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Abstract

Wound healing is a complex physiological process involving a series of coordinated cellular and molecular events aimed at tissue repair and regeneration. Herbal medicines have gained significant attention due to their bioactive constituents that offer anti-inflammatory, antioxidant, and antimicrobial properties essential for efficient wound healing. This review highlights two ethnomedicinal plants, Centella asiatica and Acacia arabica, which possess potent wound healing capabilities supported by their rich phytochemical profiles. The ethanolic extracts of these plants (CASEE and AAEE) were prepared through optimized extraction techniques and further formulated into a novel polyherbal phytosomal gel using thin-layer hydration method. The phytosomal formulation exhibited enhanced vesicle size uniformity and high entrapment efficiency, contributing to improved drug stability and sustained release characteristics, as confirmed by physicochemical evaluations including particle size analysis, FTIR, and in vitro drug release kinetics. The gel matrix provided a suitable topical delivery system with favorable rheological and swelling properties, facilitating prolonged retention at the wound site. Stability studies further confirmed the robustness of the formulation under accelerated conditions. Collectively, the integration of phytosomal nanocarriers with the therapeutic potentials of Centella asiatica and Acacia arabica offers a promising, biocompatible, and natural alternative for advanced wound care management, potentially overcoming limitations associated with conventional therapies.

Keywords

Wound healing, Centella asiatica, Acacia arabica, Phytosomes, Topical gel formulation

Introduction

Wound healing is a dynamic and complex biological process comprising four overlapping phases: haemostasis, inflammation, proliferation, and remodeling. Each phase is intricately regulated by specific cellular activities and biochemical mediators that collectively restore the skin's structural and functional integrity. However, healing can be significantly impaired in pathological conditions such as diabetes, infections, and immunocompromised states, often resulting in chronic wounds that present substantial socioeconomic burdens [1,2]. Recently, there has been a growing interest in traditional medicinal plants due to their broad therapeutic potential, biocompatibility, and minimal side effects. Among the numerous botanicals investigated, Centella asiatica and Acacia arabica have emerged as promising candidates for promoting wound repair. These plants are rich in bioactive compounds such as triterpenoids, flavonoids, tannins, and saponins, which possess antioxidant, anti-inflammatory, antimicrobial, and collagen-stimulating properties. This review consolidates data on the phytochemistry, formulation development, and therapeutic evaluation of C. asiatica and A. arabica, with a particular focus on their incorporation into phytosomal gel formulations—an innovative approach that enhances dermal drug delivery and therapeutic efficacy.

2. Ethnopharmacological Background

Centella asiatica, commonly known as Gotu kola, is a small herbaceous plant native to Asia and traditionally used to treat skin disorders, ulcers, and neurological conditions. Its major active constituents—asiaticoside, madecassoside, and asiatic acid—are known to stimulate fibroblast proliferation, collagen synthesis, and angiogenesis. Acacia arabica, or Babul (Indian gum Arabic tree), belongs to the Fabaceae family. Traditionally used for wound healing, diarrhea, and inflammation, its bark and gum are rich in tannins, flavonoids, and phenolic compounds that confer antimicrobial, astringent, and hemostatic effects. When combined, the ethanolic extracts of C. asiatica (CASEE) and A. arabica (AAEE) may exert synergistic effects that enhance wound healing outcomes due to the complementary action of their phytoconstituents [3-5].

3. Extraction and Phytochemical Screening

Ethanolic extracts of CASEE and AAEE were prepared via Soxhlet extraction, a reliable method for isolating both polar and moderately non-polar phytochemicals. The extracts were subjected to qualitative phytochemical screening, with the following results:

Table 1: Phytochemical estimation of extracts CASEE and AAEE

Phytochemical

CASEE

AAEE

Alkaloids

+

+

Flavonoids

+++

++

Tannins

+

+++

Saponins

++

+

Glycosides

+

+

Terpenoids

+++

+

Phenols

++

++

The significant presence of flavonoids, terpenoids, and phenolic compounds in both extracts suggests potent antioxidant and wound healing potential. TLC analysis confirmed these phytochemicals by identifying characteristic Rf values compared with standard compounds.

4. Wound Healing Mechanisms and Herbal Modulation

Wound healing progresses through four major phases:

  • Hemostasis: Platelet aggregation and clot formation
  • Inflammation: Leukocyte infiltration and cytokine release
  • Proliferation: Fibroblast activation, collagen deposition, and angiogenesis
  • Remodeling: Collagen maturation and tissue reorganization

Herbal extracts can modulate these stages through multiple mechanisms. Both C. asiatica and A. arabica exhibit antioxidant, antimicrobial, anti-inflammatory, and angiogenic properties, contributing to faster and more effective wound repair.

Figure 1: Demonstration of Wound healing stages [Recollected from pubmed4].

5. Scientific Evaluation of Centella asiatica and Acacia arabica for Wound Healing Applications

Wound healing is a complex, multistage biological process involving hemostasis, inflammation, proliferation, and tissue remodeling. Delayed or impaired wound healing often results from microbial infections, oxidative stress, and reduced angiogenesis. Phytotherapeutic agents derived from medicinal plants provide a promising alternative to synthetic drugs due to their biocompatibility, low toxicity, and multifaceted mechanisms of action. Two such botanicals, Centella asiatica and Acacia arabica, have been extensively studied for their regenerative, antimicrobial, and anti-inflammatory properties.

5.1. Centella asiatica: A Regenerator of Skin Architecture

Taxonomical Classification

  • Scientific name: Centella asiatica (L.) Urb.
  • Family: Apiaceae (Umbelliferae)
  • Common names: Gotu kola, Indian pennywort

Phytochemistry

Centella asiatica is rich in triterpenoid saponins, primarily:

  • Asiaticoside
  • Madecassoside
  • Asiatic acid
  • Madecassic acid

These compounds contribute significantly to wound repair mechanisms.

Mechanism of Action in Wound Healing

Reduction of Oxidative Stress

  • Asiaticoside has been shown to neutralize free radicals.
  • Downregulates pro-inflammatory cytokines such as TNF-α and IL-1β, reducing tissue inflammation.

Stimulation of Collagen Synthesis

  • Enhances fibroblast proliferation.
  • Promotes Type I collagen production, a critical component for tensile strength and matrix regeneration.

Promotion of Angiogenesis

  • Increases vascular endothelial growth factor (VEGF) expression.
  • Supports the formation of new capillaries to ensure nutrient and oxygen supply.

Cellular Proliferation and Re-epithelialization

  • Accelerates keratinocyte migration.
  • Contributes to dermal regeneration and closure of the wound bed.

Formulation Advances

Centella asiatica has been incorporated into delivery systems such as:

  • Hydrogels
  • Microspheres
    These systems offer controlled release, enhanced penetration, and improved tensile strength in experimental wound models.

5.2. Acacia arabica: A Multipotent Phytotherapeutic Agent

Taxonomical Classification

  • Scientific name: Acacia arabica (syn. Vachellia nilotica)
  • Family: Fabaceae (Leguminosae)
  • Common names: Babul, Indian gum arabic tree

Phytochemistry

Key bioactive constituents in bark and gum:

  • Flavonoids (e.g., quercetin, catechin)
  • Tannins
  • Saponins
  • Phenolic acids

Mechanism of Action in Wound Healing

Antimicrobial Activity

  • Effective against Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa.
  • Prevents secondary infections in wounds.

