Page 32 - KOMPILASI POSTER PRESENTATION 4th_UDAYANA INC 2022
P. 32

Spondias pinnata Leaf Extract Gel Improves Wound












                                                                                                                                                                                                                                                Healing in Diabetic Rats











                                                                                                                                                                                                                                                                                                       1
                                                                                                                                                                                                                                                          Desak Made Widyanthari , Gusti Ayu Ary Antari , I Made Agus Gelgel Wirasuta , Pande Made Nova Armita Sari                                                                                             4
                                                                                                                                                                                                                                                                                                                                               2
                                                                                                                                                                                                                                                                                                                                                                                                      3
                                                                                                                                                                                                                                                                                        1,2  Department of Nursing, Faculty of Medicine, Universitas Udayana, Indonesia
                                                                                                                                                                                                                                                                      3,4  Pharmacy Study Program, Faculty of Mathematics and Science, Universitas Udayana, Indonesia




                                                                                                                                                                                                                                                                                                              Corresponding author:  desakwidyanthari@unud.ac.id







             INTRODUCTION                                                                                                                                                                                                                                   RESULT                                                                                                                                                                                                                                 DISCUSSION









              Diabetes Mellitus (DM) caused impaired wound healing.


                                                                                                                                                                                                                                                            Image 1. Identification of Phytochemical Compoundsof Spondias pinnata leaves

              The inflammatory process in diabetic wounds will be                                                                                                                                                                                                                                                                                                                                                                                                                                  Administration leaf extract gel of Spondias pinnata





              prolonged due to the accumulation of neutrophils and                                                                                                                                                                                                                                                                                                                                                                                                                                 accelerated the wound healing process in diabetic rats





              an excessive increase in Reactive Oxygen Species                                                                                                                                                                                                                                                                                                                                                                                                                                     by shortening the inflammatory phase compared to the





              (ROS). Protease inhibitors that protect tissue cells and                                                                                                                                                                                                                                                                                                                                                                                                                             control                           group.                           Antioxidants                                          work                        by                 delaying,





              the extracellular matrix will be damage. Antioxidants will
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   preventing, or eliminating oxidative damage to target



              inhibit the work of proteases and ROS formed from the                                                                                                                                                                                                                                                                                                                                                                                                                                molecules. Flavonoids work as ROS scavengers by





              accumulation of neutrophils in the wound area and                                                                                                                                                                                                                                                                                                                                                                                                                                    scavenging free radicals, chelating metals, suppressing





              protect protease inhibitors from oxidative damage. Leaf                                                                                                                                                                                                                                                                                                                                                                                                                              enzymes associated with free radical formation and




              extract gel of Spondias pinnata (L.f) Kurz contain                                                                                                                                                                                                                                                                                                                                                                                                                                   stimulating internal antioxidant enzymes. Flavonoids are





              flavonoids, phenols and alkaloids that suppress ROS                                                                                                                                                                                         Image 2 .  Wound healing progress                                                                                                                                                                                                        able                    to             inhibit                       the                 expression                                      of              nitric                   oxide,





              activity through antioxidant and anti inflammatory                                                                                                                                                                                                                                                                                                                                                                                                                                   cyclooxidase and lipoxygenase synthesis isoforms,





              activities. This study aims to determine the effect of                                                                                                                                                                                                                                                                                                                                                                                                                               which are responsible for the inflammatory process,





              ethanolic extract gel from Spondias pinnata leaves on                                                                                                                                                                                                                                                                                                                                                                                                                                resulting improve of wound healing process.





              the healing process of diabetic wounds.



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 CONCLUTION








                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 .

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Extract gel of Spondias pinnata leaf significantly




             METHODS                                                                                                                                                                                                                                                                                                                                                                                                                                                                             improves the healing process of diabetic wounds.








                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 ANKNOWLEDGMENTS









             The research design was a true experimental research                                                                                                                                                                                                                                                                                                                                                                                                                                The funding source of the research is from





             with randomized post test only control group design.                                                                                                                                                                                                                                                                                                                                                                                                                                Universitas Udayana with Contract Number





             Rats were induced using streptozotocin (STZ) at a dose                                                                                                                                                                                                                                                                                                                                                                                                                              B/4969-57/UN14.2.2.VII.1/PT.01.03/2021





             of 35 mg/kgBB in citrate biffer pH 4.5 intraperotoneally.                                                                                                                                                                                                                                                                                                                                                                                                                          Reference





             A total of 29 male rats which were divided into 5 groups;





             group of non DM rats, DM rats given a placebo, DM rats                                                                                                                                                                                                                                                                                                                                                                                                                        • Arulselvan, P., Fard, M. T., Tan, W. S., Gothai, S., Fakurazi, S., Norhaizan, M. E., & Kumar, S. S. (2016). Role of



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Antioxidants and Natural Products in Inflammation. Oxidative Medicine and Cellular Longevity, 2016.
             given leaf extract gel of Spondias pinnata with a                                                                                                                                                                                                                                                                                                                                                                                                                                  https://doi.org/10.1155/2016/5276130




             concentration of 5%, 7.5% and 10%. The wound was                                                                                                                                                                                                                                                                                                                                                                                                                              • Azizah, S., Nursamsiar., & Nur, S. (2019). Uji Aktivitas Antioksidan Ekstrak Etanol Daun Kedondong Hutan (Spondias

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                pinnata (L.F.) Kurz.) Dengan Berbagai Metode Uji. J. Akademika Kim., 5(1), 91–96.


             made using a 5 mm puch biopsy on the back. Spondias                                                                                                                                                                                                                                                                                                                                                                                                                           • Ebaid H, Ahmed O, Mahmoud A, Ahmed R. (2013). Limiting prolonged inflammation during proliferation and remodeling


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                phases of wound healing in streptozotocin-induced diabetic rats supplemented with camel undenatured whey

             pinnata leaf extract gel was applied twice a day for 10                                                                                                                                                                                                                                                                                                                                                                                                                            protein. BMC Immunol. 14:31



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           • Sujarwo, W., Saraswaty, V., Keim, A. P., Caneva, G., & Tofani, D. (2017). Ethnobotanical uses of ‘cemcem’ (Spondias
             days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                              pinnata (L. F.) kurz; anacardiaceae) leaves in bali (Indonesia) and its antioxidant activity. Pharmacologyonline, 1(July),

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                113–123.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           • Süntar, I., Akkol, E. K., Nahar, L., & Sarker, S. D. (2012). Wound healing and antioxidant properties: do they coexist in
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                plants? Free Radicals and Antioxidants, 2(2), 1–7. https://doi.org/10.5530/ax.2012.2.2.




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           • Yussof, S. J. M., Omar, E., Pai, D. R., & Sood, S. (2012). Cellular events and biomarkers of wound healing. Indian
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Journal of Plastic Surgery, 45(2), 220–228. https://doi.org/10.4103/0970-0358.101282








                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       th
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     4 Udayana International Nursing Conference
   27   28   29   30   31   32   33   34   35   36