Effect of Curcuma longa and its derivatives, curcumin and curcuminoids on treatment of oral lichen planus: A systematic review of clinical evidence

Document Type : Reviewers

Authors

1 Student Research Committee, Zahedan University of Medical Sciences, Zahedan. Iran

2 Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran

10.22124/cjes.2023.6824

Abstract

Oral lichen planus (OLP) have become a serious problem for health system. Curcuma longa (C. longa) is recognized as a medicinal plant with numerous biological properties. Hence, this study was conducted to review the effect of C. longa and its derivatives, curcumin and curcuminoids in treatment of OLP. This study followed systematic review design. We used the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statements. To perform this study, we searched Scopus, PubMed/Medline, Web of Science and Google Scholar tools using appropriate keywords including “oral lichen planus”, ” turmeric”, ” Curcuma longa”, “curcumin” and “curcuminoids”. The search was limited to English articles. In this study, all studies published until May 2023 were used.  Of 76 identified articles from searching, 16 studies including 10 randomized controlled trials (RCTs), two case- controls and one case report were included in this systematic review. The sample size in these studies was 570 patients. Furthermore, most of these studies was done in India, Iran and USA. Taking together, turmeric and its derivatives curcumin and curcuminoids play important role in treatment of OLP. Indeed, its antioxidant and anti-inflammatory characteristics are probably responsible for therapeutic effects of turmeric and its derivatives. However, further studies are recommended for explaining therapeutic mechanisms of these compounds.

