CC BY-NC-ND 4.0 · Eur J Dent 2020; 14(03): 410-414
DOI: 10.1055/s-0040-1712776
Original Article

The Macrophage Responses during Diabetic Oral Ulcer Healing by Liquid Coconut Shell Smoke: An Immunohistochemical Analysis

1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
,
Fatma Yasmin Mahdani
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
,
Diah Savitri Ernawati
1   Department of Oral Medicine, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
,
Andari Sarasati
2   Department of Dental Science, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
,
Fianza Rezkita
2   Department of Dental Science, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia
› Author Affiliations
Funding This study was funded by the Faculty of Dental Medicine - Universitas Airlangga, Surabaya, Indonesia 2019, under grant 1408/UN3/2019.

Abstract

Objectives Liquid coconut shell smoke (LC-SS) is used in natural food preservation for a long history. The purpose of this study was to analyze the role of LC-SS in macrophage responses during diabetic oral ulcer healing as medication.

Materials and Methods Oral ulcers were induced in the labial lower mucosa of the research subjects using a round steel blade following diabetic induction by means of alloxan. Twenty-four diabetic Wistar rats presenting oral ulcers were divided into two groups, a test group, which was given topical treatment of LC-SS and a control group, which was given benzydamine hydrochloride (BHCl). The role of LC-SS in macrophages was assessed by means of immunohistochemistry for nuclear factor kappa B (NF-κB) and tumor necrosis factor-α (TNF-α) expression.

Result LC-SS increased macrophages compared with BHCl (p = 0.000). The LC-SS affected only TNF-α expression by stimulating NF-κB expression (p = 0.046) but did not macrophage numbers (p = 0.861).

Conclusion LC-SS has a stronger effect compared with BHCl on diabetic oral ulcer healing by increasing macrophage response to produce TNF-α while decreasing NF-κB expression.



