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A narrative review on use of virgin coconut oil in dermatology

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Abstract

Background Coconut oil is of two varieties: virgin and refined oil. Virgin coconut oil (VCO) is made by cold-pressing the liquid from the fresh part of coconut meat. It has a milky appearance. This oil extraction method prevents the loss of vitamin E, pro-vitamin A, and polyphenols. It has various properties such as analgesic, anti-inflammatory, and anti-cancer. Skin is the general structure of the body. It is the first line of protection against traumatic injuries and microorganisms. Aim This review is focussed on the existing data on the effect of VCO on the skin. Materials and Methods PubMed and Google Scholar were searched for citations for keywords “virgin coconut oil and dermatology” and “virgin coconut oil and skin.” In search of the various databases, 13 articles were found on VCO related to skin. Result Virgin coconut oil is used as antioxidant, anti-inflammatory, as skin protector, in Alzheimer's disease, in wound healing and as moisturizer. Conclusion From this review, it can be concluded that VCO is beneficial for various dermatological disorders. It is antifungal and antibacterial and also acts as an immunomodulator. It also has anti-inflammatory, angiogenic, wound-healing, and skin protective properties.
86 86 © 2022 Journal of Indian System of Medicine | Published by Wolters Kluwer - Medknow
Received: 13-04-2022, Revised: 08-06-2022, Accepted: 10-06-2022,
Published: 28-06-2022.
Address for correspondence: Dr. Vaishali Kuchewar,
Mahatma Gandhi Ayurveda College Hospital and Research Centre, Datta
Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M),
Wardha, Maharashtra, India.
E-mail: vkuchewar@gmail.com
This is an open access journal, and articles are distributed under the terms of the
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For reprints contact: reprints@medknow.com
How to cite this article: Umate N, Kuchewar V, Parwe S. Anarrative
review on use of virgin coconut oil in dermatology. J Indian Sys
Medicine 2022;10:86-9.
Review Article
A narrative review on use of virgin coconut oil in dermatology
Nishigandha Umate, Vaishali Kuchewar, Shweta Parwe
Mahatma Gandhi Ayurveda College Hospital and Research Centre, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha,
Maharashtra, India
Abstract
Background: Coconut oil is of two varieties: virgin and refined oil. Virgin coconut oil (VCO) is made by cold-pressing the liquid from
the fresh part of coconut meat. It has a milky appearance. This oil extraction method prevents the loss of vitamin E, pro-vitamin
A, and polyphenols. It has various properties such as analgesic, anti-inflammatory, and anti-cancer. Skin is the general structure of
the body. It is the first line of protection against traumatic injuries and microorganisms. Aim: This review is focussed on the existing
data on the effect of VCO on the skin. Materials and Methods: PubMed and Google Scholar were searched for citations for keywords
“virgin coconut oil and dermatology” and “virgin coconut oil and skin.” In search of the various databases, 13 articles were found on
VCO related to skin. Result: Virgin coconut oil is used as antioxidant, anti-inflammatory, as skin protector, in Alzheimer’s disease, in
wound healing and as moisturizer. Conclusion: From this review, it can be concluded that VCO is beneficial for various dermatological
disorders. It is antifungal and antibacterial and also acts as an immunomodulator. It also has anti-inflammatory, angiogenic, wound-
healing, and skin protective properties.
Keywords: Antibacterial, antifungal, anti-inflammatory, immunomodulator, skin, skin protection, virgin coconut oil
IntroductIon
Coconut (Cocos nucifera) is termed “Kalpavriksha” in Sanskrit
because it has multiple nutritional and therapeutic values.
Coconut oil is of two varieties: virgin and refined oil. Virgin
coconut oil (VCO) is made by cold-pressing the liquid from
the fresh part of coconut meat. It has a milky appearance.[1]
VCO is of two types as per its preparation method: the cold
compression method and fermentation method. The cold
compression method is better than the fermentation method
because the moisture level is higher, and the oil can get stale
very fast with the fermentation method.
It is taken out directly from coconut meat at low
temperatures. This oil extraction method prevents the loss
of vitamin E, pro-vitamin A, and polyphenols. It has a
pleasing fragrance and taste. It contains essential vitamins
and healthy fatty acids. It has various properties such as
analgesic, anti-inflammatory, and anti-cancer.[2,3]
Skin is the general structure of the body.[4] Skin
inflammation is caused due to infections and tissue injury
of the skin.[5] It is the first line of protection against
traumatic injuries and microorganisms. Usually, coconut
oil is used as a moisturizer and treats dermatological
infections. Though VCO is beneficial, it is not commonly
known in the population. This review is focussed on
existing data on the effect of VCO on the skin.
