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Smita Paper 1
Smita Paper 1
ABSTRACT
Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous follicle for which Propionibacterium acnes and Staphylococcus epidermidis have
been recognized as pus-forming bacteria triggering an inflammation in acne. The present work was undertaken to validate the folk use of five Indian
traditional plants in the treatment of acne vulgaris as a separate entity and as a combination by using scientific methods for the first time. The anti-acne
potential of ethanol extract of the plant materials were evaluated against P.acnes and S.epidermidis using cup plate diffusion method. Antioxidant activity
was screened by using DPPH and Hydrogen peroxide method. Topical gel formulations were developed and evaluated at different concentrations.
Amongst the plant materials screened Casuarina equisetifolia showed the strongest antibacterial activity (zone of inhibition =32.5 mm) followed by
Dalbergia sisso (zone of inhibition = 31.5 mm) against P.acnes. A good antioxidant activity was shown by Casuarina equisetifolia (IC50 = 0.055 mg/ml)
followed by Dalbergia sisso (IC50 = 0.13 mg/ml)by DPPH method and at IC50 0.09 and 0.15 by hydrogen peroxide method. Gel formulation F1 showed
greatest antibacterial activity against P.acnes and S.epidermidis (zones of inhibition >12 mm and 18 mm respectively) than other formulations. From the
stability studies, gels showed no change in pH, viscosity and spreadability after keeping at different temperatures for 90 days. The plant materials
Barleria prionitis, Butea monosperma, Casuarina equisetifolia, Dalbergia sympathetica and Lagenaria siceraria are effective in acne vulgaris as a
separate entity and in a combination. Since topical gels are very useful as palliative products and prove to be economical and safe, a simple gel formulation
was formulated with carbomer as a best gelling agent and evaluated.
Key words: Acne vulgaris, polyherbal, Propionibacterium acnes, Staphylococcus epidermidis, antibacterial, antioxidant
INTRODUCTION
Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous follicle lesion may be non-inflammatory called open or closed comedones or
characterized by comedones, papules, pustules, cysts, nodules and scars in inflammatory called papule, pustule or nodule. [6,7]
certain sites like face, neck, upper trunk and arms [1,2]. Propionibacterium
acnes and Staphylococcus epidermidis have been implicated as a causative The treatment modalities for acne are usually aimed at decreasing the P.acnes
organism for acne vulgaris, which colonize in an environment rich in sebum population, producing anti-inflammatory effect and decreasing the sebaceous
[3]
.The prevalence of the disease is that 85% adolescents experience it. gland activity.[8]Since inflammatory conditions are associated with free radical
Prevalence of comedones (lesions) in adolescents approaches 100% and it production, plant materials possessing antioxidant activity are beneficial.
affects 8% of 25 - 34 year olds, and 3% of 35-44 year olds. For many years antibiotics and hormones were usually applied to treat
acne. [9,10] However, these agents are often accompanied by severe side
P.acnes produces substances that promote inflammation including effects and drug resistance. [11,12] Therefore, phytotherapeutic approaches
chemotactic factors along with lipolytic and proteolytic enzymes, which with high antibacterial activity and without side effects have been extensively
convert triglycerides of the sebaceous glands into free fatty acids that studied as an alternative. In this context traditional herbs reported in the
stimulate inflammation and edema that results into breakdown of the follicular traditional systems of medicine have been screened for the aforesaid antiacne
wal l[4,5]. activity.
Pathogenesis and pathophysiology Traditionally the leaves of Barleria prionitis (Acanthaceae), leaves of Butea
Increase in the androgen mediated sebum production leads to the enlargement, monosperma (Papilionaceae), Casuarina equisetifolia bark (Casuarinaceae),
which leads to the keratinous obstruction of sebaceous follicle outlet. These Lagenaria siceraria fruit (Cucurbitaceae) and Dalbergia sisso bark
plugs containing anaerobic lipid-rich environment provides a growth medium (Papilionaceae) were used for the treatment of acne. [13] In present study an
for P. acnes. P.acnes population increases, which results in an inflammation. investigation had been made on these plants in terms of their ability to
Chemotactic factors attract neutrophils and depending on conditions, the reduce Propionibacterium acnes and Staphylococcus epidermidis population,
the causative organisms for acne and to act as antioxidants. The purpose of
*Corresponding author. the study was to prepare and evaluate an herbal formulation having a
