Review Article

Effect of Topical Administration of Fractions and Isolated Molecules from Plant Extracts on Skin Wound Healing: A Systematic Review of Murine Experimental Models

Table 2

(a) Main parameters analyzed in the studies demonstrating the action of fractions from plants in the treatment of skin wounds in murine models. (b) Main parameters analyzed in the studies demonstrating the action of isolated molecules from plants in the treatment of skin wounds in murine models.
(a)

ReferenceWound closure analysisReepithelialization analysis Oxidative stressGranulation tissue fillTensile strengths

Bastos et al., 2011 ?Fractions A and B: moderated 9 days
Fractions A and B: 100% 15 days
? After 15 days in the treated rats, the wound healing process by stimulating different biological events such as network of fibrin, epithelialization, granulation tissue, neovascularization, and wound contraction?

Shukla et al., 1999??Increased: 
Superoxide dismutase (35%), catalase (67%), and glutathione peroxidase (49%)
Reduced:
Glutathione (17%)
??

Muralidhar et al., 2011 Petroleum ether fraction: (86.83 ± 0.87%) 16 days
Benzene fraction: (86.67 ± 0.67%) 16 days
Chloroform fraction: (88.0 ± 0.57%) 16 days
Acetone fraction: (96.0 ± 0.37%) 16 days 
Control: (85.17 ± 0.79%) 16 days
Epithelialization in days
Petroleum ether fraction: 21.17 ± 0.48%
Benzene fraction: 21.67 ± 0.42%
Chloroform fraction: 21.83 ± 0.48%
Acetone fraction: 16.67 ± 0.42%
Control: 22.0 ± 0.37%
?Hydroxyproline content (μg/mg)
Petroleum ether fraction: 21.57 ± 0.21  
Benzene fraction: 20.96 ± 0.08  
Chloroform fraction: 21.84 ± 0.08  
Acetone fraction: 23.50 ± 0.17  
Control: 21.48 ± 0.17
Petroleum ether fraction: 155.83 ± 2.26 g 
Benzene fraction: 151.0 ± 2.59 g 
Chloroform fraction: 163.33 ± 1.33 g 
Acetone fraction: 212.83 ± 2.02 g 
Control: 147.33 ± 1.23 g

Süntar et al., 2013 Wound area (mm2) ± SEM (contraction%) in 12 days
Hg-MeOH: 0.96 ± 0.30 (65.71%) 
Hg-Hexane: 2.37 ± 0.11 (15.36%) 
Hg-CH2Cl2: 2.35 ± 0.29 (16.07%) 
Hg-EtOAc: 1.47 ± 0.32 (47.50%) 
Hg-BuOH: 1.74 ± 0.48 (37.86%) 
Hg-R-H2O: 2.63 ± 0.17 (6.07%) 
Hg-Fr.A: 2.20 ± 0.39 (20.29%) 
Hg-Fr.B: 1.65 ± 0.09 (40.22%) 
Hg-Fr.C: 1.83 ± 0.14 (33.69%) 
Control: 2.76 ± 0.30 (6.44%)
Tissues treated with Hg-MeOH, Hg-EtOAc, and Hg-Fr.B demonstrated good wound recovery with faster reepithelialization compared to the other groups tested?Hydroxyproline content (μg/mg)
Hg-MeOH: 26.3 ± 1.0 
Hg-Hexane: 18.5 ± 2.1 
Hg-CH2Cl2: 19.7 ± 1.9 
Hg-EtOAc: 31.2 ± 0.9 
Hg-BuOH: 15.6 ± 1.8 
Hg-R-H2O: 13.3 ± 1.8 
Hg-Fr.A: 15.4 ± 1.2 
Hg-Fr.B: 25.5 ± 1.2 
Hg-Fr.C: 16.3 ± 1.9 
Control: 8.9 ± 2.1
Hg-MeOH: 30.11%
Hg-Hexane: 17.5%
Hg-CH2Cl2: 15.2%
Hg-EtOAc: 28.5%
Hg-BuOH: 25.8%
Hg-R-H2O: 11.6%
Hg-Fr.A: 13.9%
Hg-Fr.B: 25.2%
Hg-Fr.C: 21.3%
Control: 5.8%