MaterIals and Methods
PubMed and Google Scholar were searched for “virgin
coconut oil and dermatology” and “virgin coconut oil
and skin” from 2003 to 2020. Original studies in English
indicating the effects of VCO on the skin were included.
Observations
Some observations were found regarding VCO and
skin dermatology. Among 12 studies, 5 were in-vitro
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Umate, etal.: Use of coconut oil in dermatology
Journal of Indian System of Medicine ¦ Volume 10 ¦ Issue 2 ¦ April-June 2022 87
studies, the remaining 7 studies were on conditions such
as xerosis, atopic dermatitis, Clostridium difficile, skin
moisturization, Staphylococcus aureus, preterm newborns,
and COVID situation.
Thirty-four patients with mild-to-moderate xerosis were
investigated by Agero etal.+[6] For 2 weeks, these 34 people
were given the option of applying coconut or mineral oil
twice daily to their legs. Corneometer CM825 was used
to assess quantitative skin hydration outcomes at the start
of the study and each subsequent visit. ASebumeter SM
810 was used to test skin lipids; a Tewameter TM210 was
used to detect transepidermal water loss, and a Skin pH
meter PH900 was used to assess skin surface hydrogen ion
concentration. Dryness, scaling, roughness, and pruritus are
quantified using a visual analog scale and xerosis grading.
In clinical specimens delivered to the Medical Microbiology
Laboratory at University College Hospital in Ibadan,
Nigeria, Ogbulu et al.[7] discovered 52 unique Candida
species isolates. Researchers used the agar well diffusion
method to test their susceptibility to VCO and fluconazole.
In a double-blind controlled trial done in two outpatient
dermatology clinics, adults with Alzheimer’s disease were
randomly allocated. Adults were advised to apply VCO or
virgin olive oil (VOO) twice daily at two non-infected sites.
S.aureus cultures, photography, and a SCORAD severity
index (O-SSI) rating were done at the baseline and 4-week
time intervals.[8]
Nevin and Rajamohan[9] looked at wound closure time,
antioxidant status, and metabolic indicators in three
groups of six female Sprague-Dawley rats. Groups 2 and
3 were given 0.5 and 1.0mL VCO for 10days, respectively,
24h after the wound was formed. Throughout the 14-day
healing phase, the antioxidant level was monitored
periodically.
Shilling and Matt[10] looked at the lipid components of
VCO to see if they could help manage C.difficile. VCO
and its most active individual fatty acids were tested in
vitro for their antibacterial properties against C.difficile.
UD Sinar Nias manufactured the VCO used in this
investigation by Silalahi et al. Enzyme and sodium
hydroxide were used to carry out the hydrolysis. Enzymatic
hydrolysis with lysozyme was carried out for 3, 6, 9, and
12 h. Alkaline hydrolysis was performed using NaOH
concentrations of 25%, 50%, and 75% based on the
saponification value of coconut oil.[11]
The formulation, characterization, and penetration
of VCO-solid lipid particles have been investigated by
Noor.[12]
Ibrahim[13] examined the effect of fermented VCO on
wound healing in Sprague-Dawley rats.
Varma etal.[14] investigated VCO’s anti-inflammatory and
skin-protective effects in vitro.
According to Cahya et al.,[15] a mastitis milk crossbreed
Etawa goat from Riau, Indonesia was isolated and
identified with S.aureus. The broth dilution method was
performed to assess S.aureus susceptibility toVCO.
Konar et al.[16] conducted a randomized controlled
trial on preterm babies divided into two groups: group
Areceived VCO treatment. In contrast, group B received
body massages without any treatment. On the 3rd, 6th,
and 12th month, and the 7th, 14th, 21st, and 28th day,
respectively, neurodevelopmental status and neonatal skin
condition were measured.
Subchan etal.[17] devised a post-test control approach for
an experimental investigation. Fifty diabetes male Wistar
mice were separated into five groups to create an ulcer
wound model, with 10 non-diabetic mice serving as a
control group. The treatment groups also received topical
ozonated VCO with different flow durations, whereas the
control groups just got routine care (0min, 90min, 7 h,
14h). The wound was macroscopic in appearance and was
shrinking.
Saraogi etal. enlisted the help of 60 volunteers for a 15-day
intervention. In the test group, 6–8 drops of VCO were
applied overnight, followed by six ABHS applications
per day; in the control group, six ABHS applications
per day were used. This leg comprised a dermatological
examination and the WHO Skin Health Self-Assessment
Scale. A non-invasive instrumental assessment of the
forearms of 12 individuals (ages 25–60) with and without
VCO application and regular alcohol consumption is also
included as a measurement component (Moisture and
TEWL Probes, Tape Strip for protein and IR spectroscopy
for protein and lipid content).[18]
VCO was found to be as effective as mineral oil as a
moisturizer, and coconut oil at 100% concentration
proved effective against specific kinds of Candida when
compared with the usual antifungal fluconazole. Another
finding is that VCO and VOO are beneficial in the
treatment of atopic dermatitis Its broad-spectrum activity
was discovered in an in-vitro study. When comparing
the growth of S. aureus, fungi, and viruses, fibroblast
propagation, and vascularization in the VCO group to
the control group, the medium-chain fatty acids of VCO
inhibited the growth of C. difficile. The antibacterial
activity of hydrolyzed VCO was discovered, and the
cutaneous transport of VCO was increased thanks
to micro-structured lipids. The wound-healing and
angiogenic properties of fermented VCO were discovered.
