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Assessment of Wound Healing Activity and Safety Profile of Amaranthus
Assessment of Wound Healing Activity and Safety Profile of Amaranthus
A R T I C L E I N F O A B S T R A C T
Keywords: The objective of the study was to determine efficacy of Amaranthus spinosus extract against inflammation and
Inflammation wound along with assessment of safety profile of drug upon topical application. The collected whole plant was
Wound extracted with ethanol (65 %). In vitro efficacy of extract was performed on HaCaT and MEF cells. Clonogenic and
Plant
scratch assays were carried out to determine the wound healing activity of the extract. Acute oral and dermal
Herb
Medicine
toxicity studies were conducted in accordance with OECD recommendations in order to assess the drug’s profile
for safety. Biological efficacy of A. spinosus was determined using incision wound healing model and measuring
the tensile strength of a healing skin. Results showed that A. spinosus extract significant reduced inflammation
and wound area. The percentage viability of cells were 96.20 and 96.23 %, respectively for HaCaT and MEF cells
after 48 h of treatment; however, surviving factor were 0.71 ad 0.79, respectively. The tensile strength was
574.5 g after treatment with drug as compared to the control group. It can be concluded based on findings that
A. spinosus may be used as an alternative medicine in the healing of wound.
Introduction The normal and abnormal wound healing is directly linked with
inflammatory process. Inflammation is a natural and protective mech
Skin is the protective organs of the body that extends to whole body anism of the body for stimulation of tissue repair (Rodrigues et al., 2018;
parts and prevents entry of pathogens. It minimized fluid loss, protect Nourian Dehkordi et al., 2019). Thus, therapeutic use of anti-
the body and act as thermal barrier (Kalva et al., 2021). Hence, in the inflammatory drugs is only logical when the inflammation becomes
case of a wound, it is crucial to restore the functionality of this multi inappropriate, unregulated and recurrent. Due to several toxicities
purpose organ. Maintaining skin integrity and restoring injured tissues. associated with these drugs, the herbal medicines may be a better
It is a multistep biochemical process including hemostasis, proliferation, alternative in treating inflammation and wound (Karimi et al., 2015).
inflammation, and remodelling (Karaly et al., 2021; Saha et al., 2021). Traditionally, herbal medicinal plants have been for treating wounds,
The associated factors responsible for disruption of wound healing skin diseases, cuts and burns. Plants metabolites possess tissue regen
phases are infection, reduced oxygenation and antibiotic drugs (Won eration and healing properties. They contain a high concentration of
et al., 2021). polyphenols, which have been shown to have extraordinary antioxidant
The conventional and synthetic drugs are associated with side effects activity, and phytochemicals, which can be used to treat a wide range of
(Zhao-fleming et al., 2018). High concentration of antibiotics drugs skin damages (Mojzer et al., 2016; Forni et al., 2019). Hence, wound-
cause significant systemic toxicities (Yang et al., 2020). NSAIDs are healing medicinal plants may be preferable to current pharmaceutical
readily available, over-the-counter, reasonably priced and most familiar options given adequate scientific study.
drugs against inflammation and pain (Drini, 2017). However, they have Polyphenols, crude fibre, proteins and saccharides are all abundant
several toxicities in which gastric ulcer and hepatotoxicity are major in the medicinal herb Amaranthus spinosus, which makes it an effective
ones (Ghlichloo and Gerriets, 2021). treatment for a variety of conditions. It has been used historically to heal
* Corresponding author.
E-mail address: paswanshravan@gmail.com (S.K. Paswan).
https://doi.org/10.1016/j.crbiot.2023.100151
Received 7 July 2023; Received in revised form 13 October 2023; Accepted 21 October 2023
Available online 30 October 2023
2590-2628/© 2023 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-
nc-nd/4.0/).
S.K. Paswan et al. Current Research in Biotechnology 6 (2023) 100151
Table 1 decoction on wound by the ethnic people. In this study, the plant was
Percentage cell viability of HaCaT and MEF cells after treatment with Amar extracted macerated with ethanol (65 %). It was applied daily for 10
anthus spinosus plant extract. days on topical wound to evaluate efficacy of the extract. The safety
Culture condition Percentage viability of Percentage viability of evaluation of plant extract via acute and dermal toxicity studies has also
(μg/ml) HaCaT cells MEF cells performed. Mouse embryonic fibroblast (MEF) and Human keratinocyte
AS (5 %) AS (10 %) AS (5 %) AS (10 %) (HaCaT) cells were used in migration, cytotoxicity, and proliferation
experiments for wound healing activity of A. spinosus extract. In vivo
Control 91.35 ± 93.35 ± 93.35 ± 93.35 ±
0.28 0.29 0.30 0.31 activity was performed after positive in vitro results using cell lines. The
30 92.41 ± 94.33 ± 93.40 ± 94.28 ± degree of wound closure was ensured by observing tensile strength of
0.23 0.20 0.42 0.28 the healing skin.
