Effects of Methanolic Extract Based-Gel From Saudi Pomegranate Peels With Enhanced Healing Potential on Excision Wounds in Diabetic Rats

Abstract

Introduction: Current study was designed to evaluate the wound healing activity of a Saudi pomegranate peel extract on excision wound healing in experimentally induced diabetes in rats.Methodology: Animals were divided into three groups: diabetic excision wound with no treatment, diabetic excision wound with gel alone and diabetic excision wound with Saudi pomegranate peel extract in gel. Animals were monitored for clinical signs, weekly body weight, morbidity and mortality during entire study period. The efficacy parameters evaluated were percent wound contraction, Hydroxyproline content, estimation of Transforming Growth Factor ß1 (TGF-ß1), Vascular Endothelial Growth Factor (VEGF), and Epidermal Growth Factor (EGF) in wound lysates by ELISA, mRNA expression of TGF-ß1, VEGF, and EGF in wound lysates by qPCR, Estimation of nitric oxide (NO) and NO synthase (NOS) in Wound Lysates and histopathology of skin for reepithelization, neovascularization, and inflammation.Results: The Saudi pomegranate peel extract in gel (5.0 g extract per 100 g gel) showed significant wound healing activity when compared to the vehicle control [p < 0.05] following 21 days of treatment. Animals in the control and treatment groups were apparently normal through the study with no significant differences in body weights between groups. Expression of mRNA of TGFβ1, EGF and VEGF in wounds was the highest on day 14 post treatment 4.3, 3.5 and 0.9 fold higher respectively in the treatment group when compared to vehicle control, and on day 21, the values were 0.12, 0.3 and 0.83, respectively. No statistically significant differences were observed in TGF-ß1 levels in wounds on days 4, 7, 14 and 21 post treatment when compared to the vehicle control (p > 0.05). Significantly higher levels of VEGF were observed in treatment group on day 7 and 21 when compared to vehicle control (p < 0.05). Significantly higher levels of EGF were observed in treatment group on day 7 and 21 when compared to vehicle control (p < 0.05). Mean hydroxyproline levels were higher in treatment group on days 4 and 7 when compared to vehicle control. NO levels in treatment group were significantly lower on days 7, 14 and 21 when compared to vehicle control (p < 0.05). NOS activity in treatment group were significantly lower on days 4 and 7 when compared to vehicle control (p < 0.05). Histopathological changes in skin wound in the treatment group were consistent with wound healing when compared to the vehicle group.Conclusion: This study’s findings suggest that topical application of SPPE gel effectively enhanced wound healing in experimentally induced diabetic conditions.

In vitro and in vivo effect of novel GA‐CSNPs loaded col‐fibrin nanocomposite scaffold on diabetic wound healing

“…An increase in VEGF expression triggers endothelial proliferation and migration, speeding up ulcer healing by stimulating angiogenesis. Similar results were also observed in the study conducted with methanolic extract of Pomegranate Peel, an excellent source of organic acids where the Gallic acid is the standard phenolic compound in the methanolic extract‐treated group, helps to up‐surge the VEGF expression significantly in wound tissue 22 . An increase in the gene expression of VEGF in the wound granulation tissue is closely related to the development of increased neovascularization and established vascular system development in the GA‐CSNPs nanocomposite scaffolds treated group, as shown in Figure 1C.…”

Ongoing and potential novel trends of pomegranate fruit peel; a comprehensive review of its health benefits and future perspectives as nutraceutical

“…PP promoted wound healing in different murine models as seconddegree burns, incision and excision wounds, and in diabetic models (AlMatar et al, 2018;Artem Ataide et al, 2018). Wound healing was mediated via improvement in collagen synthesis, protein synthesis, the period for complete healing (Hayouni et al, 2011), restriction of neutrophil permeation, expression of transforming growth factor-β1, vascular endothelial, and epidermal growth factors in wound tissues (AlMatar et al, 2018;Artem Ataide et al, 2018;Karim et al, 2021).…”

Acceleration of wound healing by topical application of gel formulation of Barringtonia racemosa (L.) Spreng kernel extract

“…20 Studies have used rats as an animal model to evaluate the effect of several natural extracts on would healing. [21][22][23][24] The kernel was used since most of secondary metabolites stored in the kernel act as a surviving mechanism of the plant. 25 After the extract was obtained, the gel formulation was made with beneficial characteristics for wound healing including high content of water, flexibility and biocompability.…”