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Singh et al. World Journal of Pharmacy and Pharmaceutical Sciences
FORMULATION AND EVALUATION OF HERBAL GEL FROM
DIFFERENT PARTS OF CYAMPOSIS TETRAGONOLOBA (L.) TAUB.
FOR WOUND HEALING
Sumitra Singh* and Bhagwati Devi Rohilla
Department of Pharmaceutical Sciences, Guru Jambheshwar University of Science and
Technology, Hisar-125001 Haryana India.
ABSTRACT
The hydrogels prepared from ethanol extracts of leaves and fruits of
Cyamposis tetragonoloba (L.) Taub. were investigated for their healing
effect on excision and incision wound surface on swiss albino mice.
Different formulations were topically applied on the wound surface as
a single dose. Percentage of wound contraction, period of complete
epithilization of excision and tensile strength of incision wound and
histological studies of granulation tissue were used to evaluate effect of
wound healing. The activity was compared with that of the control and
metrogel (1% w/w) as standard drug. Both the formulation showed a
significantly higher rate of contraction and shorten epithilization period
in both the test models. In excision model healing was 99% in gel
containing 5% w/w fruit ethanol extract and 90% in gel containing 5%
w/w leaf ethanol extract (p<0.001) on 12th
day compared to 80% and 60% of healing with
standard metrogel (1% w/w) and control, respectively. In incision wound model there was
significantly increase in tensile strength (p<0.001). The result revealed that gel formulation
has got potential wound healing activity.
KEYWORDS: Excision wound model, Incision wound model, Cyamposis tetragonoloba
(L.) Taub.
INTRODUCTION
Cyamposis tetragonoloba (L.) Taub. (family- Fabaceae) are hardy and drought resistant
herb.[1]
It is cultivated in hotter parts of India particularly in Haryana, Panjab, Rajasthan and
WORLD JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES
SJIF Impact Factor 6.041
Volume 5, Issue 3, 740-752. Research Article ISSN 2278 – 4357
Article Received on
24 Dec 2015,
Revised on 13 Jan 2016,
Accepted on 03 Feb 2016
*Correspondence for
Author
Dr. Sumitra Singh
Department of
Pharmaceutical Sciences,
Guru Jambheshwar
University of Science and
Technology, Hisar-
125001 Haryana India.
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Singh et al. World Journal of Pharmacy and Pharmaceutical Sciences
Gujarat for vegetable, fodder, green manure and seed gum. Oral administration of ethanol
extract of powdered pods has shown significant anti-ulcer, anti-secretory and cytoprotective
effects.[2]
Wounds are physical injuries that result in an opening or break of the skin. Proper
healing of wounds is essential for the restoration of disrupted anatomical continuity and
disturbed functional status of the skin.[3]
The wound-healing process consists of four highly
integrated and overlapping phases: hemostasis, inflammation, proliferation and tissue
remodeling or resolution.[4]
For a wound to heal successfully, all four phases must occur in
the proper sequence and time frame. Many factors can interfere with one or more phases of
this process, thus causing improper or impaired wound healing.[5]
The population is aging,
and advanced age is commonly identified as a risk factor for delayed wound healing.[6]
Many
Ayurvedic herbal plants have a very important role in the process of wound healing. Plants
are more potent healers because they promote the repair mechanisms in the natural way. The
healing process can be physically monitored by assessing the rate of contraction of the
wound.[7]
A survey of literature revealed that no systematic approach has been made to study
wound healing activity of this plant. To validate the ethnotherapeutic claim of the plant in
skin diseases, wound healing activity was studied. In this communication we report the
formulation and study of topical gels of the various extracts and their wound healing activity.
MATERIAL AND METHODS
Plant Material
The plant material of Cyamposis tetragonoloba (L.) Taub. was collected from cultivated field
at Charkhi Dadri (Haryana, India) in the month of August 2012. The plant were
taxonomically identified and authenticated by Dr. Roshni Nayar, Head, Raw Materials,
Herbarium and Museum Division, NISCAIR, New Delhi, vide reference no,
NHCP/NBPGR/2012-34, date 20/10/12. A voucher specimen of the same has been retained
in the Department for the future reference. The leaves and fruits part were used for the
experimental work.