Publication History

Article published online:
24 May 2020

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  • References

  • 1 Rozum J. Liquid Smoke (Smoke Condensate) Application. In: Encyclopedia of Meat Sciences. Elsevier Ltd; London, UK: 2014: 315-320
  • 2 Achmadi SS, Mubarik NR, Nursyamsi R, Septiaji P. Characterization of redistilled liquid smoke of oil-palm shells and its application as fish preservatives. J Appl Sci (Faisalabad) 2013; 13 (03) 401-408
  • 3 Yusnaini S, Suryanto E, Armunanto R. Physical, chemical and sensory properties of Kenari (Canariun indicum L.) shell liquid smoke-immersed-beef on different level of dilution. J Indones Trop Anim Agric 2012; 37 (01) 27-33
  • 4 Swastawati F, Susanto E, Cahyono B, Trilaksono WA. Sensory evaluation and chemical characteristics of smoked stingray (Dasyatis Blekeery) processed by using two different liquid smoke. Int J Biosci Biochem Bioinform 2012; 2 (03) 212-216
  • 5 Tripathi R, Tripathi K. Management of non healing oral ulcer in diabetic patient using topical application of epidermal growth factor: a case report. Sch Acad J Biosci 2015; 3 (08) 640-643
  • 6 Salazar JJ, Ennis WJ, Koh TJ. Diabetes medications: impact on inflammation and wound healing. J Diabetes Complications 2016; 30 (04) 746-752
  • 7 Belenguer-Guallar I, Jiménez-Soriano Y, Claramunt-Lozano A. Treatment of recurrent aphthous stomatitis. A literature review. J Clin Exp Dent 2014; 6 (02) e168-e174
  • 8 Pandya M, Kalappanavar AN, Annigeri RG, Rao DS. Relative efficacy of quercetin compared with benzydamine hydrochloride in minor aphthae: a prospective, parallel, double blind, active control, preliminary study. Int J Dent 2017; 2017: 7034390
  • 9 Karavana Hizarcioğlu SY, Sezer B, Güneri P. et al. Efficacy of topical benzydamine hydrochloride gel on oral mucosal ulcers: an in vivo animal study. Int J Oral Maxillofac Surg 2011; 40 (09) 973-978
  • 10 Hanani T, Gadban H, Jahshan F, Ronen O. Tantum verde mouthwash for tonsillectomy: a prospective, double-blind, randomized control trial. Int J Pediatr Otorhinolaryngol 2019; 121 (January) 173-178
  • 11 Aslani A, Zolfaghari B, Davoodvandi F. Design, formulation and evaluation of an oral gel from Punica Granatum Flower extract for the treatment of recurrent aphthous stomatitis. Adv Pharm Bull 2016; 6 (03) 391-398 [Internet]
  • 12 Surboyo MDC, Tantiana T, Arundina I. Analgesic effect of coconut shell (Cocos nucifera L) liquid smoke on mice. Dent J 2012; 45 (03) 156-160 (Majalah Kedokt Gigi)
  • 13 Tarawan VM, Mantilidewi KI, Dhini IM, Radhiyanti PT, Sutedja E. Coconut shell liquid smoke promotes burn wound healing. J Evid Based Complementary Altern Med 2017; 22 (03) 436-440
  • 14 Surboyo MDC, Arundina I, Rahayu RP. Increase of collagen in diabetes-related traumatic ulcers after the application of liquid smoke coconut shell. Dent J 2017; 71 (32) 71-75 (Majalah Kedokt Gigi)
  • 15 Surboyo MDC, Ernawati DS, Arundina I, Rahayu RP. Oral ulcer healing after treatment with distilled liquid smoke of coconut shell on diabetic rats. J Krishna Inst Med Sci Univ 2019; 8 (02) 70-79
  • 16 Surboyo MDC, Arundina I, Rahayu RP, Mansur D, Bramantoro T. Potential of distilled liquid smoke derived from coconut (Cocos nucifera L) shell for traumatic ulcer healing in diabetic rats. Eur J Dent 2019; 13 (02) 271-279
  • 17 Xu F, Zhang C. T graves D. abnormal cell responses and role of TNF alpha in impaired diabetic wound healing. Hindawi. Biomed Res Int 2013; 2013: 754802
  • 18 Oliveira BV, Barros Silva PG, Nojosa JdeS. et al. TNF-alpha expression, evaluation of collagen, and TUNEL of Matricaria recutita L. extract and triamcinolone on oral ulcer in diabetic rats. J Appl Oral Sci 2016; 24 (03) 278-290
  • 19 Gülçin I, Beydemir Ş. Phenolic compounds as antioxidants: carbonic anhydrase isoenzymes inhibitors. Mini Rev Med Chem 2013; 13 (03) 408-430
  • 20 Costa G, Francisco V, Lopes MC, Cruz MT, Batista MT. Intracellular signaling pathways modulated by phenolic compounds: application for new anti-inflammatory drugs discovery. Curr Med Chem 2012; 19 (18) 2876-2900
  • 21 Tan H, Wang N, Li S, Hong M, Wang X, Feng Y. The reactive oxygen species in macrophage polarization: human diseases. Oxid Med Cell Longev 2016; 2016: 1-16
  • 22 Basli A, Belkacem N, Amrani I, Health Benefits of Phenolic Compounds Against Cancers. In: Sato-Hernandez M, Palma-Tenago M, Garcia-Mateos M del R, editors. Phenolic Compounds - Biological Activity [Internet]. InTech; 2017. Available at: http://www.intechopen. com/books/phenolic-compounds-biological-activit y/ health-benefits-of-phenolic-compounds-against-cancers
  • 23 Basli A, Belkacem N, Amrani I. et al. STAT3 and NF-κB are simultaneously suppressed in dendritic cells in lung cancer. Sci Rep 2017; 7 (February) 1-11
  • 24 Yahfoufi N, Alsadi N, Jambi M, Matar C. The immunomodulatory and anti-inflammatory role of polyphenols. Nutrients 2018; 10 (11) 1-23
  • 25 Sun SC. The non-canonical NF-κB pathway in immunity and inflammation. Nat Rev Immunol 2017; 17 (09) 545-558
  • 26 Meyerovich K, Ortis F, Cardozo AK. The non-canonical NF-κB pathway and its contribution toβ-cell failure in diabetes. J Mol Endocrinol 2018; 61 (02) F1-F6
  • 27 Cajander S, Rasmussen G, Tina E. et al. Dynamics of monocytic HLA-DR expression differs between bacterial etiologies during the course of bloodstream infection. PLoS One 2018; 13 (02) e0192883
  • 28 Thaker YR, Schneider H, Rudd CE. TCR and CD28 activate the transcription factor NF-B in T-cells via distinct adaptor signaling complexes. Immunol Lett 2015; 163 (01) 113-119
  • 29 Mescher AL. Macrophages and fibroblasts during inflammation and tissue repair in models of organ regeneration. Regeneration (Oxf) 2017; 4 (02) 39-53