S. A.Thube combined antibacterial, antioxidant, anti-inflammatory and astringent effect.
Department of Pharmacognosy,
M.C.E.Society’s Allana College of MATERIALS AND METHODS
Pharmacy,Azam Campus,2390 The leaves of Barleria prionitis (Acanthaceae), leaves of Butea monosperma
K.B.Hidyatullah Road,Camp, (Papilionaceae), Casuarina equisetifolia bark (Casuarinaceae), Lagenaria
Pune 411 001.India siceraria fruit (Cucurbitaceae) and Dalbergia sisso bark (Papilionaceae) were
Tween 80 % and Thioglycollic acid were added as reducing agents in the Homogeneity
media for Propionibacterium acnes.
All developed gels were tested for homogeneity by visual inspection after
1. B.prionitis 0.045 ± 1.901 0.9356 0.09 ± 1.536 0.9584 1. Initial Tc Tc Tc 6.95 7.41 7.04 20.062 18.656 15.093
2. B.monosperma 0.26 ±2.6873 0.9458 0.1 ± 2.045 0.9646 2. 1 st month Tc Tc Tc 6.95 7.43 7.05 20.123 19.064 15.156
3. C.equisetifolia 0.055 ± 3.218 0.8997 0.09 ± 1.032 0.9980 3. 2 nd month Tc Tc Tc 6.96 7.44 7.05 20.215 19.087 15.189
4. D.sisso 0.13 ± 2.374 0.9587 0.15 ± 2.583 0.8667 4. 3 rd month Tc Tc Tc 6.98 7.42 7.08 20.221 19.120 15.231
5. L.siceraria 0.52 ± 1.647 0.8668 0.25 ± 1.943 0.9246
6. Standard 0.047 ± 2.698 0.8635 0.058 ± 3.546 0.8725 Tc – Translucent
(Ascorbic acid)
At elevated temperature (40 ± 10 C).
SD- Standard Deviation ; r* - correlation coefficient
Sr. Storage Evaluation parameters for polyherbal antiacne gel
Out of the three gel formulations, F1 showed maximum zone of inhibition No period Appearance pH Viscosity (Cp)
F1 F2 F3 F1 F2 F3 F1 F2 F3
and also a good antioxidant activity. The activity can be due to synergistic
effects of the extracts. The stability studies of the gels showed no change in
pH, viscosity and spread ability after keeping at different temperatures for 1. Initial Tc Tc Tc 6.95 7.41 7.04 20.062 18.656 15.093
2. 1 st month Tc Tc Tc 7.05 7.49 7.44 18.923 16.064 13.956
3 months. 3. 2 nd month Tc Tc Tc 7.12 7.52 7.56 18.115 15.087 13.109
4. 3 rd month Tc Tc Tc 7.26 7.67 7.78 17.561 14.790 11.631
Therefore, these plants can be used as an alternative treatment for acne,
having combined antibacterial, antioxidant and the reported anti-inflammatory At refrigerated temperature (5 ± 10 C)
activity. The ex-vivo antiacne activity is being carried out on rats. Sr. Storage Evaluation parameters for polyherbal antiacne gel
No period Appearance pH Viscosity (Cp)
F1 F2 F3 F1 F2 F3 F1 F2 F3
The further objective of this research work is to develop an antiacne gel
formulation with isolated chemical entities and also to compare their antiacne 1. Initial Tc Tc Tc 6.94 7.08 7.18 24.937 23.062 16.500
potential, so as to develop a well-accepted antiacne formulation. 2. 1 st month Tc Tc Tc 7.11 7.14 7.26 23.987 22.987 15.340
3. 2 nd month Tc Tc Tc 7.54 7.43 7.46 22.623 21.765 14.045
Table No. 6 Formulation development 4. 3 rd month Tc Tc Tc 7.62 7.61 7.51 21.089 20.165 13.941
