Characterization and Topical Study of Aloe Vera Hydrogel on Wound-Healing Process

Exploiting the high affinity between cellulose nanofibrils and Aloe vera acemannan to develop elastic, crosslinker-free, all-polysaccharide hydrogels

Plant-based polymers hold promising prospects thanks to their bioactivity, diversity and versatility but they are currently overshadowed by synthetic and animal-derived materials, especially in biomedical applications. In this study, we developed an entirely plant-based hydrogel with improved mechanical performance based on TEMPO-oxidized cellulose nanofibrils (TCNFs) and the polysaccharide fraction (AVPF) extracted from Aloe vera L. (Aloe barbadensis Miller). The hydrogel blends exhibited excellent viscoelastic properties, minimal shrinkage and a significant increase in compressive modulus (ranging from 2.7 to 13.2 kPa versus 0.8 kPa in single component hydrogels), suggesting a synergistic effect. In-depth analysis of interaction and morphology of the hydrogels by QCM-D, AFM and SEM imaging showed that the observed synergy was the result of the complementary action between the two components and a uniform spatial distribution of the two networks. TCNFs built the rigid skeleton for the hydrogels, while AVPF physically adsorbed on TCNFs, forming a flexible matrix, allowing for better load transfer and dissipation in both static and dynamic loading, leading to a remarkable increase in moduli that surpassed the mere sum of the two individual components. In addition, the obtained hydrogels also showed little to no perceptible shrinkage after drying, unlike the single-component hydrogels made from the initial materials. These hydrogels offer a sustainable and ethical alternative to animal-derived materials, with great potential in biomedical fields.

Mechanistic insight into association of lysozyme, serum albumin, and insulin with aloin: Thermodynamic and conformational analysis

Lysozyme, serum albumin, and insulin carry out essential functions in the living systems. The properties and functions of these proteins may be positively impacted in association with Aloe vera, which is known to have usefulness as dietary supplement and clinical conditions. In this work, the conformational changes in these proteins have been analysed as a result of interaction with aloin, which has a long history of use in traditional health management. A combination of circular dichroism spectroscopy, fluorescence spectroscopy, and isothermal titration calorimetry have been used in analysing the associated thermodynamic signatures and structural changes. It is observed that lysozyme, and bovine serum albumin showed weak binding behaviour with aloin at molar ratio of (1:1), which is found to be entropically driven at first binding site while enthalpically driven at second binding site. Similarly for insulin also, the interaction of aloin increased with increase in its concentration and the binding of ligand at first and second site is entropically and enthalpically driven, respectively. These three proteins offer hydrophobic and hydrophilic functionalities for establishing intermolecular interactions with aloin. Differential scanning calorimetry and circular dichroism spectroscopy have provided mechanistic details on tertiary structural changes in these proteins as a result of interactions. The results offer valuable insights into molecular mechanism of conformational changes in these proteins and hence their properties in association with aloin, thereby, having biological implications related to health and food industry.

In vitro characterization of potential botanicals to reduce infection and improve the rate of wound healing in humans and canines

Wounds in both humans and canines are injuries that result in damage to the body's tissues. Wounds can range from minor superficial scratches to severe and deep injuries. Complications of wounds, both in humans and canines, can range from mild to severe. Proper wound care and timely treatment are essential to prevent complications and promote healing. One of the most common and concerning complications of wounds is infection. When the skin is broken, bacteria and other pathogens can enter the wound leading to an infection. In severe cases, infections can spread, causing systemic issues and even sepsis, which can be life-threatening. Some wounds may have difficulty healing properly, leading to delayed wound closure. This can occur due to various factors including poor blood supply to the wound site, certain medical conditions, age, and nutritional deficiencies. Early intervention and appropriate wound care are crucial in reducing the risk of complications. This study screened the ability of various botanical extracts (prepared in both low and high ethanol) to reduce the replication of common microbes associated with wound infectionin both humans (Staphylococcus aureus, Pseudomonas aeruginosa) and canines (Staphylococcus pseudintermedius, Malassezia pachydermatous). This study also assessed the ability of these botanical extracts to improve the rate of wound healing using an in vitro cell culture 'scratch' assay in both human and canine keratinocytes (HACAT and CPEK cell lines, respectively). Results demonstrated that extracts from Eucalyptus globulus, Juglans nigra, Larrea tridentata, Salvia officinalis, and Zingiber officinale had broad antimicrobial activity, while extracts from Achillea millefolium, Aloe vera, and Usnea barbata improved the rate of wound closure. The results support the development of a potential formulation of botanical extracts that may reduce infection while improving wound closure.

