Skip to content
2000
image of Investigating the Influence of 0.75% Ethanol Extract Gel from “Kaempferia galanga L Rhizoma” on Mild and Moderate Acne Vulgaris Among High School Students

Abstract

Background

Acne vulgaris is a prevalent dermatological condition characterized by the inflammation of sebaceous follicles. This inflammation results in various clinical manifestations, including open and closed comedones, papules, pustules, nodules, and cysts, which predominantly appear on the face. The impact of acne vulgaris extends beyond physical symptoms, often affecting psychological well-being and quality of life, particularly among adolescents. Given this condition's widespread prevalence and significant implications, there is a pressing need for effective and accessible treatments.

Objective

This study aimed to evaluate the impact of Kencur Rhizome Ethanol Extract Gel [Kaempferia galanga L. Rhizoma / KGR] on mild and moderate acne vulgaris lesions among high school students.

Method

Twenty-four high school students were divided into three groups: Group 1 received 0.75% Kaempferia galanga rhizome ethanol extract gel, Group 2 received a combination gel of 0.75% Kaempferia galanga ethanol extract, and 75% benzoyl peroxide with 1% clindamycin gel, and Group 3 received 1% clindamycin gel. The number of subjects in each group was determined using the G Power application. The distribution of gels was randomly assigned using the “Randomly Assign Subjects to Treatment Group” application. Before treatment, blood samples were taken to measure IL-8 levels. After three weeks of treatment, bilateral facial photographs were taken: one with the right side tilted at 45 degrees and the other with the left side tilted at 45 degrees. Blood samples were collected again for IL-8 measurement, and high-resolution photographs of both sides of the face were taken to analyze acne lesions using the ImageJ application.

Result

A combination of 0.75% KGR ethanol extract gel and 1% clindamycin gel significantly reduced the severity of AV lesions by affecting IL8 expression [p=0.042] in reducing the severity of mild and moderate AV lesions. For AV lesions using the ImageJ application, the administration of group 2 gel [a combination of 0.75% KGR ethanol extract gel and 1% clindamycin gel] has a significant effect on reducing the severity of mild and moderate degrees of whitehead or blackhead [p = 0.030] and nodules [p = 0.035] in acne vulgaris.

Conclusion

A combination of 0.75% kencur rhizome ethanol extract gel and 1% clindamycin gel effectively alleviate acne vulgaris symptoms while also reducing inflammation of acne vulgaris lesions.

This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/ctm/10.2174/0122150838312102241008055759
2024-12-10
2025-10-17
Loading full text...

Full text loading...

/deliver/fulltext/ctm/10.2174/0122150838312102241008055759/BMS-CTM-2024-60.html?itemId=/content/journals/ctm/10.2174/0122150838312102241008055759&mimeType=html&fmt=ahah

