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.

 

6. REFERENCE:

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3.       Indian pharmacopoeia VOL. I xi 33, 1996

4.       WHO monographs on selected medicinal plants volume 1, World Health Organization, Geneva 1999; 43-4.

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7.       Eshun, K.; He, Q. Aloe vera: A valuable ingredient for the food, pharmaceutical and cosmetic industries – A review. Crit. Rev. Food Sci. Nutr. 2004, 44, 91-96.

8.       Reynolds T, Dweck AC. Aloe vera leaf gel: a review update. J Ethnopharmacol 1999;68:3– 37.

9.       Choi, S.; Chung, M-H. A review on the relationship between Aloe vera components and their biologic effects. Semin. Integr. Med. 2003, 1, 53-62

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12.     Femenia, A.; Garcia-Pascual, P; Simal, S; Rosello, C. Effects of heat treatment and dehydration on bioactive polysaccharide acemannan and cell wall polymers from Aloe barbadensis Miller. Carbohydr. Polym. 2003, 51, 397-405.

13.     Moreira, L.R.S.; Filho, E.X.F. An overview of mannan structure and mannan-degrading enzyme systems. Appl. Microbiol. Biotechnol. 2008, 79, 165-178.

14.     Bradshaw TW. Aloe vera: It’s influence on the physiology of wound healing and inflammation. J Br  Podiatr Med 1996;51(2):25–9.

15.     Moore, Z., Cowman, S. A systematic review of wound cleansing for pressure ulcers. J. Clin. Nurs. 2008; 17(15): 1963-1972.

16.     Chandy A, Mandal S, Yadav RS, Current concept of cosmetic creams intended for scalp and hair Inter J Curr Trends Sci Tech, 2011, 2: 220–231.

17.     Vazquez, B.; Avila, G.; Segura, D.; Escalante, B. Antiinflammatory activity of extracts from Aloe vera gel. J. Ethnopharmacol. 1996, 55, 69-75.

18.     Habeeb, F.; Shakir, E.; Bradbury, F.; Cameron, P.; Taravati, M.R.; Drummond, A.J.; Gray, A.I.; Ferro, V.A. Screening methods used to determine the anti-microbial properties of Aloe vera inner gel. Methods. 2007, 42, 315-320.

19.     Danhoff IE, McAnally BH (1983) Stabilised Aloe Vera, its effect on human skin cells. Drugs in the Cosmetics Industry. 133, 52-196

20.     He, Q.; Changhong, L.; Kojo, E.; Tian, Z. Quality and safety assurance in the processing of Aloe vera gel juice. Food Control. 2005, 16, 95-104.

21.     Andrews K; Mowlavi A.; Milner S. the Treatment of Alkaline Burns of the Skin by Neutralization Plastic and Reconstructive Surgery, 2003, 111, 1918-1921

22.     Ni, Y, Turner, D, Yates, KM. Tizard, I. Isolation and characterisation of structural components of Aloe vera L. leaf pulp. Int. Immunopharmacol. 2004, 4, 1745-1755.

23.     Avijgan, M. Phytotherapy: An alternative treatment for non-healing ulcers. J. Wound Care 2004; 13(4): 157-158.

24.     Duansak, D, Somboonwong, J, Patumraj, S. Effects of Aloe vera on leukocyte adhesion and TNF-alpha and IL-6 levels in burn wounded rats. Clin. Hemorheol. Microcirc. 2003; 29(3-4): 239-246.

25.     Spier HW, Beiersdorff HU, On the Quantitative Importance of Scleroproteins And Aqueous Constituents For Alkali Neutralization And Resistance Tests. Arch Klin Exp Dermatol 1964 219, 613-9

26.     Gloxhuber C,  On neutralization therapy in alkali and acid poisoning Arch Toxikol  1967, 23, 1, 3-10

 

 

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