Gastro retentive floating drug delivery system of levofloxacin based on Aloe vera hydrogel: In vitro and in vivo assays

Gastro retentive drug delivery systems (GRDDS) have gained immense popularity as they reduce dosing frequency, improve bioavailability, and enhance patient compliance. Herein, a plant-based, controlled swelling, and pH-sensitive GRDDS based on Aloe vera hydrogel and cellulose was developed for the sustained release of levofloxacin (LEVO). The properties of five various floating tablet formulations including dynamic swelling, pH-responsiveness, hardness, friability, drug release, and buoyant time were evaluated. The optimized formulation (FF) was characterized using FTIR and SEM, and the surface morphology exhibited a porous texture with microchannels that facilitated tablet swelling and prolonged release of LEVO. The formulation FF remained buoyant (> 12 h) in the simulated gastric fluid with a buoyancy time of 303 s. A pH-dependent swelling behavior of the formulation FF was revealed with the highest swelling (7.1 g/g) in water, followed by buffers of pH 6.8 (5.4 g/g), 4.5 (3.8 g/g), and 1.2 (2 g/g). The controlled release of LEVO was demonstrated for >12 h following the Hixson-Crowell model and non-Fickian diffusion. Pharmacokinetic parameters of LEVO were determined using in vivo studies. The non-toxic nature of the formulation under study was demonstrated. The results render this approach promising in reducing the dosing frequency, suggesting its potential for clinical applications.

Harnessing Cannabis sativa Oil for Enhanced Skin Wound Healing: The Role of Reactive Oxygen Species Regulation

Cannabis sativa emerges as a noteworthy candidate for its medicinal potential, particularly in wound healing. This review article explores the efficacy of cannabis oil in reducing reactive oxygen species (ROS) during the healing of acute and chronic wounds, comparing it to the standard treatments. ROS, produced from various internal and external sources, play a crucial role in wound development by causing cell and tissue damage. Understanding the role of ROS on skin wounds is essential, as they act both as signaling molecules and contributors to oxidative damage. Cannabis oil, recognized for its antioxidant properties, may help mitigate oxidative damage by scavenging ROS and upregulating antioxidative mechanisms, potentially enhancing wound healing. This review emphasizes ongoing research and the future potential of cannabis oil in dermatological treatments, highlighted through clinical studies and patent updates. Despite its promising benefits, optimizing cannabis oil formulations for therapeutic applications remains a challenge, underscoring the need for further research to realize its medicinal capabilities in wounds.

Efficacy of a novel combination of aloe vera gel and pineapple extracts in improving post-extraction pain and healing: A Randomized Controlled Trial

Background

Absorbable gelatin sponges are able to reduce the incidence of post-extraction complications when soaked with antimicrobial agents. However, the drawbacks associated with the injudicious use of antibiotics warrant the need to explore alternatives to the existing drugs. Aim: The present study aimed to evaluate the efficacy of an absorbable gelatin sponge soaked in a combination of aloe vera and pineapple extracts in reducing post-operative pain and improving the healing rate following dental extractions.

Material and Methods

Patients aged 18 to 60 years undergoing a single dental extraction of a posterior tooth were provided with either plain absorbable gelatin sponge (control group) or absorbable gelatin sponge soaked in freshly prepared solution of aloe vera gel and pineapple extracts. The pain levels were measured after one, three, seven, and fourteen days post-extraction. The socket healing status was evaluated by Landry Turnbull and Howley Index after one and two weeks post-extraction respectively.

Results

The mean pain was significantly less (p<0.05) for patients in the experimental group on the 1st, 3rd, and 7th postoperative days as compared to the patients in the control group. No significant differences (p>0.05) were observed in the healing status between the two groups at any time interval.

Conclusions

The present study found the combination of aloe vera gel and pineapple extracts to be effective in reducing post-operative pain following dental extractions. While the improvement in the healing rate failed to reach statistical significance in the present study, generally less inflammation was observed in sockets treated with absorbable gelatin sponge soaked in the a combination of aloe vera and pineapple extracts. Key words:Post-extraction pain, Socket healing, Aloe Vera, Bromelain.

Transforming Medicinal Oil into Advanced Gel: An Update on Advancements

The present study delves into the evolution of traditional Ayurvedic oil preparations through innovative strategies to develop advanced gel formulations, aiming at amplifying their therapeutic efficacy. Ayurvedic oils have a rich historical context in healing practices, yet their conversion into contemporary gel-based formulations represents a revolutionary approach to augment their medicinal potential. The primary objective of this transformation is to leverage scientific advancements and modern pharmaceutical techniques to enhance the application, absorption, and overall therapeutic impact of these traditional remedies. By encapsulating the essential constituents of Ayurvedic oils within gel matrices, these novel strategies endeavor to improve their stability, bioavailability, and targeted delivery mechanisms. This review highlights the fusion of traditional Ayurvedic wisdom with cutting-edge pharmaceutical technology, paving the way for more effective and accessible utilization of these revered remedies in modern healthcare.