60 93.21 ± 94.04 ± 94.30 ± 95.26 ±
0.21 0.24 0.11 0.42
120 93.21 ± 95.32 ± 94.33 ± 95.47 ±
Materials and methods
0.33 0.30 0.19 0.09
240 94.23 ± 95.23 ± 95.10 ± 96.23 ± Cell lines, chemicals and reagents
0.21 0.27 0.43 0.18
480 95.11 96.20 ± 95.97 ± 96.23 ±
±
MEF and HaCaT cell lines were purchased from NCCS, Pune. The
0.35 0.34 0.26 0.23
standard drug soframycin and diclofenac were purchased from Glax
Data are represented as mean ± SD (n = 3). Control, Dulbecco’s modified eagle oSmithKline, USA. Other chemicals such as Tween 80, Formalin, Poly
medium; AS, Amaranthus spinosus. sorbate 60, Soft paraffin, Xylene, Eosin, Butylated hydroxyl anisole and
Cetostearyl alcohol were obtained from Sigma Aldrich, USA.
wounds, reduce inflammation, alleviate pain, treat depression, and even
cure malaria (Paswan et al., 2020a, 2020b). Carbon tetrachloride (CCl4)
causes severe damage to the liver in rats, however A. spinosus has been
Table 2
demonstrated to protect the liver. The stem bark of the plant possesses
Percentage of cell migration and wound closure after treatment with Amaranthus
phenolic acid such as vanillic, ferric, sinapic and syringic acid and other
spinosus plant extract.
flavonoids compounds like kaempferol and quercetin isolated from
sprouts (Rjeibi et al., 2016). The specific compounds found in A. spi Time (h) Percentage of cell migration (%)
nosus extract were caffeic acid, ferulic acid, chlorogenic acid, gallic acid, Control Standard AS (5 %) AS (10 %)
protocatechuic acid, and quercetin in our previous work (Paswan et al., 0 0 0 0 0
2020a, 2020b). 12 25.39 35.02 31.11 36.11
Herein, we proposed that the topical application of A. spinosus may 24 31.26 52.39 41.32 57.24
48 40.22 97.06 93.34 96.49
be helpful in reducing inflammation and healing of wounds without
systemic side effects. Traditionally, it has been used to apply leaf Control, untreated; standard, cipladin (5 μg/ml); AS, Amaranthus spinosus.
Fig. 1. Morphology of HaCaT and MEF cells after treatment with A. spinosus plant extract Control, Dulbecco’s modified eagle medium; A. spinosus.
2
S.K. Paswan et al. Current Research in Biotechnology 6 (2023) 100151
Fig. 2. Migration potential of HaCaT cells treated with A. spinosus plant extract Control, Dulbecco’s modified eagle medium; A. spinosus.
Fig. 3. Migration potential of MEF cells treated with A. spinosus plant extract Control, Dulbecco’s modified eagle medium; A. spinosus.
Collection and extraction of A. Spinosus plant authenticated by in the department of botany, Venkateswara University,
Tirupati, India. The specimen of the collected plant was deposited in the
Plant was collected from Andhra Pradesh, India. It was identified and herbarium of the institute via voucher no. 02423. Briefly, extraction of
3
S.K. Paswan et al. Current Research in Biotechnology 6 (2023) 100151
Fig. 4. Clonogenicity assay for HaCaT and MEF cells treated with A. spinosus extract Control, Dulbecco’s modified eagle medium; A. spinosus.
Fig. 5. Acute dermal toxicity study of A. spinosus extract A = Control; B = AS1; C = AS2.
4
S.K. Paswan et al. Current Research in Biotechnology 6 (2023) 100151
Fig. 6. Wound healing effect of A. spinosus extract on rats A = Positive Control; B = Negative control, C = Standard, D = AS1; E = AS2.
