Effect of cinnamon bark (Cinnamomum burmannii) extract cream on IL-6 and SOD Expression in a rat excision wound model
Abstract
Wound healing is a complex biological process that restores tissue integrity, and disruption of this process can impair aesthetic appearance and cause psychological distress. Herbal agents such as cinnamon bark (Cinnamomum burmannii), known for its antioxidant, anti-inflammatory, and antibacterial properties, have potential to accelerate wound repair. This study aimed to evaluate the effect of cinnamon bark extract cream on interleukin-6 (IL-6) and superoxide dismutase (SOD) levels in rats with excision wounds. An experimental post-test only control group design was conducted using 24 male Wistar rats divided into four groups: normal rats (K1), excision wounds treated with povidone-iodine (K2), excision wounds treated with 4% cinnamon bark extract cream (K3), and excision wounds treated with 8% cinnamon bark extract cream (K4). Treatments were given for seven days, and on day eight, skin tissue samples were analyzed for IL-6 and SOD levels using the ELISA method. One-way ANOVA followed by LSD post hoc tests showed significant differences in SOD levels among groups (p = 0.001), with the 8% cinnamon bark extract cream group (43.01 ± 5.92 ng/L) demonstrating significantly higher levels compared to other groups. In contrast, IL-6 levels showed no significant differences between groups (p = 0.339). however, exploratory comparison suggested that the 4% cream group had the lowest mean IL-6 value (4.10 ± 1.36 ng/L) compared to povidone-iodine (4.74 ± 0.60 ng/L). Although confidence intervals crossed zero, the analysis indicated a small to moderate effect size (partial ?² = 0.185), suggesting treatment-related variability and a possible trend toward reduced inflammation in the 4% cream group. These findings suggest that topical administration of 8% cinnamon bark extract cream enhances antioxidant activity by increasing SOD levels in skin tissue after excision wounds, while the 4% cream may modestly attenuate IL-6, although further confirmatory studies are required.
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References
- 1. Prastika DD, Setiawan B, Saputro AL, Yudaniayanti IS, Wibawati PA, Fikri F. Effect of Shrimp Chitosan Topically on Collagen Density as Excision Wound Healing Parameter in Albino Rats. Jurnal Medik Veteriner. 2020;3(1):101-107. doi:10.20473/jmv.vol3.iss1.2020.101-107
- 2. Damayanti MM, Kartika Sari A, Furqoni AR. Effectiveness of natural lip balm cinnamon (Cinnamomum burmannii) in accelerating the incision wound healing process in rattus norvegicus. Published online 2022. doi:10.24198/pjd.vol34no3.9593
- 3. Wulandari P, Hutagalung MR, Perdanakusuma DS. Deteksi Kadar Transforming Growth Factor (Tgf- ?) Pada Luka Akut. Jurnal Rekonstruksi dan Estetik. 2021;6(1):1-13. doi:10.20473/JRE.V6I1.28225
- 4. Johnson BZ, Stevenson AW, Prêle CM, Fear MW, Wood FM. The role of IL-6 in skin fibrosis and cutaneous wound healing. Biomedicines. 2020;8(5). doi:10.3390/BIOMEDICINES8050101
- 5. Fujiwara T, Duscher D, Rustad KC, et al. Extracellular superoxide dismutase deficiency impairs wound healing in advanced age by reducing neovascularization and fibroblast function. Exp Dermatol. 2016;25(3):206-211. doi:10.1111/exd.12909
- 6. Bigliardi PL, Alsagoff SAL, El-Kafrawi HY, Pyon JK, Wa CTC, Villa MA. Povidone iodine in wound healing: A review of current concepts and practices. International Journal of Surgery. 2017;44:260-268. doi:10.1016/j.ijsu.2017.06.073
- 7. Kramer SA. Effect of povidone-iodine on wound healing: a review. J Vasc Nurs. 1999;17(1):17-23. doi:10.1016/S1062-0303(99)90004-3,
- 8. Nagoba B, Davane M. Studies on wound healing potential of topical herbal formulations- do we need to strengthen study protocol? J Ayurveda Integr Med. 2019;10(4):316-318. doi:10.1016/j.jaim.2019.09.002
- 9. Suliman RS, Ali H, Nurulain I, et al. Cinnamon bark extract for the formulation and characterisation of antimicrobial cream. Inter J Res Ayurveda Pharm. 2017;8(2):200-6. Int J Res Ayurveda Pharm. 2017;8(2):200-206. doi:10.7897/2277-4343.082113
- 10. Hajimonfarednejad M, Ostovar M, Raee MJ, Hashempur MH, Mayer JG, Heydari M. Cinnamon: A systematic review of adverse events. Clinical Nutrition. 2019;38(2):594-602. doi:10.1016/J.CLNU.2018.03.013,