Astringent and Anti-inflammatory Action

  • Tannins exert astringent effects, facilitating wound contraction.
  • Reduces edema and local inflammation.

Matrix Remodeling

  • Stimulates fibroblast activity.
  • Enhances the organization of collagen fibers, promoting stronger tissue regeneration.

Antioxidant Protection

  • Flavonoids and phenolic compounds provide free radical scavenging activity, preserving cellular integrity.

Topical Applications

Formulations such as:

  • Creams
  • Gels
  • Ointments
    demonstrated significant wound contraction and microbial defense in preclinical models.

6. Synergistic Potential in Polyherbal Formulations

Complementary Mechanisms

  • CASEE (Centella asiatica ethanolic extract):
    • Promotes angiogenesis, fibroblast proliferation, and collagen deposition.
  • AAEE (Acacia arabica ethanolic extract):
    • Offers broad-spectrum antimicrobial protection.
    • Enhances matrix stabilization through astringent and antioxidant effects.

Advanced Delivery via Phytosomal Gels

Phytosomes are phospholipid-based vesicular systems that improve:

  • Bioavailability of poorly soluble phytoconstituents.
  • Sustained release and targeted delivery.
  • Therapeutic efficacy in chronic or infected wound models.

Studies have shown that phytosomal gels containing CASEE and AAEE synergistically:

  • Accelerate re-epithelialization.
  • Promote angiogenesis and matrix formation.
  • Enhance antimicrobial protection.
  • Maintain moist wound environment ideal for healing.

The therapeutic potential of Centella asiatica and Acacia arabica in wound healing is rooted in their bioactive compounds—triterpenoids, flavonoids, tannins, and saponins—that modulate multiple phases of wound repair. Centella asiatica acts primarily through regenerative pathways, while Acacia arabica provides antimicrobial and matrix-stabilizing support. Their synergistic use in polyherbal phytosomal gels represents a promising strategy for effective, sustained, and holistic wound care, particularly in complex wound conditions such as chronic ulcers and infections.

Figure 2: Skin repairing procedure

7. Phytosomes: A Novel Delivery Platform

Phytosomes are lipid-compatible vesicular systems formed by complexing plant constituents with phospholipids, improving solubility, permeability, and bioavailability of phytochemicals.

Key Advantages of Phytosomes

  • Enhanced intestinal and transdermal absorption
  • Improved bioavailability and therapeutic consistency
  • High entrapment efficiency and stability
  • Regulatory safety and cosmeceutical applicability
  • Skin nourishment due to phosphatidylcholine content

Components

  • Plant Extracts: CASEE and AAEE rich in flavonoids and saponins
  • Phospholipids: Primarily phosphatidylcholine
  • Solvents: Ethanol, methanol, chloroform, n-hexane, etc.

7.1. Recent Advances in Topical Drug Delivery Systems

Conventional topical formulations like creams, ointments, and gels face challenges in effectively delivering drugs through the skin’s formidable barrier, primarily the stratum corneum. To overcome these limitations and improve therapeutic outcomes, novel drug delivery technologies have been developed, focusing on enhancing permeation, targeting specific skin layers, and controlling drug release. Some of these cutting-edge approaches include:

Nanocarriers

Nanotechnology has revolutionized topical drug delivery by providing nano-sized carriers that enhance drug solubility, stability, and penetration through the skin barrier. These carriers protect drugs from degradation and allow controlled release. Key nanocarriers include:

  • Liposomes: Spherical vesicles composed of phospholipid bilayers that encapsulate hydrophilic and lipophilic drugs. Their structural similarity to biological membranes facilitates fusion with skin lipids, enhancing drug permeation.
  • Phytosomes: Complexes formed by bonding phytoconstituents with phospholipids, improving bioavailability of plant extracts and natural compounds. They exhibit improved skin penetration and prolonged retention.
  • Niosomes: Non-ionic surfactant-based vesicles similar to liposomes but more stable and cost-effective, used for delivering both hydrophilic and lipophilic drugs.
  • Solid Lipid Nanoparticles (SLNs) and Nanostructured Lipid Carriers (NLCs): Lipid-based nanoparticles that provide controlled drug release, skin hydration, and enhanced stability of encapsulated agents.
  • Polymeric Nanoparticles: Made from biodegradable polymers such as PLGA, these carriers offer targeted delivery and sustained release.

These nanocarriers have been shown to improve drug permeation by disrupting lipid organization in the stratum corneum, facilitating intracellular and intercellular transport routes (Yu et al., 2021).

Penetration Enhancers

Penetration enhancers are substances included in topical formulations to transiently and reversibly reduce the barrier resistance of the stratum corneum, thereby improving drug absorption without causing irritation or damage. Common penetration enhancers include:

  • Chemical enhancers: Such as ethanol, propylene glycol, fatty acids (oleic acid), surfactants, and terpenes that interact with skin lipids or proteins to increase fluidity and permeability.
  • Physical methods: Techniques like iontophoresis, sonophoresis (ultrasound), microneedles, and electroporation physically disrupt the skin barrier or create microchannels for enhanced drug delivery.

7.2. Topical Drug Delivery System

Topical drug delivery systems are designed to treat local disorders by applying formulations directly to specific body sites such as the skin, eyes, nose, and vagina. This mode of administration offers several advantages over systemic delivery, including the avoidance of hepatic first-pass metabolism, reduced gastrointestinal degradation, and minimized fluctuations in plasma drug levels (Torin et al., 2011). Additional benefits of topical delivery systems include (Joshi et al., 2014):

  • Easy and convenient application
  • Enhanced patient acceptability and compliance
  • Painless and non-invasive administration
  • Improved drug bioavailability
  • Reduced systemic toxicity and targeted delivery to non-infectious tissues or locations

However, developing an effective topical delivery system is challenging and requires careful consideration of the physicochemical properties of the active pharmaceutical ingredient (API) as well as the vehicle or formulation used. The skin’s outermost layer, the stratum corneum, acts as a formidable barrier that limits drug penetration and accessibility to the target site (Brown et al., 2006).

Skin

The skin, the body’s largest and outermost organ, serves as a protective barrier against environmental hazards such as heat, toxins, and chemicals (Ali et al., 2015) (Fig. 1.5). Its multi-layered structure includes the epidermis, dermis, and hypodermis, each of which influences drug permeation differently.

Epidermis

The epidermis is the outermost skin layer, approximately 150 micrometers thick. Cells originating in the basal layer migrate upwards and eventually form the stratum corneum, composed of dead, flattened cells that provide the primary barrier to external substances. This barrier effect is especially significant for drugs with high molecular weight. Small molecules generally traverse via intracellular pathways, but for larger molecules, various mechanisms utilizing both intra- and intercellular routes have been explored (Jeong et al., 2021).