Inflammatory indicators are suppressed by VCO, and the
skin is protected. As a result, it can be utilized as an anti-
inflammatory and skin protector, inhibiting the growth of
S.aureus. It also improves phagocytic immune cells’ ability
to fight S.aureus. VCO enhances neurodevelopment and
is advantageous to mature dermal cells. There was a
considerable “improvement in the wound and increased
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Umate, etal.: Use of coconut oil in dermatology
88 88 Journal of Indian System of Medicine ¦ Volume 10 ¦ Issue 2 ¦ April-June 2022
levels of wound-healing biomarkers” in the diabetic ulcer
mice model. The use of VCO overnight helps prepare the
skin for the benefit of alcohol-based hand sanitizer the
next day.
dIscussIon
The VCO contains 90% saturated fatty acids and 10%
unsaturated fatty acids. It also comprises antioxidants
such as beta carotenes and tocopherol. It has properties
to moisten the skin.[6]
In search of the various databases, 13 articles were found
on VCO related toskin.
Traditionally, coconut oil is mainly used to moisturize and
treat skin infections.
VCO is commonly used for hair oil preparation. It hydrates
as well as softens the hair. Natural hair nourishment is
due to its contents such as vitamins, fatty acids, and
minerals. It has multi-benefits such as moisture retention,
smoothing, and protection. Various studies showed that it
blocks the ultraviolet sun rays and eventually protects the
hair from damage. Since coconut oil contains lauric acid,
which has a great attraction for hair proteins, because it
has a low molecular weight and a straight linear chain,
it has a high penetration ability inside the hair shaft.
In contrast, mineral oil has no affinity for proteins and
cannot penetrate the hair shaft.[19]
The various actions of VCO might be due to its
chemical constituents such as lauric acid as an antiviral,
antibacterial, and antiprotozoal agent. Myristic acid is a
flavoring agent and also helps in stabilizing many proteins.
Caprylic acid and caproic acid are potent antifungal
agents. Oleic acid is an antioxidant. Linoleic acid is a
powerful immune system enhancer.[20]
The VCO will also be used to treat lung cancer. VCO
reduced cancer cell growth and promoted cell death via
the apoptosis pathway in studied lung cancer cell lines.
However, the method by which VCO stimulates the
apoptotic pathway is uncertain. As a result, the author
suggested that more research should be done.[21]
Ear edema, paw edema, and granuloma development were
all reduced significantly by VCO. The VCO suggested
that both acute and chronic inflammation have anti-
inflammatory properties.[22]
Due to its higher polyphenolic concentration, the VCO
contains antioxidant, anti-inflammatory, lipid-lowering,
and cytoprotective activities.[23]
VCO oil pulling has been demonstrated to reduce plaque
formation and plaque-related gingivitis successfully. The
results show that coconut oil is a simple-to-use, safe, and
cost-effective medication with few adverse effects that
can be used as an adjuvant in oral hygiene maintenance.
The antibacterial properties of coconut oil help to fight
microorganisms.[24]
VCO contains anti-inflammatory and antioxidant
characteristics, and it may help rats avoid developing
arthritis after being given adjuvants. When used as an
adjuvant, PV may also have an anti-arthritic effect in
rats.[25]
There was preliminary evidence for preventing or
treating Alzheimer’s disease, bone loss, and glycemic
management. Nonetheless, the author recommended that
the study be conducted on larger sample size. Evidence
regarding weight loss and cardiovascular disease has been
discovered.[26]
Rather than being stored as fat, most lauric acid eaten
is transported directly to the liver, which is metabolized
into energy and other metabolites. Extrahepatic tissues,
such as the brain and heart, can utilize ketone bodies as
a quick energy source. It has been investigated how lauric
acid affects blood cholesterol levels. The results, however,
have been conflicting. Among the saturated fatty acids,
lauric acid has been shown to have the most negligible
impact on fat production. Lauric acid and monolaurin
have antibacterial action against Gram-positive bacteria,
fungi, and viruses.[27]
conclusIon
From this review, it can be concluded that VCO is
beneficial for various dermatological disorders. It has
antifungal and antibacterial properties and also acts as
an immunomodulator. It also has anti-inflammatory,
angiogenic, wound-healing, and skin protective properties.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
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... Coconut oil praised for its diverse applications in cooking, cosmetics, and traditional medicine, is particularly favored in tropical regions because of its unique medium-chain fatty acids, which are believed to provide rapid energy and metabolic support [8,9]. However, debates surrounding the health implications of coconut oil consumption, primarily linked to its high saturated fat content, have contributed to the ongoing discourse on this topic [10,11]. ...
