Aloe Vera Gel for Cure of Alkali Burns
Kamlesh Singh1*,
Dibyajyoti Saha2, Alok
Thakur2,Ashish Manigauha3 and Anish
Chandy2
1Sri Rawatpura Sarkar
Institute of Technology and Science, Raipur, India
2School of Pharmacy, Chouksey Engg. College, Lalkhadan, Bilaspur, CG,-495223, India
3NRI Institute of
Pharmacy, Sajjan Singh Nagar, Raisen
road, Bhopal - 462021,
India
ABSTRACT:
Alkaline skin burns are treated for a long time using water as a diluting
and neutralizing agent. This is because it is found that acid wash leads to
acid-base neutralizing exothermic reactions which leads to secondary tissue
damage. Literatures reveal that Aloe vera exhibits a mild acidic property which will
be useful in treatment of alkaline burn. The illustrious biological activities
of Aloe vera embrace promotion of wound healing,
antifungal activity, anti-inflammatory, anticancer, immunomodulatory
properties and enhance the dermal absorption and skin permeation. The aim of
this research is to study the use of aloe vera gel in
treatment of burns, due to alkaline reagents in laboratories or
industrial accidents. Time taken for healing wound occurred due to
alkali burn has been improved.
KEYWORDS: Aloe vera,
alkali burns, absorption
enhancement, skin permeation, excipient
1. INTRODUCTION:
Alkaline burns can come from various household
cleaners, from mixing concrete, or any number of activities involving lime,
lye, or various alkalines that are the most common
agents causing chemical injury1. Accidental injury occurs in infants
and toddlers. Among chemical burns, alkali injuries occur frequently and are
likely to cause severe symptoms. During a lime burn a small green ring will
spread across the area exposed to the alkali and it will slowly dissolve the
skin. Here are some ways to help stop the burns and ease the pain.
The mechanism by which these alkali injuries are
caused is due to three factors: firstly, saponification
of fat causes fatty tissue to lose its function with increased damage due to
heat reaction. Secondly, extraction of water from cells causing desiccation and
thirdly, binding with the proteins of the tissues to form alkaline proteinates. The extent of the damage caused by an alkali
substance depends on its concentration, amount, and time of contact with the
skin. As with other chemical burns, alkalis are capable of deep penetration,
and can cause severe pain. For treatment, it is necessary to remove the
causative substance as quickly as possible by washing with large volumes of
water. Washing is presumed to cause dilution and elimination of a chemical
substance. The activation of the base is vital to prevent
extensive tissue loss force towards skin grafting. 2
Aloe Vera Aloe (Synonyms: Aloe
Vera) belonging to the family Plantae commonly known
as Ghikumari, Guarpatha,
Kuvarpatha.3,4 It has been used for the manufacture of topical
products such as ointments and gel preparations, as well as in the production
of tablets and capsules.2,5 Important pharmaceutical properties that
have recently been discovered for both the A vera gel and whole leaf extract
include the ability to improve the bioavailability of co-administered vitamins
in human subjects. It has been claimed that the polysaccharides in A. vera gel have therapeutic properties
such as immunostimulation, anti-inflammatory effects,
wound healing, promotion of radiation damage repair, anti-bacterial,
anti-viral, anti-fungal, anti-diabetic and anti-neoplastic
activities, stimulation of hematopoiesis and
anti-oxidant effects.6,7,8 The two maloyl glucans, namely veracylglucan B
and C, were each individually evaluated for biological activities.9
It was found that veracylglucan B demonstrated high
anti-inflammatory and anti-proliferation effects, while veracylglucan
C exhibited significant cell proliferative and anti-inflammatory activities.10,11,12,13Salicylic
acid. This is an aspirin-like compound possessing anti-inflammatory and antibacterial
properties.14,15,16 Topically, it has a kerolytic
effect which helps to debride a wound of necrotic
tissue. Aloe vera
appears to speed up the healing of damaged epithelial tissue in bums and leg
ulcers by Providing essential micronutrients, an anti-inflammatory effect17,
an antimicrobial effect, 18 and the stimulation of skin fibroblasts.19
2. MATERIAL AND
METHOD:
2.1 Material:
Leaves
Aloe vera Plant were collected from Hemu Nagar, Bilaspur (C.G.), Methly cellulose and Sodium Benzoate has purchased from Oxfrod Laboratory, Mumbai and Qualigens
fine Chemicals, A division of galaxosmithkline
pharmaceutical Ltd. Mumbai.