Mekonnen et al. 2013 Wound contraction in 12 days
Chloroform: xerogel: (77.517 ± 1.88), 5%: (79.91 ± 71.30), and 10%: (82.63 ± 1.74)
Methanol: simple ointment: (86.21 ± 1.5), 5%: (90.86 ± 0.21), and 10%: (92.09 ± 2.00) 
Control: (96.63 ± 0.32)
Epithelialization in days
Chloroform: xerogel: (17.83 ± 0.30), 5%: (17.16 ± 0.60), and 10%: (16.83 ± 0.65) 
Methanol: simple ointment: (17.33 ± 0.33), 5%: (15.66 ± 0.21), and 10%: (15.33 ± 0.66)
Positive control: (14.00 ± 0.44)
?Hydroxyproline content (μg/mg)
Chloroform: xerogel: (3.01 ± 0.46), 5%: (5.83 ± 0.79), and 10%: (7.08 ± 2.08) 
Methanol: simple ointment: (3.29 ± 0.66), 5%: (11.01 ± 0.53), and 10%: (15.33 ± 0.66) 
Control: (12.57 ± 2.59)
Chloroform: xerogel: 190.83 ± 15.62 g (14.26%), 5%: 238.33 ± 22.86 g (24.89%), and 10%: 265.00 ± 33.04 g (38.86%)  
Methanol: simple ointment: 201.50 ± 10.05 g (20.65%), 5%: 322.00 ± 23.63 g (59.80%), and 10%: 336.83 ± 28.39 g (67.16%) 
Control: 402.33 ± 30.26 g

Pieters et al., 1995PEG ointment: (70%) 15 days 
PEG 400 10%: (80%) 15 days 
Polyphenolic fraction from dragon’s blood in H2O: (90%) 15 days 
Control: (60%) 15 days
PEG ointment: ++ (15 days) 
PEG 400 10%: ++ (15 days) 
Polyphenolic fraction from dragon’s blood in H2O: ++ (15 days)
Control: + (15 days)
?Crust presence
PEG ointment: after 4 days 
PEG 400 10%: after 5 days  
Polyphenolic fraction from dragon’s blood in H2O: after 1 day
Control: after 3 days
?

Korkina et al., 2007 Both verbascoside 56% (46,29 ± 12,21%) 8 days 
Both verbascoside 97% (124,29 ± 31,23%) 8 days 
Teupolioside 70% (78,39 ± 21,75%) 8 days 
Teupolioside 97% (98,45 ± 24,26%) 8 days 
Control (150,16 ± 65,46%) 8 days
?Lipid peroxidation
Both verbascoside 56% (7,4 ± 0,6%)  
Both verbascoside 97% (5,8 ± 0,4%) 
Teupolioside 70% (12,0 ± 0,7%) 
Teupolioside 97% (9,4 ± 0,6%) 
Control: (10,3 ± 1,0) 
Glutathione (GST)
Both verbascoside 56% (3,0 ± 1,3%)  
Both verbascoside 97% (5,1 ± 1,3%)  
Teupolioside 70% (3,4 ± 1,3%) 
Teupolioside 97% (5,9 ± 1,2%) 
Control: (3,6 ± 1.3%) 
Superoxide dismutases
Both verbascoside 56% (2,5 ± 0,1%)  
Both verbascoside 97% (2,2 ± 0,1%)  
Teupolioside 70% (3,1 ± 0,3%) 
Teupolioside 97% (1,0 ± 0,1%) 
Control: (4,5 ± 0,5%)
??

Bigoniya et al., 2013 EHTF 200 (71,01 ± 4,25%) 16 days 
EHTF 400 (69,98 ± 3,34%) 16 days 
EHTF 600 (6,02 ± 0,79%) 16 days 
Control (71,65 ± 3,21%) 16 days
EHTF 200 (19,66 ± 2,85%)
EHTF 400 (19,50 ± 2,63%)
EHTF 600 (17,50 ± 1,56%)
Control (21,50 ± 1,22%)
Vehicle control: catalase (0,46 ± 0,02%); SOD (1,15 ± 0,12%), and total protein (2,60 ± 0,06%)
EHTF 200: catalase (0,45 ± 0,03%), SOD (1,16 ± 0,06%), and total protein (2,69 ± 0,07%)
EHTF 400: catalase (0,52 ± 0,09%), SOD (2,63 ± 0,15%), and total protein (3,34 ± 0,05%)
EHTF 600: catalase (0,75 ± 0,19%), SOD (5,06 ± 0,09%), and total protein (4,02 ± 0,03%)
Hydroxyproline content
EHTF 200 (15,89 ± 1,28%)
EHTF 400 (17,89 ± 2,26%)
EHTF 600 (24,14 ± 2,23%)
Control (16,09 ± 1,35%)
?

