Piceatannol-loaded self-nanoemulsifying drug delivery system accelerates wound healing in diabetic rats

Maha H. Jamal , Rawan S. AlRashdi , Duaa M. Bakhshwin , Basma G. Eid , Ashraf B. Abdel-Naim , Dalal Alfawaz , Rania Magadmi

Asian Pacific Journal of Tropical Biomedicine ›› 2026, Vol. 16 ›› Issue (2) : 68 -76.

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Asian Pacific Journal of Tropical Biomedicine ›› 2026, Vol. 16 ›› Issue (2) :68 -76. DOI: 10.4103/apjtb.apjtb_553_25
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Piceatannol-loaded self-nanoemulsifying drug delivery system accelerates wound healing in diabetic rats
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Abstract

Objective: To evaluate the effects of a piceatannol-loaded self-nanoemulsifying drug delivery system (PIC-SNEDDS) on wound healing in diabetic rats and its mechanisms of wound healing action.

Methods: Diabetes was induced in rats using streptozotocin, after which full-thickness excisional wounds were created. Piceatannol was administered topically either as a raw hydrogel or formulated into a PIC-SNEDDS, which was prepared using an optimized oil-surfactant mixture and incorporated into a hydrogel for application. Wound healing activity was assessed through measurements of wound contraction, oxidative stress biomarkers, and collagen content, along with histological and immunohistochemical evaluation of inflammatory, angiogenic, and remodeling markers.

Results: PIC-SNEDDS markedly enhanced diabetic wound healing by promoting epithelial regeneration, granulation tissue formation, epidermal proliferation, and keratinization. The formulation also reduced the expression of pro-inflammatory markers (interleukin-6, nuclear factor-kappa B, and tumor necrosis factor-α) while increasing α-smooth muscle actin, transforming growth factor-β1, vascular endothelial growth factor-A, and hydroxyproline levels. Additionally, it improved antioxidant status by lowering malondialdehyde levels and boosting superoxide dismutase and catalase activity, along with upregulation of COL1A1 mRNA expression.

Conclusions: PIC-SNEDDS promotes the healing of diabetic wounds and exhibits anti-inflammatory, antioxidant, pro-collagen, and angiogenic properties.

Keywords

Angiogenic activities / Diabetic wound healing / Piceatannol / Self-nanoemulsifying drug delivery system

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Maha H. Jamal, Rawan S. AlRashdi, Duaa M. Bakhshwin, Basma G. Eid, Ashraf B. Abdel-Naim, Dalal Alfawaz, Rania Magadmi. Piceatannol-loaded self-nanoemulsifying drug delivery system accelerates wound healing in diabetic rats. Asian Pacific Journal of Tropical Biomedicine, 2026, 16 (2) : 68-76 DOI:10.4103/apjtb.apjtb_553_25

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Funding

This project was funded by the Deanship of Scientific Research at King Abdulaziz University, Jeddah, under Grant No. G: 534-1401443.

Data availability statement

The data supporting the findings of this study are available from the corresponding author upon request.

Authors’ contributions

MHJ, RSA, and BGE formulated the research concept and designed the study. RSA and ABA carried out the data collection and methodological procedures. RSA, MHJ, and DMB performed the data analysis. MHJ, DA and RM performed the data interpretation. ABA conducted validation of the experimental findings. DA, and RM contributed to data visualization. MHJ, BGE and DMB supervised the project. MHJ obtained the project funding. RSA and MHJ prepared the original manuscript draft, and BGE, DMB, ABA, DA, and RM critically revised the manuscript for important intellectual content. All authors reviewed and approved the final version of the manuscript for publication.

Publisher’s note

The Publisher of the Journal remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Acknowledgments

The authors acknowledge the Deanship of Scientific Research at King Abdulaziz University, Jeddah, Saudi Arabia, for technical and financial support. We thank Dr. Rasheed Ahemad Shark for his assistance with animal laboratory experiments. The completion of this work by Rawan S AlRashdi partially fulfilled the requirements for the Master’s Degree program in Clinical Pharmacology.

References

[1]

Robert AA, Al Awad AD, Al Dawish MA. Current status of knowledge and awareness of diabetes mellitus in Saudi Arabia. Curr Diabetes Rev 2021; 17(5). doi: 10.2174/1573399816999201012200841.

[2]

Alsareii SA. Evaluation of knowledge, attitude, and practices of foot selfcare among diabetic patients attending different diabetic clinics in Najran, Saudi Arabia. King Khalid Univ J Health Sci 2023; 8(1): 37-47.