% CO2 under saturated humidity overnight. To prevent contamination cells continued for 24 h. Using a microscope, researchers could see cells
from radiation passing through air layers, DMEM was used to fill the migrate and undergo morphological changes. There were three sets of
flasks. Cells are re-plated immediately or delayed to examine healing of each determinant. The depth of a scratch and closure of wounds (0, 12,
possibly lethal damage following ionising radiation treatment. Repair of 24 and 48 h) were evaluated using images captured with the Image J
possibly fatal damage is finished after 6 h. Cells should be pipetted onto software.
the test dishes at least twice. (ii) Keep the plates in the incubator until
clones have formed adequately in the control dishes. The following day,
trypsinization was used to collect the extract-treated cells. It was Assessment of A. Spinosus extract for toxicological activity
determined as:
Animals used in experiments
PE = colony forming unit count/cell seeding quantity × 100
The protocol of the study was by the animal ethical committee with
approval number. 1732/GO/RE/CPCSEA. The light cycle was set at 2 h
SF = Count of irradiated colonies relative to the initial seeding of cells × PE
and the dark cycle at 12 h. They were given pelleted food to eat and had
free access to water. Experiments were performed on animals after
Scratch assay
acclimatized to the laboratory.
Scratch assays based on cell migration experiments with HaCaT and
MEF cells evaluated the wound-healing activities of A. spinosus extract
Analysis of acute toxicity
(Liang et al. 2007). The cells are maintained at 37 ◦ C in air + 5 % CO2
The toxicity test was performed in accordance with the OECD’s
under saturated humidity overnight.The cells were grown in 6-well
standard methodology for measuring acute toxicity, OECD 420 (OECD,
plates after being seeded at a density of 2 × 105 cells/well/ml. After
2001). The test subjects consisted of six female Swiss mice weighing
rinsing the cells in Delbucco’s Phosphate Buffered Saline to get rid of any
between 25 and 30 g. Animals were observed for 14 days after a single
remaining cell debris, a sterile tip (200 μl) was used to make the scratch
dose of a plant extract at a dose of 2000 mg/kg for toxicity markers like
on the cells. Standard drug Cipladine (5 μg/ml) was utilised alongside
drooling, abnormal behaviour, excessive salivation, urination, fur
A. spinosus extract (5 % and 10 %) to treat the cells. Incubation of the
colour, disturbed feeding and lethargy.
5
S.K. Paswan et al. Current Research in Biotechnology 6 (2023) 100151
Table 4
Safety profile of Amaranthus spinosus plant extract upon topical application on animals skin.
Time
Response
4 hr 24 hr 1 day 2 days 4 days 6 days 8 days 10 days 12 days 14 days
Alertness + + + + + + + + + +
Irritability – – – – – – – – – –
Fearfulness – – – – – – – – – –
Touch Response + + + + + + + + + +
Restlessness – – – – – – – – – –
Abdominal Tone + + + + + + + + + +
Tremors – – – – – – – – – –
Writhing – – – – – – – – – –
Corneal reflexes + + + + + + + + + +
Diarrhea – – – – – – – – – –
Food and water intake + + + + + + + + + +
Respiration rate + + + + + + + + + +
Pupil reaction to light + + + + + + + + + +
Skin color & texture + + + + + + + + + +
Spontaneous activity + + + + + + + + + +
Heart rate + + + + + + + + + +
Convulsion – – – – – – – – – –
Aggressiveness – – – – – – – – – –
Vomiting – – – – – – – – – –
Sedation – – – – – – – – – –
Locomotion + + + + + + + + + +
Edema – – – – – – – – – –
Mortality – – – – – – – – – –
+, present; -, absent.
6
S.K. Paswan et al. Current Research in Biotechnology 6 (2023) 100151
7
S.K. Paswan et al. Current Research in Biotechnology 6 (2023) 100151
collagen concentration and fiber stabilization. Jain, P., Satapathy, T., Pandey, R.K., 2020c. First report on ticks (Acari: Ixodidae)
controlling activity of cottonseed oil (Gossypium Sp.). Int. J. Acarol. 46 (4),
263–267.
Conclusion Jain, P., Satapathy, T., Pandey, R.K., 2020d. Rhipicephalus microplus (acari: Ixodidae):
Clinical safety and potential control by topical application of cottonseed oil
Rapid wound closure has been shown in in vitro and in vivo models (Gossypium sp.) on cattle. Exp. Parasitol. 108017.
