Anti-Inflammatory Effect of Stichopus hermanii Extract on Oral Ulcers in Rattus norvegicus: Modulation of IL-6 and IL-10 Expression
Main Article Content
Abstract
Glycosaminoglycans and collagen in Stichopus hermanii have been shown to support the wound-healing process, and Indonesia is the largest producer of this species. This study aimed to investigate the anti-inflammatory effect of Stichopus hermanii extract gel as a novel natural, cost-effective, and potentially more effective wound healing agent. This study employed a laboratory experimental design with a post-test-only control group to evaluate the effects of Stichopus hermanii extract on IL-6 and IL-10 expression in oral ulcers of Rattus norvegicus. The experimental groups included a positive control group (Kenalog in Orabase), negative control group (carboxymethyl cellulose, or CMC), and treatment groups which were administered Stichopus hermanii extract gel at concentrations of 80%, 40%, and 20%. Treatments were applied twice daily for 10 days following ulcer would incision in rats. Interleukin-6 (IL-6) and Interleukin-10 (IL-10) levels were determined by enzyme-linked immunosorbent assay (ELISA) following the manufacturer’s instruction. The results demonstrated that Stichopus hermanii extract at 80% concentration produced the greatest reduction in IL-6 and the highest increase in IL-10 expression levels, suggesting its efficacy in enhancing the wound healing process of oral ulcers. This findings therefore revealed the potential of Stichopus hermanii extract as an alternative therapy for oral inflammation.
Downloads
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
How to Cite
References
1.Asmawati, Thalib B, Natsir N, Thalib AM, Hasyim R. The Increase of Fibroblast Cell Number in Rat (Rattus norvegicus) Gingival Wound After the Application of Moringa (Moringa oleifera Lam) Fruit Oil. J Dentomaxillofac Sci. 2020; 5(3):173-176.
2.Marya CM, Mehlawat J, Nagpal R, Kataria S, Taneja P. Comparative Assessment of Low-Level Laser Therapy (LLLT) vs. Topical Application of Amlexanox + Lidocaine to Treat Recurrent Aphthous Ulcers (RAUs): A Randomized Controlled Trial. J Dent Res Dent Clin Dent Prospects. 2021; 15(1):11-15.
3.Falodun A, Okunrobo LO, Uzoamaka N. Phytochemical Screening and Anti-Inflammatory Evaluation of Methanolic and Aqueous Extracts of Euphorbia heterophylla Linn (Euphorbiaceae). Afr J Biotechnol. 2006; 5(6):529-531.
4.Waasdorp M, Krom BP, Bikker FJ, van Zuijlen PPM, Niessen FB, Gibbs S. The Bigger Picture: Why Oral Mucosa Heals Better Than Skin. Biomolecules. 2021; 11(8):4-5.
5.Toma AI, Fuller JM, Willet NJ, Goudy SL. Oral Wound Healing Models and Emerging Regenerative Therapies. Transl Res. 2021; 236:20-23.
6.Mahdani FY, Ernawati DS, Hadi P, Soebadi B. Citrus limon L. Gel Stimulates Lymphocytes and Interleukin-10 Expression in Traumatic Diabetic Oral Ulcers. Pharmacogn Res. 2020; 12(3):299-302.
7.Arundina I, Yuliati, Soesilawati P. The Effects of Golden Sea Cucumber Extract (Stichopus hermanii) on the Number of Lymphocytes During the Healing Process of Traumatic Ulcer on Wistar Rat’s Oral Mucous. Dent J (Majalah Kedokteran Gigi). 2015; 48(2):100-103.
8.Sugiharto S, Ramadany S, Handayani H, Achmad H, Mutmainnah N, Inayah NH, Sesioria A, Thamrin AZ. Assessment of the Anti-Inflammatory Activities of the Moringa Leaf Extract in Periodontitis Cases Through IL-6 Cytokine Analysis in Wistar (Rattus norvegicus). Maced J Med Sci. 2022; 10(D):124-130.
9.Johnson BZ, Stevenson AW, Prêle CM, Fear MW, Wood FM. The Role of IL-6 in Skin Fibrosis and Cutaneous Wound Healing. Biomedicines. 2020; 8(5):101.
10.Singampalli KL, Balaji S, Wang X, Parikh UM, Kaul A, Gilley J, Birla RK, Bollyky PL, Keswani SG. The Role of an IL-10/Hyaluronan Axis in Dermal Wound Healing. Front Cell Dev Biol. 2020; 8:1-5.