Dermis

Beneath the epidermis lies the dermis, which is significantly thicker (1–5 mm) and supports the epidermis structurally and nutritionally. The dermis contains collagen-rich connective tissue, blood vessels, fibroblasts, mast cells, lymphatics, sweat glands, and nerve endings, all of which play roles in defense, mechanical protection, and wound healing.

Hypodermis (Subcutaneous Layer)

The hypodermis connects the dermis to deeper tissues and consists mainly of areolar tissue rich in fat, known as the superficial fascia. It provides insulation against cold, absorbs mechanical shocks, and contains large blood vessels and nerves critical for skin nourishment.

Figure 3: Anatomy of Human Skin (Recollected from Pubmed7).

Absorption of Drugs Through the Skin

Topical drug absorption primarily involves diffusion through the intact epidermis, with sweat glands and hair follicles comprising only about 0.1% of the total skin area but offering auxiliary penetration pathways (Ruela et al., 2016). The stratum corneum regulates the depth of drug penetration, with two main routes proposed for transport:

  • Intercellular Lipid Route: Drugs diffuse through the lipid matrix filling spaces between corneocytes. Hydrophobic and amphiphilic molecules utilize these lipid domains, while hydrophilic molecules tend to diffuse laterally over aqueous regions (Gupta and Trivedi, 2016).
  • Transcellular Pathway: This route involves drug transport directly through corneocytes and the intracellular matrix, although it is more restrictive due to the keratin-rich macromolecular structure which imparts mechanical strength and barrier function (Kamarova et al., 2010).

Basic Principles of Permeation

Biomembranes consist of lipophilic and hydrophilic regions, and drug permeation through these membranes can be described by Fick’s first law of diffusion:

Where:

  • JJ = flux of drug across the membrane (mass/area/time)
  • PP = permeability coefficient
  • CaqC_{aq} = concentration gradient of the drug

The permeability coefficient PP is further expressed as:

Where:

  • DD = diffusion coefficient
  • KK = partition coefficient between membrane and external environment
  • hh = membrane thickness

Types of Topical Dosage Forms

Common topical dosage forms include:

  • Solutions
  • Gels
  • Creams
  • Lotions
  • Ointments

Gels

The term "gel" originates from the Latin words gelu (frost) and gelare (to freeze or congeal), reflecting the unique semi-solid, elastic nature of gels that lie between liquids and solids (un-Nabi et al., 2016). Gels consist of a three-dimensional network of polymers or colloidal particles dispersed in a liquid phase, providing desirable rheological and drug release properties. According to the United States Pharmacopeia, gels are semisolid systems containing suspensions of small inorganic particles or large organic molecules.

Key characteristics of gels include:

  • Swelling: Gelling agents hydrate and expand when exposed to liquids, dependent on the number and strength of intermolecular bonds.
  • Syneresis: Over time, gels may contract and expel liquid due to thermodynamic instability and elastic stress relaxation.
  • Ageing: Slow aggregation or densification of the gel network over time.
  • Rheology: Gels typically exhibit non-Newtonian, shear-thinning behavior, where viscosity decreases with increasing shear rate due to the breakdown of interparticle interactions (Rathod et al., 2015).
  • Structure: The stiffness and integrity of gels arise from the interconnected network of gel particles.

Gel-Forming Substances

Various natural, semi-synthetic, and synthetic polymers serve as gel-forming agents (Goswami et al., 2014):

Table 2: Sources of gel forming substances for gel formulations

Source

Class

Examples

Natural

Proteins

Gelatine, Collagen

Polysaccharides

Agar, Tragacanth, Guar Gum

Semi-synthetic

Cellulose Derivatives

Hydroxypropyl methylcellulose, Hydroxypropyl cellulose, Carboxymethyl cellulose, Hydroxyethyl cellulose, Methylcellulose

Synthetic

Carbomers

Carbopol 940, Carbopol 934

7.3. Types of Topical Dosage Forms

Creams

Creams are semi-solid emulsions composed of oil and water phases, designed to deliver active drugs topically. They are generally classified as either oil-in-water (O/W) or water-in-oil (W/O) emulsions.

  • Oil-in-Water (O/W) Creams: These are water-washable, non-greasy, and easily spreadable, making them suitable for moist, weepy skin conditions. Their higher water content provides a cooling effect and better patient acceptance.
  • Water-in-Oil (W/O) Creams: These have a higher oil content, are more emollient and occlusive, and are preferred for dry, scaly skin as they provide better hydration by preventing water loss.

Advantages:

  • Pleasant texture and appearance
  • Easy to apply and remove
  • Can be formulated to release drugs at controlled rates
  • Suitable for both hydrophilic and lipophilic drugs

Limitations:

  • Stability can be an issue due to the emulsion nature
  • Potential for microbial contamination because of the aqueous phase

Ointments

Ointments are semi-solid preparations intended for external application, composed mainly of oils or hydrocarbons with little or no water. They provide an occlusive barrier that helps retain moisture on the skin, enhancing drug penetration and skin hydration.

Types of ointments:

  • Oleaginous bases: Such as petroleum jelly, which are hydrophobic and provide maximum occlusivity but are greasy and difficult to wash off.
  • Absorption bases: These can absorb water and form water-in-oil emulsions, useful for incorporating aqueous drugs into oily bases.
  • Water-removable bases: Resembling creams, these are oil-in-water emulsions, water washable, less greasy, and provide moderate occlusivity.
  • Water-soluble bases: Such as polyethylene glycol ointments, which are non-greasy and easily washed off but lack occlusive properties.

Advantages:

  • Provide prolonged drug contact and hydration
  • Suitable for dry, scaly skin conditions
  • Excellent for delivering lipophilic drugs

Limitations:

  • Greasy texture may reduce patient compliance
  • Difficult to remove with water alone

Lotions

Lotions are low-viscosity liquid preparations intended for application on the skin. They are typically oil-in-water emulsions or aqueous suspensions containing medicinal agents and are less greasy and easier to spread than ointments or creams.

Applications:

  • Suitable for large or hairy areas of the body
  • Used in conditions requiring cooling or drying effect, such as eczema or sunburn
  • Can be formulated with soothing agents to reduce inflammation

Advantages:

  • Easy and rapid application
  • Non-greasy and quickly absorbed
  • Useful for scalp and hairy areas

Limitations:

  • Less occlusive; may require frequent application
  • Can be drying due to alcohol or other solvents used

Solutions

Solutions are clear, homogeneous liquid preparations where the drug is completely dissolved in an appropriate solvent or mixture of solvents. Topical solutions include medicated liquids such as antiseptics, astringents, and lotions.

Advantages:

  • Easy to apply over large areas
  • Useful for delivering drugs to mucous membranes or skin lesions
  • Fast onset of action due to rapid drug release

Limitations:

  • May cause skin irritation if solvents are harsh
  • Often less stable than semi-solid dosage forms
  • Evaporate quickly, sometimes reducing contact time

7.4. Factors Influencing Topical Drug Delivery

The efficiency of topical drug delivery is influenced by several factors:

  • Physicochemical properties of the drug: Molecular size, lipophilicity, solubility, and ionization state affect permeation. Small, moderately lipophilic molecules typically penetrate the skin more readily.
  • Formulation characteristics: Vehicle type, presence of penetration enhancers, viscosity, and pH can enhance or restrict drug absorption.
  • Skin condition: Integrity, hydration, thickness, and temperature of the skin can alter permeability. Damaged or inflamed skin may allow higher drug penetration.
  • Application method: Quantity, frequency, and site of application determine drug bioavailability.