Jain, P., Satapathy, T., Pandey, R.K., Rhipicephalus microplus,, 2020e. A parasite
of the disease when A. spinosus is treated with a whole plant ethanolic threatening cattle health and consequences of herbal acaricides for upliftment of
extract. There was no sign of skin irritation or toxicity from the plant livelihood of cattle rearing communities in Chhattisgarh. Biocatal. Agric. Biotechnol.
extract. It was found that application of A. spinosus on animals skin at 101611.
Jain, P., Satapathy, T., Kumar, R., 2021a. Acaricidal activity and biochemical analysis of
either 5 % or 10 % concentration significantly fasten the healing of citrus limetta seed oil for controlling ixodid tick rhipicephalus microplus infesting
wounds. In an incision wound model, animal skin treated with cattle. Syst. Appl. Acarol. 26.
A. spinosus ointment demonstrated impressive tensile strength. Thus, Jain, P., Satapathy, T., Kumar, R., 2021b. Veterinary Parasitology Acaricidal activity and
clinical safety of arecoline hydrobromide on calves infested with cattle tick
A. spinosus extract may be used as an alternative herbal treatment Rhipicephalus microplus (Acari : Ixodidae). Vet. Parasitol. 298 (May), 109490.
therapy for wounds. Jain, P., Satapathy, T., Kumar, R., 2021c. Veterinary Parasitology First report on efficacy
of Citrus limetta seed oil in controlling cattle tick Rhipicephalus microplus in red
Sahiwal calves. Vet. Parasitol. 296 (June), 109508.
Declaration of Competing Interest Jain, A., Shrivastava, S., 2020. Isolation and characterization of bioactive components
derived from whole plant of selaginella bryopteris. J Drug Deliv Ther. 10 (4).
The authors declare that they have no known competing financial Kalva, S.N., Augustine, R., Al Mamun, A., Dalvi, Y.B., Vijay, N., Hasan, A., 2021. Active
agents loaded extracellular matrix mimetic electrospun membranes for wound
interests or personal relationships that could have appeared to influence
healing applications. J Drug Deliv Sci Technol. 102500.
the work reported in this paper. Karaly, A.H., Sarhan, W.A., El-Sherbiny, I.M., 2021. Development of a silk fibroin-based
multitask aerosolized nanopowder formula for efficient wound healing. Int. J. Biol.
Data availability Macromol.
Karimi, A., Majlesi, M., Rafieian-kopaei, M., 2015. Herbal versus synthetic drugs; beliefs
and facts. J. Nephropharmacol. 4 (1), 27–30.
Data will be made available on request. Kumar, V., Jain, P., Rathore, K., Ahmed, Z., 2016. Biological evaluation of pupalia
lappacea for antidiabetic, antiadipogenic, and hypolipidemic activity both in vitro
and in vivo. Scientifica 9.
Acknowledgement Kumar, V., Rathore, K., Jain, P., Ahmed, Z., 2017. Biological activity of bauhinia
racemose against diabetes and interlinked disorders like obesity and hyperlipidemia.
The author was awarded by University Grant Commission-RGNSRF, Clin. Phytosci. 3, 7.
Kuwano, H., Yano, K., Ohno, S., 1994. Dipyridamole inhibits early wound healing in rat
Fellowship, (Grant Number F1-17.1/2014-15-RGNF-2014-15-SC-UTT- skin incisions. J. Surg. Res. 56 (3), 267–270.
60684) from University Grant Commission, New Delhi, India, for pur Liang, C.C., Park, A.Y., Guan, J.L., 2007. In vitro scratch assay: a convenient and
suing his doctoral studies. We are also thankful to the Probecell: Sci inexpensive method for analysis of cell migration in vitro. Nat. Protoc. 2, 329–333.
López-García, J., Lehocký, M., Humpolíček, P., Sáha, P., 2014. HaCaT keratinocytes
entific Writing Services (www.probecell.com) for proofreading and response on antimicrobial atelocollagen substrates: extent of cytotoxicity, cell
editing of this article. viability and proliferation. J Funct Biomater. 5 (2), 43–57.
Malcor, J.D., Mallein-Gerin, F., 2022. Biomaterial functionalization with triple-helical
peptides for tissue engineering. Acta Biomatter. 148, 1–21.
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