11.Sandiah JH, Hardianto A, Tasman Yuza A, Hadikrishna I, Mulut DB, Maxillofasial D, Sakit R, Sadikin H. Differences in Oral Function and Interleukin-10 Expression After Odontectomy Using Micromotor and Piezosurgery. Padjadjaran J Dent Res Student. 2020; 4(1):75-80.
12.Setiyowati D, Ayub AF, Zulkifli M. Central Bureau of Statistics 2016. Marine and Coastal Resources Statistics. Statistics of Marine and Coastal Resources. 2016.
13.Damaiyanti DW. Characterization of Aqueous Extracts of Golden Sea Cucumber (Stichopus hermanii). Dent J (Majalah Kedokteran Gigi). 2015; 9(1):75-79.
14.Bordbar S, Anwar F, Saari N. High-Value Components and Bioactives From Sea Cucumbers for Functional Foods—A Review. Mar Drugs. 2011; 9(10):1761-1805.
15.Aziz N, Detels R, Quint JJ, Li Q, Gjertson D, Butch AW. Stability of Cytokines, Chemokines and Soluble Activation Markers in Unprocessed Blood Stored Under Different Conditions. Cytokine. 2016; 84:17-24.
16.Chairunas, Abdat M. Effectiveness of Cocoa Beans (Theobroma cacao L.) Extract Gel 8% and 16% in the Healing of Wistar Rats (Rattus norvegicus) Gingiva Incision Wound. J Dentomaxillofac Sci. 2022; 7(2):114-120.
17.Shen C, Ye W, Gong L, Lv K, Gao B, Yao H. Serum Interleukin‐6, Interleukin‐17A, and Tumor Necrosis Factor‐Alpha in Patients with Recurrent Aphthous Stomatitis. J Oral Pathol Med. 2021; 50(4):418-423.
18.Mochol MM, Bonsmann T, Mochol M, Baran AP, Pawlik A. The Role of Interleukin 6 in Periodontitis and Its Complications. Int J Mol Sci. 2024; 25:2146.
19.Al-Qahtani AA, Alhamlan FS, Al-Qahtani AA. Pro-Inflammatory and Anti-Inflammatory Interleukins in Infectious Diseases: A Comprehensive Review. Trop Med Infect Dis. 2024; 9:13.
20.Zohdi RM, Zakaria ZA, Yusof N, Mustapha NM, Abdullah MN. Sea cucumber (Stichopus hermanii) based hydrogel to treat burn wounds in rats. J Biomed Mater Res B Appl Biomater. 2011; 98(1):30-37.
21.Thantawi A, Khairiati, Nova MM, Marlisa S, Bakar A. Stomatitis Aphthosa Rekuren (SAR) Minor Multiple Premenstrual Syndrome (Case Report). ODONTO Dent J. 2014; 1(2):61.
22.Ibrahim S, Elkot RA, Hend ES. Lactic Acid 5% Mouthwash vs. Kenalog in Orabase 0.1% for Treatment and Prophylaxis of Recurrent Aphthous Ulcer. J Cosmet Dermatol. 2014; 19(4):964-969.
23.Mujayanto R, Shafia A, Feranisa A. Bay Leaf (Syzygum polyanthum) Extract Effect on IL-10 Expression in Oral Ulcer. ODONTO Dent J. 2020; 7(1):53-58.
24.Sari RP. Characterization and Potency of Stichopus hermanii Ethanol Extract on Oral Wound Healing. ODONTO Dent J. 2020; 7(1):15-16.
25.Steen EH, Wang X, Balaji S, Butte MJ, Bollyky PL, Keswani SG. The Role of the Anti-Inflammatory Cytokine Interleukin 10 in Tissue Fibrosis. Adv Wound Care. 2020; 9(4):184-198.
26.Suryono, Sari R, Wulandari FR, Andini H, Widjaja J, Nugraheni TD. Effect of 10% Kapok Banana Peel Extract Gel (Musa paradisiaca Linn. Kapok) on Periodontal Regeneration Process of Wistar Rat. J Dentomaxillofac Sci. 2023; 8(2):81-85.
27.Saqib U, Sarkar S, Suk K, Mohammad O, Baig MS, Savai R. Phytochemicals as Modulators of M1-M2 Macrophages in Inflammation. Oncotarget. 2018; 9(25):17937-17950.