References

  1. Triatmakusuma Y. Serum interleukin-6 levels are positively correlated with the severity of acne vulgaris. J La Medihealtico. 2024 5 158 166
    [Google Scholar]
  2. Sundar P.K. Impact of acne vulgaris on the psychiatric morbidity & quality of life of patients- a cross sectional study. J Evid Based Med Healthc. 2019 2 3
    [Google Scholar]
  3. Afren I Kurniawati Y Diba S Aryani IA Argentina F Impact of particulate matter 2.5 in acne vulgaris: A literature review. Jurnal RSMH Palembang 2014 5 1 340 349
    [Google Scholar]
  4. Hotimah H Juvita Herdianty J Antibacterial test of ethanol extract gel preparation kencur rhizome (kaempferia galanga) against staphylococcus epidermidis. Strada J Pharm 2024 6 1 1 13 10.30994/sjp.v6i1.107
    [Google Scholar]
  5. Hidayat I.W. Astuti R.T. Kusuma T.M. Product development of anti acne gel: Combination of white turmeric rhizome ethanol extract (curcuma mango val) and galangal rhizome ethanol extract(Alpinia Galanga). Urecol J. Part C Heal Sci 2021 2021 17 23
    [Google Scholar]
  6. Revol O. Milliez N. Gerard D. Psychological impact of acne on 21st-century adolescents: Decoding for better care. Br. J. Dermatol. 2015 172 Suppl. 1 52 58 10.1111/bjd.13749 25702715
    [Google Scholar]
  7. Yadav N. Singh A. Chatterjee A. Belemkar S. Evaluation of efficacy and safety of perfact face gel and perfact face tablets in management of acne. J Clin Exp Dermatol. 2011 2 2 1000118
    [Google Scholar]
  8. Stańkowska A. Bergler-Czop B. Interleukins-6, -8 and -12p40 and c-reactive protein levels in patients with acne vulgaris with various severity of skin changes. Przegl. Dermatol. 2020 2020 308 322 10.5114/dr.2020.99876
    [Google Scholar]
  9. Tasneem T. Begum A. Chowdhury M.R.K. Rahman S. Macassa G. Manzoor J. Rashid M. Effects of acne severity and acne-related quality of life on depressive symptoms among adolescents and young adults: A cross-sectional study in Bangladesh. Front. Psychol. 2023 14 1153101 10.3389/fpsyg.2023.1153101 37554134
    [Google Scholar]
  10. Rhee M.S. Alqam M.L. Jones B.C. Phadungpojna S. Day D. Hitchcock T.M. Characterization of a live Cutibacterium acnes subspecies defendens strain XYCM42 and clinical assessment as a topical regimen for general skin health and cosmesis. J. Cosmet. Dermatol. 2023 22 3 1031 1045 10.1111/jocd.15510 36374551
    [Google Scholar]
  11. Wetarini K. Acne vulgaris in adults: A brief review on diagnosis and management. Int J Res Rev 2020 2020 246 252
    [Google Scholar]
  12. Yang J.H. Hwang E.J. Moon J. Yoon J.Y. Kim J.W. Choi S. Cho S.I. Suh D.H. Clinical efficacy of herbal extracts in treatment of mild to moderate acne vulgaris: An 8-week, double-blinded, randomized, controlled trial. J. Dermatolog. Treat. 2021 32 3 297 301 10.1080/09546634.2019.1657792 31424962
    [Google Scholar]
  13. Alarik L. A Indiastuti DN Astari L Setyaningrum T. The effects of hormonal factor on the degree of acne vulgaris severity. Berkala Ilmu Kesehatan Kulit dan Kelamin 2023 35 2 126 129 10.20473/bikk.V35.2.2023.126‑129
    [Google Scholar]
  14. Del Rosso JQ Kircik L The primary role of sebum in the pathophysiology of acne vulgaris and its therapeutic relevance in acne management. J Dermatolog Treat 2024 35 1 2296855 10.1080/09546634.2023.2296855
    [Google Scholar]