Aloe vera-Based Hydrogels for Wound Healing: Properties and Therapeutic Effects

Aloe vera-based hydrogels have emerged as promising platforms for the delivery of therapeutic agents in wound dressings due to their biocompatibility and unique wound-healing properties. The present study provides a comprehensive overview of recent advances in the application of Aloe vera-based hydrogels for wound healing. The synthesis methods, structural characteristics, and properties of Aloe vera-based hydrogels are discussed. Mechanisms of therapeutic agents released from Aloe vera-based hydrogels, including diffusion, swelling, and degradation, are also analyzed. In addition, the therapeutic effects of Aloe vera-based hydrogels on wound healing, as well as the reduction of inflammation, antimicrobial activity, and tissue regeneration, are highlighted. The incorporation of various therapeutic agents, such as antimicrobial and anti-inflammatory ones, into Aloe vera-based hydrogels is reviewed in detail. Furthermore, challenges and future prospects of Aloe vera-based hydrogels for wound dressing applications are considered. This review provides valuable information on the current status of Aloe vera-based hydrogels for the delivery of therapeutic agents in wound dressings and highlights their potential to improve wound healing outcomes.

Characterization and In Vivo Assay of Allantoin-Enriched Pectin Hydrogel for the Treatment of Skin Wounds

This work describes a liquid allantoin-enriched pectin hydrogel with hydrophilic behavior that is supported by the presence of functional groups related to healing efficacy. A topical study shows the effect of the hydrogel application on surgically induced skin wound healing in a rat model. Contact angle measurements confirm hydrophilic behavior (11.37°), while Fourier-transform infrared spectroscopy indicates the presence of functional groups related to the healing effectiveness (carboxylic acid and amine groups). Allantoin is distributed on the surface and inside the amorphous pectin hydrogel surrounded by a heterogeneous distribution of pores. This promotes wound drying with better interaction between the hydrogel and cells involved in the wound healing process. An experimental study with female Wistar rats indicates that the hydrogel improves wound contraction, reducing around 71.43% of the total healing time and reaching total wound closure in 15 days.

Evidence for Natural Products as Alternative Wound-Healing Therapies

Chronic, non-healing wounds represent a significant area of unmet medical need and are a growing problem for healthcare systems around the world. They affect the quality of life for patients and are an economic burden, being difficult and time consuming to treat. They are an escalating problem across the developed world due to the increasing incidence of diabetes and the higher prevalence of ageing populations. Effective treatment options are currently lacking, and in some cases chronic wounds can persist for years. Some traditional medicines are believed to contain bioactive small molecules that induce the healing of chronic wounds by reducing excessive inflammation, thereby allowing re-epithelisation to occur. Furthermore, many small molecules found in plants are known to have antibacterial properties and, although they lack the therapeutic selectivity of antibiotics, they are certainly capable of acting as topical antiseptics when applied to infected wounds. As these molecules act through mechanisms of action distinct from those of clinically used antibiotics, they are often active against antibiotic resistant bacteria. Although there are numerous studies highlighting the effects of naturally occurring small molecules in wound-healing assays in vitro, only evidence from well conducted clinical trials can allow these molecules or the remedies that contain them to progress to the clinic. With this in mind, we review wound-healing natural remedies that have entered clinical trials over a twenty-year period to the present. We examine the bioactive small molecules likely to be in involved and, where possible, their mechanisms of action.

The Therapeutic Wound Healing Bioactivities of Various Medicinal Plants

The skin serves as the body's first line of defense, guarding against mechanical, chemical, and thermal damage to the interior organs. It includes a highly developed immune response that serves as a barrier against pathogenic infections. Wound healing is a dynamic process underpinned by numerous cellular activities, including homeostasis, inflammation, proliferation, and remodeling, that require proper harmonious integration to effectively repair the damaged tissue. Following cutaneous damage, microorganisms can quickly enter the tissues beneath the skin, which can result in chronic wounds and fatal infections. Natural phytomedicines that possess considerable pharmacological properties have been widely and effectively employed forwound treatment and infection prevention. Since ancient times, phytotherapy has been able to efficiently treat cutaneous wounds, reduce the onset of infections, and minimize the usage of antibiotics that cause critical antibiotic resistance. There are a remarkable number of wound-healing botanicals that have been widely used in the Northern Hemisphere, including Achiella millefolium, Aloe vera, Althaea officinalis, Calendula officinalis, Matricaria chamomilla, Curcuma longa, Eucalyptus, Jojoba, plantain, pine, green tea, pomegranate, and Inula. This review addresses the most often used medicinal plants from the Northern Hemisphere that facilitate the treatment of wounds, and also suggests viable natural alternatives that can be used in the field of wound care.