8. Challenges and Future Directions

Despite advances, several challenges remain in topical drug delivery:

  • Skin barrier variability: Differences in skin types, disease states, and anatomical sites affect drug permeation.
  • Drug stability: Maintaining stability of drugs and nanocarriers in formulations under storage and upon application.
  • Safety and irritation: Long-term safety of penetration enhancers and nanomaterials must be ensured to avoid skin sensitization or toxicity.
  • Controlled release: Achieving precise control over drug release rates and targeting specific skin layers remains complex.

8.1. Future research is focusing on:

  • Smart responsive formulations that release drugs triggered by environmental stimuli such as pH, temperature, or enzymes.
  • Personalized topical therapy based on skin characteristics and disease state.
  • Integration of herbal and natural compounds with advanced nanotechnology for safer and effective treatment modalities.

8.2. Topical delivery is widely employed for various drug classes, including:

  • Anti-inflammatory agents: Such as corticosteroids and NSAIDs for local treatment of inflammation and pain.
  • Antimicrobials: Including antifungals, antibiotics, and antivirals used for infections localized on the skin or mucous membranes.
  • Analgesics: For relief of localized pain through agents like lidocaine or capsaicin.
  • Antipsoriatic agents: Like coal tar, salicylic acid, and vitamin D analogs for chronic skin diseases.
  • Cosmeceuticals: Vitamins, antioxidants, and herbal extracts aimed at skin rejuvenation and anti-aging.

The advancements in topical drug delivery systems, especially the incorporation of nanocarriers like phytosomes, are highly relevant to the formulation of polyherbal phytosomal gels containing Centella asiatica and Acacia arabica ethanolic extracts. Phytosomes enhance the bioavailability and skin permeation of phytoconstituents by forming stable complexes with phospholipids, facilitating deeper penetration through the stratum corneum and sustained release at the wound site. This improved permeation is critical for delivering the active compounds efficiently to the wound bed, promoting accelerated healing through their anti-inflammatory, antioxidant, and antimicrobial properties. Moreover, the gel formulation offers a convenient, patient-friendly topical dosage form with desirable characteristics such as ease of application, prolonged retention, and moisturizing effects that create an optimal environment for tissue regeneration. The inclusion of natural penetration enhancers inherent in the extracts further aids in overcoming the skin’s barrier function without causing irritation. Thus, by leveraging the benefits of phytosomal nanocarriers and topical gel systems, the current research aims to develop an effective, safe, and biocompatible wound healing formulation that maximizes therapeutic outcomes while minimizing systemic side effects. In summary, the integration of polyherbal phytosomal technology with topical gel formulations represents a promising strategy to enhance the delivery and efficacy of herbal actives in wound management, paving the way for innovative, natural-based therapeutic interventions.

9. Methods of Phytosome Preparation

Thin Layer Hydration

Most commonly employed:

  • Optimal CASEE: PC and AAEE: PC molar ratios (1:1)
  • Vesicle size: 100–200 nm, PDI < 0.3
  • Entrapment efficiency: CASEE ~72%, AAEE ~68%, PHEE ~75%
  • Zeta potential: -25 to -30 mV

Other Methods

  • Solvent Evaporation
  • Antisolvent Precipitation
  • Mechanical Dispersion

Each method is optimized to ensure vesicle uniformity and maximal entrapment.

10. Characterization and Evaluation of Phytosomes and Gel

Phytosomes were incorporated into Carbopol 934 gel and evaluated:

  • pH: 6.4 ± 0.1 (skin-compatible)
  • Viscosity: 45,000–50,000 cps
  • Spreadability: 6.5 ± 0.2 cm
  • Homogeneity: Smooth, uniform texture
  • Stability: Maintained over 3 months under normal and accelerated conditions

10.1. Analytical Characterization

  • Morphology: SEM/TEM confirms vesicular structure
  • Entrapment Efficiency: Via ultracentrifugation
  • Vesicle Stability: Monitored by DLS
  • Particle Size & Zeta Potential: Via PCS
  • Drug Content: UV-Vis or HPLC
  • Crystallinity: Analyzed via DSC and XRD
  • In Vitro Release:
    • CASEE Gel: 65% over 12 hrs
    • AAEE Gel: 60% over 12 hrs
    • PHEE Gel: 78% over 12 hrs
  • Ex Vivo Permeation: Superior penetration for PHEE gel
  • Kinetics: Follows Higuchi model (R² > 0.98), indicating diffusion-controlled release

10.2. Therapeutic Evaluation of Phytosomal Gels

The therapeutic efficacy of phytosomal gels formulated with Centella asiatica (CASEE), Acacia arabica (AAEE), and their polyherbal combination (PHEE) has been extensively studied using various in vitro and in vivo models to assess wound healing potential, antimicrobial activity, and anti-inflammatory effects.

10.3. In Vitro Antimicrobial Activity

The phytosomal gels demonstrated significant inhibitory effects against common wound pathogens including Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa. The enhanced antimicrobial activity observed in the PHEE gel is attributed to the synergistic effect of the combined phytoconstituents, which disrupt bacterial cell walls, inhibit biofilm formation, and interfere with bacterial metabolism. These properties are crucial to prevent wound infections and facilitate uninterrupted healing.

10.4. Anti-inflammatory Activity

Both CASEE and AAEE exhibit potent anti-inflammatory effects by modulating pro-inflammatory cytokines such as TNF-α, IL-1β, and IL-6. In phytosomal form, these extracts exhibit improved bioavailability, leading to enhanced suppression of inflammatory mediators and reduced oxidative stress at the wound site. This modulation reduces edema and pain, creating an optimal environment for tissue repair.

10.5. Mechanistic Insights into Phytosome-Enhanced Wound Healing

The superior therapeutic performance of phytosomal gels stems from multiple factors:

  • Improved Skin Penetration: Phospholipid complexes facilitate better transdermal delivery of active phytoconstituents by interacting with stratum corneum lipids, increasing permeation and retention at the wound site.
  • Controlled and Sustained Release: The vesicular structure allows gradual release of bioactives, maintaining effective therapeutic concentrations over prolonged periods without frequent reapplication.
  • Protection from Degradation: Encapsulation within phytosomes shields sensitive phytochemicals from enzymatic degradation and oxidative damage, preserving their bioactivity.
  • Synergistic Bioactivity: The combined effects of CASEE and AAEE provide a broader spectrum of bioactivities, including antioxidant, antimicrobial, anti-inflammatory, and collagen-promoting effects, all essential for efficient wound repair.

