Roșca Oana Janina, Nistor Alexandru, Coneac Georgeta Hermina, Olariu Ioana Viorica, Cotan Ana-Maria, Racoviceanu Roxana, Heredea Elena Rodica, Ciudoiu Adelin, Didea Gabriela, Lupou Camelia Mihaela, Borcan Florin, Hoinoiu Teodora, Dehelean Cristina Adriana, Vlaia Lavinia Lia, Șoica Codruța Marinela
Department of Pharmacology-Pharmacotherapy, Faculty of Pharmacy, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania.
Discipline of Clinical Practical Skills, Department I Nursing, Faculty of Medicine, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Pharmaceutics. 2025 May 1;17(5):597. doi: 10.3390/pharmaceutics17050597.
Scald burns pose significant morbidity, and effective topical treatments remain a clinical priority. Burn injuries pose a significant clinical challenge due to the prolonged inflammation and high infection risk. Traditional treatments focus on moisture retention and infection prevention, but biocompatible formulations such as hydrogels and oleogels offer advantages. Hydrogels hydrate, cool, and promote epidermal regeneration, while oleogels form a lipid barrier that enhances the absorption of lipophilic bioactive compounds. There is an increasing demand for novel topical alternatives that can effectively improve wound healing by modulating the inflammatory cascade, accelerating epithelial and dermal regeneration, and restoring barrier function. This study aimed to determine the most effective plant-based topical formulations for enhancing second-degree scald burn wound healing. Utilizing a standardized rat model, we compared 21 distinct topical formulations, consisting of oleogel and hydrogel bases enriched with extracts from (frankincense), (basil), flower (elderflower), and (lady's bedstraw). Second-degree burns were uniformly induced in 24 Wistar rats using boiling water (100 °C for 8 s) using the RAPID-3D device, a validated 3D-printed tool that ensures reproducible burns through controlled exposure to boiling water. Post-burn, rats were divided into three equal subgroups, and topical formulations were applied daily. Wound healing efficacy was evaluated through wound surface area measurements, transepidermal water loss (TEWL), skin hydration, sebum production, pigmentation, inflammation (erythema), skin perfusion, and histological parameters at multiple timepoints (days 1, 4, 9, 14, and 21 post-burn induction). Statistical analyses indicated significant advantages of oleogel-based formulations over hydrogel-based formulations. Specifically, formulations containing and extracts significantly reduced wound size and inflammation, improved skin hydration, and decreased melanin production by days 9 and 21 ( < 0.05). These findings underscore the potential clinical value of oleogel-based topical preparations containing specific plant extracts for improving scald burn wound healing outcomes, warranting further clinical evaluation.
烫伤会导致严重的发病率,有效的局部治疗仍然是临床的首要任务。由于炎症持续时间长和感染风险高,烧伤是一个重大的临床挑战。传统治疗方法侧重于保湿和预防感染,但水凝胶和油凝胶等生物相容性制剂具有优势。水凝胶可保湿、降温并促进表皮再生,而油凝胶则形成脂质屏障,增强亲脂性生物活性化合物的吸收。人们对新型局部替代疗法的需求日益增加,这些疗法可以通过调节炎症级联反应、加速上皮和真皮再生以及恢复屏障功能来有效改善伤口愈合。本研究旨在确定最有效的植物性局部制剂,以促进二度烫伤伤口愈合。利用标准化的大鼠模型,我们比较了21种不同的局部制剂,这些制剂由富含乳香、罗勒、接骨木花和蓬子菜提取物的油凝胶和水凝胶基质组成。使用RAPID-3D设备(一种经过验证的3D打印工具,可通过控制接触沸水确保可重复的烧伤),用沸水(100°C,持续8秒)在24只Wistar大鼠身上均匀诱导二度烧伤。烧伤后,将大鼠分成三个相等的亚组,每天涂抹局部制剂。在多个时间点(烧伤诱导后第1、4、9、14和21天)通过伤口表面积测量、经表皮水分流失(TEWL)、皮肤水合作用、皮脂分泌、色素沉着、炎症(红斑)、皮肤灌注和组织学参数评估伤口愈合效果。统计分析表明,基于油凝胶的制剂比基于水凝胶的制剂具有显著优势。具体而言,含有乳香和蓬子菜提取物的制剂在第9天和第21天时显著减小了伤口大小并减轻了炎症,改善了皮肤水合作用,并减少了黑色素生成(P<0.05)。这些发现强调了含有特定植物提取物的基于油凝胶的局部制剂在改善烫伤伤口愈合结果方面的潜在临床价值,值得进一步的临床评估。