Therapeutic properties of Algerian propolis in skin wound healing with significant tissue loss

Keywords: Propolis, wound healing, antimicrobial properties, in vitro study, in vivo study

Abstract

This study investigates the therapeutic properties of Algerian propolis in skin wound healing with significant tissue loss. It includes an in vitro phase to formulate an ethanolic extract of Algerian propolis (EEPA) ointment and evaluate its antimicrobial activity, and an in vivo phase to compare its effects with silver sulfadiazine cream and a control group in rabbit wound healing. In vitro, two propolis samples (P1 and P2) were tested against Staphylococcus aureus, showing inhibition zones of 9.5 ± 1.04 mm (P1) and 11.8 ± 0.65 mm (P2). In vivo, the propolis–treated group (PG) achieved complete wound closure (16 cm²) within 16–30 days (d), compared to 24–36 d for the silver sulfadiazine group (SDG), while the control group (CG) did not achieve full closure after 36 d. Healing scores were highest in PG (2.27 ± 0.59 to 2.80 ± 0.46) and dressing evaluation scores were also superior ± 51). Faster fur regrowth was observed in PG, enhancing wound aesthetics. Postoperative hypothermia affected all groups, with CG experiencing the greatest temperature drop (>2°C) and higher mortality. In conclusion, Algerian propolis, particularly P2, exhibited superior activity due to its higher polyphenol content, demonstrating its potential as a natural antimicrobial agent shows strong potential in wound management by enhancing antimicrobial protection, accelerating healing, and improving wound aesthetics. Further studies are needed to optimize its application and elucidate its mechanisms of action.

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References

Laverdet B, Girard D, Desmouliére. Physiology of the skin, cutaneous repair and stromal reaction. Actual. Pharm. [Internet]. 2018; 57(581):20–23. doi: https://doi.org/pqws DOI: https://doi.org/10.1016/j.actpha.2018.10.004

Oryan A, Alemzadeh E, Moshiri A. Potential role of propolis in wound healing: Biological properties and therapeutic activities. Biomed. Pharmacother. [Internet]. 2018; 98:469–483. doi: https://doi.org/gc57z5 DOI: https://doi.org/10.1016/j.biopha.2017.12.069

Jee JP, Pangeni R, Jha SK, Byun Y, Park JW. Preparation and in vivo evaluation of a topical hydrogel system incorporating highly skin–permeable growth factors, quercetin, and oxygen carriers for enhanced diabetic wound–healing therapy. Int. J. Nanomed. [Internet]. 2019; 14:5449–5475. doi: https://doi.org/grbcxp DOI: https://doi.org/10.2147/IJN.S213883

Da Silva CCF, Salatino A, Da Motta LB, Negri G, Salatino MLF. Chemical characterization, antioxidant and anti–HIV activities of a Brazilian propolis from Ceará state. Rev. Bras. Farmacogn. [Internet]. 2019; 29(3):309–318. doi: https://doi.org/pqwt DOI: https://doi.org/10.1016/j.bjp.2019.04.001

Kwakman PH, Te Velde A, De Boer L, Speijer D, Vandenbroucke– Grauls MJC, Zaat SAJ. How honey kills bacteria. FASEB J. [Internet]. 2010; 24(7):2576–2582. doi: https://doi.org/cm5kdt DOI: https://doi.org/10.1096/fj.09-150789

Koc K, Erol HS, Colak S, Cerig S, Yildirim S, Geyikoglu F. The protective effect of propolis on rat ovary against ischemia– reperfusion injury: Immunohistochemical, biochemical, and histopathological evaluations. Biomed. Pharmacother. [Internet]. 2019; 111:631–637. doi: https://doi.org/pqww DOI: https://doi.org/10.1016/j.biopha.2018.12.113

Boudra A, Benbelkacem I, Aissa MA. Antibacterial activity of different ethanolic extracts of Algerian propolis against Staphylococcus aureus. Bionature [Internet]. 2020 [cited Jan. 12 / 2025]; 40(1):4–8. Available in: https://goo.su/iDQK

Lahouel M, Boutabet K, Kebsa W, Alyane M. Polyphenolic fractions of Algerian propolis reverse doxorubicin–induced acute renal oxidative stress. Int. J. Pharm. Pharmacol. [Internet]. 2016 [cited Jan. 12, 2025]; 5(11):1–9. Available in: https://goo.su/jA7py

Hendi NKK, Naher HS, Al–Charrakh AH. In vitro antibacterial and antifungal activity of Iraqi propolis. J. Med. Plants Res. [Internet]. 2011 [cited Jan 12, 2025]; 5(20):5058–5066. Available in: https://goo.su/w6vsv

