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Role of medicinal herbs and phytochemicals in post burn management

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Abstract

Burn management is a natural and distinctly programmed process involving overlapping phases of hemostasis, inflammation, proliferation and remodeling. Burn wound healing involves initiation of inflammation, re-epithelialization, granulation, neovascularization and wound contraction. Despite the availability of multiple preparations for management of burn wound, there is dire need for efficacious alternative agents. Current approaches for burn wound management include pharmaceutical agents and antibiotics. However, high cost of synthetic drugs and accelerated resistance to antibiotics is challenging for both developed and developing nations. Among alternative options, medicinal plants have been a biocompatible, safe and affordable source of preventive/curative approaches. Due to cultural acceptance and patient compliance, there has been a focus on the use of botanical drugs and phytochemicals for burn wound healing. Keeping in consideration of medicinal herbs and phytochemicals as suitable therapeutic/adjuvant agents for burn wound management, this review highlights therapeutic potential of 35 medicinal herbs and 10 phytochemicals. Among these, Elaeis guineensis, Ephedra ciliate and Terminalia avicennioides showed better burn wound healing potential with varied mechanisms such as modulation of TNF-alpha, inflammatory cytokines, nitric oxide, eicosanoids, ROS and leukocyte response. Phytochemicals (oleanolic acid, ursolic acid, kirenol) also showed promising role in burn wound management though various pathways involving such as down regulation of TNF-alpha, IL-6 and inflammatory mediators including plasma proteases and arachidonic acid metabolites. This review provides a pavement for therapeutic/adjuvant use of potential botanical drugs and novel druggable phyto-compounds to target skin burn injury with diverse mechanisms, affordability and safety profile.

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Data availability

All the data related to this review lies with the corresponding author, and will be available if required at any point in time.

Abbreviations

NP:

Natural products

IL-6:

Interleukin-6

TNF:

Tumor necrosis factor

DAMPs:

Damage associated molecular patterns

Ag-NPs:

Silver nanoparticles

PCL:

Poly-ε-caprolactone

NSAIDs:

Non-steroidal anti-inflammatory drugs

LOX:

Lipoxygenases

Ho-1:

Heme oxygenase 1

Sod-2:

Superoxide dismutases

USD:

Full form

PCL:

Natural products

MMPs:

Matrix metalloproteinases

IL-2:

Interleukin-2

WHO:

World Health Organization

S. aureus :

Staphylococcus aureus

E. guineensis :

Elaeis guineensis

E. ciliate :

Non-steroidal anti-inflammatory drugs

M. neglecta :

Malva neglecta

P. rigida :

Pinus rigida

E. coli :

Escherichia coli

B. megaterium :

Bacillus megaterium

B. diffusa :

Boerhaavia diffusa

T. avicennioides :

Terminalia avicennioides

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Siddique, R., Mehmood, M.H., Hussain, L. et al. Role of medicinal herbs and phytochemicals in post burn management. Inflammopharmacol 31, 1695–1714 (2023). https://doi.org/10.1007/s10787-023-01246-5

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