  15. Yang J.H. Yoon J.Y. Kwon H.H. Min S. Moon J. Suh D.H. Seeking new acne treatment from natural products, devices and synthetic drug discovery. Dermatoendocrinol 2017 9 1 e1356520 10.1080/19381980.2017.1356520 29484092
    [Google Scholar]
  16. Samodra G. Azizah L.N. Analysis antioxidant activity and total flavonoid content combination of ethanol extract of kencur rhizome (Kaempferiae Galanga L.) and tapak dara leaf (Catharanthus Roseus) using dpph method. IJHSRD 2023 5 2 128 138 10.36566/ijhsrd/Vol5.Iss2/186
    [Google Scholar]
  17. Nuari D.A. Sadino A. Ainaya S.H. The safety evaluation of some plants of the zingibereceae family. Bul Farmatera. 2023 8 43 63
    [Google Scholar]
  18. Tanghetti E.A. The role of inflammation in the pathology of acne. J. Clin. Aesthet. Dermatol. 2013 6 9 27 35 24062871
    [Google Scholar]
  19. Almeria Y.V.R. Herbal Products for Acne Vulgaris: A Review. Int J Res Publ Rev 2022 2022 239 257
    [Google Scholar]
  20. Proença A.C. Luís Â. Duarte A.P. The role of herbal medicine in the treatment of acne vulgaris: A systematic review of clinical trials. Evid. Based Complement. Alternat. Med. 2022 2022 1 22 10.1155/2022/2011945 35754694
    [Google Scholar]
  21. Sachdeva M. Tan J. Lim J. Kim M. Nadeem I. Bismil R. The prevalence, risk factors, and psychosocial impacts of acne vulgaris in medical students: A literature review. Int. J. Dermatol. 2021 60 7 792 798 10.1111/ijd.15280 33128470
    [Google Scholar]
  22. Singh A. Singh N. Singh S. Srivastava R.P. Singh L. Verma P.C. Devkota H.P. Rahman L. Kumar Rajak B. Singh A. Saxena G. The industrially important genus Kaempferia: An ethnopharmacological review. Front. Pharmacol. 2023 14 1099523 10.3389/fphar.2023.1099523 36923360
    [Google Scholar]
  23. Singh S. Khurana A. Chitkara A. Evaluation of serum levels of interleukins 6, 8, 17 and 22 in acne vulgaris: A cross-sectional study. Indian J. Dermatol. 2023 68 2 233 10.4103/ijd.ijd_786_21 37275817
    [Google Scholar]
  24. Askari N. Ghazanfari T. Yaraee R. Vaez Mahdavi M.R. Soroush M.R. Mohammad Hassan Z. Khodashenas Z. Shams J. Faghihzadeh S. Association between acne and serum pro-inflammatory cytokines (IL-1α, IL-1β, IL-1Ra, IL-6, IL-8, IL-12 and RANTES) in mustard gas-exposed patients: Sardasht-Iran cohort study. Arch. Iran Med. 2017 20 2 86 91 28193081
    [Google Scholar]
  25. Latifah S. Fachrudin K. Ethnobotanical Study of Efficacious Plants in Urban Communities. Bristol, England IOP Publishing 2024 012104
    [Google Scholar]
  26. Samalo Rahayu Gunaedi Tri Runtuboi Dirk Y.P. Effectiveness of Ethanol Gel and Essential Oil of Kencur Rhizome (Kaempferia galanga L.) base Karbopol against Propionibacterium acnes. Quagga Jurnal Pendidikan dan Biologi 2024 16 1 34 42
    [Google Scholar]
  27. Hikmawanti N.P.E. Chemical component of Kencur (Kaemferia galanga L.) ethanolic extract using gas chromatography-mass spectrometry. IOP Conf. Ser.: Earth Environ. Sci. 2021 819 1 012057
    [Google Scholar]
  28. Kiptiyah S.Y. Harmayani E. Santoso U. The effect of blanching and extraction method on total phenolic content, total flavonoid content and antioxidant activity of Kencur (Kaempferia galanga. L) extract. IOP Conf. Ser.: Earth Environ. Sci. 2021 709 1 012025
    [Google Scholar]
