, Kashan University of Medical Sciences, Kashan, Iran
  • Ghobad Rahimi Department of Internal Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
  • Seyed Abbas Mirmalek Department of Surgery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  • Shima Shafagh Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
  • Hossein Sadeghi Hassan Abadi Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

DOI:

https://doi.org/10.31661/gmj.v13i.3351

Keywords:

Luteolin; Burn Wound; Healing; Neutral Product; Silver Sulphadiazine

Abstract

Background: Burn wounds are one of the most important injuries with significant mortality and morbidity. Although some treatments like silver sulphadiazine (SSD) ointment were introduced, the more effective as well as lower complications agents are under investigation. Current evidence shows that luteolin, as a flavonoid component of some fruits, has potent anti-inflammatory and antioxidative properties. this study aimed to investigate healing effects of luteolin ointments on second-degree burn wounds in rat models and compared it with SSD. Materials and Methods: Thirty male rats were randomly divided into five equal groups. A 2×2 cm2 circled second-degree wound was induced on the dorsal surface of the rat neck. In the control group, rats received no any treatments while in the vehicle group rats received ointment base, i.e., eucerin. Rats in positive control and experimental groups were treated with SSD and luteolin ointments (i.e., contained 2 and 5 percent of luteolin), respectively. The treatments of rats were performed daily for 17 days and wound closer rate (WCR) was measured. Also, histopathological examinations graded the severity of tissue damages using the determination of collagen formation, re-epithelialization, angiogenesis rate, and polymorphological leukocyte density. Results: On the 17th day, WCR in control and vehicle groups was markedly lower than in both treatment and experimental groups (P<0.005). Also, WCRs in the L2% and L5% groups were higher than the SSD group. Histopathological studies indicated more significant wound healing effects of L2% and L5% ointments versus SSD and eucerin treatments in terms of tissue-enhanced damage severity in a dose-dependent manner. Also, collagen formation and re-epithelialization were markedly more observed in the rats, which received luteolin ointments than in other groups. Conclusion: Our study revealed that based on WCR and histopathological examination findings, luteolin ointments could significantly enhance wound healing more than SSD in the second-degree wounds rat model.

References

Yadollah-Damavandi S, Chavoshi-Nejad M, Jangholi E, Nekouyian N, Hosseini S, Seifaee A, et al. Topical Hypericum perforatum Improves Tissue Regeneration in Full-Thickness Excisional Wounds in Diabetic Rat Model. Evidence-based complementary and alternative medicine: eCAM. 2015;2015:245328.

https://doi.org/10.1155/2015/245328

PMid:26417372 PMCid:PMC4568368

Dissanaike S, Rahimi M. Epidemiology of burn injuries: highlighting cultural and socio-demographic aspects. International review of psychiatry. 2009;21(6):505-11.

https://doi.org/10.3109/09540260903340865

PMid:19919203

Smolle C, Cambiaso-Daniel J, Forbes AA, Wurzer P, Hundeshagen G, Branski LK, et al. Recent trends in burn epidemiology worldwide: a systematic review. Burns. 2017;43(2):249-57.

https://doi.org/10.1016/j.burns.2016.08.013

PMid:27600982 PMCid:PMC5616188

Abbasy Z, Tameh AA, Mozaffari-Kermani R, Arani HZ, Talaei SA. Effect of topical Areca palm L hydroalcoholic extract on burn wound healing in rats. Journal of Advanced Veterinary and Animal Research. 2021;8(4):619.

https://doi.org/10.5455/javar.2021.h553

PMid:35106302 PMCid:PMC8757671

Rafiee S, Nekouyian N, Hosseini S, Sarabandi F, Chavoshi-Nejad M, Mohsenikia M, et al. Effect of topical linum usitatissimum on full thickness excisional skin wounds. Trauma Monthly. 2017;22(6):e39045.

https://doi.org/10.5812/traumamon.39045

Jangholi E, Tehrani S, Lotfi P, Tehrani S, Aryan H, Aidun A. Healing effect of sesame ointment on second-degree burn wound in rats. Galen Medical Journal. 2016;5(2):e658-.

https://doi.org/10.31661/gmj.v5i2.658

Aziz N, Kim MY, Cho JY. Anti-inflammatory effects of luteolin: A review of in vitro, in vivo, and in silico studies. Journal of ethnopharmacology. 2018;225:342-58.

https://doi.org/10.1016/j.jep.2018.05.019

PMid:29801717

Mehta C, Kushwaha K, Gupta J. Luteolin: protective effects against diabetes and diabetes associated complications. Romanian Journal of Diabetes Nutrition and Metabolic Diseases. 2021;28(3):303-10.