Advancements in the Use of Hydrogels for Regenerative Medicine: Properties and Biomedical Applications

Due to their particular water absorption capacity, hydrogels are the most widely used scaffolds in biomedical studies to regenerate damaged tissue. Hydrogels can be used in tissue engineering to design scaffolds for three-dimensional cell culture, providing a novel alternative to the traditional two-dimensional cell culture as hydrogels have a three-dimensional biomimetic structure. This material property is crucial in regenerative medicine, especially for the nervous system, since it is a highly complex and delicate structure. Hydrogels can move quickly within the human body without physically disturbing the environment and possess essential biocompatible properties, as well as the ability to form a mimetic scaffold in situ. Therefore, hydrogels are perfect candidates for biomedical applications. Hydrogels represent a potential alternative to regenerating tissue lost after removing a brain tumor and/or brain injuries. This reason presents them as an exciting alternative to highly complex human physiological problems, such as injuries to the central nervous system and neurodegenerative disease.

Characteristics and Safety Profiles of a Hydrocolloid Polyester Dressing Incorporated with Herbal Extract: In Vitro, in Vivo and Randomized Clinical Studies

The polyester dressing containing herbal extract had been used for several years. However, some properties had not been investigated. This study examined three parts including in vitro studies, skin irritation in an animal model, and the pilot clinical study in traumatic wounds. In in vitro studies, six different wound dressings consisted of hydrocolloid polyester containing herbal extract (SI-HERB®), hydrofiber (Aquacel®), hydrocolloid polyester (Urgotul®), soft paraffin gauze (Bactigras®), foam (Mepilex®), and biocellulose (Suprasorb® X + PHMB) dressings were comparatively evaluated in physical properties including the fluid absorption, desorption, and fluid drainage ability. The skin irritation test was examined in a rabbit model using SI-HERB® as a tested group. In a clinical study, traumatic patients with leg wounds were randomly assigned to six wound dressings. The primary outcome was the pain level and the secondary outcomes were non-adherence and peri-wound reaction evaluating score. From the study, Bactigras® had the largest pore size but the total area of pore size per field of it was similar to SI-HERB®. There were no significant differences between SI-HERB®, Urgotul®, and Bactigras® in the percentage of absorption and desorption. No dermatologic effect was found in the animal study. In the irritation test on leg wounds, pain level, and peri-wound reaction in hydrocolloid polyester dressing group were significantly lower compared with Aquacel® and Bactigras®. The polyester dressing had the pain level after removal lower than before application while the Mepilex® and Suprasorb® presented that insignificantly increase the pain level. Erythema could be observed in Bactigras®, Aquacel®, and Suprasorb® but the edema scores were not different. A hydrocolloid polyester dressing containing herbal extract had good drainage ability. No skin irritation was reported. Pain scores, removal ability, and peri-wound reaction were also significantly lower with other types of wound dressings. These results suggested that this dressing be an alternative in wound treatment.

Antimicrobial Biomaterial on Sutures, Bandages and Face Masks with Potential for Infection Control

Antimicrobial resistance (AMR) is a challenge for the survival of the human race. The steady rise of resistant microorganisms against the common antimicrobials results in increased morbidity and mortality rates. Iodine and a plethora of plant secondary metabolites inhibit microbial proliferation. Antiseptic iodophors and many phytochemicals are unaffected by AMR. Surgical site and wound infections can be prevented or treated by utilizing such compounds on sutures and bandages. Coating surgical face masks with these antimicrobials can reduce microbial infections and attenuate their burden on the environment by re-use. The facile combination of Aloe Vera Barbadensis Miller (AV), Trans-cinnamic acid (TCA) and Iodine (I₂) encapsulated in a polyvinylpyrrolidone (PVP) matrix seems a promising alternative to common antimicrobials. The AV-PVP-TCA-I₂ formulation was impregnated into sterile discs, medical gauze bandages, surgical sutures and face masks. Morphology, purity and composition were confirmed by several analytical methods. Antimicrobial activity of AV-PVP-TCA-I₂ was investigated by disc diffusion methods against ten microbial strains in comparison to gentamycin and nystatin. AV-PVP-TCA-I₂ showed excellent antifungal and strong to intermediate antibacterial activities against most of the selected pathogens, especially in bandages and face masks. The title compound has potential use for prevention or treatment of surgical site and wound infections. Coating disposable face masks with AV-PVP-TCA-I₂ may be a sustainable solution for their re-use and waste management.