Evaluation of cutaneous wound healing activity of Malva sylvestris aqueous extract in BALB/c mice

Authors

1 Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran

2 Medical Toxicology Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran

3 Department of Medical Science, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran

4 Department of Pathology, Birjand University of Medical Sciences, Birjand, Iran

5 Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran

6 Pharmaceutical Sciences Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran

7 Department of Pharmacology, Birjand University of Medical Sciences, Birjand, Iran

8 Department of Animal Sciences, Birjand University, Birjand, Iran

Abstract

Objective(s): The aim of this study was to evaluate the effects of Malva sylvestris aqueous extract on cutaneous wound healing in BALB/c mice.
Materials and Methods: Twenty seven male BALB/c mice (2.5 months of age) were used. A cut wound (superficial fascia depth) was made locally. The mice were then divided into three groups: the first, second and third groups received topical administration of M. sylvestris 1% aqueous extract,  silver sulfadiazine topical cream or  cold cream (positive and negative control groups), respectively. On days 4, 7 and 10 excisional biopsies were performed and wound healing was evaluated histopathologically. The data were analyzed by the ANOVA and Tukey statistical tests.                                              
Results: On days 4 and 7, the numbers of inflammatory cells in the silver sulfadiazine and                M. sylvestris-treated groups were significantly lower than the control group and keratinization at the edges of the wound in both groups was significantly higher than the control group. On the tenth day of the study, the Malva-treated mice showed better healing features and less fibrosis and scar formation, and also fewer hair follicles were damaged in this group. On the tenth day of the study, the numbers of inflammatory cells in M. sylvestris and silver sulfadiazine-treated groups were significantly lower than the control group.
Conclusion: The present study supports the beneficial effects of M. sylvestris on the wound healing process and suggests a potential clinical application.

Keywords


1.   Kahan V, Andersen M, Tomimori J, Tufik S. Stress, immunity and skin collagen integrity: evidence from animal models and clinical conditions. Brain Behav Immun 2009;23:1089-1095.
2.   Bolognia JL, Jorizzo JL, Rapini R. Dermatology. e-ed. Mosby Elsevier; 2008.
3.   Pakyari M, Farrokhi A, Maharlooei MK, Ghahary A. Critical role of transforming growth factor beta in different phases of wound healing. Adv Wound Care 2013;2:215-224.
4.   Martin P. Wound healing--aiming for perfect skin regeneration. Science 1997;276:75-81.
5.   Baum CL, Arpey CJ. Normal Cutaneous Wound Healing: Clinical Correlation with Cellular and Molecular Events. Dermatol Surg 2005;31:674-686.
6.   Adikwu M, Attama A, Akah P. Natural products in wound healing. Ethnopharmacology 2008:87-100.
7.   Fatima Ad, Modolo LV, Conegero Sanches AC, Porto RR. Wound healing agents: the role of natural and non-natural products in drug development. Mini Rev Med Chem 2008;8:879-888.
8.   Kumar B, Vijayakumar M, Govindarajan R, Pushpangadan P. Ethnopharmacological approaches to wound healing-exploring medicinal plants of India. J Ethnopharmacol 2007;114:103-113.
9.   Davis SC, Perez R. Cosmeceuticals and natural products: wound healing. Clin Dermatol 2009;27:502-506.
10. Ghaderi R, Afshar M, Akhbarie H, Golalipour MJ. Comparison of the efficacy of honey and animal oil in accelerating healing of full thickness wound of mice skin. Int J Morphol 2010;28:193-198.
11. Conforti F, Sosa S, Marrelli M, Menichini F, Statti GA, Uzunov D, et al. In vivo anti-inflammatory and in vitro antioxidant activities of Mediterranean dietary plants. J Ethnopharmacol 2008;116:144-151.
12. Villegas LF, Fernandez ID, Maldonado H, Torres R, Zavaleta A, Vaisberg AJ, et al. Evaluation of the wound-healing activity of selected traditional medicinal plants from Peru. J Ethnopharmacol 1997;55:193-200.
13. Miraldi E, Ferri S, Mostaghimi V. Botanical drugs and preparations in the traditional medicine of West Azerbaijan (Iran). J Ethnopharmacol 2001;75:77-87.
14. Emami AM. Handbook of pharmaceutical Herbs. 2nd ed. Tehran : Iran University of Medical Sciences; 2010.
15. Pirbalouti AG, Yousefi M, Nazari H, Karimi I, Koohpayeh A. Evaluation of burn healing properties of Arnebia euchroma and Malva sylvestris. Electron J Biol 2009;5:62-66.
16. Emami A. Botanical Medicine. 2nd ed. Mashhad: Mashhad University of Medical Sciences; 2011.
17. Tomoda M, Gonda R, Shimizu N, Yamada H. Plant mucilages. XLII. An anti-complementary mucilage from the leaves of Malva sylvestris var. mauritiana. Chem Pharm Bull 1989;37:3029-3032.
18. Barros L, Carvalho AM, Ferreira IC. Leaves, flowers, immature fruits and leafy flowered stems of Malva sylvestris: a comparative study of the nutraceutical potential and composition. Food Chem Toxicol 2010;48:1466-1472.
19. Billeter M, Meier B, Sticher O. 8-hydroxyflavonoid glucuronides from Malva sylvestris. Phytochem 1991;30:987-990.
20. Pirbalouti AG, Azizi S, Koohpayeh A, Hamedi B. Wound healing activity of Malva sylvestris and Punica granatum in alloxan-induced diabetic rats. Acta Pol Pharm 2010;67:511-516.
21. Pirbalouti AG, Koohpyeh A. Wound healing activity of extracts of Malva sylvestris and Stachys lavandulifolia. Int J Biol 2010;3:174.
22. Watanabe E, Tanomaru JM, Nascimento AP, Matoba-Junior F, Tanomaru-Filho M, Yoko Ito I. Determination of the maximum inhibitory dilution              of cetylpyridinium chloride-based mouthwashes against Staphylococcus aureus: an in vitro study. J Appl Oral Sci 2008;16:275-279.
23. Sleiman N, Daher C. Malva sylvestris water extract: a potential anti-inflammatory and anti-ulcerogenic remedy. Planta Med 2009;75:PH10.
24. Kovalik AC, Bisetto P, Pochapski MT, Campagnoli EB, Pilatti GL, Santos FA. Effects of an orabase formulation with ethanolic extract of Malva sylvestris L. in oral wound healing in rats. J Med Food 2014;17:618-624.
25. Cheng C, Wang Z. Bacteriostasic activity of anthocyanin of Malva sylvestris. J For Res 2006;17:83-85.
26. Yousefi M. Malva Sylvestris in the treatment of hand eczema. Iran J Dermatol 2010;13:131-134.
27. Chiclana CF, Enrique A, Consolini A. antiinflammatory activity of Malva sylvestris L. (Malvaceae) on carragenin-induced edema in rats. Lat Am J Pharm 2009; 28:275-278.
28. Zare P, Mahmoudi R, Shadfar S, Ehsani A, Afrazeh Y, Saeedan A, et al. Efficacy of chloroform, ethanol and water extracts of medicinal plants, Malva sylvestris and Malva neglecta on some bacterial and fungal contaminants of wound infections. J Med Plants Res 2012;6:4550-4552.
29. Ugurlu E, Secmen O. Medicinal plants popularly used in the villages of Yunt Mountain (Manisa-Turkey). Fitoterapia 2008;79:126-131.