Experimental Animals
The healthy swiss albino mice of either sex, weighing 20-25 g, were housed under standard
environmental conditions of temperature and humidity (25±0.50ºC) and 12 hours light/dark
cycle) were utilized for the studies. The animals were fed with standard pellet diet and water
ad libitum. The Institutional animal ethical committee (Guru Jambheshwar University of
Science and Technology, Haryana, India) reference no. Ph/2013/224, dated 20/3/2013
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Singh et al. World Journal of Pharmacy and Pharmaceutical Sciences
approved the experimental protocol and care of laboratory animals were taken as per the
guidelines of CPCSEA, Ministry of Forest and Environment, Government of India
(Registration number 0436). The animals were divided into four groups. Each groups
contained six animals.
Group I - was assigned as control received simple gel base I.P.
Group II - received the standard drug (1% w/w metrogel).
Group III - received gel containing 5% w/w ethanol extract of leaves.
Group IV - received gel containing 5% w/w ethanol extract of fruits.
Preparation of Herbal Extract
The air-dried crude samples of leaves and fruits were pulverized and extracted respectively
with (95% v/v) ethanol using soxhlet apparatus for 24 hours. The solvent were removed
under vacuum. Semi solid masses with a yield of 15% and 19% w/w respectively were
obtained. The extracts were further used for evaluation of biological activity.
Preparation of Topical Formulations
Gel base IP
The simple gel was prepared according to the formula reported in Indian Pharmacopiea (IP)
as carbopol 934 (0.8%), propylene glycol (1 ml), ethanol (2 ml), triethanolamine (q.s.),
purified water (q.s.) for 20 gm. Carbopol was added in small amounts in purified water with
vigorous mechanical stirring, until the cloudy lump free and waited for air bubble to separate,
triethanolamine was added drop by drop and stirring by spatula, then remaining water added,
stirred the mixture thoroughly until gel formed. Packed it an gel jar. Simple gel base was
used as a control for the test animals.[8,9]
Medicated gel
The medicated gel were prepared by adding the ethanol extracts (5% w/w of leaves and 5%
w/w fruits respectively) were dissolved in purified water. These contents were added to the
contents of simple gel (IP) in similar manner. Stirred the mixture thoroughly until
homogenous gel was obtained. Packed it an gel jar.
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EXPERIMENTAL WORK
Monographic analysis of formulation
1. Content Uniformity
Five hundred milligram of the each gel were taken and dissolved in a small amount of buffer
pH 7.4. The volume were made up with buffer. The absorbance were measured at 284 for
each gel.[10]
2. Physical Stability
The gels were kept in collapsible tubes and were placed in the stability chamber, which was
maintained at 40°C and 75% relative humidity for 90 days. The gels were then observed for
any change in the consistency and colour.[11]
3. Spreadability
Test formulations 0.5 gm each were placed with in a circle of 1 cm diameter pre marked on a
glass plate over which a second glass plate was placed. A weight of 5 gm was allowed to rest
on the upper glass plate for 5 min. the increase in the diameter due to spreadability of the
formulation was noted.[11]
4. Drug Content
One gm of the gel was weight into a 100 ml beaker and dissolved in methanol, it was diluted
appropriately and analysis at 304.5 nm by UV spectrometry.[12]
5. Solubility Studies
The solubility of gels in water was determined by taking excess quantity of gel and adding to
screw capped 50 ml glass vials filled with water. The vials were shaken for 24 hours on
mechanical shaken for 24 hours on mechanical shaken at room temperature. The solution was
filtered through Whatmann filter paper No. 1 and the drug concentration was determined
spectrophotometrically at 260 nm.[12]
6. Viscosity
Viscosity of the gel prepared with different extracts were determined using a Brook Field
Digital Viscometer Helipath (LVDV 2P230). The spindle was inserted into the test solution
and the viscometer was sheared at different speeds of 20, 50 and 100 rpm at room
temperature. Viscosity values were recorded for different speeds of rotation. Graphs of
viscosity versus speed of rotation (in rpm) were plotted. Distilled water was used to prepare
gel formulations.[13]
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7. Permeability - In vitro release studies through excised rat skin (Franz’s diffusion cell
method)
The rat skin soaked in buffer for 6-8 hours was clamped carefully to one end of the dialysis
cell (donor compartment). Fifty milliliter phosphate buffer saline (PBS) containing 20%
ethanol was taken in a beaker (receptor compartment). Gel, of 1 gm quantity, was spread
uniformly on the membrane. The donor compartment was kept in contact with the receptor
compartment. The temperature was maintained at 37 ± 0.1°C. At predetermined time
intervals, 1 ml of the solution was pipetted out from the receptor compartment and
immediately replaced with 1 ml of fresh PBS. Thedrug concentration of the acceptor fractions
was determined against appropriate blank.[14]
Acute Dermal Toxicity Studies
The study was carried out to determine the therapeutic dose of the ethanol extracts of leaf and
fruit. The acute dermal toxicity testing of the ethanol extracts gels were done by applying the
gels of the highest concentrations of 10% (w/w) on the shaved back of the mice. The OECD
guidelines no. 402 were followed for the study.[15]
Excision Wound Model
The mice were anesthetized by administering ketamine (0.2 ml/kg b.w. i.p.). A full thickness
of the excision wound of circular area (approx. 300mm2) and 2 mm depth was made on the
shaved back of the mice 10 minutes later the administration of ketamine injection.[16]
The
wounding day was considered as day 0. The wounds were treated with topical application of
the gels, as described above till the wounds were completely healed. The wounds were
monitored and the area of wound was measured on 4, 8, 12, 16 postwounding days and the
mean percentage (%) wound closure was report. The period of epithilization was calculated
as the number of days required for falling of the dead tissue remnants without any residual
raw wound.[17]
Wound healing rate: (percentage of wound closure) = 100× (wound area on day 0- wound
area on n day)/Wound area on day 0, where n =number of days 4
th, 8
th, 12
th and 16
th day.