Keywords


Abe, A, Ito Y, Hayashi H, Momokita M, Taniguchi S & Nakayama, A 2022, Evaluation of the classification and clinical characteristics of oral lichen planus and its treatment effect in different clinical types: a retrospective study. Advances in Oral and Maxillofacial Surgery, 8:100369.
Agha-Hosseini, F, Mirzaii‐Dizgah, I, Farmanbar, N & Abdollahi, M 2012, Oxidative stress status and DNA damage in saliva of human subjects with oral lichen planus and oral squamous cell carcinoma. Journal of Oral Pathology & Medicine, 41: 736-740.
Alrashdan, MS, Cirillo, N, McCullough, M, 2019, Oral lichen planus: a literature review and update. Archives of Dermatological Research, 308: 539-551.
Amalraj, A, Pius, A, Gopi, S, Gopi, S 2016, Biological activities of curcuminoids, other biomolecules from turmeric and their derivatives: A review. Journal of Traditional and Complementary Medicine, 7: 205-233. DOI: 10.1016/j.jtcme.2016.05.005.
Amirchaghmaghi, M, Pakfetrat, A, Delavarian, Z, Ghalavani, H & Ghazi A 2016, Evaluation of the efficacy of curcumin in the treatment of oral lichen planus: a randomized controlled trial. Journal of Clinical and Diagnostic Research, 10(5): ZC134-ZC137, DOI: 10.7860/JCDR/2016/16338.7870
Amiri, MM, Fayyadh, SH, Parra, RMR, Al-Khafaji, AHD, Abosaooda, M, Darvishi, M et al. 2023, Role of selective cyclooxygenase-2 inhibitors in renal colic pain reduction and improvement: A systematic review of clinical trials. Advancements in Life Sciences, 9(4):446-452.
Amiri MM, Garnida Y, Almulla AF, Abduljabbar AS, Jalil AT, Mazaheri Y, Ebrahimi Y, Shariatifar N 2023, Herbal therapy for hemorrhoids: An overview of medicinal plants affecting hemorrhoids. Advancements in Life Sciences, 10: 22-28.
Bakhshi, M, Gholami, S, Mahboubi, A, Jaafari, MR, Namdari, M 2020, Combination therapy with 1% nanocurcumin gel and 0.1% triamcinolone acetonide mouth rinse for oral lichen planus: A randomized double-blind placebo controlled clinical trial. Dermatology Research and Practice. 2(3): 4.
Beiranvand F, Alizadeh M 2019, Plants for Remedies of Diabetes Mellitus in Iran. Plant Biotechnology Persa, 1 (1): 36-38.
Chainani-Wu, N, Madden, E, Lozada-Nur, F, Silverman, Jr S 2012, High-dose curcuminoids are efficacious in the reduction in symptoms and signs of oral lichen planus. Journal of the American Academy of Dermatology, 66: 752-760.
Chainani-Wu, N, Silverman, Jr S, Reingold, A, Bostrom, A, Mc Culloch, C, Lozada-Nur, F, et al. 2007, A randomized, placebo-controlled, double-blind clinical trial of curcuminoids in oral lichen planus. Phytomedicine, 14: 437-446.
Ghobadi, N, Lesan, S & Khatibi, M 2022, Effect of curcumin on oral lichen planus: A single blind randomized controlled clinical trial. Journal of Mazandaran University of Medical Sciences, 32(211): 37-48. http://jmums. mazums.ac.ir/article-1-17434-en.html
Ghuman, S, Ncube, B, Finnie, J, McGaw, L, Njoya, EM, Coopoosamy, R et al. 2019, Antioxidant, anti-inflammatory and wound healing properties of medicinal plant extracts used to treat wounds and dermatological disorders. South African Journal of Botany, 126:232-40.
González‐Moles MÁ, Warnakulasuriya S, González‐Ruiz I, González‐Ruiz L, Ayen A, Lenouvel D, et al. 2021, Worldwide prevalence of oral lichen planus: A systematic review and meta‐analysis. Oral diseases, 27: 813-828.
Han, X, Zhang, J, Tan, Y & Zhou G 2017, Probiotics: A non-conventional therapy for oral lichen planus. Archives of Oral Biology, 81: 90-96.
Jyotirmayee, B & Mahalik, G 2022, A review on selected pharmacological activities of Curcuma longa L. International Journal of Food Properties, 25: 1377-1398.
Keshari, D, Patil, K & Mahima, V 2015, Efficacy of topical curcumin in the management of oral lichen planus: A randomized controlled-trial. Journal of Advanced Clinical and Research Insights, 2: 197-203.
Khaitan, T, Kabiraj, A, Sinha, DK, Ranjan, R & Singh, R 2022, Curcuma longa in the treatment of symptomatic oral lichen planus: A non-randomized controlled trial. Indian Journal of Dermatology, 67: 478.
Kia, SJ, Basirat, M & Estakhr, L 2017, The effect of oral curcumin on pain and clinical appearance of oral lichen planus. Journal of Dentomaxillofacial Science, 6: 1-7.
Kia, SJ, Basirat, M, Mortezaie, T & Moosavi, MS 2020, Comparison of oral nano-curcumin with oral prednisolone on oral lichen planus: A randomized double-blinded clinical trial. BMC Complementary Medicine and Therapies, 20: 1-7.
Kia, SJ, Shirazian, S, Mansourian, A, Fard, LK & Ashnagar, S 2015, Comparative efficacy of topical curcumin and triamcinolone for oral lichen planus: a randomized, controlled clinical trial. Journal of Dentistry, 12: 789.
Kocaadam, B & Şanlier, N 2017, Curcumin, an active component of turmeric (Curcuma longa), and its effects on health. Critical Reviews in Food Science and Nutrition, 57: 2889-2895.
Meng, B, Li, J & Cao, H 2013, Antioxidant and anti-inflammatory activities of curcumin on diabetes mellitus and its complications. Current pharmaceutical design, 19: 2101-2113.
Motahari, P, Daliraan, R & Poorzare, S 2023, Comparing the effects of lycopene and corticosteroids on oral lichen planus: a systematic review and meta-analysis. Journal of Herbmed Pharmacology, 12: 337-343. DOI: 10.34172 /jhp.2023.36.
Munde, AD, Karle, RR, Wankhede, PK, Shaikh, SS & Kulkurni M 2013, Demographic and clinical profile of oral lichen planus: A retrospective study. Contemporary Clinical Dentistry, 4:181.
Naik R, Nazneen L, Dhoble A, Thombre A, Saxena U, Kosta S 2021, Curcumin alone and curcumin with prednisone in management Oral Lichen Planus patients. European Journal of Molecular & Clinical Medicine, 8: 3784-3788.
Naik, SR, Gupta, P, Ashok, L, Khaitan, T & Shukla, AK 2019, A novel mixture of curcumin paste and prednisolone for treating oral lichen planus: A case controlled comparative study. Journal of Indian Academy of Oral Medicine and Radiology, 31: 286-292.
Nogueira, PA, Carneiro, S, Ramos-e-Silva, M 2015, Oral lichen planus: an update on its pathogenesis. International Journal of Dermatology, 54: 1005-1010, DOI: 10.1111/ijd.12918.
Nosratzehi, T, Arbabi-Kalati, F, Hamishehkar, H & Bagheri, S 2018, Comparison of the effects of curcumin mucoadhesive paste and local corticosteroid on the treatment of erosive oral lichen planus lesions. Journal of the National Medical Association, 110: 92-97. DOI: 10.1016/j.jnma.2017.01.011.
Prasad, S, Solanki, S, Chinmaya, B, Tandon, S & Ashwini B 2014, The magic of herbal curcumin therapy in recurrent oral lichen planus. American Journal of Ethnomedicine, 1: 96-101.
Razavi, BM, Ghasemzadeh Rahbardar, M & Hosseinzadeh, H 2021, A review of therapeutic potentials of turmeric (Curcuma longa) and its active constituent, curcumin, on inflammatory disorders, pain, and their related patents. Phytotherapy Research, 35:6489-64513.
Sabir, S, Zeb, A, Mahmood, M, Abbas, S, Ahmad, Z & Iqbal, N 2020, Phytochemical analysis and biological activities of ethanolic extract of Curcuma longa rhizome. Brazilian Journal of Biology, 81: 737-740.
Singh, V, Pal, M, Gupta, S, Tiwari, S, Malkunj,e L & Das, S 2013, Turmeric: A new treatment option for lichen planus: A pilot study. National journal of maxillofacial surgery, 4: 198.
Sufiawati, I, Christine, H & Drakel, FF 2022, The effectiveness of corticosteroid and diode laser combination therapy in the treatment of severe oral lichen planus: A case report. Journal of International Dental and Medical Research, 15: 312-314.
Tang, W, Du, M, Zhang, S & Jiang, H 2021, Therapeutic effect of curcumin on oral diseases: A literature review. Phytotherapy Research, 35: 2287-2295.
Thomas, AE, Varma, B, Kurup, S, Jose, R, Chandy, ML, Kumar, SP et al. 2017, Evaluation of efficacy of 1% curcuminoids as local application in management of oral lichen planus–interventional study. Journal of Clinical and Diagnostic Research, 11: ZC89.
Umapathy, VR, Swamikannu, B, Jones, S, Kiran, M, Lell, T, Mayasa, V et al. 2022, Effects of turmeric (Curcuma longa) on oral health. Bioinformation, 18: 538.
Zheng, QT, Yang, ZH, Yu, LY, Ren, YY, Huang, QX, Liu, Q, et al. 2017, Synthesis and antioxidant activity of curcumin analogs. Journal of Asian Natural Products Research, 19: 489-503.