2.2 Method:
Extraction
and Preparation of fresh gel: harvest leaves and wash them with water and a
mild chlorine solution. Remove the outer layers of the leaf including the pericyclic cells, leaving a “fillet” of gel.20
Care should be taken not to tear the green rind which can contaminate the
fillet with leaf exudate. Now add 0.1% w/w Sodium Benzoate as preservative
and add Methly cellulose 5 % w/w as gelling agent.
3. EVALUATION TEST:
3.1 Moisture Content:
The gel
moisture content is expressed as a percentage of moisture based on wet weight
(wet basis) or dry matter (dry basis). Wet basis moisture content is generally
used in research.
W - D
Mw (wet basis) = ----------------------- x (100)
W
W = wet weight
D = dry weight
M = moisture content on a percent basis
3.2 Limit Test for
Heavy Metals:3
Sample: Dissolve a specified quantity of NaCl in 10ml of water, add acetic acid and adjust the pH
between 3 and 4 by addition of NH3 solution or acetic acid and dilute to 35ml
with water. Add 10ml of H2S solution and dilute to 50 ml. Mix, compare the
darkness of solution with standard, viewing vertically downwards through the
solution against a white background.
3.3 Loss on drying:
1 gm Aloe vera gel was taken in a crucible and dried in sun light
the dried content was then weighed. The weight variation was calculated2.
The study was performed in triplicate.
3.4 Toxicity test16:
Preparation was
applied after hair removal and effect on the skin was studied by observation
after 24 hrs.
3.5. In Vivo 21:
In a rat skin burn model, animals were
exposed to an alkaline injury when filter paper (2 cm in diameter) saturated
with 2 N
sodium hydroxide was placed over the Volar aspect of
the animal for a period of 1 minute. Treatment was initiated 1 minute after
injury and included either neutralization with a 85% Aloe vera
gel (n
= 8) or irrigation (n = 8) with water. The data were
graphically analyzed using plot of wound diameter Vs healing rate.
3.5.1. Experimental animals: Male Wistar Rat
3.5.2.
Wound creation: In a rat
skin burn model, animals were exposed to an alkaline injury when filter paper
(2 cm in diameter) saturated with 2 N sodium hydroxide was placed over the volar aspect of the animal for a period of 1 minute.
3.5.3. Administration of Aloe vera gel:
Treatment was initiated 1 minute after injury and included either neutralization
with a 85% Aloe vera gel (n = 8) or irrigation (n = 8) with
water.
3.5.4. Grouping of animals: a 5%
acetic acid solution (n = 8) or irrigation (n = 8) with water.
3.5.5. Rate of wound contraction and period of epithelialization
3.6. Statistical analysis:
The student’s t-test was also used to test
the significance of the result obtained. Statistical significance was
considered to be a p value less than 0.05.
4. RESULT
AND DISCUSSION:
Gel
of Aloe vera has been prepared from leaves the Percent
physical yield was 42%. The moisture content in the gel was approximately 70%8.
The gel showed physical uniformity after storage for more than one week. This
confirmed the activity of preservative Sodium Benzoate. As the gel is gel is
also limit tested for presence of Toxic metal contents, which passed the test.
Table
No. 1
Sample |
Before
drying |
After
drying |
%
Moisture Content |
1. |
1.07 |
0.33 |
69.158 |
2. |
1.10 |
0.34 |
69.09 |
3. |
1.02 |
0.30 |
70.58 |
4.1 Limit Test for
Heavy Metals:
The limit test
was passed by the preparation and it was not more than 20 ppm.
