Formulation of a sheet mask essence incorporating Betel leaf (Piper betle L.) ethanol extract and its antibacterial efficacy against Propionibacterium acnes
DOI:
https://doi.org/10.12928/pharmaciana.v15i1.27466Keywords:
Sheet mask essence, betle leaf (Piper betle L.), antibacterial, Propionibacterium acnesAbstract
Betel leaf (Piper betle L.) encompasses a multitude of bioactive constituents, including tannins, saponins, flavonoids, alkaloids, and terpenoids, which possess significant antibacterial properties. An ethanol extract derived from betel leaf was meticulously formulated and assessed for its potential as an antibacterial agent specifically targeting Propionibacterium acnes, a bacterium associated with the etiology of acne. This investigation was undertaken with the aim of mitigating the antibiotic resistance commonly observed with traditional acne therapies. The ethanol extract of betel leaf was incorporated into a sheet mask essence, resulting in the development of four distinct formulations (F0, F1, F2, and F3), which were subsequently subjected to comprehensive evaluations of their physical quality and stability. The formulation exhibiting optimal physical characteristics and stability was further scrutinized for its antibacterial efficacy against Propionibacterium acnes. The antibacterial performance of the selected formulation was benchmarked against a positive control comprising a sheet mask infused with clindamycin gel, as well as another containing tea tree oil. Empirical results identified Formula 2, containing 1.5% ethanol extract of betel leaf, as the most efficacious formulation. Formula 2 demonstrated pronounced antibacterial activity against Propionibacterium acnes, with an inhibitory zone measuring 24.67 mm. Although this inhibitory zone was slightly less extensive than that produced by the clindamycin gel sheet mask (32.00 mm), it was comparable to the tea tree oil sheet mask, which exhibited an inhibitory zone of 23.00 mm. In conclusion, the selected sheet mask formulation (Formula 2) exhibits significant antibacterial activity against Propionibacterium acnes, surpassing the efficacy of commercially available tea tree oil sheet masks, thereby presenting a promising alternative for acne management with a diminished risk of promoting antibiotic resistance.
References
Aslan Kayiran, M., Karadag, A. S., Al-Khuzaei, S., Chen, W., & Parish, L. C. (2020). Antibiotic Resistance in Acne: Mechanisms, Complications and Management. Am J Clin Dermatol, 21(6), 813-819. https://doi.org/10.1007/s40257-020-00556-6
Balouiri, M., Sadiki, M., & Ibnsouda, S. K. (2016). Methods for in vitro evaluating antimicrobial activity: A review. J Pharm Anal, 6(2), 71-79. https://doi.org/10.1016/j.jpha.2015.11.005
Carson, C. F., Hammer, K. A., & Riley, T. V. (2006). Melaleuca alternifolia (Tea Tree) oil: a review of antimicrobial and other medicinal properties. Clin Microbiol Rev, 19(1), 50-62. https://doi.org/10.1128/CMR.19.1.50-62.2006
Chen, L., Li, K., Song, G., Zhang, D., & Liu, C. (2021). Effect of freeze-thaw cycle on physical and mechanical properties and damage characteristics of sandstone. Sci Rep, 11(1), 12315. https://doi.org/10.1038/s41598-021-91842-8
Cong, T. X., Hao, D., Wen, X., Li, X. H., He, G., & Jiang, X. (2019). From pathogenesis of acne vulgaris to anti-acne agents. Arch Dermatol Res, 311(5), 337-349. https://doi.org/10.1007/s00403-019-01908-x
Dahal, R. H., Shim, D. S., & Kim, J. (2017). Development of actinobacterial resources for functional cosmetics. J Cosmet Dermatol, 16(2), 243-252. https://doi.org/10.1111/jocd.12304
Dreno, B., Pecastaings, S., Corvec, S., Veraldi, S., Khammari, A., & Roques, C. (2018). Cutibacterium acnes (Propionibacterium acnes) and acne vulgaris: a brief look at the latest updates. J Eur Acad Dermatol Venereol, 32 Suppl 2, 5-14. https://doi.org/10.1111/jdv.15043
Dwivedi, A. K. (2022). How to write statistical analysis section in medical research. J Investig Med, 70(8), 1759-1770. https://doi.org/10.1136/jim-2022-002479
Farhadi, F., Khameneh, B., Iranshahi, M., & Iranshahy, M. (2019). Antibacterial activity of flavonoids and their structure-activity relationship: An update review. Phytother Res, 33(1), 13-40. https://doi.org/10.1002/ptr.6208
Gaspar, A. L., Gaspar, A. B., Contini, L. R. F., Silva, M. F., Chagas, E. G. L., Bahu, J. O., Concha, V. O. C., Carvalho, R. A., Severino, P., Souto, E. B., Lopes, P. S., & Yoshida, C. M. P. (2022). Lemongrass (Cymbopogon citratus)-incorporated chitosan bioactive films for potential skincare applications. Int J Pharm, 628, 122301. https://doi.org/10.1016/j.ijpharm.2022.122301
Hammer, K. A. (2015). Treatment of acne with tea tree oil (melaleuca) products: a review of efficacy, tolerability and potential modes of action. Int J Antimicrob Agents, 45(2), 106-110. https://doi.org/10.1016/j.ijantimicag.2014.10.011
Leblanc, G. E., Secco, R. A., & Kostic, M. (1999). Viscosity Measurement. In. CRC Press LLC.