[3]

Fernández-Guarino M, Hernández-Bule ML, Bacci S. Cellular and molecular processes in wound healing. Biomedicines 2023; 11(9). doi: 10.3390/biomedicines11092526.

[4]

Chauhan S, Gulia M, Singh R, Jhawat V. Diabetic wound: Pathophysiology, complications and treatment strategies. Curr Protein Pept Sci 2024; 25(3): 200-205.

[5]

Dawi J, Tumanyan K, Tomas K, Misakyan Y, Gargaloyan A, Gonzalez E, et al. Diabetic foot ulcers: Pathophysiology, immune dysregulation, and emerging therapeutic strategies. Biomedicines 2025; 13(5). doi: 10.3390/biomedicines13051076.

[6]

Song J, Zhao T, Wang C, Sun X, Sun J, Zhang I. Cell migration in diabetic wound healing: Molecular mechanisms and therapeutic strategies. Int J Mol Med 2025; 56(2): 126. doi: 10.3892/ijmm.2025.5567.

[7]

Deng X, Gould M, Ali MA. A review of current advancements for wound healing: Biomaterial applications and medical devices. J Biomed Mater Res B Appl Biomater 2022; 110(11): 2542-2573.

[8]

Hecker A, Schellnegger M, Hofmann E, Luze H, Nischwitz SP, Kamolz LP, et al. The impact of resveratrol on skin wound healing, scarring, and aging. Int Wound J 2022; 19(1): 9-28.

[9]

Kershaw J, Kim KH. The therapeutic potential of piceatannol, a natural stilbene, in metabolic diseases: A review. J Med Food 2017; 20(5): 427-438.

[10]

Banik K, Ranaware AM, Harsha C, Nitesh T, Girisa S, Deshpande V, et al. Piceatannol: A natural stilbene for the prevention and treatment of cancer. Pharmacol Res 2020; 153. doi: 10.1016/j.phrs.2020.104635.

[11]

Dvorakova M, Landa P. Anti-inflammatory activity of natural stilbenoids: A review. Pharmacol Res 2017; 124: 126-145.

[12]

Gao X, Kang X, Lu H, Xue E, Chen R, Pan J, et al. Piceatannol suppresses inflammation and promotes apoptosis in rheumatoid arthritisfibroblast-like synoviocytes by inhibiting the NFκB and MAPK signaling pathways. Mol Med Rep 2022; 25(5): 180.

[13]

Aljabali AA, Bakshi HA, Hakkim FH, Haggag YA, Al-Batanyeh KM, Al Zoubi MS, et al. Albumin nano-encapsulation of piceatannol enhances its anticancer potential in colon cancer via downregulation of nuclear p65 and HIF-1a. Cancers 2020; 12(1). doi: 10.3390/cancers12010113.

[14]

Güçlü E, Ayan İÇ, Çetinkaya S, Dursun HG, Vural H. Piceatannol induces caspase-dependent apoptosis by modulating intracellular reactive oxygen species/mitochondrial membrane potential and enhances autophagy in neuroblastoma cells. J Appl Toxicol 2024; 44(11): 1714-1724.

[15]

Llarena M, Andrade F, Hasnaoui M, Portillo MP, Pérez-Matute P, Arbones-Mainar JM, et al. Potential renoprotective effects of piceatannol in ameliorating the early-stage nephropathy associated with obesity in obese Zucker rats. J Physiol Biochem 2016; 72(3): 555-566.

[16]

Tung YC Lin, YH, Chen HJ, Chou SC, Cheng AC, Kalyanam N, et al. Piceatannol exerts anti-obesity effects in C57BL/6 mice through modulating adipogenic proteins and gut microbiota. Molecules 2016; 21(11). doi: 10.3390/molecules21111419.

[17]

Huang X, Sun J, Chen G, Niu C, Wang Y, Zhao C, et al. Resveratrol promotes diabetic wound healing via SIRT1-FOXO1-c-Myc signaling pathway-mediated angiogenesis. Front Pharmacol 2019; 10. doi: 10.3389/fphar.2019.00421.

[18]

Zhou X, Ruan Q, Ye Z, Chu Z, Xi M, Li M, et al. Resveratrol accelerates wound healing by attenuating oxidative stress-induced impairment of cell proliferation and migration. Burns 2021; 47(1): 133-139.

