Benefits of Gotu Kola Leaf in Responding to Prevent The Form of Keloid in The Wound
Abstract
Keloids are a type of scar, which is the result of overgrowth of dense fibrous tissue that usually develops after healing a skin injury. Keloids occur due to prolonged inflammatory phases in the wound, resulting in increased fibroblast activity and continuous extracellular matrix formation. Gotu kola (Centella asiatica) leaves are effective in the treatment of wounds because they contain Triterpene components such as asiatic acid, madecassic acid, asiaticoside and madecassoside. The purpose of this literature review is to report the latest scientific findings on the role of gotu kola leaf content in preventing keloid formation by increasing fibroblast proliferation, increasing collagen synthesis and mucopolysaccharide acids, increasing intracellular fibronectin which then significantly increases the tensile strength of newly formed skin, inhibiting the phases of the formation of skin, inflammation of the keloid scar tissue. The method used in this article is article search through the NCBI database and Google Scholar. The year of publication of library resources is from 1999 to 2018 with 20 sources of literature. The theme collected was related to the Centella asiatica leaf content towards the wound phase to prevent keloid formation. The results of the synthesis of articles that have been found are gotu kola leaves can inhibit the formation of keloids in wounds.
Keywords: gotu kola leaf, keloid, wound
References
Alster, T.S., Tanzi, E.L. (2003). Hypertrophic scars and keloids: etiology and management. Am J Clin Dermatol., 4(4): 235-243.
Andisi, R.D.S., Suling, P.L., Kapantow, M.G. (2016). Profil keloid di poliklinik kulit dan kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2011-Desember 2015. Jurnal e-Clinic (eCl), Volume 4, Nomor 2, Juli-Desember 2016
Berman, B., Villa A.M., Ramirez, C.C. 2005. Novel opportunities in the treatment and preventionof scarring. J Cutan Med Surg 32-6.
Brinkhaus B, Lindner M, Schuppan D, Hahn EG. Chemical, pharmacological and clinical profile of the East Asian medical plant Centella asiatica. Phytomedicine. 2000;75:427–48.
Bylka, W., Znajdek-Awiżeń, P., Studzińska-Sroka, E., Dańczak-Pazdrowska, A., & Brzezińska, M. (2014). Centella asiaticain Dermatology: An Overview. Phytotherapy Research, 28(8), 1117–1124. doi:10.1002/ptr.5110
Davison, S.P., Mess, S., Kauffman, L.C., et al. (2006): Ineffective treatment of keloids with interferon alpha-2b. Plast Reconstr Surg., 117(1): 247-252.
Gohil, K. J. , Patel, J. A. , and Gajjar, A. K. (2010). Pharmacological Review on Centella asiatica: A Potential Herbal Cure-all. Indian J Pharm Sci. 72(5): 546–556. doi: 10.4103/0250-474X.78519
Halim, A.S., Emami, A., Salahshourifar, I., Kannan, T.P. (2012). Keloid Scarring: Understanding the Genetics Basic, Advances, and Prospects. Arch Plast Surg.;39:184-9. http://dx.doi.org/10.5999/aps.2012.39.3.184.
Hashim, P., Sidek, H., Helan, M.H.M., Sabery, A., Palanisamy, U.D., Ilham, M. (2011). Triterpene composition and bioactivities of Centella asiatica. Molecules 16: 1310–1322.
Kakar, A.K., Shahzad, M., Haroon, T.S. (2006). Keloids : Clinical features and management Part 1. Journal of Pakistan Association of Dermatologist [internet]. 16: 97-103. Available from: http://www.jpad.org.pk/apriljune2006/7keloids.pdf
Lee, J., Jung, E., Kim, Y., Park, J., Park, J., Hong, S., Kim, J., Hyun, C., Kim, Y.S., Park, D. (2006). Madecassoside isolated from Centella asiatica herbs facilitates burn wound healing in mice. Planta Med. Mar; 72(4):324-8
Liu, M., Dai, Y., Li, Y., Luo, Y., Huang, F., Gong, Z., Meng, Q. (2008). Madecassoside isolated from Centella asiatica herbs facilitates burn wound healing in mice. Planta Med 74: 809–815.
Lee, J.H., Kim HL, Lee MH, et al. (2012). Asiaticoside enhances normal human skin cell migration, attachment and growth in vitro wound healing model. Phytomedicine 19: 1233–1227
Lester, D.R. Thompson, M.D. (1999). Skin keloid. Pathology Clinic; ENT Journal.
Maghrabi, I.A. & Kabel AM. (2014). Management of keloid and hyperthropic scars: Role of nutrition, drugs, cryotherapy and phototherapy. World J Nutr Health; 2(2):28-32. Available from: http://pubs.sciepub.com/jnh/2/2/4/
Paocharoen, V. (2010). The efficacy and side effects of oral Centella asiatica extract for wound healing promotion in diabetic wound patients. J Med Assoc Thai 93, suppl 7: S166–70.
Shetty, B.S., Udupa, S.L., Udupa, A.L., Somayaji, S.N. (2006). Effect of Centella asiatica L. (Umbelliferae) on normal and dexamethasone suppressed wound healing in Wistar Albino rats. Int J Low Extrem Wounds 5: 137–143.
Sinto, L. (2018). Scar hipertrofik dan keloid: patofisiologi dan penatalaksanaan. Jurnal Cermin Dunia Kedokteran, Klinik Gracia, Cileungsi, Bogor. CDK-260/ vol. 45 no. 1
Tang, B., Zhu, B., Liang, Y., et al. (2011). Asiaticoside suppress collagen expression and TGF-β/Smad signaling through inducing Smad7 and inhibiting TGF-βRII in keloid fibroblast. Arch Dermatol Res 303: 563–572.
Widgerow, A.D., Chait, L.A., Stals, R., Stals, P.J. (2000). Asiaticoside induces human collagen I synthesis through TGF-beta receptor I kinase (TbetaRI kinase)-independent Smad signaling. Aesthetic Plast Surg. May-Jun; 24(3):227-34.



