From Leaf to Relief: Basella alba Ethanolic Extract Alleviates Psoriasis-Like Skin Inflammation in BALB/c Mice
DOI:
https://doi.org/10.56294/saludcyt20252246Keywords:
Basella alba, Psoriasis, Imiquimod, Balb/c Mice, TNF-α, MDAAbstract
Introduction: Psoriasis is a chronic inflammatory skin disorder that can be challenging to manage due to adverse effects linked to long-term treatment. As a result, alternative therapeutic options are being investigated. Basella alba exhibits anti-inflammatory and antioxidant activities, indicating its potential as a therapeutic agent for the management of psoriasis.
Objectives: To investigate the antipsoriatic effect of Basella alba as an anti-inflammatory and antioxidant targeting the serum level of Tumor Necrosis Factor (TNF)-α, Malondealdehyde (MDA) and also the severity of psoriasis.
Materials and Methods: Psoriasis-like lesions were induced in thirty-six male BALB/c mice using 5% imiquimod (IMQ) cream. The Balb/c mice were assigned to six groups: G1 (normal control), G2 (psoriasis control, IMQ only), G3 (IMQ + methotrexate 1 mg/kgBW/day), G4 (IMQ + Basella alba extract [BAE] 250 mg/kgBW/day), G5 (IMQ + BAE 500 mg/kgBW/day), and G6 (IMQ + BAE 250 mg/kgBW/day plus methotrexate). Serum TNF-α, MDA, and modified PASI scores were measured at baseline and after 14 days of treatment.
Results: IMQ application increased TNF-α, MDA, and PASI scores. Treatment with Basella alba reduced these markers. The most prominent effects were observed in the combination therapy group, followed by the high-dose extract group. Serum TNF-α levels decreased by 55.8% in the G6 group and by 51.8% in the G5 group. Serum MDA levels declined by 85.4% in the G6 group and by 78.7% in the G5 group.
Conclusion: Basella alba extract demonstrated significant anti-psoriatic activity by reducing inflammation and oxidative stress. These findings support its potential use as a monotherapy at 500 mg/kg BW/day or as an adjunct to methotrexate in a lower dose.
References
1. Bu J, Ding R, Zhou L, Chen X, Shen E. Epidemiology of psoriasis and comorbid diseases: a narrative review. Front Immunol. 2022;13:880201.
2. Grän F, Kerstan A, Serfling E, Goebeler M, Muhammad K. Current developments in the immunology of psoriasis. Yale J Biol Med. 2020;93(1):97.
3. Higgins E. Psoriasis. Medicine [Internet]. 2021;49(6):361–9. Available from: https://www.sciencedirect.com/science/article/pii/S1357303921000815
4. Wang W, Liu J, Zhu Y, Xu Y De, Liu YJ. Psoriasis Burden: Global Burden of Disease Study 2021. Available at SSRN 5122480.
5. Damiani G, Bragazzi NL, Karimkhani Aksut C, Wu D, Alicandro G, McGonagle D, et al. The global, regional, and national burden of psoriasis: results and insights from the global burden of disease 2019 study. Front Med (Lausanne). 2021;8:743180.
6. Mehrmal S, Uppal P, Nedley N, Giesey RL, Delost GR. The global, regional, and national burden of psoriasis in 195 countries and territories, 1990 to 2017: a systematic analysis from the Global Burden of Disease Study 2017. J Am Acad Dermatol. 2021;84(1):46–52.
7. Yamanaka K, Yamamoto O, Honda T. Pathophysiology of psoriasis: A review. J Dermatol. 2021;48(6):722–31.
8. Akhtar T, Wani WY, Kamal MA, Kaur R. Role of angiogenic growth factors in psoriasis: a review. Curr Drug Metab. 2018;19(11):910–6.
9. Yu X, Feng X, Xia L, Cao S, Wei X. Risk of aortic aneurysm in patients with psoriasis: A systematic review and meta‐analysis of cohort studies. Clin Cardiol. 2020;43(11):1266–72.
10. Mohd Noor AA, Azlan M, Mohd Redzwan N. Orchestrated cytokines mediated by biologics in psoriasis and its mechanisms of action. Biomedicines. 2022;10(2):498.
11. Guo J, Zhang H, Lin W, Lu L, Su J, Chen X. Signaling pathways and targeted therapies for psoriasis. Signal Transduct Target Ther. 2023;8(1):437.
12. Cannavo SP, Riso G, Casciaro M, Di Salvo E, Gangemi S. Oxidative stress involvement in psoriasis: a systematic review. Free Radic Res. 2019;53(8):829–40.
13. Rajan PT, Suresh TN, Rajashekar TS. Expression of vascular endothelial growth factor and microvessel density in psoriatic skin lesions. Indian Dermatol Online J. 2018;9(6):418–21.
14. Mylonas A, Conrad C. Psoriasis: classical vs. paradoxical. The Yin-Yang of TNF and type I interferon. Front Immunol. 2018;9:2746.
15. Chaurasiya R, Jain D. Pythagorean fuzzy entropy measure-based complex proportional assessment technique for solving multi-criteria healthcare waste treatment problem. Granular Computing [Internet]. 2022;7(4):917–30. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85122254603&doi=10.1007%2Fs41066-021-00304-z&partnerID=40&md5=178e9d8083c2021716fb9e28e0789542
16. Cordan Yazıcı A, Ünlü B, İkizoğlu G. Complementary and alternative medicine use among patients with psoriasis on different treatment regimens. Arch Dermatol Res. 2020 Oct;312(8):601–4.
17. Shade A, Jacques MA, Barret M. Ecological patterns of seed microbiome diversity, transmission, and assembly. Curr Opin Microbiol. 2017;37:15–22.