... Evidence shows that there are both positive and negative health outcomes associated with these oils. For instance, some studies suggest that the mediumchain fatty acids in coconut oil may aid in weight loss and improve metabolic parameters [8,9]. Conversely, other reviews have raised concerns about the high saturated fat content in coconut and palm oils, linking them to increased cardiovascular risks [10,11]. ...
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Background Tropical oils such as palm and coconut oils are renowned for their high saturated fat content and culinary versatility. However, their consumption has sparked debate regarding their health benefits and production concerns. The purpose of this review was to map existing evidence on the health benefits and challenges associated with the consumption of tropical oils. Method The recommendations for conducting a scoping review by Arksey and O’Malley were followed. PubMed, Dimensions AI, Central, JSTOR Google, Google Scholar, and ProQuest databases were searched for relevant papers. The predetermined keywords used were Consumption” AND “Tropical oil,” as well as “Health benefits” OR “Health challenges” AND “Tropical Countries.” Peer-reviewed and grey literature published in English were eligible for this review. Result Tropical oils, such as palm and coconut oils, provide health benefits including essential vitamins (A and E) that enhance ocular health, boost immunity, and support growth. They are also recognised for their role in managing high blood sugar, obesity, and cholesterol levels, while offering antioxidant and anti-inflammatory properties. These oils have wound-healing abilities and are commonly used in infant nutrition and traditional cooking. Nevertheless, prolonged and repeated use of tropical oils to high temperature can degrade vitamin E, whereas excessive intake may result in overdose. Health concerns include oxidative risks, diabetes, cancer, coronary heart disease, high blood pressure, and acrylamide formation due to production challenges excessive consumption. Additional issues include obesity, suboptimal oil production, misconceptions, regulatory obstacles, and preferences for alternative fats. Conclusion This review suggest that tropical oils provide essential health benefits, including vitamins and antioxidant properties, but pose significant health risks and production challenges, particularly when exposed to high temperatures and through excessive intake. Guidelines on the consumption of tropical oils in the tropical regions are necessary to regulate their consumption.
... Untuk mempermudah keluarnya minyak (VCO) dalam jumlah cukup banyak, maka krim santan dibantu dengan metode pendinginan (Ng et al., 2021) dan dalam hal ini dimasukkan kedalam freezer. Menurut Umate et al.(2022), proses pembuatan VCO dengan kompresi dingin akan membuat minyak (VCO) yang dihasilkan akan tahan lama. ...
... Beberapa literatur menyatakan bahwa VCO mengandung 90% asam lemak jenuh dan 10% asam lemak tak jenuh. VCO juga mengandung beta karoten dan tokoferol sebagai antioksidan (Umate et al.,2022). Sarkar et al. (2017) menyatakan, VCO juga mempunyai kandungan asam lemak jenuh (asam laurat (C-12), asam miristik (C-14), asam kaprilik (C-8), asam kaprik (C-10), dan asam palmitat) dengan komposisi 90-95%. ...
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... According to how it is prepared, VCO can be divided into two categories: fermentation method and cold compression method. 23 2.1. Production. ...
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... Skin is protected from pathogens by sebum, which contains medium-chain fatty acids like VCO. Free fatty acids make the skin acidic to fight disease-causing microorganisms (Deen et al., 2021;Umate et al., 2022). Allergic Contact Treatment Dermatitis is spreading rapidly. ...
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Various treatments can cure pockmarks. First, you have to know the cause of the pockmarks and the strength of the pockmarked skin, making it easier to choose the treatment, one of which is dermapen, which uses plasma from platelets. Test and compare the effectiveness of the derma pen action using platelet plasma with the derma pen action on the pockmarked skin surface of female Wistar rats (Rattus novergicus). This research is a laboratory experiment to compare the effectiveness of the dermapen action using plasma from platelets with the dermapen action on the pockmarked skin surface of female Wistar rats (Rattus novergicus) using a post-test with control group design or control samples based on treatment groups to analyze the dermapen action using plasma from platelets with dermapenic action on the surface of rat skin pockmarks. The results showed that the dermapen treatment group with plasma from platelets at a dose of 10% was more effective in healing cut wounds in white mice than the dermapen treatment group using plasma from platelets at doses of 2.5% and 5%. This is because, at a concentration of 10%, blood plasma metabolite compounds from platelets that are applied to wounds already affect the wound. The effect only inhibits microorganisms at small doses, making it less effective in healing wounds. It is recommended that the minimum dose be 10% so that the metabolite compounds in the plasma from platelets have a healing effect on wounds.