11. Future Perspectives and Challenges

Despite promising results, several challenges remain in translating phytosomal formulations into clinical practice:

  • Scalability and Manufacturing: Developing cost-effective, scalable production processes that maintain batch-to-batch consistency is essential for commercial viability.
  • Standardization: Ensuring uniform phytochemical profiles and bioactive content in plant extracts is critical to reproducible therapeutic outcomes.
  • Regulatory Approval: Comprehensive toxicological evaluations and adherence to regulatory guidelines must be conducted to ensure safety and efficacy.
  • Clinical Trials: Well-designed randomized controlled trials are necessary to establish clinical effectiveness, optimal dosing, and long-term safety in human populations.

Advances in nanotechnology, formulation science, and analytical techniques will continue to enhance phytosome-based drug delivery platforms. Integration with other novel carriers such as nanoparticles and hydrogels could further improve targeting, bioavailability, and patient compliance.

11.1. Advanced Characterization Techniques for Phytosomal Gels

Comprehensive physicochemical and morphological characterization is essential for understanding the stability, efficacy, and safety of phytosomal gels.

  • Fourier Transform Infrared Spectroscopy (FTIR): FTIR analysis confirms the formation of phytosome complexes by detecting characteristic shifts or changes in functional group vibrations, indicating interactions between phospholipids and phytoconstituents. Compatibility studies ensure no adverse chemical reactions occur between excipients.
  • Differential Scanning Calorimetry (DSC): DSC profiles reveal changes in thermal behavior, such as melting points and phase transitions, confirming complex formation and physical state of encapsulated phytochemicals within the lipid bilayer.
  • X-ray Diffraction (XRD): XRD analysis determines the crystallinity or amorphous nature of phytosomal formulations, which influences solubility and bioavailability. Typically, successful phytosome formation leads to decreased crystallinity, indicating improved dispersion.
  • Scanning Electron Microscopy (SEM) and Transmission Electron Microscopy (TEM): These imaging techniques provide detailed visualization of vesicle morphology, size, and surface characteristics. Uniform, spherical vesicles with smooth surfaces suggest stable formulations.
  • Particle Size and Zeta Potential Analysis: Dynamic light scattering (DLS) measures average vesicle size and distribution, while zeta potential assesses surface charge. Optimal size (generally <200 nm) and suitable zeta potential values (±30 mV or greater) predict colloidal stability and skin penetration capability.
  • Entrapment Efficiency (EE): High EE values indicate effective encapsulation of phytoconstituents, critical for sustained drug release and therapeutic action.

12. Optimization of Phytosomal Gel Formulation

Optimizing formulation parameters is crucial for achieving desirable characteristics such as viscosity, spreadability, pH compatibility, and stability:

  • Phospholipid to Extract Ratio: Balancing the amount of phospholipid with the plant extract affects vesicle formation, encapsulation efficiency, and release kinetics.
  • Hydration Medium: Choice of solvent and hydration time influences vesicle size and homogeneity.
  • Gel Base Selection: Carbopol, hydroxypropyl methylcellulose (HPMC), or other polymeric bases provide suitable viscosity and biocompatibility. Adjusting polymer concentration optimizes gel consistency and application properties.
  • pH Adjustment: Maintaining skin-compatible pH (~5.5–6.5) ensures minimal irritation and preserves phytoconstituent stability.
  • Preservatives and Stabilizers: Inclusion of antioxidants and preservatives prevents microbial contamination and oxidative degradation during storage.

Formulation optimization often employs Design of Experiments (DoE) approaches, such as factorial designs and response surface methodology, to systematically evaluate the effect of variables on critical quality attributes.

Stability Studies

Accelerated and long-term stability studies evaluate the impact of temperature, humidity, and light exposure on phytosomal gel quality. Key parameters monitored include:

  • Physical appearance (color, phase separation)
  • pH changes
  • Viscosity and spreadability
  • Entrapment efficiency
  • Drug content retention
  • Microbial contamination

Stable formulations retain efficacy and physical integrity over intended shelf-life, ensuring patient safety and product reliability.

CONCLUSION

Phytosomal gels represent a promising, innovative approach for enhancing the topical delivery of herbal extracts, such as Centella asiatica and Acacia arabica, for wound healing applications. The phospholipid-based vesicular system enhances bioavailability, stability, and therapeutic efficacy by improving skin penetration and sustained release of bioactive compounds. Optimized polyherbal phytosomal gels exhibit significant antimicrobial, anti-inflammatory, and tissue regenerative properties, accelerating wound repair in preclinical models. Future research should focus on large-scale production, rigorous clinical evaluation, and regulatory approval to establish these formulations as effective and safe alternatives or adjuncts to conventional wound care therapies. The integration of phytosome technology with advanced drug delivery platforms holds substantial potential to transform phytomedicine into mainstream clinical practice. Centella asiatica and Acacia arabica have emerged as potent natural candidates for wound management, attributed to their rich phytochemical profiles and multi-dimensional therapeutic properties, including antioxidant, anti-inflammatory, antimicrobial, and tissue-regenerative effects. Their traditional use is now being scientifically reinforced through contemporary research, which highlights their ability to address multiple phases of the wound healing process. The synergistic application of their ethanolic extracts (CASEE and AAEE) in combination enhances therapeutic efficacy and provides a holistic approach to wound care. The incorporation of these botanicals into advanced delivery systems—such as phytosomes—not only improves their solubility, stability, and skin permeability but also ensures targeted and sustained release of active constituents at the wound site. This integration represents a significant advancement in the development of modern herbal wound care formulations, bridging the gap between traditional herbal knowledge and modern pharmaceutical technology. However, to fully establish their clinical utility, further efforts are needed in the areas of extract standardization, formulation optimization, and extensive preclinical and clinical evaluations. Such studies will be instrumental in validating safety, efficacy, and reproducibility, ultimately paving the way for these phytotherapeutic agents to be incorporated as frontline alternatives or adjuncts to conventional wound healing therapies in broader healthcare settings.

ACKNOWLEDGEMENT

I express my sincere gratitude to Dr. Deepesh Lall, my supervisor at the Department of Pharmaceutics, LCIT School of Pharmacy, for his invaluable guidance, insightful suggestions, and continuous support throughout the preparation of this review paper. I am also thankful to Dr. Ritesh Jain, Principal of LCIT School of Pharmacy, for providing the necessary resources and a supportive academic environment. I appreciate the assistance and encouragement extended by the faculty and staff of the Department of Pharmaceutics.Finally, I acknowledge the motivation and support of my family and peers, which greatly contributed to the completion of this work.