Incision Wound Model
In the incision model the mice were anesthetized by administering ketamine (0.2 ml/kg b. w.
i.p.) and longitudinal paravertebral incision of about 1.5 cm length were made through the
skin and cutaneous muscle at a distance about 1 cm from the midline on the deplicated back
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Singh et al. World Journal of Pharmacy and Pharmaceutical Sciences
of the mice 10 minutes later the administration of ketamine injection.[16]
After the incision,
the parted skin was sutured 1cm apart using a surgical thread (no.000) and a curved needle
no. 11 for stitching. The continuous thread on both wound edges were tightened for good
closure of the wounds. The wounds of animals in the different groups were treated with
topical application of the gels once a day, till the complete healing. The wounding day was
considered as day 0. When wounds were cured thoroughly, the sutures were removed on the
8th post-wounding day and the tensile strength of the skin that is the weight in grams required
to break open the wound/skin was measured in anesthetized mice by tensiometer on the 10th
day reported.[17]
The tensile strength of a wound represents the degree of wound healing.
Usually wound healing agents promote a gain in tensile strength. The sutures were removed
on the 9th day after wounding and the tensile strength was measured on the 10th
day.[18]
Tensile strength was calculated using the following formula: Tensile strength = breaking
strength (g)/cross-sectional area of skin (mm2).
[19]
Estimation of Biochemical Marker
Circular wound with approximate area of 300mm2 was created using the procedure described
in excision wound model. The wounds were treated with topical application of gels as
described above for 10 days. On the 11th day, the animals from each group were euthanized
using diethyl ether and used to determine hydroxyproline content.[17]
Histopathological Studies
For histological study, granulation tissue were fixed in 10% neutral formalin solution for 24
hours and dehydrated with a sequence of ethanol - xylene series of solution. The materials
were infiltered and embedded with paraffin (40-600C). Microtome sections were taken at 10µ
thickness. The section were processed in alcohol - xylene series and stained with hematoxylin
- eosin dye.[18]
RESULTS
Monographic analysis of formulation
1. Content Uniformity
Both the gel formulations of ethanol extracts of leaves and fruits showed 99% drug content
uniformity in their formulations.
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2. Physical Stability
Both gels of ethanol extracts of leaves and fruits containing 5% w/w of each drug were found
to be stable in the accelerated stability studies, as there was no change in the color and
consistency. Besides, air bubbles and crystals did not appear during the studies.
3. Spreadability
The spreadability of gel was found to be 6.4 cm.
4. Drug Content
Release of drug content increases by time involved.
5. Solubility Studies
Increase in solubility was time dependent, highly soluble.
6. Viscosity
Viscosity of gels prepared with ethanol extracts of leaves and fruits were measured
504±0.014, 563±0.043 cPs.
7. In vitro release studies of gel through rat skin
In vitro diffusion of extract from their gel formulations in phosphate buffer saline (pH 7.4)
containing 20% ethanol through rat skin was studied. The release of the drugs from the
formulations was progressive and steady. At the third hour, the rate of release of gel prepared
from ethanol extracts of leaves and fruits formulations were 71.30% and 87.85%
respectively.