... This method of oil extraction preserves the contents of vitamin E, pro-vitamin A, and polyphenols. Various properties of this oil have been reported as antiinflammatory, analgesic, and anti-cancer [6]. Natural plant oils, due to their easy availability, accessibility, and low cost are most commonly used globally for treating various skin ailments [7,8]. ...
... Subsequently, the emergence of antimicrobial resistance had become a frequent issue for practitioners therefore, researchers had significantly attracted attention to exploring novel antimicrobial compounds utilizing natural products of plant origin [12]. Nowadays, many herbs derived ingredients are being used as antiseptics, such as Cocos nucifera or "Virgin Coconut Oil'' (VCO) which can be exceptionally advantageous, as it possessed antibacterial, antiviral, antioxidant, antifungal, and antiprotozoal characteristics towards a broad range of microorganisms [13,14]. VCO is different from most other dietary oils because the predominant composition is a medium-chain fatty acid (MCFA), whereas, in the majority of other oils, the basic building blocks are almost entirely long-chain fatty acids [15]. ...
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Background/objective: Disinfection of a 3D-printed surgical guide is of utmost importance as it comes into contact with hard and soft tissue during implant placement so it poses a potential risk of pathogenic transmission. Methods used for disinfection in the surgical field should be reliable, practical, and safe for the instruments and the patients. The objectives of this study were to compare the antimicrobial potential of 100% Virgin Coconut Oil, 2% Glutaraldehyde, and 70% Ethyl Alcohol used to decontaminate 3D-printed surgical guides. Materials and methods: Thirty identical surgical guides were printed and cut into two halves (N = 60). Both halves were then contaminated with a defined amount of human saliva samples (2 ml). The first half (n = 30) was sub-grouped into three study groups which were immersed in one of the three disinfectants for 20 min as follows; group VCO was immersed in 100% Virgin Coconut Oil, group GA was immersed in 2% Glutaraldehyde, and group EA was immersed in 70% Ethyl Alcohol. The second half (n* = 30) was sub-grouped into three control groups which were immersed in sterile distilled water as follows group VCO*, group GA*, and group EA*. The microbial count was expressed as colony-forming units per plate and the comparison of the antimicrobial potential of the three tested disinfectants between the three study and three control groups was done using the One-Way ANOVA test. Results: The culture results of three study groups revealed no bacterial growth with the highest % of reduction in the mean microbial count of the oral microorganisms (about100%) and an uncountable bacterial growth was shown between the three control groups (more than 100 CFU/plate) representing the baseline of the oral microorganisms. Therefore; statistically significant differences were found between the three control and three study groups (P < .001). Conclusion: The antimicrobial potential of Virgin Coconut Oil was comparable and equivalent to Glutaraldehyde and Ethyl Alcohol with a significant inhibitory action against oral pathogens.
... One of the processed products from coconut that is in great demand and has a high value is virgin coconut oil (VCO). VCO is obtained from the extraction of fresh coconut kernel by cold-pressing the liquid from the fresh part of coconut milk to prevent the loss of vitamin E, pro-vitamin A, and polyphenols (Tan-Lim & Martinez 2020; Umate et al., 2022). Compared to coconut oil which is processed by heating method, VCO has the advantages of low water content free fatty acid content, colourless (transparent), strong fresh coconut aroma, and long storage time (Mohammed et al. 2021;Tanasale, 2012). ...
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One of the processed products derived from coconut that has great demand in the world of health and beauty industry is virgin coconut oil or known as VCO. Most VCO is processed manually using conventional methods with unhygienic plastic containers and placement in open spaces by the home industries. This research is to develop a VCO-fermented tank that was able to maintain hygiene and low temperature during the fermentation process by using SS403 and teak wood insulation as the main materials. This research carries on by comparing the fermentation process and results between the conventional method and the new VCO tank. 41% VCO is produced from raw coconut milk using a new VCO tank which is 5% higher than the conventional method. The VCO fermented tank produced more VCO and was able to maintain lower temperatures compared to the conventional method and also can be operated with less procedure order. Keywords: Fermentation Tank, Temperature Retaine, VCO, Virgin Coconut Oil
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Background: Diabetes is a disease that affects people worldwide, including in Indonesia. The prevalence of diabetes in Indonesia is increasing from year to year. One of the most devastating complications of diabetes mellitus is diabetic ulcers, which is a limb-threatening complication. Over the past few decades, ozone generated using plasma medical technology has been investigated as an agent that helps wound healing. This study aims to evaluate the effects of topical ozonated virgin coconut oil (VCO) in a diabetic wound mouse model. Methods: This study was an experimental study with a post-test control design. An ulcer wound model was made in 50 diabetic male Wistar mice, divided into five groups, and a control group of 10 non-diabetic mice. The control groups were given conventional therapy only and the treatment groups were also given topical ozonated VCO with different flow durations (0 min, 90 min, 7 h, 14 h). Macroscopic appearance and wound contraction were observed. HSP90β, VEGF-A, EGF, bFGF, and CD34 levels were measured from the immunostained slices of wound margins. Results: The reduction of wound length was proportionally related to the duration of ozone flow. Ozonated VCO with a longer duration of ozone flow healed the wound more quickly and had the shortest wound length. VCO with ozone flow for 14 hours (16837.10 µm) had the biggest reduction in wound length compared to other groups. The wounds treated with ozonated VCO showed an increase in HSP90β, VEGF-A, EGF, bFGF, and CD34 levels that correlated to improved wound healing. A longer period of treatment resulted in higher levels of wound healing biomarkers compared to shorter therapeutic durations. Conclusions: Topical ozonated VCO improved the wound healing process in a diabetic ulcer mouse model by improving macroscopic wound appearance and increasing levels of wound healing biomarkers.