  29. Kristianto S. Batoro J. Widyarti S. Sumitro S.B. Exploration and economic value of medicinal plants as traditional herbal ingredients in Bangselok, Madura, Indonesia. Proceedings of the International Conference on Industrial Engineering and Operations Management 2020 3895 3902
    [Google Scholar]
  30. Salmahaminati F.N. Chemical predictive modeling of ethyl-p-methoxycinnamate and synthesis of natural lotion from kencur (Kaempferia galanga L.) as sunscreen agents. J Ilm Pertan 2023 20 1 17 24
    [Google Scholar]
  31. Utami UH Djami R Rahmat D Fajriah S Swandiny GF Identification and antibacterial activity of propionibacterium acnes of ethyl p-methoxy cinnamate isolated from Kaempferia Galanga Linn. J. Soc. Res. 2023 2023 194 200
    [Google Scholar]
  32. Sawal R.A.H. Rahayu N.A. Evaluation of the Potential of Ethanol Extract of Kencur Leaves (Kaempferia galanga L.) as an Antimicrobial against Propionibacterium acnes using the Disk Diffusion Technique. J Farm Sains Indones. 2023 6 193 199 10.52216/jfsi.vol6no2p193‑199
    [Google Scholar]
  33. Nayak R.K. Ethnomedicinal uses, phytochemical analysis and antibacterial activity of Kaempferia Galanga L. rhizome. Asian J. Microbiol. Biotechnol. Environ. Sci. 2023 48 1 24
    [Google Scholar]
  34. Sani S.A. Mohd Faik A.A. Abdulla R. Kunasekaran S. Phytochemical, antioxidant and antibacterial activities of two kinds of Sabah Zingberaceae. J. Phys.: Conf. Ser. 2019 1358 012012 10.1088/1742‑6596/1358/1/012012
    [Google Scholar]
  35. Moh P. Zin M. Cho K. Oo C. Phytochemical investigation and antimicrobial activities of Kaempferia Galanga L.. J Myanmar Acad Arts Sci 2019 2019 20
    [Google Scholar]
  36. Nurtjahtja K. The antimicrobe of Kaempferia galanga L. rhizome against microsporum canis and staphylococcus epidermidis – in-vitro study. Int J Ecophysiol 2023 4 1 40 44
    [Google Scholar]
  37. Pham NK Nguyen HT Nguyen QB A review on the ethnomedicinal uses, phytochemistry and pharmacology of plant species belonging to Kaempferia genus (Zingiberaceae). Pharm. Sci. Asia 2021 48 1 1 24
    [Google Scholar]
  38. Bahar Y. BE Int. J. Pharm. 2015 7 103 107
    [Google Scholar]
  39. Kumala Y.R. Nuriefatin N. Shafira D.A. Effectivity of Kaempferia Galanga L. essential oil against streptococcus pyogenes and streptococcus sanguinis for root canal medicament. Malaysian J. Med. Health Sci. 2023 2023 19
    [Google Scholar]
  40. Rahman I. Kabir M.T. Islam M.N. Muqaddim M. Sharmin S. Ullah M.S. Investigation of antioxidant and cytotoxic activities of kaempferia galanga L. Res J Pharm Technol. 2019 2019 00365.2 10.5958/0974‑360X.2019.00365.2
    [Google Scholar]
  41. Huang W. Zheng N. Niu N. Tan Y. Li Y. Tian H. Potent anti-angiogenic component in Kaempferia galanga L. and its mechanism of action. J. Ethnopharmacol. 2024 324 117811 10.1016/j.jep.2024.117811 38286156
    [Google Scholar]
  42. Dréno B. Pécastaings S. Corvec S. Veraldi S. Khammari A. Roques C. Cutibacterium acnes ( Propionibacterium acnes ) and acne vulgaris: A brief look at the latest updates. J. Eur. Acad. Dermatol. Venereol. 2018 32 S2 Suppl. 2 5 14 10.1111/jdv.15043 29894579
    [Google Scholar]
  43. Jin Z. Song Y. He L. A review of skin immune processes in acne. Front. Immunol. 2023 14 1324930 10.3389/fimmu.2023.1324930 38193084
    [Google Scholar]