Lodhi S, Singhai AK. Wound healing effect of flavonoid rich fraction and luteolin isolated from Martynia annua Linn on streptozotocin induced diabetic rats. Asian Pacific journal of tropical medicine. 2013;6(4):253-9.

https://doi.org/10.1016/S1995-7645(13)60053-X

PMid:23608325

Chen LY, Cheng HL, Kuan YH, Liang TJ, Chao YY, Lin HC. Therapeutic potential of luteolin on impaired wound healing in streptozotocin-induced rats. Biomedicines. 2021;9(7):761.

https://doi.org/10.3390/biomedicines9070761

PMid:34209369 PMCid:PMC8301369

Chen G, Shen H, Zang L, Su Z, Huang J, Sun Y, et al. Protective effect of luteolin on skin ischemia-reperfusion injury through an AKT-dependent mechanism. International journal of molecular medicine. 2018;42(6):3073-82.

https://doi.org/10.3892/ijmm.2018.3915

PMid:30280183 PMCid:PMC6202092

Mirmalek SA, Parsa T, Parsa Y, Damavandi SY, Salimi-Tabatabaee SA, Jangholi E, et al. The wound healing effect of Iris forentina on full thickness excisional skin wounds: A histomorphometrical study. ||| Bangladesh Journal of Pharmacology|||. 2016;11(1):86-90.

https://doi.org/10.3329/bjp.v11i1.23906

Lukiswanto BS, Miranti A, Sudjarwo SA, Primarizky H, Yuniarti WM. Evaluation of wound healing potential of pomegranate (Punica granatum) whole fruit extract on skin burn wound in rats (Rattus norvegicus). Journal of advanced veterinary and animal research. 2019;6(2):202.

https://doi.org/10.5455/javar.2019.f333

PMid:31453192 PMCid:PMC6702873

Muruganathan N, Dhanapal AR, Baskar V, Muthuramalingam P, Selvaraj D, Aara H, et al. Recent updates on source, biosynthesis, and therapeutic potential of natural flavonoid luteolin: A review. Metabolites. 2022;12(11):1145.

https://doi.org/10.3390/metabo12111145

PMid:36422285 PMCid:PMC9696498

Kant V, Kumari P, Jitendra DK, Ahuja M, Kumar V. Nanomaterials of natural bioactive compounds for wound healing: Novel drug delivery approach. Current Drug Delivery. 2021;18(10):1406-25.

https://doi.org/10.2174/1567201818666210729103712

PMid:34325636

Caporali S, De Stefano A, Calabrese C, Giovannelli A, Pieri M, Savini I, et al. Anti-inflammatory and active biological properties of the plant-derived bioactive compounds luteolin and luteolin 7-glucoside. Nutrients. 2022;14(6):1155.

https://doi.org/10.3390/nu14061155

PMid:35334812 PMCid:PMC8949538

Dong R, Huang R, Shi X, Xu Z, Mang J. Exploration of the mechanism of luteolin against ischemic stroke based on network pharmacology, molecular docking and experimental verification. Bioengineered. 2021;12(2):12274-93.

https://doi.org/10.1080/21655979.2021.2006966

PMid:34898370 PMCid:PMC8810201

Zulkefli N, Che Zahari CN, Sayuti NH, Kamarudin AA, Saad N, Hamezah HS, et al. Flavonoids as potential wound-healing molecules: Emphasis on pathways perspective. International journal of molecular sciences. 2023;24(5):4607.

https://doi.org/10.3390/ijms24054607

PMid:36902038 PMCid:PMC10003005

Mhimed O, Al-Alsadoon L, Taqa G. Evaluating the Effect of Topical Flavonoid Luteolin on Skin Wound Healing in Rabbits. Egyptian Journal of Veterinary Sciences. 2023;54(2):199-209.

https://doi.org/10.21608/ejvs.2022.165585.1401

Nabavi SF, Braidy N, Gortzi O, Sobarzo-Sanchez E, Daglia M, Skalicka-Woźniak K, et al. Luteolin as an anti-inflammatory and neuroprotective agent: A brief review. Brain research bulletin. 2015;119:1-1.

https://doi.org/10.1016/j.brainresbull.2015.09.002

PMid:26361743

Budovsky A, Yarmolinsky L, Ben‐Shabat S. Effect of medicinal plants on wound healing. Wound Repair and Regeneration. 2015;23(2):171-83.

https://doi.org/10.1111/wrr.12274

PMid:25703533

Wu X, Chen HW, Zhao ZY, Li L, Song C, Xiong J, et al. Carbopol 940-based hydrogels loading synergistic combination of quercetin and luteolin from the herb Euphorbia humifusa to promote Staphylococcus aureus infected wound healing. RSC Medicinal Chemistry. 2024;15(2):553-60.

https://doi.org/10.1039/D3MD00611E

PMid:38389873

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Published

2024-08-02

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Original Article