- 11. Lusiana E, Savitri Tamzil N, Oktariana D, Seta Septadina I. Effectivity of Cinnamon (Cinnamomum burmanii) to decrease urea levels. International Journal of Islamic and Complementary Medicine. 2022;3(2):41-48. doi:10.55116/ijicm.v3i2.44
- 12. Parisa N, Hidayat R, Maritska Z, Prananjaya BA. Antidepressant effect of cinnamon (Cinnamomum burmannii) bark extract in chronic stress-induced rats. Open Access Maced J Med Sci. 2020;8(A):273-277. doi:10.3889/oamjms.2020.3995
- 13. HelmyAbdou KA, Ahmed RR, Ibrahim MA, Abdel-Gawad DRI. The anti-inflammatory influence of Cinnamomum burmannii against multi-walled carbon nanotube-induced liver injury in rats. Environmental Science and Pollution Research. 2019;26(35). doi:10.1007/s11356-019-06707-5
- 14. Rahayu DUC, Hakim RA, Mawarni SA, Satriani AR. Indonesian Cinnamon (Cinnamomum burmannii): Extraction, Flavonoid Content, Antioxidant Activity, and Stability in the Presence of Ascorbic Acid. Cosmetics. 2022;9(3). doi:10.3390/cosmetics9030057
- 15. Lewa S, Gugule S. Cinnamon (Cinnamomum burmannii) Bark Essential Oil as Raw Material for Skin Cream and Anti-Bacterial. Acta Chimica Asiana. 2022;5(1):158-165. doi:10.29303/aca.v5i1.80
- 16. Kurahashi T, Fujii J. Roles of antioxidative enzymes in wound healing. J Dev Biol. 2015;3(2):57-70. doi:10.3390/jdb3020057
- 17. Tanaka T, Narazaki M, Kishimoto T. Il-6 in inflammation, Immunity, And disease. Cold Spring Harb Perspect Biol. 2014;6(10). doi:10.1101/cshperspect.a016295
- 18. Sari N, Samsul E, Narsa AC. Pengaruh Trietanolamin pada Basis Krim Minyak dalam Air yang Berbahan Dasar Asam Stearat dan Setil Alkohol. Proceeding of Mulawarman Pharmaceuticals Conferences. 2021;14:70-75. doi:10.25026/mpc.v14i1.573
- 19. Nourian Dehkordi A, Mirahmadi Babaheydari F, Chehelgerdi M, Raeisi Dehkordi S. Skin tissue engineering: Wound healing based on stem-cell-based therapeutic strategies. Stem Cell Res Ther. 2019;10(1). doi:10.1186/s13287-019-1212-2
- 20. Gonzalez ACDO, Andrade ZDA, Costa TF, Medrado ARAP. Wound healing - A literature review. An Bras Dermatol. 2016;91(5):614-620. doi:10.1590/ABD1806-4841.20164741
- 21. Landén NX, Li D, Ståhle M. Transition from inflammation to proliferation: a critical step during wound healing. Cellular and Molecular Life Sciences 2016 73:20. 2016;73(20):3861-3885. doi:10.1007/S00018-016-2268-0
- 22. Johnson BZ, Stevenson AW, Prêle CM, Fear MW, Wood FM. The Role of IL-6 in Skin Fibrosis and Cutaneous Wound Healing. Biomedicines 2020, Vol 8, Page 101. 2020;8(5):101. doi:10.3390/BIOMEDICINES8050101
- 23. Putra A, Alif I, Hamra N, et al. MSC-released TGF-? regulate ?-SMA expression of myofibroblast during wound healing. J Stem Cells Regen Med. 2020;16(2):73. doi:10.46582/JSRM.1602011
- 24. Johnson KE, Wilgus TA. Vascular Endothelial Growth Factor and Angiogenesis in the Regulation of Cutaneous Wound Repair. Adv Wound Care (New Rochelle). 2014;3(10):647-661. doi:10.1089/WOUND.2013.0517
- 25. Begenisic T, Pavese C, Aiachini B, Nardone A, Rossi D. Dynamics of biomarkers across the stages of traumatic spinal cord injury - Implications for neural plasticity and repair. Restor Neurol Neurosci. 2021;39(5):339-366. doi:10.3233/RNN-211169;WGROUP:STRING:PUBLICATION
- 26. Eming SA, Wynn TA, Martin P. Inflammation and metabolism in tissue repair and regeneration. Science (1979). 2017;356(6342):1026-1030. doi:10.1126/SCIENCE.AAM7928,
- 27. Nahhas AF, Abdel-Malek ZA, Kohli I, Braunberger TL, Lim HW, Hamzavi IH. The potential role of antioxidants in mitigating skin hyperpigmentation resulting from ultraviolet and visible light-induced oxidative stress. Photodermatol Photoimmunol Photomed. 2019;35(6):420-428. doi:10.1111/phpp.12423
- 28. Borgstahl GEO, Oberley-Deegan RE. Superoxide dismutases (SODs) and SOD mimetics. Antioxidants. 2018;7(11). doi:10.3390/antiox7110156
- 29. Fadilah NIM, Phang SJ, Kamaruzaman N, et al. Antioxidant Biomaterials in Cutaneous Wound Healing and Tissue Regeneration: A Critical Review. Antioxidants. 2023;12(4). doi:10.3390/antiox12040787
- 30. Alqirnawdi MAA, Khotimah H, Santosa S, Mintaroem K. The effect of cinnamon to the expression of SOD-1 and TNF-? in indomethacin-induced gastric ulcer rat. AIP Conf Proc. 2020;2231. doi:10.1063/5.0007560
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