Comparison of Therapeutic Effects of 4% and 10% Purple Passion Fruit (Passiflora Edulis Sims Var. Edulis) Seeds Extract Cream with 4% Hydroquinone Cream on Epidermal Type Melasma

Authors

  • Yuli Kurniawati Department of Dermatology and Venereology, Faculty of Medicine, Sriwijaya University
  • Stella Sunur Department of Dermatology and Venereology, Faculty of Medicine, Sriwijaya University
  • Theresia Lumban Toruans Department of Dermatology and Venereology, Faculty of Medicine, Sriwijaya University
  • Suroso Adi Nugroho Department of Dermatology and Venereology, Faculty of Medicine, Sriwijaya University
  • Rusmawardiana Department of Dermatology and Venereology, Faculty of Medicine, Sriwijaya University

Keywords:

Hydroquinone, Medicinal Plant, Purple passion fruit, Epidermal type melasma

Abstract

Background:  Purple passion fruit seed extract (PPFSE) is rich in antioxidant and photoprotective and therefore has potential as alternative treatment for melasma Objective: This study aim to evaluate therapeutic effects of 4% and 10% PPFSE cream to 4% hydroquinone (HQ) cream for epidermal type melasma. Methods: A randomized double-blind clinical trial was conducted. The study participants were divided into three groups, PPFSE cream 4%, 10% group and HQ cream 4% group. Severity of melasma was assessed with modified melasma area severity index (mMASI), melanin index (MI) with Mexameter® and Mark-Vu® skin analysis and quality of life index for melasma with melasQol at baseline, week 4, 8, and 12  for each arm Results: A total of 38 participants were included. There was a significant reduction in mMASI, MI, and melasQol scores before and after 12 weeks of treatment across all groups (p=0.000). The difference between mMASI and melanin index before and after 12 weeks of treatment was lower in the PPFSE 4% than the HQ 4% (p<0.05) Conclusion: PPFSE cream 10% can be a viable option for treatment of epidermal type melasma

References

Rodrigues M, Pandya amit G. Hypermelanoses. In: Kang S, Amagai M, Bruckner AL, Enk AH, Margol-is DJ, McMichael AJ, et al, Editors. Fitzpatrick’s Dermatology. 9th ed. New York: McGraw-Hill Companies Inc; 2019:1351–87.

Geel N van, Speeckaert R. Acquired Pigmentary Disorders. In: Griffiths CEM, Barker J, Bleiker T, Chalmers R, Creamer D, editors. Rook’s Textbook of Dermatology. 10th ed. New Delhi: John Wiley & Sons, Ltd; 2024: 86.1-10.

Zhu Y, Zeng X, Ying J, Cai Y, Qiu Y, Xiang W. Eva-luating the quality of life among melasma patients using the MELASQoL scale: A systematic review and meta-analysis. PLoS One. 2022;1–15.

Pudasaini P, Neupane S. An observational study to evaluate quality of life in patients with melasma in a tertiary level hospital of Pokhara. Nepal J Derma-tology Venereol Leprol. 2021;19(1):37–41.

Banodkar PD, Banodkar KP. History of hydroqui-none. Indian J Dermatol Venereol Leprol. 2022; 88(5):696-9.

Searle T, Al-Niaimi F, Ali FR. Hydroquinone: my-ths and reality. Clin Exp Dermatol. 2021;46(4):636–40.

Armando J, Fonseca AMA, Geraldi M V, Silvestre D, Rocha SM. Purple passion fruit (Passiflora edulis F. edulis): A comprehensive review on the nut-ritional value, phytochemical profile and associ-ated health effects. Food Res Int. 2022;160:1–24.

Taiwe GS, Kuete V. Passiflora edulis. In: Kuete V, editor. Medicinal Spices and Vegetables from Afr-ica: Therapeutic Potential Against Metabolic, Infla-mmatory, Infectious and Systemic Diseases. 1st ed. New York: Elsevier Inc.; 2017: 513–26.

Biswas S, Mishra R, Bist AS. Passion to profession: A review of passion fruit processing. Aptisi Trans Technopreneursh. 2021;3(1):48–57.

Armando J, Fonseca AMA, Geraldi M V, Silvestre D, Rocha SM. Purple passion fruit (Passiflora edulis F. edulis): A comprehensive review on the nutri-tional value, phytochemical profile and associated health effects. Food Res Int. 2022;160:1–24.

Piotrowska H, Kucinska M, Murias M. Biological activity of piceatannol: Leaving the shadow of res-veratrol. Mutat Res – Rev Mutat Res. 2012;750(1): 60–82.

Lourith N, Kanlayavattanakul M, Chingunpitak J. Development of sunscreen products containing passion fruit seed extract. Brazilian J Pharm Sci. 2017;53(1):1–8.

Matsui Y, Sugiyama K, Kamei M, Takahashi T, Suzuki T, Katagata Y, et al. Extract of passion fruit (Passiflora edulis) seed containing high amounts of piceatannol inhibits melanogenesis and promotes collagen synthesis. J Agric Food Chem. 2010;58(20): 11112–8.

Jorge ATS, Arroteia KF, Santos IA, Andres E, Med-ina SPH, Ferrari CR, et al. Schinus terebinthifolius raddi extract and linoleic acid from Passiflora edu-lis synergistically decrease melanin synthesis in B16 cells and reconstituted epidermis. Int J Cosmet Sci. 2012;34(5):435–40.

Huda SMN, Wiraguna A, Pangkahila W, Penyakit D. Krim ekstrak biji markisa ( Passiflora edulis ) sama efektifnya dengan krim hidrokuinon 4 % dalam menghambat peningkatan jumlah melanin pada kulit marmut jantan ( Cavia porcelus ) yang dipapar sinar UV-B. J Biomedik. 2017;9(1):1–6.

Zhang J, Koike R, Yamamoto A, Ukiya M, Fukatsu M, Banno N, Miura M, Motohashi S, Tokuda H, Akihisa T. Glycosidic inhibitors of melanogenesis from leaves of Passiflora edulis. Chem Biodivers. 2013;10(10):1851-65.

Matsui Y, Sugiyama K, Kamei M, Takahashi T, Suzuki T, Katagata Y, Ito T. Extract of passion fruit (Passiflora edulis) seed containing high amounts of piceatannol inhibits melanogenesis and promotes collagen synthesis. J Agric Food Chem. 2010.

Yepes A, Bautista D, Murillo-Arango W, et al. Purple passion fruit seeds (Passiflora edulis F. edulis Sims) as a promising source of skin anti-aging agents: Enzymatic, antioxidant and multi-level computational studies. Arab J Chem. 2021; 14(1).

Dewi, N. K., Putra, I. B., & Jusuf, N. K. Passion fruit purple variant (Passiflora Edulis Sims Var. Edulis) seeds extract 10% cream in acne vulgaris treatment: an open‚ Äêlabel pilot study. Int J Dermatol. 2020; 59(12), 1506-12.

Aryunisari CG, Putra IB, Jusuf NK. Effect of Purple Passion Fruit Extract Cream (Passiflora edulis Sims var. Edulis) 6% against Striae Distensae. Open Acc-ess Maced J Med Sci 2021;9(B):720-5.

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2025-06-30

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