Leccia, M. T., Auffret, N., Poli, F., Claudel, J. P., Corvec, S., & Dreno, B. (2015). Topical acne treatments in Europe and the issue of antimicrobial resistance. J Eur Acad Dermatol Venereol, 29(8), 1485-1492. https://doi.org/10.1111/jdv.12989
Lee, E. H., Shin, J. H., Kim, S. S., Joo, J. H., Choi, E., & Seo, S. R. (2019). Suppression of Propionibacterium acnes-Induced Skin Inflammation by Laurus nobilis Extract and Its Major Constituent Eucalyptol. Int J Mol Sci, 20(14). https://doi.org/10.3390/ijms20143510
Lubis, R. R., Marlisa, & Wahyuni, D. D. (2020). Antibacterial activity of betle leaf (Piper betle l.) extract on inhibiting Staphylococcus aureus in conjunctivitis patient. American Journal of Clinical and Experimental Immunology, 9(1), 1-5.
Luk, N. M., Hui, M., Lee, H. C., Fu, L. H., Liu, Z. H., Lam, L. Y., Eastel, M., Chan, Y. K., Tang, L. S., Cheng, T. S., Siu, F. Y., Ng, S. C., Lai, Y. K., & Ho, K. M. (2013). Antibiotic-resistant Propionibacterium acnes among acne patients in a regional skin centre in Hong Kong. J Eur Acad Dermatol Venereol, 27(1), 31-36. https://doi.org/10.1111/j.1468-3083.2011.04351.x
Meinisasti, R., Muslim, Z., Krisyanella, & Sunita, R. (2020). The effectiveness test of piper betle leaf ethanol extract cream (Piper Betle Linn) toward Propionibacterium acnes bacterial growth. Bioscientia Medicina, 4(2), 10-17
Moradi Tuchayi, S., Makrantonaki, E., Ganceviciene, R., Dessinioti, C., Feldman, S. R., & Zouboulis, C. C. (2015). Acne vulgaris. Nat Rev Dis Primers, 1, 15029. https://doi.org/10.1038/nrdp.2015.29
Nayaka, N., Sasadara, M. M. V., Sanjaya, D. A., Yuda, P., Dewi, N., Cahyaningsih, E., & Hartati, R. (2021). Piper betle (L): Recent Review of Antibacterial and Antifungal Properties, Safety Profiles, and Commercial Applications. Molecules, 26(8). https://doi.org/10.3390/molecules26082321
Omar, S. S. S., Hadi, H., Mohd Hanif, N., Ahmad, H. M. A., & Ng, S.-F. (2021). Lightening Effect of Skin Lightening Cream Containing Piper betle L. Extract in Human Volunteers. Cosmetics, 8(2). https://doi.org/10.3390/cosmetics8020032
Perugini, P., Bleve, M., Cortinovis, F., & Colpani, A. (2018). Biocellulose Masks as Delivery Systems: A Novel Methodological Approach to Assure Quality and Safety. Cosmetics, 5(4). https://doi.org/10.3390/cosmetics5040066
Perugini, P., Bleve, M., Redondi, R., Cortinovis, F., & Colpani, A. (2020). In vivo evaluation of the effectiveness of biocellulose facial masks as active delivery systems to skin. J Cosmet Dermatol, 19(3), 725-735. https://doi.org/10.1111/jocd.13051
Secretariat, T. A. (2014). ASEAN-Consumer-Information-Handbook-on-Cosmetic-Products-1. The ASEAN Secretariat.
Sheskey, P. J., Cook, W. G., & Cable, C. G. (2017). Handbook Of Pharmaceutical Excipients 8th Edition. Pharmaceutical Press and the American Pharmacists Association
Syahidah, A., Saad, C. R., Hassan, M. D., Rukayadi, Y., Norazian, M. H., & Kamarudin, M. S. (2017). Phytochemical analysis, identification and quantification of antibacterial active compounds in betel leaves, piper betle methanolic extract. Pakistan Journal of Biological Sciences, 20(2), 70-81. https://doi.org/10.3923/pjbs.2017.70.81
Xie, Y., Yang, W., Tang, F., Chen, X., & Ren, L. (2015). Antibacterial activities of flavonoids: structure-activity relationship and mechanism. Curr Med Chem, 22(1), 132-149. https://doi.org/10.2174/0929867321666140916113443
Xu, H., & Li, H. (2019). Acne, the Skin Microbiome, and Antibiotic Treatment. American Journal Clinical Dermatol, 20(3), 335-344. https://doi.org/10.1007/s40257-018-00417-3
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