A Novel Gel Combination of Binahong Leaf Extract, Aloe Vera, Chitosan, and Nanosilver as Antibacterial Agent against Staphylococcus aureus
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Abstract
Wound can be treated with the use of topical gel formulation. However, the treatment of wound caused by diabetes can be challenging due to infection from biofilm-forming microbial colonies. One of the bacteria that causes wound infection is Staphylococcus aureus. The gel formulated with the combination of active ingredients from Binahong (Anredera cordifolia Steenis) extract, Aloe vera, chitosan, and silver nano particles (AgNp) is known to have wound healing properties, as well as antibacterial activity against S. aureus. This study aimed to determine the stability, physicochemical properties, and antibacterial activity of gel preparations with varying concentrations of Binahong: aloe vera against S. aureus. The gel formulations (F1 – F5) were prepared from a combination of Binahong leaf extract, Aloe vera, chitosan, and nanosilver. The organoleptic properties of the formulations, including colour, odour, and texture were assessed. The gel formulations were also characterized by analysis of various physicochemical parameters like particle size, functional groups, homogeneity, pH, and spreadability. Antibacterial activity of the gel formulations was evaluated in vitro using the disc diffusion method. The gel formulation F3 (Chit-AgNp-Aloe vera 5%-Binahong leaf extract 5%) had the optimal physicochemical properties exhibiting the highest antibacterial activity against S. aureus with an inhibition zone diameter of 16.76 mm. Overall, the results of the study showed that the gel formulated with Binahong-aloe vera-chitosan-nanosilver leaf extract has the potential to be used as an alternative treatment for diabetic wound infection.
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1. Black JM and Hawks JH. Medical surgical nursing: Clinical management for positive outcomes. 8th ed Vol 1. USA: Elsevier; 2009.
2. Cole JB and Florez JC. Genetics of diabetes mellitus and diabetes complications. Nat Rev Nephrol. 2020; 16(7):377-390. doi: 10.1038/s41581-020-0278-5, PMID: 32398868.
3. Sapra A and Bhandari P. Diabetes. 2023. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 31855345.
4. Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, Stein C, Basit A, Chan JCN, Mbanya JC, Pavkov ME, Ramachandaran A, Wild SH, James S, Herman WH, Zhang P, Bommer C, Kuo S, Boyko EJ, Magliano DJ. IDF diabetes atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022; 204:109119. doi: 10.1016/j.diabres.2023.110945, PMID: 34879977.
5. Darmawan ES, Permanasari VY, Nisrina LV, Kusuma D, Hasibuan SR, Widyasanti N. Behind the hospital ward: In-hospital mortality of type 2 diabetes mellitus patients in indonesia (analysis of national health insurance claim sample data). Int J Environ Res Public Health. 2024; 21(5):581. doi: 10.3390/ijerph21050581, PMID: 38791795.
6. Tanoey J and Becher H. Diabetes prevalence and risk factors of early-onset adult diabetes: results from the Indonesian family life survey. Glob Health Action. 2021; 14(1):2001144. doi: 10.1080/16549716.2021.2001144, PMID: 34898388.
7. Badralany F and Nurul RM. Effects of vitamin d administration for wound healing in patients with diabetic foot ulcers: evidence-based case report. Indones J Clin Nutr Physician. 2024; 6(1):1–11. doi: 10.54773/ijcnp.v6i1.191.
8. Karolus Siregar H, Butar butar S, Maria Pangaribuan S, Batubara K. Effectiveness of modern wound treatment using wanding techniques moist wound healing in healing diabetic ulcers in clinic rumat Jakarta. J Perawat Ind. 2023; 7(3):1480-1490. doi: 10.32584/jpi.v7i3.2393.
9. Okonkwo U and DiPietro L. Diabetes and wound angiogenesis. Int J Mol Sci. 2017; 18(7):1419. doi: 10.3390/ijms18071419, PMID: 28671607.
10. Haalboom M. Chronic wounds: Innovations in diagnostics and therapeutics. Curr Med Chem. 2019; 25(41):5772–5781. doi: 10.2174/0929867324666170710120556, PMID: 28699502.
11. Kintoko K, Karimatulhajj H, Elfasyari TY, Ihsan EA, Putra TA, Hariadi P, Ariani C, Nurkhasanah N. Effect of diabetes condition on topical treatment of Binahong leaf fraction in wound healing process. Majalah Obat Trad. 2017; 22(2):103. doi:10.22146/tradmedj.27921.
12. Chen Y, Yang J, Wang Y, You J, Zhu W, Liu C, Luan y, Lin L, Hong L. Community-associated methicillin-resistant Staphylococcus aureus infection of diabetic foot ulcers in an eastern diabetic foot center in a tertiary hospital in China: a retrospective study. BMC Infect Dis. 2023; 23(1):652. doi: 10.1186/s12879-023-08631-z, PMID: 37789270.