  44. Chauhan P.N. Sharma A. Rasheed H. Mathur H. Sharma P. Treatment Opportunities and Technological Progress Prospective for Acne Vulgaris. Curr. Drug Deliv. 2022 2022 1307 1048 35747981
    [Google Scholar]
  45. Barrea L. Cacciapuoti S. Megna M. Verde L. Marasca C. Vono R. Camajani E. Colao A. Savastano S. Fabbrocini G. Muscogiuri G. The effect of the ketogenic diet on Acne: Could it be a therapeutic tool? Crit. Rev. Food Sci. Nutr. 2024 64 19 6850 6869 10.1080/10408398.2023.2176813 36779329
    [Google Scholar]
  46. Popa G.L. Markers of oxidative stress in patients with acne: A literature review. Life 2023 13 MDPI 1433
    [Google Scholar]
  47. Mohsin N. Hernandez L.E. Martin M.R. Does A.V. Nouri K. Acne treatment review and future perspectives. Dermatol. Ther. 2022 35 9 e15719 10.1111/dth.15719 35841269
    [Google Scholar]
  48. Silina L.V. Pismennaya E.V. Kolbina M.S. Topical antibiotics for acne treatment. Vestn. Dermatol. Venerol. 2016 92 2 115 120 10.25208/0042‑4609‑2016‑92‑2‑115‑120
    [Google Scholar]
  49. Sanjel K Zhang XM Progress of different treatment modalities to limit the use of antibiotics in the treatment of acne. Our Dermatol. Online 2022 13 1 23 10.7241/ourd.20221.23
    [Google Scholar]
  50. Kumar B. Pathak R. Mary P.B. Jha D. Sardana K. Gautam H.K. New insights into acne pathogenesis: Exploring the role of acne-associated microbial populations. Zhonghua Pifuke Yixue Zazhi 2016 34 2 67 73 10.1016/j.dsi.2015.12.004
    [Google Scholar]
  51. Fabbrocini G. Annunziata M.C. D’Arco V. De Vita V. Lodi G. Mauriello M.C. Pastore F. Monfrecola G. Acne scars: Pathogenesis, classification and treatment. Dermatol. Res. Pract. 2010 2010 893080 10.1155/2010/893080 20981308
    [Google Scholar]
  52. Beylot C. Auffret N. Poli F. Claudel J.P. Leccia M.T. Del Giudice P. Dreno B. Propionibacterium acnes : An update on its role in the pathogenesis of acne. J. Eur. Acad. Dermatol. Venereol. 2014 28 3 271 278 10.1111/jdv.12224 23905540
    [Google Scholar]
  53. Cong T.X. Hao D. Wen X. Li X.H. He G. Jiang X. From pathogenesis of acne vulgaris to anti-acne agents. Arch. Dermatol. Res. 2019 311 5 337 349 10.1007/s00403‑019‑01908‑x 30859308
    [Google Scholar]
  54. Ahle C.M. Feidenhansl C. Brüggemann H. Cutibacterium acnes. Trends Microbiol. 2023 31 4 419 420 10.1016/j.tim.2022.10.006 36328874
    [Google Scholar]
  55. Nie T. Lee A. Consider new topical treatments alongside existing options when treating acne vulgaris. Drugs Ther. Perspect. 2022 38 10 432 436 10.1007/s40267‑022‑00941‑7
    [Google Scholar]
  56. Baldwin H. Farberg A. Frey C. Hartman C. Lain E. Meltzer R. Draelos Z. Unmet Needs in the Management of Acne Vulgaris: A Consensus Statement. J. Drugs Dermatol. 2023 22 6 582 587 10.36849/JDD.7587 37276154
    [Google Scholar]
  57. Bashir B. Advancements in dermatological therapies. J. Ther. Rehabil. Sci. 2023 4 03 137 10.54393/tt.v4i03.137
    [Google Scholar]
  58. Eid A.M. Naseef H. Jaradat N. Ghanim L. Moqadeh R. Yaseen M. Antibacterial and anti-acne activity of benzoyl peroxide nanoparticles incorporated in lemongrass oil nanoemulgel. Gels 2023 9 3 186 10.3390/gels9030186 36975635
    [Google Scholar]
  59. Aarts P. Reeves J.L. Ardon C.B. van der Zee H.H. Prens E.P. Clindamycin-benzoyl peroxide gel compared with clindamycin lotion for hidradenitis suppurativa: A randomized controlled assessor-blinded intra-patient pilot study. Dermatology 2023 239 4 670 674 10.1159/000530758 37080176