Pereira YCL, Issa JPM, Watanabe E, Nascimento GC, Iyomasa MM, Del Ciampo JO, Ervolino E. The therapeutic use of propolis extract in alveolar bone contaminated with bacterial endotoxin. Dentistry [Internet]. 2018; 8(3): 1000473. doi: https://doi.org/pqwx

Boudra A, Merati R, Meliani S, Aggad H. The effect of Algerian propolis in the incorporation of diaphyseal autoclaved allografts in rabbits. Fresenius Environ. Bull. 2023 [cited Feb. 15 / 2025]; 32(10):3157–3166. Available in: https://goo.su/aiwm2

Sene M, Barboza FS, Top B, Ndiaye M, Sarr A, Fall AD,Sy GY. Wound healing activity of the aqueous leaf extract of Elaeis guineensis Jacq. (Arecaceae). Int. J. Biol. Chem. Sci. [Internet]. 2020; 14(3):674–684. doi: https://doi.org/pqwz DOI: https://doi.org/10.4314/ijbcs.v14i3.3

Wurtz A, Hysi I, Kipnis E, Fayoux P, Copin MC, Zawadzki C, Jashari R, Hubert T, Ung A, Ramon P, Jude B. Tracheal transplantation without immunosuppressive therapy in a rabbit model. Mém. Acad. Natl. Chir. [Internet]. 2015 [cited Feb. 15/ 2025]; 14(2):119–128. Available in: https://goo.su/Bs1ytlf

Boudra A, Benbelkacem I, Merati R, Achour H, Daouadji ID. Comparison between three fixed anaesthesia protocols in rabbits. J. Prev. Vet. Med. [Internet]. 2020; 44(3):99–103. doi: https://doi.org/pqw3 DOI: https://doi.org/10.13041/jpvm.2020.44.3.99

Khan AT, Peh KK. A preliminary investigation of chitosan film as dressing for punch biopsy wounds in rats. J. Pharm. Sci. [Internet]. 2003 [cited Feb. 15, 2025]; 6(1):20–26. PMID:12753727. Available in: https://goo.su/n9zmg

Wendelken ME, Berg WT, Lichtenstein P, Markowitz L, Comfort C, Alvarez OM. Wounds measured from digital photographs using photodigital planimetry software: Validation and rater reliability. Wounds [Internet]. 2011; 23(9):267–275. PMID:25879267. Available in: https://goo.su/ZT2trhU

Subalakshmi M, Saranya A, Maheswari MU, Jarina A, Kaviman S. An overview of the current methodologies used for the evaluation of drugs having wound healing activity. Int. J. Exp. Pharmacol. 2014; 4(2):127–131.

Amorim E, Matias JE, Coelho JC, Campos AC, Stahlke Jr HJ, Timi JRR, Rocha LCA, Moreira ATR, Rispoli DZ, Ferreira LM. Topical use of aqueous extract of Orbignya phalerata (babassu) in rats: Analysis of its healing effect. Acta Cir. Bras. [Internet]. 2006; 21(Suppl 2):67–76. doi: https://doi.org/bczmnp DOI: https://doi.org/10.1590/S0102-86502006000800011

Barral SM, Araujo ID, Vidigal PVT, Mayrink CAC, Araujo AD, Costa PR. Effects of sildenafil on the viability of random skin flaps. Acta Cir. Bras. [Internet]. 2011; 26(4):313–319. doi: https://doi.org/brtm5d DOI: https://doi.org/10.1590/S0102-86502011000400012

Almuhayawi MS, Alruhaili MH, Gattan HS, Alharbi MT, Nagshabandi M, Al Jaouni S, Selim S, Alanazi A, Alruwaili Y, Faried OA, Elnosary ME. Staphylococcus aureus induced wound infections, which antimicrobial resistance, methicillin–and vancomycin–resistant: assessment of emergence and cross–sectional study. Infect. Drug Resist. [Internet]. 2023; 16:5335–5346. doi: https://doi.org/pqw4 DOI: https://doi.org/10.2147/IDR.S418681

Bonvehi JS, Gutiérrez AL. The antimicrobial effects of propolis collected in different regions in the Basque Country (Northern Spain). World J. Microbiol. Biotechnol. [Internet]. 2012; 28:1351–1358. doi: https://doi.org/fj7mwv DOI: https://doi.org/10.1007/s11274-011-0932-y

Gonsales GZ, Orsi RO, Fernandes Junior A, Rodrigues P, Funari SRC. Antibacterial activity of propolis collected in different regions of Brazil. J. Venom. Anim. Toxins Incl. Trop. Dis. [Internet]. 2006; 12(2):276–284. doi: https://doi.org/cp9gdc DOI: https://doi.org/10.1590/S1678-91992006000200009

Gordon JR, Lowy FD. Pathogenesis of methicillin–resistant Staphylococcus aureus infection. Clin. Infect. Dis. [Internet]. 2008; 46(5):350–359. doi: https://doi.org/ct5jmh DOI: https://doi.org/10.1086/533591