[19]

Eid BG, Abdel-Naim AB. Piceatannol attenuates testosterone-induced benign prostatic hyperplasia in rats by modulation of Nrf2/HO-1/NFKB axis. Front Pharmacol 2020; 11. doi: 10.3389/fphar.2020.614897.

[20]

Liwahdan H, Shi Y, Wang X, Li P, Zhang S, Wu T, et al. Piceatannol alleviates inflammation and oxidative stress via modulation of the Nrf2/ HO-1 and NF-κΒ pathways in diabetic cardiomyopathy. Chem Biol Interact 2019; 310. doi: 10.1016/j.cbi.2019.108754.

[21]

Koshak AE, Algandaby MM, Mujallid MI, Abdel-Naim AB, Alhakamy NA, Fahmy UA, et al. Wound healing activity of Opuntia ficus-indica fixed oil formulated in a self-nanoemulsifying formulation. Int J Nanomedicine 2021; 16: 3889-3905.

[22]

Magadmi RM, Alfawaz D, Bakhshwin A, Binzomah Alghamdi F, Alfawaz S, Bakhshwin D, et al. Empagliflozin targeting STAT3/Akt/Nrf2 axis promoting diabetic wound healing in rat model. Front Pharmacol 2025; 16. doi: 10.3389/fphar.2025.1678552.

[23]

Alamoudi AA, Alharbi AS, Abdel-Naim AB, Badr-Eldin SM, Awan ZA, Okbazghi SZ, et al. Novel nanoconjugate of apamin and ceftriaxone for management of diabetic wounds. Life 2022; 12(7). doi: 10.3390/life12071096.

[24]

Tuglo LS, Nyande FK, Agordoh PD, Nartey EB, Pan Z, Logosu L, et al.Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region, Ghana. Int Wound J 2022; 19(3): 601-614.

[25]

Tambuwala MM, Khan MN, Thompson P, McCarron PA. Albumin nanoencapsulation of caffeic acid phenethyl ester and piceatannol potentiated its ability to modulate HIF and NF-κB pathways and improves therapeutic outcome in experimental colitis. Drug Deliv Transl Res 2019; 9(1): 14-24.

[26]

Zhu W, Dong Y, Xu P, Pan Q, Jia K, Jin P, et al. A composite hydrogel containing resveratrol-laden nanoparticles and platelet-derived extracellular vesicles promotes wound healing in diabetic mice. Acta Biomater 2022; 154: 212-230.

[27]

Deng L, Du C, Song P, Chen T, Rui S, Armstrong DG, et al. The role of oxidative stress and antioxidants in diabetic wound healing. Oxid Med Cell Longev 2021; 2021. doi: 10.1155/2021/8852759.

[28]

Jiang D, Scharffetter-Kochanek K. Mesenchymal stem cells adaptively respond to environmental cues thereby improving granulation tissue formation and wound healing. Front Cell Dev Biol 2020; 8. doi: 10.3389/fcell.2020.00697.

[29]

Tang Q, Feng Z, Tong M, Xu J, Zheng G, Shen L, et al. Piceatannol inhibits the IL-1β-induced inflammatory response in human osteoarthritic chondrocytes and ameliorates osteoarthritis in mice by activating Nrf2. Food Funct 2017; 8(11): 3926-3937.

[30]

Shaik RA, Eid BG. Piceatannol affects gastric ulcers induced by indomethacin: Association of antioxidant, anti-inflammatory, and angiogenesis mechanisms in rats. Life 2022; 12(3). doi: 10.3390/life12030356.

[31]

Mathew-Steiner SS, Roy S, Sen CK. Collagen in wound healing. Bioengineering 2021; 8(5): 36. doi: 10.3390/bioengineering8050063.

[32]

Gokce EH, Tuncay Tanriverdi S, Eroglu I, Tsapis N, Gokce G, Tekmen I, et al. Wound healing effects of collagen-laminin dermal matrix impregnated with resveratrol loaded hyaluronic acid-DPPC microparticles in diabetic rats. Eur J Pharm Biopharm 2017; 119: 17-27.

[33]

Zhao P, Sui BD, Liu N, Lv YJ, Zheng CX, Lu YB, et al. Anti-aging pharmacology in cutaneous wound healing: Effects of metformin, resveratrol, and rapamycin by local application. Aging Cell 2017; 16(5): 1083-1093.

[34]

Christovam AC, Theodoro V, Mendonça FAS, Esquisatto MAM, dos Santos GMT,do Amaral MEC. Activators of SIRT 1 in wound repair: An animal model study. Arch Dermatol Res 2019; 311(3): 193-201.

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