Comparación potencial de las actividades antiinflamatorias de las formulaciones de enjuague bucal de quercetina y diclofenaco
Resumen
Introducción: La periodontitis es una pandemia, ya que alrededor del 14 % de las personas en todo el mundo padecen periodontitis grave. Una intervención precoz en la enfermedad podrÃa, probablemente, reducir su progresión y eliminar la necesidad de extraer los dientes afectados. La quercetina es un candidato probable, ya que tiene propiedades antiinflamatorias ejemplares. Su presencia de grupos hidroxilos fenólicos contribuye en gran medida a sus actividades antioxidantes y antiinflamatorias.
Objetivos: El estudio presenta la formulación del colutorio de quercetina y evalúa sus propiedades antiinflamatorias en comparación con el diclofenaco sódico.
Métodos: Se preparó un colutorio de quercetina, utilizando un agente bioactivo obtenido comercialmente. Se utilizó como fármaco de referencia un antiinflamatorio no esteroideo estándar, el diclofenaco. Se calculó el porcentaje de inhibición de la desnaturalización de proteÃnas y se evaluaron sus propiedades antiinflamatorias mediante ensayo con albúmina de suero bovino y con albúmina de huevo.
Resultados: El colutorio de quercetina mostró propiedades antiinflamatorias paralelas y mostró un aumento proporcional de las propiedades antiinflamatorias con el aumento de la concentración del colutorio. Se observó una inhibición comparable de la desnaturalización de proteÃnas a concentraciones de 10µl y 50µl con una variación proporcional del 1 % (p > 0,05), respecto al control en el ensayo de albúmina de huevo y una desnaturalización del 47 % y 83 % a 10µl y 50µl del ensayo de albúmina de suero bovino.
Conclusiones: El enjuague bucal de quercetina ha mostrado una actividad antiinflamatoria significativa, por lo que se considera un potente agente antiinflamatorio comparable al diclofenaco sódico. Se considera un agente adecuado como formulación oral para reducir la progresión de las afecciones inflamatorias.
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Referencias
Global Burden of Disease Collaborative Network. Website. Global Burden of Disease Study 2019 (GBD 2019). Seattle: Institute of Health Metrics and Evaluation (IHME), 2019 [access 20/11/2022]. Available from: http://ghdx.healthdata.org/gbd-results-tool.
World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. World Health Organization, 2022 [access 20/11/2022]. Available from: https://apps.who.int/iris/handle/10665/364538.
Hasturk H, Kantarci A. Activation and resolution of periodontal inflammation and its systemic impact. Periodontol 2000. 2015;69(1):255-73. DOI: https://doi.org/10.1111/prd.12105
Könönen E, Gursoy M, Gursoy UK. Periodontitis: A Multifaceted Disease of Tooth-Supporting Tissues. J Clin Med. 2019;8(8):1135. DOI: https://doi.org/10.3390/jcm8081135
Lasserre JF, Brecx MC, Toma S. Oral Microbes, Biofilms and Their Role in Periodontal and Peri-Implant Diseases. Materials (Basel). 2018;11(10):1802-19. DOI: https://doi.org/10.3390/ma11101802
Berger D, Rakhamimova A, Pollack A, Loewy Z. Oral Biofilms: Development, Control, and Analysis. High Throughput. 2018;7(3):24. DOI: https://doi.org/10.3390/ht7030024
Lamont RJ, Koo H, Hajishengallis G. The oral microbiota: dynamic communities and host interactions. Nat Rev Microbiol. 2018;16(12):745-59. DOI: https://doi.org/10.1038/s41579-018-0089-x
Larsson L, Garaicoa-Pazmino C, Asa'ad F, Castilho RM. Understanding the role of endotoxin tolerance in chronic inflammatory conditions and periodontal disease. J Clin Periodontol. 2022;49(3):270-9. DOI: https://doi.org/10.1111/jcpe.13591
Figuero E, Nóbrega DF, GarcÃa-Gargallo M, Tenuta LM, Herrera D, Carvalho JC. Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review. J Clin Periodontol. 2017;44 Suppl 18:S116-S134. DOI: https://doi.org/10.1111/jcpe.12674