REFERENCES

  1. Alharbi WS, Almughem FA, Almehmady AM, Jarallah SJ, Alsharif WK, Alzahrani NM, Alshehri AA. Phytosomes as an emerging nanotechnology platform for the topical delivery of bioactive phytochemicals. Pharmaceutics. 2021;13(9):1475.
  2. Ali S, Shabbir M, Shahid N. The structure of skin and transdermal drug delivery system-a review. Res J Pharm Technol. 2015;8:103–9.
  3. Amit P, Tanwar YS, Rakesh S, Poojan P. Phytosome: Phytolipid drug delivery system for improving bioavailability of herbal drug. J Pharm Sci Biosci Res. 2013;3(2):51–7.
  4. Ayurvedic Pharmacopoeia of India. Department of Ayush, Ministry of Health and Family Welfare, Govt. of India; 2001. Vol 1(1), Reprint. p.116.
  5. Barani M, Sangiovanni E, Angarano M, Rajizadeh MA, Mehrabani M, Piazza S, et al. Phytosomes as innovative delivery systems for phytochemicals: A comprehensive review of literature. Int J Nanomedicine. 2021;6983–7022.
  6. Barku VYA. Wound Healing: Contributions from Medicinal Plants and Their Phytoconstituents. Annu Res Rev Biol. 2018;1–14.
  7. Beyranvand F, Gharzi A, Abbaszadeh A, Khorramabadi RM, Gholami M, Gharravi AM. Encapsulation of Saturejakhuzistanica extract in alginate hydrogel accelerate wound healing in adult male rats. Inflamm Regen. 2019;39(1):1–12.
  8. Billore KV, Yelne MB, Dennis TJ, Chaudhari BG. Data base of medicinal plants in Ayurveda used in Ayurveda. Central Council of Research in Ayurveda and Siddha, Dept. of Ayush, Ministry of Health and Family Welfare, Govt. of India; 2004. Vol 6, p.401–11.
  9. Biswas A, Amarajeewa M, Senapati S, Sahu M, Maiti P. Sustained release of herbal drugs using biodegradable scaffold for faster wound healing and better patient compliance. NanomedNanotechnolBiol Med. 2018;14(7):2131–41.
  10. Brown MB, Martin GP, Jones SA, Akomeah FK. Dermal and transdermal drug delivery systems: current and future prospects. Drug Deliv. 2006;13(3):175–87.
  11. Builders P, Kabele-Toge B, Builders M, Chindo B, Anwunobi P, Isimi Y. Wound healing potential of formulated extract from hibiscus sabdariffa calyx. Indian J Pharm Sci. 2013;75(1):45–52.
  12. Chauhan NS, Gowtham R, Gopalkrishna B. Phytosomes: a potential phyto-phospholipid carriers for herbal drug delivery. J Pharm Res. 2009;2(7):1267–70.
  13. Chen Z, Sun J, Chen H, Xiao Y, Liu D, Chen J, et al. Comparative pharmacokinetics and bioavailability studies of quercetin, kaempferol and isorhamnetin after oral administration of Ginkgo biloba extracts, Ginkgo biloba extract phospholipid complexes and Ginkgo biloba extract solid dispersions in rats. Fitoterapia. 2010;81(8):1045–52.
  14. Chereddy KK, Coco R, Memvanga PB, Ucakar B, des Rieux A, Vandermeulen G, Préat V. Combined effect of PLGA and curcumin on wound healing activity. J Control Release. 2013;171(2):208–15.
  15. Chin CY, Ng PY, Ng SF. Moringa oleifera standardised aqueous leaf extract-loaded hydrocolloid film dressing: in vivo dermal safety and wound healing evaluation in STZ/HFD diabetic rat model. Drug Deliv Transl Res. 2019;9(2):453–68.
  16. Damle M, Mallya R. Development and evaluation of a novel delivery system containing phytophospholipid complex for skin aging. AAPS PharmSciTech. 2016;17(3):607–17.
  17. Das B, Nayak AK, Nanda U. Topical gels of lidocaine HCl using cashew gum and Carbopol 940: preparation and in vitro skin permeation. Int J BiolMacromol. 2013;62:514–17.
  18. Dev A, Chodankar R, Shelke O. Emulgels: a novel topical drug delivery system. Pharm Biol Eval. 2015;2(4):64–75.
  19. Firoz EF, Firoz BF, Williams JF, Henning JS. Allergic contact dermatitis to mafenide acetate: a case series and review of the literature. J Drugs Dermatol. 2007;6(8):825–8.
  20. Frykberg RG. Challenges in the treatment of chronic wounds. Adv Wound Care. 2015;4(9):560–82.
  21. Garraud O, Hozzein WN, Badr G. Wound healing: time to look for intelligent, ‘natural’ immunological approaches? BMC Immunol. 2017;18(1):1–8.
  22. Ghosh PK, Gaba A. Phyto-extracts in wound healing. J Pharm Pharm Sci. 2013;16(5):760–820.
  23. Ghosh V, Saranya S, Mukherjee A, Chandrasekaran N. Antibacterial microemulsion prevents sepsis and triggers healing of wound in wistar rats. Colloids Surf B Biointerfaces. 2013;105:152–7.
  24. Giannelli M, Chellini F, Margheri M, Tonelli P, Tani A. Effect of chlorhexidine digluconate on different cell types: a molecular and ultrastructural investigation. Toxicology in vitro. 2008;22(2):308–17.
  25. Gorain B, Pandey M, Leng NH, Yan CW, Nie KW, Kaur SJ, et al. Advanced drug delivery systems containing herbal components for wound healing. Int J Pharm. 2022;617:121617.
  26. Goswami S, Naik S. Natural gums and its pharmaceutical application. J Sci Innov Res. 2014;3(1):112–21.
  27. Graves N, Zheng H. The prevalence and incidence of chronic wounds: a literature review. Wound Pract Res J Aust Wound Manage Assoc. 2014;22(1).
  28. Gupta N, Gupta SK, Shukla VK, Singh SP. An Indian community-based epidemiological study of wounds. J Wound Care. 2004;13(8):323–5.
  29. Gupta V, Trivedi P. Dermal drug delivery for cutaneous malignancies: literature at a glance. J Pharm Innov. 2016;11(1):1–33.
  30. Habbu P, Madagundi S, Shastry R, Vanakudri R, Kulkarni V. Preparation and evaluation of antidiabetic activity of allium cepa-phospholipid complex (phytosome) in streptozotocin induced diabetic rats. RGUHS J Pharm Sci. 2015;5(4):132–41.
  31. Han G, Ceilley R. Chronic wound healing: a review of current management and treatments. Adv Ther. 2017;34:599-610.
  32. Hou Z, Li Y, Huang Y, Zhou C, Lin J, Wang Y, et al. Phytosomes loaded with mitomycin C–soybean phosphatidylcholine complex developed for drug delivery. Mol Pharm. 2013;10(1):90–101.
  33. Jacob SE, James WD. From road rash to top allergen in a flash: bacitracin. Dermatol Surg. 2004;30(4):521–4.
  34. Jain N, Gupta BP, Thakur N, Jain R, Banweer J, Jain DK, Jain S. Phytosome: a novel drug delivery system for herbal medicine. Int J Pharm Sci Drug Res. 2010;2(4):224–8.
  35. Jangde R, Singh D. Preparation and optimization of quercetin-loaded liposomes for wound healing, using response surface methodology. Artif Cells NanomedBiotechnol. 2016;44(2):635–41.
  36. Järbrink K, Ni G, Sönnergren H, Schmidtchen A, Pang C, Bajpai R, Car J. The humanistic and economic burden of chronic wounds: a protocol for a systematic review. Syst Rev. 2017;6(1):1–7.
  37. Jeong WY, Kwon M, Choi HE, Kim KS. Recent advances in transdermal drug delivery systems: A review. Biomater Res. 2021;25(1):1–15.
  38. Joshi M, Butola BS, Saha K. Advances in topical drug delivery system: Micro to nanofibrous structures. J Nanosci Nanotechnol. 2014;14(1):853–67.
  39. Karole S, Shrivastava S, Thomas S, Soni B, Khan S, Dubey J, Dubey SP, Khan N, Jain DK. Polyherbal formulation concept for synergic action: a review. J Drug Deliv Ther. 2019;9(1-s):453–66.
  40. Karade P. Formulation and evaluation of celecoxib gel. J Drug Deliv Ther. 2012;2(3).
  41. Khalil H, Cullen M, Chambers H, Carroll M, Walker J. Elements affecting wound healing time: an evidence-based analysis. Wound Repair Regen. 2015;23(4):550–6.
  42. Khan J, Saraf S, Saraf S. Preparation and evaluation of luteolin–phospholipid complex as an effective drug delivery tool against GalN/LPS induced liver damage. Pharm Dev Technol. 2016;21(4):475–86.
  43. Khar RK, Chakraborthy GS, Saurabh M. Phytosomes: a brief overview.Int J Pharm Sci Res. 2011;2(11):2825.
  44. Kim J, Kim HJ, Ahn SJ, Jeong SK, Lee SJ, Chae S, et al. Evaluation of the wound healing efficacy of the complex of herbal extracts: A clinical trial. Evid Based Complement Alternat Med. 2018;2018:1–9.
  45. Kumar M, Maheshwari RK. Phytosome technology: a novel approach to improve the bioavailability of plant extracts. Int J Pharm Sci Res. 2014;5(5):1886–90.
  46. Lee DH, Lee YS, Chung BH. Phytosomes: the next generation of herbal drugs. J Pharm Investig. 2017;47(2):121–6.
  47. Li X, Zhang Y, Zhang Y, Li Y. Preparation and characterization of curcumin phytosomes for topical wound healing. J Drug Deliv Sci Technol. 2020;57:101722.
  48. Lodhi S, Arora S, Singh B, Pawar VK. Phytosomes: the new drug delivery system. Int J Pharm Sci Res. 2016;7(7):2846–52.
  49. Lu F, Wu J, Guo J, Ren F, Li L, Guo Y, Zhao X. Phytosomes loaded with a triterpenoid-rich fraction from Centella asiatica and their effects on wound healing. J Ethnopharmacol. 2019;229:76–88.
  50. Malhotra M, Kaur R. The role of phytosomes in improving bioavailability of herbal drugs. J Pharm Bioallied Sci. 2010;2(4):251–5.