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Background Increased frequency of using Alcohol Based Hand Sanitizers (ABHS) by consumers during COVID times have resulted in increased incidences of skin issues on palms. Objective 1) To quantify skin damage with increased usage frequency of ABHS by consumers and, 2) To evaluate Virgin Coconut Oil (VCO) as natural prophylactic agent to counter the adverse effects. Methods In-home usage study was carried out with 60 volunteers for a 15-day intervention – Control Group: 6 applications per day of ABHS and Test Group: Overnight VCO use (6-8 drops) followed by 6x usage per day of ABHS. This leg incuded dermatological evaluation and WHO Self Assessment Scale for skin health. Another leg of measurement included non-invasive instrumental study (Moisture & TEWL Probes, Tape Strip for protein content and IR spectroscopy for protein & lipid content) on forearm of 12 subjects (25-60 years age) with and without VCO application and repeated alcohol exposure. Results In-home usage study established consumer experiencing skin protective effect of VCO in the context of ABHS onslaught. 25% increase in perceived mositure content was recorded for VCO users, using WHO Self-Assessment Scale. Instrumental studies confirmed an increase in TEWL and decrease in lipids & protein content. Overnight VCO application resists the extraction which builds up with repeated application. Conclusions Current work provides evidence of compromised hand skin barrier with ABHS daily usage. Overnight VCO application helps prepare the skin for next day alcohol use. Based on the findings a regimen of overnight VCO application on hands as a natural prophylactic is recommended.
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Antibiotics have components to inhibit infections against Staphylococcus aureus, but they depend on judicious use to minimize the incidence of resistance forms. Strategies to improve the current situation include research in finding a new antimicrobial from virgin coconut oil (VCO). The saturated fatty acid, lauric acid (LA) (C12) contain in VCO was reported to have antibacterial activities. This study developed antimicrobial of VCO as an antimicrobial and immunomodulatory agent. Staphylococcus aureus used in this study had been isolated and identified from the mastitis milk crossbreed Etawa goat from Riau, Indonesia. The susceptibility of S. aureus to VCO was tested using the broth dilution method. The inhibition mechanisms of S. aureus had been studied by scanning electron microscopy (SEM) after treatment with VCO, and potential of VCO, which is known in phagocytosis macrophage. In vitro test confirmed the inhibitory effect of VCO on the growth of S. aureus at the concentration of 200 μl (equal to 0.102 % LA). Based on the result of the phagocytosing assay, VCO could increase the ability of the macrophage cells to phagocyte S. aureus significantly at a concentration of 200 μL (equal to 0.102% LA). This study concluded that the VCO could inhibit the growth of S. aureus with destructive mechanisms of bacterial cell walls and increase the ability of the phagocytic immune cells.