Lodhi et al., 2011 MAF A (100,00%) 20 days 
MAF B (100,00%) 20 days 
MAF C (100,00%) 18 days 
Control (90,37 ± 2,07%) 20 days
MAF A and B (20 days)
MAF C (18 days)
Control (24 days)
?Hydroxyproline content:
MAF A (37,11 ± 1,25%)
MAF B (32,86 ± 0,85%)  
MAF C (42,01 ± 0,82%)
Control (21,74 ± 1,85%)
Protein content
MAF A (56,30 ± 0,55%)
MAF B (52,50 ± 1,70%)  
MAF C (83,60 ± 0,72%)
Control (47,30 ± 1,72%)
MAF A (603,00 ± 12,01%)
MAF B (635,00 ± 9,68%)
MAF C (850,00 ± 11,89%)
Control (423,00 ± 10,96%)

Tabandeh et al., 2013 Silibinin 10%: 100% (18 days) 
Silibinin 20%: 100% (22 days) 
Control: 100% (26 days)
??Content N-acetyl glucosamine and n-acetyl galactosamine: silibinin 10 and 20% ↑ compared with the control groups at days 10, 20, and 30 
Hydroxyproline and collagen content: silibinin 10 and 20% ↑ compared with the control groups at days 10, 20, and 30
?

Sonmez et al., 2015 Absorbable polysaccharide haemostat (APH): (94.74 ± 0.02%) 14 days 
Control: 87.33 ± 0.02% 14 days
??Type 1 collagen
APH: 4.25 
Control: 3.25 
Fibroblast density
APH: 2.87 
Control: 1.75
?

Karakaş et al., 2012 HOT: (80%) 30 days 
HOTBp: (100%) 30 days 
Control: (80%) 30 days
?? HOT: ↑ fibroblastic and lymphocytes: 5 days  
HOTBp: ↑ fibroblastic and lymphocytes: 5 days  
Control: ↑ fibroblastic and lymphocytes: 5 days  
HOT: ↑ collagen fibrils: 10 days 
HOTBp: ↑ collagen fibrils: 10 days 
Control: ↑ collagen fibrils: 10 days
?

Choi et al., 2001 G1G1M1DI2: (98,9%) 8 days 
Control: (69,5%) 8 days
Epithelialization in 8 days
G1G1M1DI2: 98,9%
Control: 69,5%
?EGF receptor
G1G1M1DL2 0,5%: (113%) 
G1G1M1DL2 50%: (220 ± 8%) 
Control: 100% 
Fibronectin
G1G1M1DL2 0,5%: (294 ± 34%) 
G1G1M1DL2 50%: (408 ± 80%) 
Control: 100% 
Fibronectin receptor
G1G1M1DL2 0,5%: (159 ± 11%) 
G1G1M1DL2 50%: (220 ± 19%) 
Control: 100%
?

Parente et al., 2011 ???Number of blood vessels 
HCF 1 (0/4) 
DCF 2 (0/13) 
Control 2 (0/13) 
Days 4 and 7: presence of fibrin in both groups
?

Olugbuyiro et al., 2010 Flabellaria paniculata
Chloroform fraction: 0.0 (100%) 14 days
Aqueous fraction: 25.0 ± 3.0% (71.4%) 14 days
Control: 87.5 ± 7.5%
Flabellaria paniculata on noninfected rat wounds
Chloroform fraction: (14.0 ± 0.0%)
Aqueous fraction: (21.5 ± 0.5%)
Control: (24.5 ± 0.5%)
???

Süntar et al., 2010 mm2 (%)
Fr.A: 1.60 ± 1.53 (44.4%) 
Fr.B: 1.59 ± 0.11 (44.8%)  
Fr.C: 0.99 ± 0.31 (65.6%) 
Fr.D: 0.77 ± 0.03 (73.3%) 
Fr.E: 1.98 ± 0.63 (31.3%) 
Control: 2.88 ± 0.72 (17.5%)
???mm2 (%)
Fr.A: 21.52 ± 1.15 (13.9%) 
Fr.B: 24.97 ± 3.18 (32.3%) 
Fr.C: 25.63 ± 1.43 (35.8%) 
Fr.D: 26.61 ± 2.05 (40.9%) 
Fr.E: 22.95 ± 2.73 (21.6%) 
Control: 18.88 ± 2.67 (16.3%)

Kim et al., 2013 The ginsenoside Rd-treated wounds were significantly smaller than the wounds treated with control Matrigel on days 6 and 9??Ginsenoside Rd ↑ proliferation and migration fibroblasts; ginsenoside Rd at 0.1–10 mM ↑ collagen type I protein and ↓ MMP-1 protein in fibroblasts?

