Formulation of Herbal Gel of Antirrhinum majus Extract and Evaluation of its Anti- Propionibacterium acne Effects
Mohammad Ali Shahtalebi1, Gholam Reza Asghari2, Farideh Rahmani3, Fatemeh Shafiee4, Ali Jahanian-Najafabadi5
1 Department of Pharmaceutics, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
2 Department of Pharmacognosy, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
3 Students' Research Committee, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
4 Department of Pharmaceutical Biotechnology, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
5 Department of Pharmaceutical Biotechnology, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences; Isfahan Pharmaceutical Sciences Research Center, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
|Date of Web Publication||27-Mar-2018|
Dr. Ali Jahanian-Najafabadi
School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Hezar Jarib Ave., Isfahan
Source of Support: None, Conflict of Interest: None
Background: Antirrhinum majus contains aurone with excellent antibacterial and antifungal activities. In addition, visible light activates the endogenous porphyrins of Propionibacterium acne, which results in bacterial death. Therefore, considering the above-mentioned facts, the aim of the present study was to prepare a topical herbal gel of A. majus hydroalcoholic extract and to evaluate its antiacne effects with or without blue light combination as an activator of the porphyrins. Materials and Methods: Antibacterial activity of the shoot or petal extracts was evaluated by disc diffusion method and the minimum inhibitory concentration (MIC) was calculated. Various gel formulations were developed by the Experimental Design software. The obtained gel formulations were prepared and tested for pharmaceutical parameters including organoleptic features, pH, viscosity, drug content, and release studies. Finally, the antibacterial activity was evaluated against (P. acnes) with or without blue light. Results: The MIC of the extracts showed to be 0.25 μg/ml. Evaluation of the gel formulation showed acceptable properties of the best formulation in comparison to a gel in the market. Pharmaceutical parameters were also in accordance with the standard parameters of the marketed gel. Furthermore, statistical analyses showed significant antibacterial effect for gel when compared to negative control. However, combination of blue light with gel did not show any significant difference on the observed antibacterial effect. Conclusion: Because of the statistically significant in vitro antiacne effects of the formulated gel, further clinical studies for evaluation of the healing effects of the prepared gel formulation on acne lesions must be performed.
Keywords: Acne, Antirrhinum majus, blue light, Propionibacterium acnes
|How to cite this article:|
Shahtalebi MA, Asghari GR, Rahmani F, Shafiee F, Jahanian-Najafabadi A. Formulation of Herbal Gel of Antirrhinum majus Extract and Evaluation of its Anti- Propionibacterium acne Effects. Adv Biomed Res 2018;7:53
|How to cite this URL:|
Shahtalebi MA, Asghari GR, Rahmani F, Shafiee F, Jahanian-Najafabadi A. Formulation of Herbal Gel of Antirrhinum majus Extract and Evaluation of its Anti- Propionibacterium acne Effects. Adv Biomed Res [serial online] 2018 [cited 2020 Dec 2];7:53. Available from: https://www.advbiores.net/text.asp?2018/7/1/53/228633
| Introduction|| |
Acne vulgaris is a skin disorder which affects virtually all people at least once during their life span, and its severity is directly related to production of sebum, which itself is stimulated by enlarged sebaceous glands subsequent to androgenic stimulants.,
Multiple physiological factors including follicular hyperproliferation and increased sebum production followed by follicles blockage and colonization of various microorganisms such as Propionibacterium acnes could be found in pathogenesis of acne.,,
P. acne, a Gram-positive and anaerobic bacterium, plays an important role in acne pathogenesis. This organism is important in the development of inflammatory acne by its ability for metabolizing triglycerides of sebaceous into fatty acids, which chemotactically attracts neutrophils.,
Hormones and chemotherapeutic agents have extensively been used for acne treatment for many years. However, severe side effects and drug resistance are most concern with these drugs. Therefore, herbal remedies and photodynamic therapies with high antibacterial activity and without side effects have been widely studied as an alternative photo inactivation of various Gram-positive bacteria, including P. acnes.,,
Antirrhinum majus (Snapdragon) is a member of Scrophulariaceae family. There are five flavones in A. majus, namely, apipnin, lutein, chrysoeriol, kampferol3-gliscoside, and kampferol 3,7diglucoside. A new aurone, bracteatin 6 glycoside, has also been found in this plant. A. majus seeds are a good source of oil (12.3%) too. The amounts of neutral lipids in the oil were the highest, followed by glycolipids and phospholipids. Linoleic and oleic acids accounted for 88% of the total fatty acids.,,
Interestingly, most of the aurone analogs have shown excellent antibacterial and antifungal activities when compared with standard antibiotics and their minimum inhibitory concentrations (MICs) against Gram-positive bacteria such as Staphylococcus aureus, Bacillus subtilis, and Clostridium tetani and Gram-negative bacteria such as Escherichia More Details coli and Pseudomonas aeruginosa and even against fungi such as Candia albicans, and Aspergillus clavatus has been determined.,
Recently, it has been revealed that visible light activates the endogenous porphyrins of P. acnes, which results in bacterial death due to photodynamic reactions. The absorption peak of bacterial porphyrins is at 415 nm, which falls into the blue light waveband.