18. Joshi KP, Kalambe AP, Jadhav A, Mana S. A comprehensive review of herbal treatment of the species of spinach over the stages of acne vulgaris for research methodologies. International Journal of Research. 2023;9(3):155.
19. Kumar BR, Anupam A, Manchikanti P, Rameshbabu AP, Dasgupta S, Dhara S. Identification and characterization of bioactive phenolic constituents, anti-proliferative, and anti-angiogenic activity of stem extracts of Basella alba and rubra. J Food Sci Technol. 2018;55(5):1675–84.
20. Sheik A, Kim E, Adepelly U, Alhammadi M, Huh YS. Antioxidant and antiproliferative activity of Basella alba against colorectal cancer. Saudi J Biol Sci. 2023;30(4):103609.
21. Divya J, Kumar A, Kumar R. Evaluation of diuretic and sedative activity for ethanolic leaves extract of Basella alba L. var Rubra. World Journal of Current Medical and Pharmaceutical Research. 2020;74–84.
22. Oktavriana T, Kariosentono H, Purwanto B, Widyaningsih V, Wasita B, Irawanto ME, et al. In silico study of basella alba bioactive compounds as potential therapy for psoriasis against tumor necrosis factor-a (TNF-a) receptor. International Journal of Applied Pharmaceutics. 2025;17(2):65–72.
23. Oktavriana T, Kariosentono H, Purwanto B, Widyaningsih V, Irawanto ME. Network pharmacology analysis of bioactive compounds and potential targets of Basella alba for psoriasis treatment. International Journal of Innovative Research and Scientific Studies. 2025;8(3):2397–412.
24. Jabeen M, Boisgard AS, Danoy A, El Kholti N, Salvi JP, Boulieu R, et al. Advanced characterization of imiquimod-induced psoriasis-like mouse model. Pharmaceutics. 2020;12(9):789.
25. Krishna Chaitanya B. Anti inflammatory activity of basella alba Linn. in albino rats. J Appl Pharm Sci. 2012;2(4):87–9.
26. Rodda R, Kota A, Sindhuri T, Kumar SA, Gnananath K. Investigation on anti-inflammatory property of Basella alba Linn leaf extract. Int J Pharm Pharm Sci. 2012;4(1):452–4.
27. Zhang Y, Dong S, Ma Y, Mou Y. Burden of psoriasis in young adults worldwide from the global burden of disease study 2019. Front Endocrinol (Lausanne) [Internet]. 2024;Volume 15. Available from: https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2024.1308822
28. Xiong J, Xue T, Tong M, Xu L, Bai B. Dynamic trend analysis of global psoriasis burden from 1990 to 2021: a study of gender, age, and regional differences based on GBD 2021 data. Front Public Health [Internet]. 2025;Volume 13. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1518681
29. Halayal RY, Bagewadi ZK, Khan TMY, Shamsudeen SM. Investigating compounds from Basella alba for their antioxidant, anti-inflammatory, and anticancer properties through in vitro and network pharmacology, molecular simulation approach. Green Chem Lett Rev [Internet]. 2025 Dec 31;18(1):2481945. Available from: https://doi.org/10.1080/17518253.2025.2481945
30. Luo DQ, Wu HH, Zhao YK, Liu JH, Wang F. Different imiquimod creams resulting in differential effects for imiquimod-induced psoriatic mouse models. Exp Biol Med. 2016;241(16):1733–8.
31. Nakajima K, Sano S. Mouse models of psoriasis and their relevance. J Dermatol. 2018;45(3):252–63.
32. Li ZJ, Sohn KC, Choi DK, Shi G, Hong D, Lee HE, et al. Roles of TLR7 in activation of NF-κB signaling of keratinocytes by imiquimod. PLoS One. 2013;8(10):e77159.
33. Bu J, Mahan Y, Zhang S, Wu X, Zhang X, Zhou L, et al. Acacetin inhibits inflammation by blocking MAPK/NF-κB pathways and NLRP3 inflammasome activation. Front Pharmacol. 2024;15:1286546.
34. Alrumaihi F, Almatroodi SA, Alharbi HOA, Alwanian WM, Alharbi FA, Almatroudi A, et al. Pharmacological potential of kaempferol, a flavonoid in the management of pathogenesis via modulation of inflammation and other biological activities. Molecules. 2024;29(9):2007.
35. Liu C, Liu H, Lu C, Deng J, Yan Y, Chen H, et al. Kaempferol attenuates imiquimod-induced psoriatic skin inflammation in a mouse model. Clin Exp Immunol. 2019 Dec;198(3):403–15.
36. Sun J, Narayanasamy S, Curley RWJ, Harrison EH. β-Apo-13-carotenone regulates retinoid X receptor transcriptional activity through tetramerization of the receptor. J Biol Chem. 2014 Nov;289(48):33118–24.
37. Mueller L, Boehm V. Antioxidant activity of β-carotene compounds in different in vitro assays. Molecules. 2011 Jan;16(2):1055–69.
38. Mustafa AM, Atwa AM, Elgindy AM, Alkabbani MA, Ibrahim KM, Esmail MM, et al. Targeting psoriatic inflammation with natural compounds: mechanistic insights and therapeutic promise. Inflammopharmacology. 2025 Jul;33(7):3843–70.
39. Hsieh TS, Tsai TF. Combination Therapy for Psoriasis with Methotrexate and Other Oral Disease-Modifying Antirheumatic Drugs: A Systematic Review. Dermatol Ther (Heidelb). 2023 Apr;13(4):891–909.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Triasari Oktavriana, Harijono Kariosentono, Bambang Purwanto, Vitri Widyaningsih (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