    [Google Scholar]
  60. Emmerich V.K. Purvis C.G. Feldman S.R. An overview of adapalene and benzoyl peroxide once-daily topical gel as a therapeutic option for acne. Expert Opin. Pharmacother. 2021 22 13 1661 1667 10.1080/14656566.2021.1939678 34086519
    [Google Scholar]
  61. Suuberg A. Psychiatric and Developmental Effects of Isotretinoin (Retinoid) Treatment for Acne Vulgaris. Curr. Ther. Res. Clin. Exp. 2019 90 27 31 10.1016/j.curtheres.2019.01.008 30828405
    [Google Scholar]
  62. Daly A.U. Baptista Gonçalves R. Lau E. Bowers J. Hussaini N. Charalambides M. Coumbe J. Flohr C. Layton A.M. A systematic review of isotretinoin dosing in acne vulgaris. JEADV Clin. Pract. 2023 2 3 432 449 10.1002/jvc2.154
    [Google Scholar]
  63. Li C. Chen J. Wang W. Ai M. Zhang Q. Kuang L. Use of isotretinoin and risk of depression in patients with acne: A systematic review and meta-analysis. BMJ Open 2019 9 1 e021549 10.1136/bmjopen‑2018‑021549 30670500
    [Google Scholar]
  64. Abozeid D. Fawzy G. Issa M. Abdeltawab N. Soliman F. Medicinal plants and their constituents in the treatment of Acne vulgaris. Biointerface Res. Appl. Chem. 2023 2023 189
    [Google Scholar]
  65. Layton A.M. Alexis A. Baldwin H. Bettoli V. Del Rosso J. Dirschka T. The personalized acne treatment tool — recommendations to facilitate a patient-centered approach to acne management from the Personalizing Acne: Consensus of experts. JAAD Int 2023 12 60 69
    [Google Scholar]
  66. Akman A. Durusoy C. Senturk M. Koc C.K. Soyturk D. Alpsoy E. Treatment of acne with intermittent and conventional isotretinoin: A randomized, controlled multicenter study. Arch. Dermatol. Res. 2007 299 10 467 473 10.1007/s00403‑007‑0777‑2 17710426
    [Google Scholar]
  67. Khairullah AR Solikhah TI Ansori ANM Hanisia RH Puspitarani GA Fadholly A Medicinal importance of Kaempferia Galanga L. (zingiberaceae): A comprehensive review. J. HerbMed Pharmacol. 2021 2021 281 288
    [Google Scholar]
  68. Cahyawati PN Efek analgetik dan antiinflamasi Kaempferia Galanga (Kencur).. WICAKSANA J Lingkung dan Pembang. 2020 2020 4 1 15 19
    [Google Scholar]
  69. Subositi D. Kurnianingrum N. Mujahid R. Widiyastuti Y. Kaempferia galanga L. A medicinal plant used by Indonesian ethnic groups: Genetic diversity based on inter-simple sequence repeats (ISSR). Agrivita 2020 42 1 45 52
    [Google Scholar]
  70. Elya B. Kusuma I.M. Jufri M. Handayani R. Antibacterial tests against acne in vitro, the physical stability and patch test using cream containing ethyl p-methoxycinnamate extracted from Kaempferia galanga L., Rhizoma. Res. J. Med. Plant 2016 2016 426 434
    [Google Scholar]
  71. Suvanprakorn P. Tongyen T. Prakhongcheep O. Laoratthaphong P. Chanvorachote P. Establishment of an anti-acne vulgaris evaluation method based on TLR2 and TLR4-mediated Interleukin-8 production. in vivo 2019 33 6 1929 1934
    [Google Scholar]
  72. Ravisankar P. Koushik O.S. Himaja V. Ramesh J. Pragna P. Acne-causes and amazing remedial measures for acne. J. Pharm. Res. 2015 5 209 301
    [Google Scholar]
/content/journals/ctm/10.2174/0122150838312102241008055759
Loading
/content/journals/ctm/10.2174/0122150838312102241008055759
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test