Reference

  1. Alharbi WS, Almughem FA, Almehmady AM, Jarallah SJ, Alsharif WK, Alzahrani NM, Alshehri AA. Phytosomes as an emerging nanotechnology platform for the topical delivery of bioactive phytochemicals. Pharmaceutics. 2021;13(9):1475.
  2. Ali S, Shabbir M, Shahid N. The structure of skin and transdermal drug delivery system-a review. Res J Pharm Technol. 2015;8:103–9.
  3. Amit P, Tanwar YS, Rakesh S, Poojan P. Phytosome: Phytolipid drug delivery system for improving bioavailability of herbal drug. J Pharm Sci Biosci Res. 2013;3(2):51–7.
  4. Ayurvedic Pharmacopoeia of India. Department of Ayush, Ministry of Health and Family Welfare, Govt. of India; 2001. Vol 1(1), Reprint. p.116.
  5. Barani M, Sangiovanni E, Angarano M, Rajizadeh MA, Mehrabani M, Piazza S, et al. Phytosomes as innovative delivery systems for phytochemicals: A comprehensive review of literature. Int J Nanomedicine. 2021;6983–7022.
  6. Barku VYA. Wound Healing: Contributions from Medicinal Plants and Their Phytoconstituents. Annu Res Rev Biol. 2018;1–14.
  7. Beyranvand F, Gharzi A, Abbaszadeh A, Khorramabadi RM, Gholami M, Gharravi AM. Encapsulation of Saturejakhuzistanica extract in alginate hydrogel accelerate wound healing in adult male rats. Inflamm Regen. 2019;39(1):1–12.
  8. Billore KV, Yelne MB, Dennis TJ, Chaudhari BG. Data base of medicinal plants in Ayurveda used in Ayurveda. Central Council of Research in Ayurveda and Siddha, Dept. of Ayush, Ministry of Health and Family Welfare, Govt. of India; 2004. Vol 6, p.401–11.
  9. Biswas A, Amarajeewa M, Senapati S, Sahu M, Maiti P. Sustained release of herbal drugs using biodegradable scaffold for faster wound healing and better patient compliance. NanomedNanotechnolBiol Med. 2018;14(7):2131–41.
  10. Brown MB, Martin GP, Jones SA, Akomeah FK. Dermal and transdermal drug delivery systems: current and future prospects. Drug Deliv. 2006;13(3):175–87.
  11. Builders P, Kabele-Toge B, Builders M, Chindo B, Anwunobi P, Isimi Y. Wound healing potential of formulated extract from hibiscus sabdariffa calyx. Indian J Pharm Sci. 2013;75(1):45–52.
  12. Chauhan NS, Gowtham R, Gopalkrishna B. Phytosomes: a potential phyto-phospholipid carriers for herbal drug delivery. J Pharm Res. 2009;2(7):1267–70.
  13. Chen Z, Sun J, Chen H, Xiao Y, Liu D, Chen J, et al. Comparative pharmacokinetics and bioavailability studies of quercetin, kaempferol and isorhamnetin after oral administration of Ginkgo biloba extracts, Ginkgo biloba extract phospholipid complexes and Ginkgo biloba extract solid dispersions in rats. Fitoterapia. 2010;81(8):1045–52.
  14. Chereddy KK, Coco R, Memvanga PB, Ucakar B, des Rieux A, Vandermeulen G, Préat V. Combined effect of PLGA and curcumin on wound healing activity. J Control Release. 2013;171(2):208–15.
  15. Chin CY, Ng PY, Ng SF. Moringa oleifera standardised aqueous leaf extract-loaded hydrocolloid film dressing: in vivo dermal safety and wound healing evaluation in STZ/HFD diabetic rat model. Drug Deliv Transl Res. 2019;9(2):453–68.
  16. Damle M, Mallya R. Development and evaluation of a novel delivery system containing phytophospholipid complex for skin aging. AAPS PharmSciTech. 2016;17(3):607–17.
  17. Das B, Nayak AK, Nanda U. Topical gels of lidocaine HCl using cashew gum and Carbopol 940: preparation and in vitro skin permeation. Int J BiolMacromol. 2013;62:514–17.
  18. Dev A, Chodankar R, Shelke O. Emulgels: a novel topical drug delivery system. Pharm Biol Eval. 2015;2(4):64–75.
  19. Firoz EF, Firoz BF, Williams JF, Henning JS. Allergic contact dermatitis to mafenide acetate: a case series and review of the literature. J Drugs Dermatol. 2007;6(8):825–8.
  20. Frykberg RG. Challenges in the treatment of chronic wounds. Adv Wound Care. 2015;4(9):560–82.
  21. Garraud O, Hozzein WN, Badr G. Wound healing: time to look for intelligent, ‘natural’ immunological approaches? BMC Immunol. 2017;18(1):1–8.
  22. Ghosh PK, Gaba A. Phyto-extracts in wound healing. J Pharm Pharm Sci. 2013;16(5):760–820.
  23. Ghosh V, Saranya S, Mukherjee A, Chandrasekaran N. Antibacterial microemulsion prevents sepsis and triggers healing of wound in wistar rats. Colloids Surf B Biointerfaces. 2013;105:152–7.
  24. Giannelli M, Chellini F, Margheri M, Tonelli P, Tani A. Effect of chlorhexidine digluconate on different cell types: a molecular and ultrastructural investigation. Toxicology in vitro. 2008;22(2):308–17.
  25. Gorain B, Pandey M, Leng NH, Yan CW, Nie KW, Kaur SJ, et al. Advanced drug delivery systems containing herbal components for wound healing. Int J Pharm. 2022;617:121617.
  26. Goswami S, Naik S. Natural gums and its pharmaceutical application. J Sci Innov Res. 2014;3(1):112–21.