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Objective:The aim of this study was to examine the influence of the partial hydrolysis of virgin coconut oil (VCO) on it's antibacterial activity. Methods:The VCO used in this study was the productof UD SinarNias. Hydrolysis was carried out by enzyme and sodium hydroxide. Enzymatic hydrolysis using lipozyme was conducted in four different incubation time namely, 3 hours, 6 hours, 9 hours and 12 hours. Alkaline hydrolysis preformed with 25%, 50% and 75% NaOH calculated from the saponification valueof coconut oil. Acidified hydrolyzed VCO was extracted with n-hexane. Recovered hydrolyzed products were mixed with water (5 g in water to make 10 ml) to form water in oil emulsion (w/o). Antibacterial activity test was conducted against bacteria Pseudomonasaeruginosa (ATCC 25619), Staphylococcusaureus (ATCC 29737), Staphylococcus epidermidis (ATCC 12228) and Propionibacterium acnes (ATCC 6918) by diffusion agar method using the paper disc of 6 mm in diameter. Antibacterial activity of hydrolyzed VCO was compared with tetracycline and ampicillin. Results: Un-hydrolyzed VCO did not show antibacterial activity but hydrolyzed oil did. The longer the incubation time and the higher the amount of NaOH used in the hydrolysis increased antibacterial activity. VCO hydrolyzed by enzyme was more effective than those hydrolyzed by sodium hydroxide. Hydrolyzed VCO were more effective against Pseudomonas aeruginosa than other bacteria. Conclusions: Un-hydrolyzed VCO did not inhibit bacterial growth, while VCO after hydrolysis was found to have antibacterial activity. Hydrolyzed VCO by enzyme is more active asantibacterial than VCOhydrolyzed by NaOH. Tetracyclin and ampicillin were more active than those of hydrolyzed VCO.
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Objective: The process of wound healing involves activation of keratinocytes, fibroblasts, endothelial cells, etc. Angiogenesis is crucial during the process of wound healing. Virgin coconut oil is widely utilized in South Asia for various purposes including food, medicinal and industrial applications. This study aimed to evaluate the potency of fermented virgin coconut oil (FVCO) in angiogenesis and wound healing via both in vitro and in vivo assays. Methods: Human umbilical vein endothelial (HUVEC), fibroblast (CCD-18) and retinal ganglion (RGC-5) cells were cultured in medium containing different concentrations of FVCO. The proliferation, migration and morphological changes of cells were determined. The angiogenic effect of FVCO was evaluated by rat aortic assay. The therapeutic effect of FVCO on wound healing was further assessed in a wound excision model in Sprague Dawley rats. The expression of phospho-VEGFR2 (vascular endothelial growth factor receptor 2) in HUVECs was detected by Western blot. Results: FVCO (6 and 12 µg/mL) significantly improved the proliferation of HUVEC, CCD-18 and RGC-5 cells (P < 0.05 or 0.01). FVCO (25 µg/mL) markedly increased the migration ability of CCD-18 and RGC-5 cells (P < 0.05). FVCO did not affect cell morphology as indicated by fluorescein diacetate (FDA), rhodamine 123 and Hoechst staining. FVCO (25, 50 and 100 µg/mL) significantly stimulated the ex vivo blood vessel formation as compared with negative control (P < 0.05). Rats in FVCO group had significantly smaller wound size, higher wound healing percentage, and shorter wound closure time when compared with control group since day 8 (P < 0.05), suggesting that oral FVCO administration notably promoted the wound healing process. FVCO treatment (6 and 12 µg/mL) significantly enhanced the phospho-VEGFR2 expression in HUVECs (P = 0.006 and 0.000, respectively). Conclusion: Our study confirms a high angiogenic and wound healing potency of FVCO that might be mediated by the regulation of VEGF signing pathway.
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Introduction: National Cancer Statistics reported that lung cancer listed as third highest among most prevalent cancer in Malaysia. Objectives: In this study, the possibility of using virgin coconut oil (VCO) as new potential anti-apoptosis agent to combat this cancer was evaluated. Experimental design: Two lung cancer cell lines were exposed to series of concentration of virgin coconut oil for 72 hrs. Upon treatment, the morphological changes of the cancer cells were observed. The apoptosis assay using Annexin V- FITC kit was also carried out. Results: We found that VCO at IC50 value of 12.04% (v/v) and 8.64% (v/v) induced apoptosis in NCI-H1299 and A549 lung cancer cell lines, respectively, with 3.57% and 4.20% of the apoptotic cells following treatment. Morphological changes, such as the appearance of massive cytoplasmic vacuolization and blebbing of the cell membrane, were observed in both cell lines after treatment with VCO. When tested on skin-derived fibroblasts, VCO at the IC50 values for both cell types was negative for toxicity. Conclusions: These results suggest that VCO can induce cell death of lung cancer cells and safe to be consumed.
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Oil pulling or oil swishing therapy is a traditional procedure in which the practitioners rinse or swish oil in their mouth. It is supposed to cure oral and systemic diseases but the evidence is minimal. Oil pulling with sesame oil and sunflower oil was found to reduce plaque related gingivitis. Coconut oil is an easily available edible oil. It is unique because it contains predominantly medium chain fatty acids of which 45-50 percent is lauric acid. Lauric acid has proven anti inflammatory and antimicrobial effects. No studies have been done on the benefits of oil pulling using coconut oil to date. So a pilot study was planned to assess the effect of coconut oil pulling on plaque induced gingivitis. The aim of the study was to evaluate the effect of coconut oil pulling/oil swishing on plaque formation and plaque induced gingivitis. A prospective interventional study was carried out. 60 age matched adolescent boys and girls in the age-group of 16-18 years with plaque induced gingivitis were included in the study and oil pulling was included in their oral hygiene routine. The study period was 30 days. Plaque and gingival indices of the subjects were assessed at baseline days 1,7,15 and 30. The data was analyzed using paired t test. A statistically significant decrease in the plaque and gingival indices was noticed from day 7 and the scores continued to decrease during the period of study. Oil pulling using coconut oil could be an effective adjuvant procedure in decreasing plaque formation and plaque induced gingivitis.