Al-Mahmood S, Sabea DW. Comparative Evaluation of the Effectiveness of 40% Miswak Mouthwash and 0.12% Chlorhexidine Mouthwash in Treating Gingivitis: A Blinded, Randomised Clinical Trial. Oral Health Prev Dent. 2021;19(1):229-33. DOI: https://doi.org/10.3290/j.ohpd.b1179501
Siriyanyongwong P, Teanpaisan R, Pahumunto N, Uppanisakorn S, Vattanavanit V. Efficacy of Moraceae with chlorhexidine mouthwash on the microbial flora of critically ill intubated patients: a randomized controlled pilot study. Sci Rep. 2022;12(1):17261. DOI: https://doi.org/10.1038/s41598-022-21556-y
Mancianti F, Ebani VV. Biological Activity of Essential Oils. Molecules. 2020;25(3):678. DOI: https://doi.org/10.3390/molecules25030678
Cai H, Chen J, Panagodage Perera NK, Liang X. Effects of Herbal Mouthwashes on Plaque and Inflammation Control for Patients with Gingivitis: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. Evid Based Complement Alternat Med. 2020;2020:2829854. DOI: https://doi.org/10.1155/2020/2829854
Chatzopoulos GS, Karakostas P, Kavakloglou S, Assimopoulou A, Barmpalexis P, Tsalikis L. Clinical Effectiveness of Herbal Oral Care Products in Periodontitis Patients: A Systematic Review. Int J Environ Res Public Health. 2022;19(16):10061. DOI: https://doi.org/10.3390/ijerph191610061
Rassameemasmaung S, Sirikulsathean A, Amornchat C, Hirunrat K, Rojanapanthu P, Gritsanapan W. Effects of herbal mouthwash containing the pericarp extract of Garcinia mangostana L on halitosis, plaque and papillary bleeding index. J Int Acad Periodontol. 2007;9(1):19-25. PMID: 17274236.
Dogan M. Assessment of mechanism involved in the apoptotic and anti-cancer activity of Quercetin and Quercetin-loaded chitosan nanoparticles. Med Oncol. 2022;39(11):176. DOI: https://doi.org/10.1007/s12032-022-01820-x
Abdel-Baki PM, Ibrahim RM, Mahdy NE. Ferocactus herrerae Fruits: Nutritional Significance, Phytochemical Profiling, and Biological Potentials. Plant Foods Hum Nutr. 2022;77(4):545-51. DOI: https://doi.org/10.1007/s11130-022-01007-9
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-4. DOI: https://doi.org/10.1001/jama.2013.281053
Mlcek J, Jurikova T, Skrovankova S, Sochor J. Quercetin and Its Anti-Allergic Immune Response. Molecules. 2016;21(5):623. DOI: https://doi.org/10.3390/molecules21050623
Morikawa K, Nonaka M, Narahara M, Torii I, Kawaguchi K, Yoshikawa T, et al. Inhibitory effect of quercetin on carrageenan-induced inflammation in rats. Life Sci. 2003;74(6):709-721. DOI: https://doi.org/10.1016/j.lfs.2003.06.036
Rogerio AP, Dora CL, Andrade EL, Chaves JS, Silva LFC, Lemos-Senna E, et al. Anti-inflammatory effect of quercetin-loaded microemulsion in the airways allergic inflammatory model in mice. Pharmacol Res. 2010;61(4):288-297. DOI: https://doi.org/10.1016/j.phrs.2009.10.005
Zhang L, Ma J, Yang F, Li S, Ma W, Chang X, et al. Neuroprotective Effects of Quercetin on Ischemic Stroke: A Literature Review. Front Pharmacol. 2022;13:854249. DOI: https://doi.org/10.3389/fphar.2022.854249
Javadi F, Ahmadzadeh A, Eghtesadi S, Aryaeian N, Zabihiyeganeh M, Foroushani AR, et al. The Effect of Quercetin on Inflammatory Factors and Clinical Symptoms in Women with Rheumatoid Arthritis: A Double-Blind, Randomized Controlled Trial. J Am Coll Nutr. 2017;36(1):9-15. DOI: https://doi.org/10.1080/07315724.2016.1140093
Khan A, Iqtadar S, Mumtaz SU, Heinrich M, Pascual-Figal DA, Livingstone S, et al. Oral Co-Supplementation of Curcumin, Quercetin, and Vitamin D3 as an Adjuvant Therapy for Mild to Moderate Symptoms of COVID-19-Results From a Pilot Open-Label, Randomized Controlled Trial. Front Pharmacol. 2022;13:898062. DOI: https://doi.org/10.3389/fphar.2022.898062
Colunga Biancatelli RML, Berrill M, Catravas JD, Marik PE. Quercetin and Vitamin C: An Experimental, Synergistic Therapy for the Prevention and Treatment of SARS-CoV-2 Related Disease (COVID-19). Front Immunol. 2020;11:1451. DOI: https://doi.org/10.3389/fimmu.2020.01451