The wavelength of blue light that is effective in treatment of acne is between 405 and 470 nm. This is near the aurones' absorption wavelength (390–430 nm)., Therefore, it seems that simultaneous application of blue light exposure and the aurones could result in synergistic effects in their antibacterial effects. Hence, we prepared a topical gel formulation containing the A. majus extracts and evaluated its anti-P. acne antibacterial effects with or without simultaneous exposure to blue light, to search whether this combination shows a better antiacne effect or not.
| Materials and Methods|| |
Plant materials collection and authentication
A. majus was collected from the Flowers Garden of Isfahan in June 2014. The specimens were identified and the plant herbarium was kept in the Department of Pharmacognosy of Isfahan School of Pharmacy with the voucher No. 3319.
Preparation of plant extracts
The plant samples were dried in darkness and under ventilated hot air at 40°C to avoid destruction of main constituents. After drying, the obtained materials were subjected to determine the water content by loss on drying for being <2%. The dry powder crushed in blender (Hardstone)™, passed through meshes No. 14, and kept in air tight containers before use. The selected specimen was extracted by refluxing with 90% ethanol and concentrated under reduced pressure. It has been kept in freezer for 24 h before further study. To determine the extract density, about 1 ml of hydroalcoholic extract put on oven at 100°C until completely dried. This powder was weighed and considered as the petal or shoot density of extract.
The qualitative and quantitative analysis of active components was carried out by preparative paper chromatography with 50% acetic acid as developing solvent.,,
Standardization of extract
Standardization of the extracts has been performed on the basis of their phenolic contents using the Folin–Ciocalteu method.
Determination of the antibacterial activity of extract
To evaluate the antibacterial activity of the extracts, P. acnes (PTCC 6916) was obtained from Pasteur Institute of Iran (Tehran, Iran) and cultivated on brain–heart infusion (BHI) medium (Merck, Germany) supplemented with 1% glucose (BHI-Glu) and in an anaerobic jar.
All experiments were conducted on BHI-Glu-agar plates containing 1 × 108 colony forming unit (CFU)/ml of the bacteria as the seed layer, and cultivation was performed under anaerobic condition prepared using Anaerocult A ® (Merck, Germany) gas packs in an anaerobic jar controlled with Anaerotest ® indicator, for 72 h and at 37°C. Vancomycin 30 μg was used as the positive control.,,
Determination of minimum inhibitory concentration of Antirrhinum majus extract
The MIC of the plant extract was determined by disk diffusion method. In this regard, sterile filter paper discs (with 6 mm diameter) were impregnated with 20 μl of different concentrations of A. majus extract, and the paper discs were aseptically placed on BHI-Glu agar plates seeded with the P. acnes bacteria, as described before. The plates then were left at ambient temperature for 30 min to allow prediffusion before incubation at 37°C for 72 h under anaerobic condition. Finally, MIC was determined by measuring the diameter of the zone of inhibition. All disk diffusion tests were performed in three independent experiments.,
Preparation of gel bases containing Antirrhinum majus extract
The amount of various materials required for preparation of gel bases were determined by Experimental Design ® [Table 1]. To prepare each formulation, appropriate amount of potassium sorbate was dissolved in 5 ml of hot water. Subsequently, the given amount of carbopol 940 was dispersed in 50 ml deionized water with continuous stirring for 20 min. This dispersion was kept overnight for soaking. In another beaker, the required quantity of propylene glycol, isopropyl myristate, and cremophor were added to ethanol and deionized water. Required concentrations of A. majus extract diluted in ethanol 90% considering its MIC were added to the second beaker. Triethanolamine was added to the mixture for adjusting pH at 6.8–7.1.,,,
Evaluation of the gel formulations
Organoleptic parameters and skin irritation test were performed on a group of volunteer women between 18 and 30 years, randomly chosen, and after informed consent, they were asked to use final formulation on their arm and let it remain for 24 h, and then, they gave their comments about the formulation. The organoleptic parameters were also checked by the following methods.