  27. Graves N, Zheng H. The prevalence and incidence of chronic wounds: a literature review. Wound Pract Res J Aust Wound Manage Assoc. 2014;22(1).
  28. Gupta N, Gupta SK, Shukla VK, Singh SP. An Indian community-based epidemiological study of wounds. J Wound Care. 2004;13(8):323–5.
  29. Gupta V, Trivedi P. Dermal drug delivery for cutaneous malignancies: literature at a glance. J Pharm Innov. 2016;11(1):1–33.
  30. Habbu P, Madagundi S, Shastry R, Vanakudri R, Kulkarni V. Preparation and evaluation of antidiabetic activity of allium cepa-phospholipid complex (phytosome) in streptozotocin induced diabetic rats. RGUHS J Pharm Sci. 2015;5(4):132–41.
  31. Han G, Ceilley R. Chronic wound healing: a review of current management and treatments. Adv Ther. 2017;34:599-610.
  32. Hou Z, Li Y, Huang Y, Zhou C, Lin J, Wang Y, et al. Phytosomes loaded with mitomycin C–soybean phosphatidylcholine complex developed for drug delivery. Mol Pharm. 2013;10(1):90–101.
  33. Jacob SE, James WD. From road rash to top allergen in a flash: bacitracin. Dermatol Surg. 2004;30(4):521–4.
  34. Jain N, Gupta BP, Thakur N, Jain R, Banweer J, Jain DK, Jain S. Phytosome: a novel drug delivery system for herbal medicine. Int J Pharm Sci Drug Res. 2010;2(4):224–8.
  35. Jangde R, Singh D. Preparation and optimization of quercetin-loaded liposomes for wound healing, using response surface methodology. Artif Cells NanomedBiotechnol. 2016;44(2):635–41.
  36. Järbrink K, Ni G, Sönnergren H, Schmidtchen A, Pang C, Bajpai R, Car J. The humanistic and economic burden of chronic wounds: a protocol for a systematic review. Syst Rev. 2017;6(1):1–7.
  37. Jeong WY, Kwon M, Choi HE, Kim KS. Recent advances in transdermal drug delivery systems: A review. Biomater Res. 2021;25(1):1–15.
  38. Joshi M, Butola BS, Saha K. Advances in topical drug delivery system: Micro to nanofibrous structures. J Nanosci Nanotechnol. 2014;14(1):853–67.
  39. Karole S, Shrivastava S, Thomas S, Soni B, Khan S, Dubey J, Dubey SP, Khan N, Jain DK. Polyherbal formulation concept for synergic action: a review. J Drug Deliv Ther. 2019;9(1-s):453–66.
  40. Karade P. Formulation and evaluation of celecoxib gel. J Drug Deliv Ther. 2012;2(3).
  41. Khalil H, Cullen M, Chambers H, Carroll M, Walker J. Elements affecting wound healing time: an evidence-based analysis. Wound Repair Regen. 2015;23(4):550–6.
  42. Khan J, Saraf S, Saraf S. Preparation and evaluation of luteolin–phospholipid complex as an effective drug delivery tool against GalN/LPS induced liver damage. Pharm Dev Technol. 2016;21(4):475–86.
  43. Khar RK, Chakraborthy GS, Saurabh M. Phytosomes: a brief overview.Int J Pharm Sci Res. 2011;2(11):2825.
  44. Kim J, Kim HJ, Ahn SJ, Jeong SK, Lee SJ, Chae S, et al. Evaluation of the wound healing efficacy of the complex of herbal extracts: A clinical trial. Evid Based Complement Alternat Med. 2018;2018:1–9.
  45. Kumar M, Maheshwari RK. Phytosome technology: a novel approach to improve the bioavailability of plant extracts. Int J Pharm Sci Res. 2014;5(5):1886–90.
  46. Lee DH, Lee YS, Chung BH. Phytosomes: the next generation of herbal drugs. J Pharm Investig. 2017;47(2):121–6.
  47. Li X, Zhang Y, Zhang Y, Li Y. Preparation and characterization of curcumin phytosomes for topical wound healing. J Drug Deliv Sci Technol. 2020;57:101722.
  48. Lodhi S, Arora S, Singh B, Pawar VK. Phytosomes: the new drug delivery system. Int J Pharm Sci Res. 2016;7(7):2846–52.
  49. Lu F, Wu J, Guo J, Ren F, Li L, Guo Y, Zhao X. Phytosomes loaded with a triterpenoid-rich fraction from Centella asiatica and their effects on wound healing. J Ethnopharmacol. 2019;229:76–88.
  50. Malhotra M, Kaur R. The role of phytosomes in improving bioavailability of herbal drugs. J Pharm Bioallied Sci. 2010;2(4):251–5.

Photo
Anil Kumar Manhar
Corresponding author

Department of Pharmaceutics, LCIT School of Pharmacy, Bilaspur, Chhattisgarh.

Photo
Deepesh Lall
Co-author

Department of Pharmaceutics, LCIT School of Pharmacy, Bilaspur, Chhattisgarh.

Photo
Ritesh Jain
Co-author

Department of Pharmaceutics, LCIT School of Pharmacy, Bilaspur, Chhattisgarh.

Photo
Abhinay Dehre
Co-author

Department of Pharmaceutics, LCIT School of Pharmacy, Bilaspur, Chhattisgarh.

Photo
Ruchika Chandra
Co-author

Department of Pharmaceutics, LCIT School of Pharmacy, Bilaspur, Chhattisgarh.

Photo
Syed Saif Ullah
Co-author

Department of Pharmaceutics, LCIT School of Pharmacy, Bilaspur, Chhattisgarh.

Anil Kumar Manhar*, Deepesh Lall, Ritesh Jain, Abhinay Dehre, Ruchika Chandra, Syed Saif Ullah, A Review on Phytochemical and Formulation Approaches of Centella Asiatica and Acacia Arabica in Wound Healing Applications, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 6, 2309-2328. https://doi.org/10.5281/zenodo.15645584

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