Effect of novel curcumin-encapsulated chitosan–bioglass drug on
bone and skin repair after gamma radiation: experimental study on a
Wistar rat model
S. Jebahi
1,2
*, M. Saoudi
2
, L. Farhat
3
, H. Oudadesse
1
, T. Rebai
4
, A. Kabir
4
, A. El Feki
2
and H. Keskes
2
1
Campus de Beaulieu, University of Rennes 1, UMR CNRS 6226, Rennes, France
2
Animal Ecophysiology Laboratory, Department of Life Sciences, Sfax Faculty of Science, Sfax, Tunisia
3
Service of Medical Oncology, CHU Habib Bourguiba, Sfax, Tunisia
4
Histology, Orthopaedic and Traumatology Laboratory, Sfax Faculty of Medicine, Sfax, Tunisia
Radiation therapy contributes to a significant increase in bone osteoporosis and skin loss. Various natural health products might be beneficial
to reduce bone and skin alterations. Curcumin (CUR) medicines derived from natural plants have played an important role in health care. This
study aims at synthesizing and evaluating the performance therapy of CUR-encapsulated bioglass–chitosan (CUR–BG–CH). In vitro, the
antioxidant assay was evaluated by using 1,1-diphenyl-2-picrylhydrazyl free-radical (DPPH) scavenging and the nitroblue tetrazolium reduc-
tion. The CUR–BG–CH antimicrobial effects were tested in liquid media. In vivo, after rat
60
Co γ-radiation, the tissue wound-healing process
was studied by grafting CUR and CUR–BG–CH in femoral condyle and dorsal skin rat tissue. The antioxidant studies indicated that
CUR–BG–CH quenches free radicals more efficiently than unmodified CUR and had effective DPPH (91%) and superoxide anion (51%)
radical scavenging activities. The CUR–BG–CH biomaterial exhibited an important antimicrobial activity against Staphylococcus aureus.
The histomorphometric parameters showed amelioration in CUR–BG–CH-treated rats. An improved mechanical property was noticed
(33.16 ± 5.0 HV) when compared with that of unmodified CUR group (23.15 ± 4.9 HV). A significant decrease in tumour necrosis factor-α
cytokine production was noted in the CUR–BG–CH rats (90 pg/ml) as compared with that of unmodified CUR group (240 pg/ml). The total
amount of hydroxyproline was significantly enhanced (33.5%) in CUR–BG–CH group as compared with that of control. Our findings
suggested that CUR–BG–CH might have promising potential applications for wound healing. Copyright © 2015 John Wiley & Sons, Ltd.
key words—curcumin; bioglass; chitosan; bone; skin; osteoporosis; irradiation
INTRODUCTION
Malignant lesions are frequently treated by the association
between surgery and radiotherapy procedures. However,
ionizing radiation contributes to a significant increase in
oxidative stress. The cell alterations following irradiation
caused by free radicals may be implicated in osteoporotic
phenotypes and skin loss.
1,2
Osteoporosis is often reflected by low bone mineral density
and fracture risk. The irradiation affects the survival of bone
marrow stromal cells and increases bone fragility.
3
Moreover,
the cutaneous radiation reaction includes short-term effects
such as erythema as well as long-term ones such as skin
cancer. The disorder of type I collagen, which accounts for
70–80% of total skin collagen and about 90% of bone, has
been proved that it can share comparable regressive
changes.
4
In fact, irradiation in rats causes a significant
reduction in collagen synthesis as evidenced from the esti-
mation of tissue hydroxyproline content.
5
Numerous treatments were available for reducing bone
and skin loss, but each one had limitations. Despite the
benefits of certain treatments such as selective oestrogen
receptor moderators, adverse outcomes such as increased
risks for cancer have been identified.
6
Because of their
adverse effects, more attention has been focused on nat-
ural alternatives,
7
among which, we distinguish curcumin
(CUR) presenting benefits such as antioxidative activities
because it is a powerful scavenger of the superoxide
anion and the hydroxyl radical.
8
CUR improves skin
healing and increases bone density by elevating anti-
oxidant activity in osteoporotic rats.
9
CUR has demon-
strated safety, but it has a restrictive pharmaceutical
role because of its extremely rapid systemic elimination,
inadequate tissue absorption and degradation, which
severely curtail its bioavailability. Therefore, the incor-
poration of localized CUR in some polymers is espe-
cially desirable to increase the efficiency of its practical
application.
Chitosan polymer (CH) has drawn considerable scientific
interest in the field of biomedical research.
10
As a
* Correspondence to: S. Jebahi, Campus de Beaulieu, University of Rennes
1, UMR CNRS 6226, Rennes, France. E-mail: jbahisamira@yahoo.fr
Received 10 February 2014
Revised 9 February 2015
Accepted 10 February 2015 Copyright © 2015 John Wiley & Sons, Ltd.
cell biochemistry and function
Cell Biochem Funct (2015)
Published online in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/cbf.3098