13. Howden BP, Giulieri SG, Wong Fok Lung T, Baines SL, Sharkey LK, Lee JYH, Hachani A, Monk IR, Stinear TP. Staphylococcus aureus host interactions and adaptation. Nat Rev Microbiol. 2023; 21(6):380–395. doi: 10.1038/s41579-023-00852-y, PMID: 36707725.
14. Everett E and Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci. 2018; 1411(1):153–165. doi:
10.1111/nyas.13569, PMID: 29377202.
15. Wijanarko A, Januardi Ginting M, Sahlan M, Krisanta Endah Savitri I, Florensia Y, Regina Sudiarta M, Pastika S, Rafiki F, Hermansyah H. Saponin isolation as main ingredients of insecticide and collagen type i from crown of thorn–starfish (Acanthaster planci). IOP Conf Ser Earth Environ Sci. 2017; 89:012032. doi: 10.1088/1755-1315/89/1/012032.
16. Kim YS, Cho IH, Jeong MJ, Jeong SJ, Nah SY, Cho YS, Kim SH, Go A, Kim SE, Kang SS, Moon CJ, Kim JC, Kim SH, Bae CS. Therapeutic effect of total ginseng saponin on skin wound healing. J Ginseng Res. 2011; 35(3):360–367. doi: 10.5142/jgr.2011.35.3.360, PMID: 23717081.
17. Padmakar S, Kumar GA, Khurana N, Kumari S, Pal B. Efficacy and safety of natural Aloe Vera gel in the treatment of stable vitiligo. Clin Epidemiol Glob Health. 2023; 22:101332. doi: 10.1016/j.cegh.2023.101332.
18. Sánchez M, González-Burgos E, Iglesias I, Gómez-Serranillos MP. Pharmacological update properties of aloe vera and its major active constituents. Molecules. 2020; 25(6):1324. doi: 10.3390/molecules25061324, PMID: 32183224.
19. Jafari A, Pourakbar L, Fa rhadi K, Mohamadgolizad L, Goosta Y. 2. Turkish J Biol. 2015; 39(4):556–561. doi:10.3906/biy-1406-81.
20. Bruna T, Maldonado-Bravo F, Jara P, Caro N. Silver nanoparticles and their antibacterial applications. Int J Mol Sci. 2021; 22(13):7202. doi: 10.3390/ijms22137202, PMID: 34281254.
21. Urnukhsaikhan E, Bold BE, Gunbileg A, Sukhbaatar N, Mishig- Ochir T. Antibacterial activity and characteristics of silver nanoparticles biosynthesized from Carduus crispus. Sci Rep. 2021; 11(1):21047. doi: 10.1038/s41598-021-00520-2, PMID: 34702916.
22. Yan D, Li Y, Liu Y, Li N, Zhang X, Yan C. Antimicrobial properties of chitosan and chitosan derivatives in the treatment of enteric infections. Molecules. 2021; 26(23):7136. doi: 10.3390/molecules26237136, PMID: 3488571.
23. Guarnieri A, Triunfo M, Scieuzo C, Ianniciello D, Tafi E, Hahn T, Zibek S, Salvia R, De Bonis A, Falabella P. Antimicrobial properties of chitosan from different developmental stages of the bioconverter insect Hermetia illucens. Sci Rep. 2022; 12(1):8084. doi: 10.1038/s41598-022-12150-3, PMID: 35577828.
24. Shagdarova B, Konovalova M, Zhuikova Y, Lunkov A, Zhuikov V, Khaydapova D, Il'ina A, Svirshchevskaya E, Varlamov V. Collagen/Chitosan gels cross-linked with genipin for wound healing in mice with induced diabetes. Materials. 2021; 15(1):15. doi: 10.3390/ma15010015, PMID: 35009173.
25. Peng W, Li D, Dai K, Wang Y, Song P, Li H, Tang P, Zhang Z, Li Z, Zhou Y, Zhou C. Recent progress of collagen, chitosan,alginate and other hydrogels in skin repair and wound dressing applications. Int J Biol Macromol. 2022; 208:400–408. doi: 10.1016/j.ijbiomac.2022.03.002, PMID: 35248609.
26. Arif MS, Ulfiya R, Erwin, Panggabean AS. Synthesis silver nanoparticles using trisodium citrate and development in analysis method. AIP Conference Proceedings. 2021; 2360(1):050007. doi: 10.1063/5.0059493.
27. Aulia ID and Cahyaningrum SE. Characterization and antibacterial activity test of chitosan-silver nanoparticle gel and Binahong leaf extract (Anredera cordifolia (Tenore) Steen) against Staphylococcus aureus. J Pijar Mipa. 2023; 18(4):650–658. doi: 10.29303/jpm.v18i4.4994.
28. Sariwating M, Tinggi S, Kesehatan I, Husada M, Bidara C, Umar P. Phytochemical screening and inhibitory power test of ethanol extract of Binahong leaves (Anredera cordifolia) from Sanana on the growth of Propionibacterium acnes bacteria. J Riset Rumpun Ilmu Kesehatan (JURRIKES). 2022;1(1):10–19. doi: 10.55606/jurrikes.v1i1.898.