Silva–Carvalho R, Baltazar F, Almeida–Aguiar C. Propolis: A complex natural product with a plethora of biological activities that can be explored for drug development. Evid. Based Complement. Altern. Med. [Internet]. 2015; 2015:206439. doi: https://doi.org/f7ft2m DOI: https://doi.org/10.1155/2015/206439

Yang J, Pi A, Yan L, Li J, Nan S, Zhang J, Hao Y. Research progress on therapeutic effect and mechanism of propolis on wound healing. Evid. Based Complement. Altern. Med. [Internet]. 2022; 2022:5798941. doi: https://doi.org/pqw5 DOI: https://doi.org/10.1155/2022/5798941

Di Girolamo N, Toth G, Selleri P. Prognostic value of rectal temperature at hospital admission in client–owned rabbits. J. Am. Vet. Med. Assoc. [Internet]. 2016; 248(3):288–297. doi: https://doi.org/f8f69d DOI: https://doi.org/10.2460/javma.248.3.288

Clark–Price S. Inadvertent perianesthetic hypothermia in small animal patients. Vet. Clin. North Am. Small Anim. Pract. [Internet]. 2015; 45(5):983–994. doi: https://doi.org/f7rnd3 DOI: https://doi.org/10.1016/j.cvsm.2015.04.005

Gal P, Kilik R, Mokry M, Vidinsky B, Vasilenko T, Mozes S, Bobrov N, Tomori Z, Bober J, Lenhardt L. Simple method of open skin wound healing model in corticosteroid–treated and diabetic rats: Standardization of semi–quantitative and quantitative histological assessments. Vet. Med. Czech. [Internet]. 2008; 53(12):652–659. doi: https://doi.org/g86n37 DOI: https://doi.org/10.17221/1973-VETMED

El–Sakhawy M, Salama A, Tohamy HS. Applications of propolis–based materials in wound healing. Arch. Dermatol. Res. [Internet]. 2024; 316(1):61. doi: https://doi.org/pqxb DOI: https://doi.org/10.1007/s00403-023-02789-x

Da Rosa C, Bueno IL, Quaresma ACM, Longato GB. Healing potential of propolis in skin wounds evidenced by clinical studies. Pharmaceuticals [Internet]. 2022; 15(9):1143. doi: https://doi.org/pqxc DOI: https://doi.org/10.3390/ph15091143

Romanelli M, Vowden K, Weir D. Exudate management made easy. Wounds Int. London: Wounds International. [Internet]. 2010 [cited Feb. 18 / 2025]; 1(2):1–6. Available in: https://goo.su/ldfLm

Velho JCM, França TA, Malagutti–Ferreira MJ, Albuquerque ER, Lívero FAR, Soares MR, Soares AEE, Ribeiro–Paes JT. Use of propolis for skin wound healing: systematic review and meta–analysis. Arch. Dermatol. Res. [Internet]. 2022; 315(4):943–955 doi: https://doi.org/jr6g DOI: https://doi.org/10.1007/s00403-022-02455-8

Xu R, Xia H, He W, Li Z, Zhao J, Liu B, Wang Y, Lei Q, Kong Y, Bai Y, Yao Z, Yan R, Li H, Zhan R, Yang S, Luo G, Wu J. Controlled water vapor transmission rate promotes wound healing via wound re–epithelialization and contraction enhancement. Sci. Rep. [Internet]. 2016; 6:24596. doi: https://doi.org/f8jg8z DOI: https://doi.org/10.1038/srep24596

Boudra A, Benbelkacem I. Successful management of a compound fracture and infected wound using Algerian propolis paste in a dog. J. Indian Vet. Assoc. [Internet]. 2020 [cited Dec. 22, 2024]; 18(2):74–80. Available in: https://surl.li/bvdesp

Kim JS, You SE. Effects of Propolis Extracts on Damaged Hair. Asian J.Beauty Cosmetol. [Internet]. 2022; 20(4):407–415. doi: https://doi.org/pqxf DOI: https://doi.org/10.20402/ajbc.2022.0056

Kim J, Lee C. Transdermal hydrogel composed of polyacrylic acid containing propolis for healing wounds in a rat model. Macromol. Res. [Internet]. 2018; 26:1219–1224. doi: https://doi.org/pqxg DOI: https://doi.org/10.1007/s13233-019-7014-7

Published
2025-06-12
How to Cite
1.
Boudra A, Merati R, Abdelkader B, Yezli W, Hadil H, Henni I. Therapeutic properties of Algerian propolis in skin wound healing with significant tissue loss. Rev. Cient. FCV-LUZ [Internet]. 2025Jun.12 [cited 2025Jul.10];35(2):9. Available from: https://mail.produccioncientificaluz.org/index.php/cientifica/article/view/43958
Section
Veterinary Medicine