Review Article

Medicinal Plants for the Treatment of Hypertrophic Scars

Table 4

The preparations from different medicinal plants with antihypertrophic scar activity.

PreparationsBotanical name FamilyMedicinal partPreparationVehicleDelivery systemObservationEffectMechanism of actionReferences

Hydroxycamptothecin (HCPT)Camptotheca acuminata NyssaceaeFruit, leaveLiposome-encapsulated 10-HCPTLiposomeLiposome-encapsulatedIn vivo
Implant
Antiproliferation of fibroblasts and reduction of epidural adhesionDecrease of epidural scar area and fibroblast number in the epidural scar tissue[65, 66]

Oxymatrine (OMT) Sophora flavescens, Sophora alopecuroides, and Sophora subprostrata LeguminosaeUnknownOxymatrine-phospholipid complex (OMT-PLC)PhospholipidMicroemulsionIn vitro
In vivo
topical delivery
Antiproliferation of fibroblastsImprovement of OMT skin permeability and increase of retention ratio of OMT in skin.[67]

Astragaloside IVAstragalus
membranaceus
LeguminosaeRootSolid lipid
nanoparticle-enriched hydrogel (SLN-gel)
Lipid hydrogelSolid lipid nanoparticle, hydrogelIn vitro
In vivo, topical delivery
Enhancement of keratinocytes migration and proliferation Increase of drug uptake in fibroblasts Promotion of wound healing and inhibition of scar formationCaveolae endocytosis pathway. Increase of wound closure rate and angiogenesis Improvement of collagen regular organization[68]

Ginsenoside Rg3 (G-Rg3)Red Panax ginseng AraliaceaeRoot, rhizomeGinsenoside Rg3/Poly (l-lactide) (G-Rg3/PLLA)Electrospun poly
(L-lactide) fiber
Electrospun fibrous scaffolds, nanofibersIn vitro
In vivo
Inhibition of fibroblast cell growth, antiproliferation of fibroblasts, and prevention of scar formationImprovement of dermis layer thickness, collagen fibers, and microvessels[29]

Centella asiatica extract Centella asiatica ApiaceaeWhole plantCentella asiatica extract capsuleCapsuleNothingIn vivo Inhibition of tissue overgrowth, reduction of scar and keloid, and anti-inflammationPromotion of collagen I protein expression, collagen remodeling, and glycosaminoglycan synthesis Enhancement of collagen and acidic mucopolysaccharides[69]