Sr.no Ingredients F1 F2 F3
ACKNOWLEDGEMENT
1. Carbopol 940 2.0 % 2.0 % 2.0 % The authors kindly acknowledge the facilities provided by the Jawaharlal
2. Propylene glycol 10 % 10 % 10 %
3. Propyl paraben 0.08 % 0.08 % 0.08 % Nehru Technological University, Hyderabad.
4. Methyl Paraben 0.2 % 0.2 % 0.2 %
5. Triethanolamine q.s q.s q.s
6. Distilled water q.s q.s q.s REFERENCES
7. B.prionitis extract 1.2 % 1.2 % - 1. C.R..Karnick.(1994). Ancient Science of Life, ’Some clinical
8. B.monosperma extract 1.0 % -
9. C.equisetifolia extract 0.3 % 0.3 % 0.3 % observations on acne vulgaris’,13,286-292.
10. D.sisso extract 0.7 % - 0.7 % 2. Mamgain R.K.(2000).Acne vulgaris and its treatment by
11. L.siceraria extract 1.0 % - -
indigenous drugs SK-34 and SK-235’, The Antiseptic,97(3),76-
Table No. 7 Antibacterial activity of the formulation 78.
3. Ingham. E, Holland K. T, Gonland g.(1983). Studies of the
Formulation Zone of Inhibition by
Cup plate method in (mm) extracellular proteolytic activity produced by P.acnes. Journal of
applied bacteriology, 54,263-271.
P.acnes S.epidermidis
F1 33.5 30.7
F2 23.9 19.4 4. Kaur P, Kaur S, Kumar S, Singh P.(2010). Rubia cordifolia L. and
F3 20.4 17.7 Glycurrhiza glabra L. Medicinal plants as potential source of
Standard (Clindamycin) 35.8 32.5
COX-2 Inhibitors. Americal Journal of Biomedical Sciences,
Table No. 8 Antioxidant activity of the formulation 2(2),108-120.
Sr.No Formulation IC50 (mg/ml) ± SD 5. Yuangang Zu, Huimin Yu, Liang Lu, Yujie Fu, Efferth T, Liu X,
DPPH r* Hydrogen r* Nan Wu. (2010).Activities of Ten Essential Oils towards
method Peroxide
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1. F1 0.055 ±2.6873 0.9458 0.1 ± 2.045 0.9646 6. Cotterell J.A et al.(1972). British Medical Journal, Further
2. F2 0.045± 1.901 0.9356 0.9 ± 1.536 0.9584
3. F3 0.35 ± 3.218 0.8997 0.1 ± 1.032 0.9980 observations in the pathogenesis of acne,2,404-408.
4. Standard 0.047± 2.698 0.8635 0.058 ± 3.546 0.8725 7. Cunliffe W.J, Shusters.(1969). Pathogenesis of acne. Lancet,1,685-
(Ascorbic acid)
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SD- Standard Deviation; r* - correlation coefficient
8. Lucinda G.Miller.(1998).Herbal Medicals, A clinical guide.
Table No.9 Evaluation of gels Pharmaceutical products press, pp 253-267
Sr.No Formula- Colour Appear pH Viscosity Spread Homo Skin
tion ance (cp) ability geneity irrita 9. Poulin, Y.(2004).Practical approach to the hormonal treatment of
code tion acne. J. Cutan. Med. Surgery, 4,6–21.
Test
10. Tan A.W, Tan H.H.(2005). Acne vulgaris: a review of antibiotic
1 F1
Dark Translu 6.95 20.062 23.45 Good NIL therapy. Expert Opin. Pharmacotherapy, 6, 409–418.
brown cent
orange 11. Leyden, J.J.(2004).Antibiotic resistance in the topical treatment
2 F2 Orange Translu 7.41 18.656 25.45 Good NIL of acne vulgaris. Cutis, 73, 6–10.
cent
3 F3 Light Translu 7.04 15.093 22.87 Good NIL 12. Yemisci A, Gorgulu, A, Piskin, S.(2005) Effects and side-effects
orange cent