Visual appearance inspection
Physical appearance of the formulation was checked visually for color, consistency, greasiness, and odor.,
pH of the prepared formulations was measured using a digital pH meter (Metrohm Switzerland) at room temperature in natural condition. After calibration, the determinations were carried out in triplicate and the average was calculated.
The viscosity of formulated gels was determined using Brookfield viscometer at 50 rpm and 25°C.
About 10 g of the final gel was transferred to a flask containing 20 ml alcohol 90% and stirred for 30 min. Then, the content volume was increased up to 100 ml and filtered. One milliliter of this solution was 100X diluted with alcohol 90%. The absorbance of the final solution was measured by spectrophotometer at 410 nm. Drug content was calculated by the following formula:
Drug content = (absorbance/slope) × dilution factor (1/1000)
In vitro diffusion studies
The in vitro diffusion studies for all formulations were done using the Franz diffusion cell. Twenty-five milligrams of the gel-containing A. majus extract was placed on the cellulose acetate membrane in phosphate buffer with pH 6.8, continuously stirred; temperature was maintained at 37°C ± 1°C. One milliliter aliquot was withdrawn from each system at time intervals of 15, 30, 60, 120, and 180 min, and 5 h and analyzed for drug release using ultraviolet (UV) spectrophotometer at 410 nm.,
Drug release kinetics
To study the release kinetics of the final formulation, the data obtained from in vitro release studies were plotted in various kinetic models.,
Antibacterial studies of the gel formulation
The antibacterial activity was evaluated by well diffusion method. P. acnes was incubated in BHI-Glu agar for 72 h under anaerobic conditions and adjusted to yield approximately 108 CFU/ml in BHI broth. The solidified agar plates were filled with 10 ml of seed layer containing 108 bacteria/ml. The equidistance wells were cut in the plates with the help of pastor pipet. In each of these wells, the gel formulation was placed and the plates were left at ambient temperature for 30 min to allow prediffusion before incubation at 37°C under anaerobic condition for 72 h. The antibacterial activity was estimated by measuring the diameter of zone of inhibition. All diffusion tests were performed in three independent experiments and antibacterial activity was expressed as mean ± standard deviation.,
Effect of blue light on antibacterial activity of Antirrhinum majus extract formulated gel
To evaluate the effect of blue light on antibacterial activity of A. majus extract alone or when gel formulated, various plate combinations were designed in duplicate, one as a sample exposing to blue light, and one control nonblue light exposing plate. According to the previously obtained MIC values for the free plant extracts, the similar concentrations of the plant extract were added into 50 mg of gel base, separately. The blue light effect on these gels has been determined from a 25-cm distance for 30 min.
SPSS Windows version 19 (SPSS Inc., USA) was used for statistical analyses by applying mean values using analysis of variance (ANOVA) with proper post hoc test. P < 0.05 was considered statistically significant.
| Results|| |
Antirrhinum majus contains aurones
The Rf value of about 4.2 for the A. majus extract showed the presence of aurones. In spectrophotometric identification of the extract, on the other hand, it was showed two significant bands at 260 and 406 nm, confirmed the release of extract from the plant. Average density of plant was 0.09 g/ml for shoots and 0.05 g/ml for petals. Total phenolic content of the extract showed to be 4.065 ± 0.014 (g of gallic acid/g of ethanolic extract).