Chaudhari et al., 2006 ?Fraction I: 9 days
Fraction II: 23 days
Fraction III: 20 days
?Fraction I increase in hexosamine  
Fractions II and III did not reveal increase in the hexosamine content of granulation tissue
Fraction I: 719.33 g ± 0.88
Fraction II: 572.33 g ± 2.46
Fraction III: 590.33 g ± 1.87

Swamy et al., 2006 Embelin: (98.50%  ±  1.64) 16 days 
Control: (85.33%  ±  3.66) 16 days
Epithelialization in days
Embelin: 18.17 ± 1.47
Control: 20.33 ± 2.66
?Granulation tissue showed complete healing with more fibroblasts, collagen, and increased number of blood vesselsEmbelin: 528.00 g ± 15.85
Control: 374.67 g ± 5564

Hernandes et al., 2010 The 1% ethyl-acetate fraction from Stryphnodendron adstringens did not influence wound contractionNo difference in the length of newly formed epithelium was found between the treated and control wounds???

(b)

ReferenceWound closure analysisReepithelialization analysis Oxidative stressGranulation tissue fillTensile strengths

Sidhu et al., 1999 Arnebin-1 reduced wound width wounds compared with controlArnebin-1: 7 days
Control: only epithelial migration over the dermis
?The organization of the granulation tissue was more advanced in arnebin-1-treated wounds with thick bundles of well-aligned collagen compared with controls?

Paramesha et al., 2015Dehydroabietylamine: (97.78%   ±  2.15) 16 days
Control: (82.92%  ±  1.83) 16 days
Epithelialization in days
Dehydroabietylamine: 17.67 ± 2.62
Control: 23.17 ± 1.14
?Hydroxyproline content (µg/100 g)
Dehydroabietylamine: 2106,50 ± 2,62 
Control: 1369,67 ± 10,54
Dehydroabietylamine: 425.67 g ± 10.03
Control: 277.00 g ± 9.39

Nagappan et al., 2012 Mahanine and mahanimbicine: (88.5%  ±  2.03 to 93%  ±  2.04) 16 days 
Control: (82.7%  ±  2.13) 16 days
Mahanine and mahanimbicine: 18 days 
Control: 18 days
?Collagen deposition
Mahanine and mahanimbicine:  
(65.63%  ±  0.87 to 67.76%  ±  0.85) 21 days and
(81.56%  ±  1.04 to 88.54%  ±  1.34) 28 days 
Control: (61.84%  ±  0.94) 21 days and 
(78.06%  ±  1.22) 28 days
?

Qu et al., 2013 Compound I to compound VII: (96.8%  ±  1.9 to 87.0%  ±  2.6) 16 days 
Control: (87.2%  ±  3.1) 16 days
Compound I and compound V: 18 days 
Control and other groups: 22 days
?Hydroxyproline content (mg/g tissue)
Compound I to compound VII: 
58.4 ± 3.7 to 80.3 ± 4.4 
Control: 60.2 ± 4.1
Compound I to compound VII: 431.5 g ± 8.3 to 547.3 g ± 7.9 
Control: 436.5 g ± 7.6

Ghosh et al., 2012 Compound I to compound II: (100%) 18 days
Control: (100%) 22 days
Compound I: 17.16 ± 0.4 days 
Compound II: 17.25 ± 0.25 days
Control: 22.00 ± 0.1 days
?Compounds I and II: fibrous connective tissue with strong collagenation 
Control: fibrosis and more aggregation of macrophages with less collagen fibers
Compound I: 565.10 g ± 3.1
Compound II: 561.12 g ± 3.9 
Control: 372.13 g ± 3.23

Mukherjee et al., 2013 Compound I (2,5%): (89.91%  ±  0.55) 18 days
Compound II (2,5%): (97.89%  ±  0.77) 18 days
Control: (75.44%  ±  0.37) 18 days
Compound I (2,5%): 17.16 ± 0.4 days 
Compound II (2,5%): 16.01 ± 0.33 days
Control: 21.00 ± 0.11 days
?Hydroxyproline content (mg/g tissue)
Compound I (2,5%): 158.23 ± 0.44
Compound II (2,5%): 198.16 ± 0.33 
Control: 151.9 ± 2.69
Compound I (2,5%): 538.00 g ± 1.89
Compound II (2,5%): 535.12 g ± 3.59 
Control: 322.39 g ± 2.66

Melo et al., 2011 Cramoll 1,4: (100%) 10 days  
Control: (100%) 12 days
??Crust presence: cramoll 1,4: 13.1 ± 7.02  
Control: 5.4 ± 3.3
Collagen presence: cramoll 1,4: (higher collagen deposition and annex sprouts) 12 days
Control: (matrix poor in collagen fibers) 12 days
?