Table
2: Percentage reduction of burns (in mm)
Healing Agents |
Day |
|||||||
0 |
3 |
6 |
9 |
12 |
15 |
18 |
21 |
|
Aloe Gel |
0% |
48.8% |
59.6% |
75.8% |
94.8% |
100% |
- |
- |
Darmazine cream |
0% |
37.2% |
53.3% |
66.7% |
83.3% |
92.4% |
98.5% |
100% |
Sterilized Water |
0% |
11.1% |
18.9% |
23.3% |
34.5% |
42.7% |
58.5% |
66.7% |
4.2 Loss on drying:
The
weight of the dried material of Aloe vera gel was
12.4%, the mean of triplicate study and equivalent to international standards.
Fig 1.
Photomicrograph of aloe vera gel and plant
Fig 2. Photomicrograph of wound before
and after treatment with Standard (Darmazine cream) and
aloe vera gel
Table 2: Graphical Representation
wound healing
4.3 Toxicity test:
Aloe vera gel was applied after hair removal and effect on the
skin was observed. The skin of the male wistar rats
remains normal as before and no changes or signs of hypersensitivity or
toxicity was observed.
4.4
In Vivo study:
The
results of the healing effects of the various testing agents are presented in
Table 2. There was a general decrease in burnt area upon application of the
aloe gel and Dermazine with time. By 3rd
day 50 % of the burns have healed with aloe gel and 100% healed by day 18th
(Table 2). The group that received dermazine as
standard gave 40 % healed by 3rd day and 100% day 21th. While washing only with
water alone shows no much improvement within 21 days. The percentage wound
healing effectiveness was as follows; aloe gel, dermazine
and water wash (Table 2). It has been noted that dressing wounds with aloe gel
allows early grafting on a clean clear base. The result of this study is an
indication that aloe vera could be used as an alternative
in wound dressing. This was supported by the findings of researchers Avijgan (2004)22 and Duansak,
et al, (2003)23 who confirmed the use of aloe Vera for wound
healing.
5. CONCLUSIONS:
A. vera has a long history as a medicinal plant with diverse
therapeutic applications. Although it was claimed that some of the biological
activities of this plant can be attributed to the polysaccharides found in the
leaf gel, it is a daunting task to link individual polysaccharides to specific
therapeutic properties. Differences in plant composition due to geographic
location as well as differences in gel extraction methods and sample preparation
techniques have contributed to discrepancies in the results obtained from many
studies in terms of the chemical composition and biological activities of A. vera leaf
gel. Current management of alkaline burn injuries involves immediate irrigation
of the affected area with a continuous flow of water, which should be
maintained for at least 2 hours, or longer if needed for symptomatic relief.
Tissue damage caused by alkaline agents occurs rapidly and continues
until pH returns to a physiologic level. Studies have shown that at
pH levels above 12.0, tissue destruction occurs at the highest rate, whereas at
pH levels below 11.0, tissue destruction occurs at a more moderate and
pH-dependent rate. Historically, treatment of alkaline burns has been limited
to irrigation with water. Past investigators have concluded that continuous
water irrigation can reliably reduce the pH of tissue and thus halt injury when
initiated within 1 minute of exposure. This, however, can take considerable
time, resulting in more severe tissue damage. Moreover, attempts at
neutralization of alkaline substances with acidic agents have been thwarted by
concerns of an anticipated exothermic reaction arising from acid-base
neutralization.24,25 We assessed whether neutralization with acetic
acid would be a more effective treatment of an alkaline skin burn than
irrigation with water.
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Received on 04.04.2011
Accepted on 24.05.2011
© A&V Publication all right reserved
Research Journal of Pharmacognosy and
Phytochemistry. 3(4): July- August 2011, 158-161