Abstract

As proper wound management is crucial to reducing morbidity and improving quality of life, this study evaluated for the first time the wound healing potential of H. italicum essential oil (HIEO) prepared in the form of ointment and gel in streptozotocin-induced diabetic wound models in rats. After creating full-thickness cutaneous wounds, forty-eight diabetic rats were divided into six groups: (1) negative control; (2) positive control; (3) ointment base; (4) gel base; (5) 0.5% HIEO ointment (6) 0.5% HIEO gel. Wound healing potential was determined by the percentage of wound contraction, hydroxyproline content, redox status, and histological observation. A significant decrease in the wound size was observed in animals treated with HIEO formulations compared with other groups. The HIEO groups also showed a higher level of total hydroxyproline content, and more pronounced restitution of adnexal structures with only the underlying muscle defect indicating the incision site. Hence, our results legitimate the traditional data of the pro-healing effect of HIEO because HIEO in both formulations such as gel and ointment exhibited the significant wound repairing effect in the incision wound model.

Highlights

  • The chemical composition of the H. italicum essential oil determined by GC/MS

  • Forty-six components identified in the H. italicum essential oil represent 98.37% of the total essential oil composition, and many of these compounds are present in trace amounts

  • We investigated the effects of ointment and gel based on H. italicum essential oil in wound healing, with a special focus on revealing the impact of these topical preparations on redox status and structural tissue alterations

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Summary

Introduction

Diabetes mellitus (DM) represents a group of chronic, metabolic diseases, with the main feature of chronic hyperglycemia caused by defects in insulin secretion, insulin efficacy, or, most often, both [1]. According to International Diabetes Federation, DM, as the largest global epidemic of the twenty-first century, affects more than 420 million individuals with constantly increasing prevalence [2]. DM is associated with a high risk of developing serious micro- and macrovascular complications. One of the most serious complications is impaired wound healing, which often leads to the development of chronic wounds and amputations [3]. Wound healing is delayed due to disturbance in each phase of wound healing, i.e., the hemostasis, Pharmaceuticals 2021, 14, 813.

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