29. Valente J, Godinho L, Pintado C, Baptista C, Kozlova V, Marques L, Fred A, Plácido da Silva H. Neuroorganoleptics: Organoleptic testing based on psychophysiological sensing. Foods. 2021; 10(9):1974. doi: 10.3390/foods10091974, PMID: 34574083.
30. Enders AA, North NM, Fensore CM, Velez-Alvarez J, Allen HC. Functional group identification for FTIR spectra using image- based machine learning models. Anal Chem. 2021; 93(28):9711–9718. doi: 10.1021/acs.analchem.1c00867
31. Lestari NRD, Cahyaningrum SE, Herdyastuti N, Setyarini W, Arizandy RY. Antibacterial and wound healing effects of chitosan-silver nanoparticle and Binahong (Anredera cordifolia) gel modified with cinnamon essential oil. Trop J Nat Prod Res. 2024; 8(1):5936-5945. doi: 10.26538/tjnpr/v8i1.32.
32. Sariwating M, Buamona SW, Umar PBC. Skrining fitokimia dan uji daya hambal ekstrak etanol daun Binahong (Anredera cordifolia) asal sanana terhadap pertumbuhan bakteri Propionibacterium acnes. J Riset Rumpun Ilmu Kesehatan (JURRIKES). 2022; 1(1):150–159. doi:
10.55606/jurrikes.v1i1.898.
33. Chenthamara D, Subramaniam S, Ramakrishnan SG, Krishnaswamy S, Essa MM, Lin FH, Qoronfleh WM. Therapeutic efficacy of nanoparticles and routes of administration. Biomater Res. 2019; 23(1):20. doi: 10.1186/s40824-019-0166-x. PMID: 31832232.
34. Dai F, Zhuang Q, Huang G, Deng H, Zhang X. Infrared spectrum characteristics and quantification of OH groups in coal. ACS Omega. 2023; 8(19):17064–17076. doi: 10.1021/acsomega.3c01336. PMID: 37214670.
35. Bock P and Gierlinger N. Infrared and raman spectra of lignin substructures: Coniferyl alcohol, abietin, and coniferyl aldehyde. J Raman Spectrosc. 2019; 50(6):778-792. doi: 10.1002/jrs.5588, PMID: 31263319.
36. Nandiyanto ABD, Ragadhita R, Fiandini M. Interpretation of Fourier Transform Infrared Spectra (FTIR): A practical approach in the polymer/plastic thermal decomposition. Ind J of Sci and Tech. 2023; 8(1):113–126. doi: 10.17509/ijost.v8i1.53297.
37. Dvoryaninova OP, Sokolov A V., Peregonchaya O V., Solovyeva EA, Syanov DA. Identification of composition and structure of functional groups of ferment lysates based on IR spectroscopy. In: IOP Conference Series: Earth and Environmental Science. IOP Publishing Ltd. 2021;
640(3):032062
38. Kuo SH, Shen CJ, Shen CF, Cheng CM. Role of pH value in clinically relevant diagnosis. Diagnostics (Basel). 2020; 10(2):107. doi: 10.3390/diagnostics10020107, PMID: 32079129.
39. Forestryana D, Hayati A, Putri AN. Formulation and evaluation of natural gel containing ethanolic extract of pandanus amaryllifolius r. using various gelling agents. Borneo J Pharm. 2022; 5(4):345–356. doi: 10.33084/bjop.v5i4.1411.
40. MacLeod AS. Bad “Staph” in the wound environment of diabetic foot ulcers. Cell Host &Mic. 2019; 25(5):638–640. doi: 10.1016/j.chom.2019.04.006.
41. Giurato L, Meloni M, Izzo V, Uccioli L. Osteomyelitis in diabetic foot: A comprehensive overview. World J Diabetes. 2017; 8(4):135. doi: 10.4239/wjd.v8.i4.135, PMID: 28465790.
42. Bahgat M and Youghly NA. Biofilm formation by Staphylococcus aureus in wounds and their role in antimicrobial resistance. Proc Int Con Grn Sci Lib. 2024. 331–343 p. doi: 10.1007/978-3-031-62672-2_19
43. Kaushik A, Kest H, Sood M, Steussy B, Thieman C, Gupta S. Biofilm producing methicillin-resistant staphylococcus aureus (mrsa) infections in humans: clinical implications and management. Pathogens. 2024; 13(1):76. doi: 10.3390/pathogens13010076, PMID: 38251383.
44. Bowling FL, Jude EB, Boulton AJ. MRSA and diabetic foot wounds: contaminating or infecting organisms? Curr Diab Rep. 2009; 9(6):440-444. doi: 10.1007/s11892-009-0072-z, PMID: 19954689.
45. Valencia-Gómez LE, Reyes-Blas H, Hernández-Paz JF, Rodríguez-González CA, Olivas-Armendáriz I. Comparative study of the antibacterial, biodegradable, and biocompatibility properties of composite and bi-layer films of chitosan/gelatin coated with silver particles. Materials. 2023; 16(8):3000. doi:10.3390/ma16083000, PMID: 37109836.