Nephrolepis exaltata - Hibiscus rosa-sinensis combination herbal mask decreases levels of reactive oxygen species in nasal wash

Main Article Content

Awal Prasetyo
Resti Ariani
Arlita Leniseptaria Antari
Udadi Sadhana
Ika Pawitra Miranti
Tri Nur Kristina

Abstract

Background
Poor air and mask quality in the work environment increase the risks of inflammation, reactive oxygen species (ROS) production, ongoing oxidative stress, and superoxide dismutase 3 (SOD3) levels in the airways. The study aimed to investigate the effect of the Nephrolepis exaltata - Hibiscus rosa-sinensis (NE-HRS) combination herbal mask on the airways, as measured by ROS and SOD3 levels in the nasal wash of textile industry workers.

Methods
This was a pre- and post-test randomized controlled trial, consisting of 30 subjects with ³5-year working time, conducted for eight weeks and monitored every ten days. Subjects were randomized into 3 groups, regular surgical mask group (n=10), NE-HRS combination herbal mask group (n=10) and factory mask group (n=10). SOD3 and ROS levels were determined using ELISA. Data were analyzed with One-way ANOVA and multiple comparison tests.

Results
ROS levels decreased significantly in all groups (p=0.004). Regular surgical masks decreased ROS levels by 67.90 ± 50.66 pg/mL, NE-HRS combination herbal masks by 49.91 ± 45.06 pg/mL, and factory masks by 193.96 ± 128.36 pg/ml. SOD3 levels also decreased but not significantly (p=0.053). Differences in ROS levels between surgical mask and NE-HRS combination herbal mask was not significant (p=0.796).

Conclusion
Herbal masks laminated with NE-HRS combination significantly reduced ROS levels among textile industry workers. NE-HRS combination herbal masks have a similar protective effect to the regular surgical mask.

Article Details

How to Cite
Prasetyo, A., Ariani, R., Antari, A. L., Sadhana, U., Miranti, I. P., & Kristina, T. N. (2020). Nephrolepis exaltata - Hibiscus rosa-sinensis combination herbal mask decreases levels of reactive oxygen species in nasal wash. Universa Medicina, 39(3), 184–191. https://doi.org/10.18051/UnivMed.2020.v39.184-191
Section
Original Articles

References

Watanabe M, Noma H, Kurai J, et al. Effects of short-term exposure to particulate air pollutants on the inflammatory response and respiratory symptoms: a panel study in schoolchildren from rural areas of Japan. Int J Environ Res Public Health 2016;13:983. doi: 10.3390/ijerph13100983.

Wang H, Song L, Ju W, et al. The acute airway inflammation induced by PM2.5 exposure and the treatment of essential oils in Balb/c mice. Sci Rep 2017;7:44256. doi: 10.1038/srep44256.

Shakya KM, Noyes A, Kallin R, Peltier RE. Evaluating the efficacy of cloth facemasks in reducing particulate matter exposure. J Expo Sci Environ Epidemiol 2017;27:352-7. doi: 10.1038/jes.2016.42.

Lakey PSJ, Berkemeier T, Tong H, et al. Chemical exposure-response relationship between air pollutants and reactive oxygen species in the human respiratory tract. Sci Rep 2016;6:32916. doi: 10.1038/srep32916.

Paramitha NA, Sadhana U, Prasetyo A, Karlowee V. The increasing of interleukin 6 and superoxide dismutase 3 nasal wash in textile industry workers exposed by occupational air pollutant. Indian J Sci Technol 2020;13:3002–7. doi: 10.17485/IJST/v13i29.369.

Prasetyo A, Rahardja AA, Azzahro AT, et al. Nephrolepis exaltata herbal mask increases nasal IgA levels and pulmonary function in textile factory workers. Adv Prev Med 2019, Article ID 5687135, 7 pages. doi: 10.1155/2019/5687135.

Raduan SZ, Abdul Aziz MWH, Roslida AH, et al. Anti-inflammatory effects of Hibiscus rosa-sintensis L and Hibiscus rosa-sinensis var alba ethanol extracts. Int J Pharm Pharm Sci 2013;5:754-62.

Nodoushan MS, Mehrparvar AH, Loukzadeh Z, et a. Evaluation of respiratory system in textile-dyeing workers. Med J Islam Repub Iran 2014;28:8.

Ozkurt S, Kargi BA, Kavas M, et al. Respiratory symptoms and pulmonary functions of workers employed in Turkish textile dyeing factories. Int J Environ Res Public Health 2012;1068–76. doi: 10.3390/ijerph9041068.

Yorgancilar E, Deveci E, Deveci S. Effects of formaldehyde on respiratory mucosa in rats. Int J Morphol 2012;30:521-3. http://dx.doi.org/10.4067/S0717-95022012000200026.

Arbex MA, Santos UDP, Martins LC, et al. Air pollution and the respiratory system. J Bras Pneumol 2012;38:643-55. DOI: 10.1590/s1806-37132012000500015.

Kfoury M, Borgie M, Verdin A, et al. Essential oil components decrease pulmonary and hepatic cells inflammation induced by air pollution particulate matter. Environ Chem Lett 2016;14:345–51.

Khristi V, Pathel VH. Therapeutic potential of Hibiscus rosa sinensis: a review. IJND 2016;4:105–23. DOI: 10.17654/ND004020105.

Boukhenouna S, Wilson MA, Bahmed K, Kosmider B. Reactive oxygen species in chronic obstructive pulmonary disease. Oxid Med Cell Longev 2018, Article ID 5730395, 9 pages. https://doi.org/10.1155/2018/5730395 1-8.

Charrier J, McFall A, Richard-Henderson N, Anastasio C. Hydrogen peroxide formation in a surrogate lung fluid by transmission metals and quinones present in particulate matter. Environ SciTech 2014;48:7010–7.

Jiang X-Q, Mei X-D, Feng D. Air pollution and chronic airway diseases: what should people know and do? J Thorac Dis 2016;8:E31–40. DOI: 10.3978/j.issn.2072-1439.2015.11.50.

Hu L, Zachariae ED, Larsen UG, et al. Redox biology the dynamic uptake and release of SOD3 from intracellular stores in macrophages modulates the inflammatory response. Redox Biol 2019; 101268. DOI: 10.1016/j.redox.2019.101268.

Poonyagariyagorn HK, Metzger S, Dikeman D, et al. Superoxide dismutase 3 dysregulation in a murine model of neonatal lung injury. Am J Respir Cell Mol Biol 2014 ; 51: 380–90. DOI: 10.1165/rcmb.2013-0043OC2014;51:380–90.

Laurila JP, Laatikainen LE, Castellone MD, Laukkanen MO. SOD3 reduces inflammatory cell migration by regulating adhesion molecule and cytokine expression. PLoS One.2009;4:1–8. https://doi.org/10.1371/journal.pone.0005786.

Ariani R, Prasetyo A, Prajoko Y, Suprihati, Sadhana U. Analysis of herbal mask protection effect on tumor necrosis factor-á and interleukin-6 levels in the employees of textile industry. In: The 3rd international conference on translational medicine and health science - New direction in management of cardiovascular disease and comprehensive approach to obesity. Semarang; 2019.p.37.

Lu X, Wang C, Liu B. The role of Cu/Zn-SOD and Mn-SOD in the immune response to oxidative stress and pathogen challenge in the clam Meretrix meretrix. Fish Shellfish Immunol 2015;42:58–65. http://dx.doi.org/10.1016/j.fsi.2014. 10.027.