Pieters et al., 19953′,4-0-Dimethylcedrusin: (85%) 15 days 
Taspine: (75%) 15 days 
Control: (60%) 15 days
3′,4-0-Dimethylcedrusin: ++ (15 days) 
Taspine: + (15 days) 
Control: + (15 days)
?Crust presence
3′,4-0-Dimethylcedrusin: after 5 days 
Taspine: after 5 days 
Control: after 3 days
?

Ahamed et al., 2009Gulonic acid γ-lactone: (94.02%  ±  0.20) 16 days 
Control: (79.53%  ±  0.97) 16 days
Epithelialization in days
Gulonic acid γ-lactone: 18.62 ± 0.21 
Control: 22.59 ± 0.15
?Hydroxyproline content (µg/100 g)
Gulonic acid γ-lactone: 780.48 ± 50.73
Control: 346.15 ± 14.54
Fibroblast count/high power field × 400
Gulonic acid γ-lactone: 53.26 ± 2.37 
Control: 97.53 ± 4.26
Blood vessel count/high power field × 400
Gulonic acid γ-lactone: 21.94 ± 1.15 
Control: 11.63 ± 1.11
Gulonic acid γ-lactone: 561.12 g ± 5.18 
Control: 327.63 g ± 6.37

Zyuz’kov et al., 2012Songorine: 100% (9–16 days) 
Napelline: 100% (9–16 days) 
Hypaconitine: 100% (9–16 days) 
12-Epinapelline N-oxide: 89.93%  ±  5.53 (9–16 days) 
Mesaconitine: 97.8%  ±  2.2 (9–16 days) 
Control: 89.72%  ±  4.72 (9–16 days)
Songorine-napelline-hypaconitine  
Newly formed epithelium by the wound edges represented a cell layer of varying thickness without vertical anisomorphism: 5 days
?Leukocytic infiltration
Songorine: reduction (3 days) 
Napelline: reduction (3 days) 
Hypaconitine: reduction (3 days) 
12-Epinapelline N-oxide: ?/mesaconitine: ?/control: ? 
Counts of fibroblasts
Songorine: increased (3 days) 
Napelline: increased (3 days) 
Hypaconitine: increased (3 days) 
12-Epinapelline N-oxide: ?/mesaconitine: ?/control: ?
?

Singh et al., 2005Deoxyelephantopin: 98.8%  ±  0.35 (16 days) 
Control: 85.8%  ±  0.69 (16 days)
Epithelialization in days
Deoxyelephantopin: 14.0 ± 0.26 
Control: 20.0 ± 0.86
?Deoxyelephantopin: ↓ macrophages and ↑ collagen formation 
Control: ↑ macrophages and ↓ collagen formation
Deoxyelephantopin: 412.0 g ± 11.37 
Control: 298.6 g ± 8.48

Sharath et al., 2010Bacoside-A: 98.18%  ±  0.05 (16 days) 
Control: 85.22%  ±  0.02 (16 days)
Epithelialization in days
Bacoside-A: 18.30 ± 0.01 
Control: 20.20 ± 0.04
?Bacoside-A: ↑ blood vessels and ↑ collagen formation 
Control: ↑ inflammatory cells, ↓ blood vessels, and ↓ collagen formation
Bacoside-A: 538.47 g ± 0.14 
Control: 380.48 g ± 0.11

Vidya et al., 2012Entadamide: 92.22%  ±  0.05 (16 days) 
Phaseoloidin: 88.50  ±  0.10 (16 days) 
Entagenic acid: 96.08%  ±  0.04 (16 days) 
Control: 83.31%  ±  1.06 (16 days)
Epithelialization in days
Entadamide: 19.92 ± 0.01 
Phaseoloidin: 21.16 ± 0.02 
Entagenic acid: 18.08 ± 0.01 
Control: 24.00 ± 0
?Hydroxyproline content (µg/100 g)
Entadamide: 1891.17 ± 2.75 
Phaseoloidin: 1690.33 ± 2.80 
Entagenic acid: 2001.33 ± 3.53 
Control: 1369.67 ± 10.54
Entadamide: 463.33 g ± 4.48 
Phaseoloidin: 450.17 g ± 7.55 
Entagenic acid: 549.83 g ± 2.21 
Control: 260.83 g ± 14.05