Acute Dermal Toxicity Study
The treatment of normal mice with different concentration (5%, 10%, 12%) of ethanol
extracts of leaf and fruit in simple gel base for 14 days revealed the non toxic nature of test
extracts. There was no change in general behavior or appearance, loss in body weight etc.
Toxicity study showed no mortality up to the selected dose of 5%, 10% (w/w) body weight
till the end of experiment.
Biochemical Marker Estimation
Biochemical analysis estimated out increase in hydroxyproline content. Collegen is the most
abundant protein in human body. In normal tissues collagen provides strength, integrity and
structure. When tissues are disrupted due to injury, collagen is needed to repair the defect and
restore anatomic structure and function of tissue. Major component of extracellular matrix is
the collagen which provides strength and support.[20]
The collagen, composed of amino acid,
hydroxyproline, is the major component of the extra cellular tissue, which gives strength and
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support, Breakdown of collagen liberates free hydroxyproline and its peptides, Measurement
of hydroxyproline could be used as an index for collagen turnover, So the increment in
hydroxyproline is used for determining the collagen amount in the injured tissue.[21]
The
hydroxyproline content was found more increased in wound treated gel containing 5% w/w
fruits ethanol extract (13.98±0.19 µg/100mg) than gel containing 5% w/w leaves ethanol
extract (12.88±0.56 µg/100mg) and treated with standard drug (Table 1).
Excision Wound Study
In excision wound model, the percentage of wound contraction was calculated on 4th
, 8th
, 12th
and 16th
post wounding days for control (simple gel base treated group), standard (metrogel
treated group) and the test groups were gel containing ethanol extracts of leaves and fruits
(5% w/w each). Gel prepared from 5% ethanol extract of fruits showed the most significant
wound contraction rate (p<0.001) on 4th
, 8th
, 12th
and 16th
day post wounding days. The gel
prepared with 5% ethanol extracts of leaves showed very less significant (p<0.05) wound
contraction on 4th
day and significant (p<0.01) wound contraction on 8th
, 12th
and 16th
day.
Gel with 5% w/w fruits ethanol extracts gel with 5 % w/w exhibited the most significant
(p<0.001) period of epithelization. The gel prepared from 5% w/w leaves ethanol extracts
exhibited significant (p<0.01) effect which was comparable with standard effect on 12 day,
but less than effect of gel prepared with fruits ethanol extracts. The epithelization period was
18 days in case of animals treated with control gel base (Table 1).
Incision Wound Study
Incision wound healing activity in animals (Group I to IV) was evaluated depending upon
tensile strength of their incision wound skin. The increase in tensile strength of wounded skin
indicates the increase in collagen fibres that firmly knitting the disrupted skin of wounded
area. The results were expressed as the mean weight in grams ± SEM, the weight required to
break open the sutured wounds. The group treated with 5% w/w ethanol extract gel of fruit
showed the most significant (p<0.001) results than the group treated with 5%w/w ethanol
extract gel of leaves (p<0.01) and treated with standard drug. The group treated with simple
gel base showed insignificant results when compared with other test groups. (Table 2).
Histological Studies
The histological studies of the granulation tissue of the control animals demonstrated a more
aggregation of macrophages with few collagen fibers than the treated groups In the animals
treated with the 5% w/w ethanol extract of leaves gel, a moderate collagen deposition with
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Singh et al. World Journal of Pharmacy and Pharmaceutical Sciences
fewer macrophages and fibroblasts was noticed, where as 5% w/w fruit ethanol extract gel
treated group exhibited a significant increase in collagen deposition with fewer macrophages
and fibroblasts (Fig. 1-6).
Histopathological examination: Microscopic appearance of wound sections are shown in
Fig. 1-6. (1) Histological section of the granuloma tissue of normal skin viewing in
complete healing with epithelialization showing macrophages and collagen formation.
(2) Histological section of the granuloma tissue of 0th
day viewing incomplete healing
with less epithelialization showing macrophages and lesser collagen formation. (3)
Histological section of granulation tissue of mice with gel prepared with 5% w/w fruits
ethanol extracts gel showing increased collagenation, with few macrophages. (4)
Histological section of granulation tissue of the mice treated with gel prepared with 5%
w/w leaves ethanol extracts showing increased collagenation, lesser macrophages. (5)
Histological section of the granuloma tissue of standard mice viewing complete healing
with elevated epithelialization showing macrophages and foremost collagen formation.