The best formulation was selected according to the pharmaceutical properties
Nine gel formulations were prepared based on the obtained results from the Experimental Design™ software [Table 1]. The pH of most formulations ranged from 6.8 to 7.1, which was acceptable for topical formulations. Finally, the formulation F9 has been chosen for its desirable pharmaceutical properties. This formulation was translucent, produced smooth effect on skin, left nothing on skin, and showed good consistency and homogeneity [Table 2].
According to the results of ANOVA test, it was shown that there were no significant differences between the formulated and gel in the market in terms of spreadability [Table 3].
Analyzing of the data of pH in different times (1, 7, 30, and 120 days after the formulation) using ANOVA and Tukey post hoc test showed no significant changing in pH in comparison to the fresh formulation over the time (P < 0.05) [Table 4].
ANOVA and Tukey post hoc test showed no statistically significant reduction in terms of drug content, except after 3 months of formulation preparation at room temperature and normal condition (P = 0.035) [Table 5].
According to [Figure 1], after the analysis of the extract release using UV spectrophotometer at 410 nm, at time intervals of 15, 30, 60, 120, and 180 min and 5 h, it was concluded that the most extract release from the membrane occurred after 5 h as 60.07% [Figure 1].
There were no significant differences between the zone of inhibition of final formulation with or without exposure to blue light
For both petal and shoot extracts formulated as gel, there were no significant differences between the zone of inhibition of gel with or without blue light combination from a 25-cm distance for 30 min in all final extract concentration (P < 0.05) [Table 6]. ANOVA and Tukey test, on the other hand, showed that there were no statistically significant differences between the effectiveness of the gel containing shoot or petal extract with or without light (P > 0.05) [Table 6].
|Table 6: Concentrations and zone of inhibition for shoot (Z1–Z4) and petal (X1–X4) extracts|
Click here to view
Finally, the antibacterial effects of formulated gel and intact petal or shoot extract showed no statistical significant differences, so it is concluded that the formulation of the gel has no negative effects on the antibacterial activity of the A. majus extract [Table 6].
| Discussion|| |
Antimicrobial and antifungal properties of Snapdragon referred to aurones absorb wavelength between 240–270 and 390–430 nm, respectively, according to the study of Cerovic et al.
Jardosh and Patel. evaluated the antibacterial effects of synthetic aurones and reported significant antibacterial effects against S. aureus, B. subtilis, C. tetani, E coli, P. aeruginosa, and Vibrio cholera as well as antifungal effects against C. albicans and A. clavatus. In addition, Riaz et al. approved the antibacterial and antifungal effect of Snapdragon extract against Pasteurella multocida, Escherichia coli, B. subtilis, Aspergillus flavus, Aspergillus niger, Alternaria alternata, and Rhizopus solani.
In other studies, significant antimalaria, antimicrobial, antifungal, antivirus, anti-inflammatory, anticancer, and antiangiogenesis effects have been reported for aurones. Furthermore, the effects of some aurones in the treatment of skin pigmentation by inhibiting tyrosinase in the synthesis of melanin were reported.
According to Jardosh and Patel. results, the MIC of aurones for S. aureus, B. subtilis, and C. tetani has been calculated as 12.5, 25, and 50 μg/ml, respectively. However, in our study, the estimated MIC of aurones in the shoot and petals was about 0.25 μg/ml. This higher antibacterial effects can be attributed to the higher sensitivity of P. acnea to the aurones in comparison to the investigated Gram-positive bacteria in the Jardosh and Patel study.
Carbopol is one of the most ingredients used as the gel bases for the production of antiacne gels. In one study, this compound was used for the preparation a polyherbal antiacne gel, and the results showed that this gel had good consistency and spreadability. Another study is the Mayank et al.'s project successfully used this polymer for the formulation a herbal antiacne gel-containing Aloe vera extract with suitable appearance, color, consistency, pH, and spreadability. Moreover, this component did not interfere with the antimicrobial effect of final formulation, and the antiacne effects of the formulated gel were equal to the intact extract.