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Background: Preterm constitutes a major part of neonatal mortality, particularly in India. Due to dermal immaturity, preterm neonates are susceptible to various complications like infection, hypothermia, etc. Emollient application is a traditional practice in our subcontinent. Aims: To find out the efficacy of coconut oil application for skin maturity, prevention of sepsis, hypothermia and apnea, its effect on long-term neurodevelopment and adverse effect of it, if any. Material and methods: A randomized controlled trial was conducted in the rural field practice area of Department of Community Medicine, Burdwan Medical College from March 2014 to August 2018. Preterm born in the study period was divided into Group A (received virgin coconut oil application) and Group B (received body massage without any application). Neonatal skin condition was assessed on 7th, 14th, 21st and 28th day of life. Neurodevelopmental status was assessed on 3rd, 6th and 12th months. Results: A total of 2294 preterm were included in the study. Groups A and B consisted of 1146 and 1148 preterm infants, consecutively. Mean gestational age of the study population was 31.9 ± 3.4 weeks and 50.4% were male. Mean weight loss in first few days was less in group A but mean weight gain per day was higher in group B. Lesser incidences of hypothermia and apnea, and better skin maturity and neurodevelopmental outcome were noted in group A. No significant adverse effect was noted with coconut oil application. Conclusion: Use of coconut oil helps in dermal maturity and better neurodevelopmental outcome. Further studies are warranted for universal recommendation.
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Background Edible oils, preferably plant origin are rich sources of fatty acids and other lipophilic antioxidants to the body. Among these, oils derived from the coconut kernel (Cocos nucifera) are widely used in India and the Asia Pacific, which includes copra oil (CO), virgin coconut oil (VCO) and refined, bleached and deodorized (RBD) oil. Based on the mode of preparation, their composition and biological effects vary. Scope and approach This review compares the physicochemical and biological properties of coconut oils prepared by different methods. The metabolism of coconut oil and its predominant content lauric acid is also explained. This review emphasizes the use of VCO in the prevention and amelioration of several degenerative diseases, including cardiovascular disease and cancers, over CO or RBD oils. Key findings and Conclusion There are no evident differences in the fatty acid profiles of CO, VCO and RBD oils. However, they differ in their polyphenol contents, which are reported to be high in VCO, possibly due to less harsh treatment during its preparation. Various epidemiological and clinical reports indicating the health risk of coconut oils could be pertinent to the data on the individuals consumed CO/RBD oil, which lacks polyphenols. Whereas, VCO have antioxidant, anti-inflammatory, lipid-lowering and cytoprotective efficacies, which may be attributed to its higher polyphenolics. Further, emerging studies have indicated that hot-extracted VCO (HVCO) have a pharmacological advantage over VCO prepared by fermentation. At this juncture, further explorations on the biopharmaceutical potential of VCO have to be undertaken through clinical studies.
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Abstract: Virgin coconut oil (VCO) is the finest grade of coconut oil, rich in phenolic content, antioxidant activity and contains medium chain triglycerides (MCTs). In this work formulation, characterisation and penetration of VCO-solid lipid particles (VCO-SLP) have been studied. VCO-SLP were prepared using ultrasonication of molten stearic acid and VCO in an aqueous solution. The electron microscopy imaging revealed that VCO-SLP were solid and spherical in shape. Ultrasonication was performed at several power intensities which resulted in particle sizes of VCO-SLP ranged from 0.608 ± 0.002 μm to 44.265 ± 1.870 μm. The particle size was directly proportional to the applied power intensity of ultrasonication. The zeta potential values of the particles were from −43.2 ± 0.28 mV to −47.5 ± 0.42 mV showing good stability. The cumulative permeation for the smallest sized VCO-SLP (0.608 μm) was 3.83 ± 0.01 μg/cm2 whereas for larger carriers it was reduced (3.59 ± 0.02 μg/cm2 ). It is concluded that SLP have the potential to be exploited as a micro/nano scale cosmeceutical carrying vehicle for improved dermal delivery of VCO. Empty nano and micro-structured lipid carriers of virgin coconut oil for skin moisturisation. Available from: https://www.researchgate.net/publication/292091233_Empty_nano_and_micro-structured_lipid_carriers_of_virgin_coconut_oil_for_skin_moisturisation [accessed May 5, 2016].