(6) Histological section of the granuloma tissue of control mice viewing incomplete
healing with less epithelialization showing macrophages and lesser collagen formation
indicated incomplete healing of the wound.
Table 1: Effect of topical application of gels containing ethanol extracts of Cyamposis
tetragonoloba (L.) Taub. leaves and fruits on wound contraction of excision wound
model.
Days Simple gel
base
Std (1%
metrogel)
Ethanol extract
leaves gel (5% w/w)
Ethanol extract
fruits gel (5% w/w)
0th
day 298±0.32
(0%)
297±0.42
(0%)
297.4±0.24
(0%)
298.2±0.02
(0%)
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Singh et al. World Journal of Pharmacy and Pharmaceutical Sciences
4th
day 270±0.23
(10%)
240±0.24
(20%)
220.2±0.21
(23%)
205.3±0.26
(28%)
8th
day 210±0.14
(30%)
164.2±0.27
(45%)
150±0.26
(50%)
120±0.6*
(58%)
12th
day 120±0.25
(60%)
37.4±0.14**
(86%)
28.5±0.12**
(90%)
3.01±0.23***
(98.6%)
16th
day 30±0.26**
(90%)
2.01±0.23***
(99%)
2.5±0.32***
(99%)
------
Period of
epithelization 18 16 16 12
Cumulative amount
of hydroxyproline
(µg/100mg)
4.765±0.18
12.087±0.54
12.876±0.56
13.986±0.19
N = 6 animals in each group, Values are expressed as Mean ± SEM, in each group. Data was
analyzed by one way ANOVA followed by Dunnett’s t-test, *P < 0.05, ** P < 0.01, *** P <
0.001.
Table 2: Effect of topical application of gels containing ethanol extracts of Cyamposis
tetragonoloba (L.) Taub. leaves and fruits on breaking and tensile strength of the skin
having incision wound model.
S. N Group Breaking strength in
gm (mean ± SEM)
Tensile strength in
gm/mm2 (mean ± SEM)
1 Simple gel base 462.19 ± 0.76 15.42±0.32
2 Std (1% metrogel) 537.27 ± 0.16**
18.86±1.45**
3 Ethanol extract
leaves gel (5% w/w) 572.75 ± 0.06
** 22.91±2.31
**
4 Ethanol extract fruits
gel (5% w/w) 598.07 ± 0.96
*** 20.01±1.53
***
N = 6 animals in each group, Values are expressed as Mean ± SEM, in each group. Data was
analyzed by one way ANOVA followed by Dunnett’s t-test, *P < 0.05, ** P < 0.01, *** P <
0.001.
DISCUSSION
The study demonstrated that two different gel prepared with 5% w/w fruits ethanol extract
and 5% w/w leaves ethanol extract respectively were able to increase the rate of wound
healing for both incision and excision wound models. Ten days after inflicting the wound,
tensile strength in groups treated with 5% w/w fruit ethanol extract and 5% w/w leaf ethanol
extract respectively was significantly higher than control group. In incision wound, the
increase in tensile strength of treated wounds may be due to the increase in collagen
concentration and stabilization of the fibers.[23]
In excision wound, the ethanol extract of
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Singh et al. World Journal of Pharmacy and Pharmaceutical Sciences
leaves and fruit showed faster healing with earlier wound contraction compared with control
groups may be due to increased cellular proliferation and collagen synthesis at the wound site
as evidenced by increase in total protein and total collagen contents reflected by
hydroxyproline content of granulation tissues.[24]
Several phytoconstituents like tannins[25]
,
phenolics, carbohydrates, proteins, saponins and flavonoids are also known to promote the
wound-healing process mainly due to their astringent and antioxidant activity, which seems
to be responsible for wound contraction and increased rate of epithelization.[26,27]
Presence of
Proteins, carbohydrates, arginine, glutamine, polyunsaturated fatty acids, vitamin A, vitamin
C, vitamin E, magnesium, copper, zinc and iron play a significant role in wound healing and
their deficiencies affect wound healing.[28,29]
These constituents are already reported on this
plant which supports the results.[2,29]
Thus present study revealed that the gel prepared with
5% w/w fruits ethanol extract and 5% w/w leaves ethanol extract respectively of Cyamposis
tetragonoloba (L.) Taub. possesses better wound healing potency, which was evident by the
increased rate of wound contraction, reduction in the period of epithelization, increase in
collagen deposition and increase in tensile strength in granulation tissue as compared to
control.
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