At the end of the study, we evaluated, for the first time, the effect of the blue light exposure on potentiating the antibacterial effect of the prepared gel formulation. While it was showed that the combination of A. majus gel with the blue light did not show any additive or synergistic effects in our study, according to Tzung et al.'s study, clinical application of blue light twice a week for 4 weeks from 15 cm distance with the power of 40 J/cm 2 is useful. In another study, Dai et al. radiated blue light from 25 cm for 60 min on the microbial suspension, which reduced bacterial count by 15%–24%., Furthermore, Ashkenazi et al. radiated blue light for 24 h from a distance of 10 cm to test tubes with the energy of 75 J/cm 2. Then, the results have been checked by electron microscopy and showed that the walls of many bacteria had been destroyed.
| Conclusion|| |
In the present study, we prepared a topical gel formulation containing hydroalcoholic extracts of A. majus. It showed significant antibacterial effects against P. acnes. We also evaluated the effect of blue light exposure on its effectiveness on the observed antibacterial effects. However, it did not show any enhancement on the observed effects. In this regard, further clinical studies for the evaluation of the healing effects of the prepared gel formulation on acne lesions must be performed.
Authors are grateful to thanks Mrs. Shafizadegan for her technical supports on antimicrobial tests.
Financial support and sponsorship
This work has been financially supported by Isfahan University of Medical Sciences as a Pharm. D. Thesis with grant number 393274.
Conflicts of interest
There are no conflicts of interest.
| References|| |
Vats A, Sharma P. Formulation and evaluation of topical antiacne formulation of coriander oil. Int J Pharm Pharm Sci Res 2012;2:61-6.
Webster GF, Rawlings AV. Acne and Its Therapy. United States, Boca Raton, Florida: CRC Press; 2014.
Sandhya S, Sravanthi EV, Vinod K. Evaluation of a dermatological herbal hydrogel integrated with Ipomea pes-tigridis
for anti acne activity. Inflammation 2013;1:5.
Sawarkar H, Khadabadi S, Mankar D, Farooqui I, Jagtap N. Development and biological evaluation of herbal anti-acne gel. Int J PharmTech Res 2010;2:2028-31.
Zu Y, Yu H, Liang L, Fu Y, Efferth T, Liu X, et al.
Activities of ten essential oils towards Propionibacterium acnes
and PC-3, A-549 and MCF-7 cancer cells. Molecules 2010;15:3200-10.
Ashkenazi H, Malik Z, Harth Y, Nitzan Y. Eradication of Propionibacterium
acnes by its endogenic porphyrins after illumination with high intensity blue light. FEMS Immunol Med Microbiol 2003;35:17-24.
Leal-Silva H, Padilla B, Verduzco R, Salas J. Efficacy and Safety of a New Treatment Modality: The ClearLight™ PhotoClearing System; 2002.
Harborne J. Plant polyphenols. X. Flavone and aurone glycosides of Antirrhinum
. Phytochemistry 1963;2:327-34.
Marinova K, Kleinschmidt K, Weissenböck G, Klein M. Flavonoid biosynthesis in barley primary leaves requires the presence of the vacuole and controls the activity of vacuolar flavonoid transport. Plant Physiol 2007;144:432-44.
Ramadan MF, El-Shamy H. Snapdragon (Antirrhinum majus
) seed oil: Characterization of fatty acids, bioactive lipids and radical scavenging potential. Ind Crops Prod 2013;42:373-9.
Bandgar BP, Patil SA, Korbad BL, Biradar SC, Nile SN, Khobragade CN, et al.
Synthesis and biological evaluation of a novel series of 2,2-bisaminomethylated aurone analogues as anti-inflammatory and antimicrobial agents. Eur J Med Chem 2010;45:3223-7.
Jardosh HH, Patel MP. Antimicrobial and antioxidant evaluation of new quinolone based aurone analogs. Arabian J Chem 2014;S3781-S3791.
Lee SY, You CE, Park MY. Blue and red light combination LED phototherapy for acne vulgaris in patients with skin phototype IV. Lasers Surg Med 2007;39:180-8.
Cerovic Z, Ounis A, Cartelat A, Latouche G, Goulas Y, Meyer S, et al
. The use of chlorophyll fluorescence excitation spectra for the non-destructive in situ
assessment of UV-absorbing compounds in leaves. Plant Cell Environ 2002;25:1663-76.
Bloor SJ. Overview of methods for analysis and identification of flavonoids. Methods Enzymol 2001;335:3-14.
Markham KR. Techniques of Flavonoid Identification. London: Academic Press; 1982.
Wollenweber E, Harborne J, Mabry T. In: Harbone JB, Mabry TJ, editors. The Flavonoids: Advances in Research. London: Chapman and Hall; 1982. p. 240.
Rop O, Mlcek J, Jurikova T, Neugebauerova J, Vabkova J. Edible flowers – A new promising source of mineral elements in human nutrition. Molecules 2012;17:6672-83.
Gübelin W, Martínez MA, Molina MT, Zapata S, Valenzuela ME. Antimicrobial susceptibility of strains of Propionibacterium acnes
isolated from inflammatory acne. Rev Latinoam Microbiol 2006;48:14-6.
Nayak N, Verma L, Satpathy G, Venkatesh P. Propionibacterium acnes
endophthalmitis. J Clin Diagn Res 2007;3:155-8.
Zandi S, Vares B, Abdollahi H. Determination of microbial agents of acne vulgaris and Propionibacterium acnes
antibiotic resistance in patients referred to dermatology clinics in Kerman, Iran. Jundishapur J Microbiol 2011;4:17-22.
Chaurasiya N, Chakraborthy G. Formulation and evaluation of herbal hydro gel from Hibiscus rosa-sinensis
. Int J Curr Pharm Res 2014;6:14-6.
Dwivedi S, Gupta S. Formulation and evaluation of herbal gel containing Sesbania grandiflora
(L.) poir. Leaf extract. Acta Chim Pharm Indica 2012;2:54-9.
Singla V, Saini S, Joshi B, Rana A. Emulgel: A new platform for topical drug delivery. Int J Pharma Bio Sci 2012;3:485-98.
Das MK, Ahmed AB. Formulation and ex vivo
evaluation of rofecoxib gel for topical application. Acta Pol Pharm 2007;64:461-7.
Pawar DP, Shamkuwar PB. Formulation and evaluation of herbal gel containing Lantana camara
leaves extract. Asian J Pharm Clin Res 2013;6:122-4.
Basha BN, Prakasam K, Goli D. Formulation and evaluation of gel containing fluconazole-antifungal agent. Int J Drug Dev Res 2011;3(4):109-128.
Singhvi G, Singh M. Review: In-vitro
drug release characterization models. Int J Pharm Stud Res 2011;2:77-84.
Chime S, Onunkwo G, Onyishi I. Kinetics and mechanisms of drug release from swellable and non swellable matrices: A review. Res J Pharm Biol Chem Sci 2013;4:97-103.
Riaz M, Rasool N, Rasool S, Rashid U, Bukhari IH, Zubair M, et al
. Chemical analysis, cytotoxicity and antimicrobial studies by snapdragon: A medicinal plant. Asian J Chem 2013;25:5479.
Zwergel C, Gaascht F, Valente S, Diederich M, Bagrel D, Kirsch G, et al.
Aurones: Interesting natural and synthetic compounds with emerging biological potential. Nat Prod Commun 2012;7:389-94.
Rasheed A, Avinash Kumar Reddy G, Mohanalakshmi S, Ashok Kumar CK. Formulation and comparative evaluation of poly herbal anti-acne face wash gels. Pharm Biol 2011;49:771-4.
Mayank S, Vikas R. Formulation development and evaluation of novel poly-herbal anti-acne gel. Int J Pharm Tech Res 2014;6:58-62.
Dai T, Gupta A, Murray CK, Vrahas MS, Tegos GP, Hamblin MR, et al.
Blue light for infectious diseases: Propionibacterium acnes
, Helicobacter pylori
, and beyond? Drug Resist Updat 2012;15:223-36.
Tzung TY, Wu KH, Huang ML. Blue light phototherapy in the treatment of acne. Photodermatol Photoimmunol Photomed 2004;20:266-9.
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6]
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