A SHORT REVIEW ON ALOE VERA

www.wjpps.com │ Vol 10, Issue 9, 2021. │ ISO 9001:2015 Certified Journal │

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Choudhary et al. World Journal of Pharmacy and Pharmaceutical Sciences

A SHORT REVIEW ON ALOE VERA

Raviraj Choudhary1*, Ms. Sarita Sharma

2, Dr. Gaurav Kumar Sharma

3 and

Dr. Kaushal Kishore Chandrul4

1Student of B. Pharma 4

th Year,

2Assistant Professor,

3HOD,

4Principal

Department of Pharmaceutical Science, Mewar University Gangrar, Chittorgarh,

Rajasthan 312901.

ABSTRACT

Aloe vera is a natural product that is now a day frequently used in the

field of cosmetology. Though there are various indications for its use,

controlled trials are needed to determine its real efficacy. The Aloe

vera plant has been known and used for centuries for its health, beauty,

medicinal and skin care properties. The name Aloe vera derives from

the Arabic word “Alloeh” meaning “shining bitter substance,” while

“vera” in Latin means “true.” 2000 years ago, the Greek scientists

regarded Aloe vera as the universal panacea. The Egyptians called

Aloe “the plant of immortality.” Today, the Aloe vera plant has been

used for various purposes in dermatology. Aloe vera is gel from the

leaves of aloe plants. People have used it for thousands of years for

healing and softening the skin. Aloe has also long been a folk treatment

for many maladies, including constipation and skin disorders. Modern-day research into aloe

vera's benefits is mixed, with some evidence showing it can cause cancer in lab animals.

KEYWORDS: Introduction, History, Plant, Anatomy, Morphology, Taxonomical

classification, Cultivation and collection, Conclusions.

INTRODUCTION

The Aloe vera plant has been known and used for centuries for its health, beauty, medicinal

and skin care properties. The name Aloe vera derives from the Arabic word “Alloeh”

meaning “shining bitter substance,” while “vera” in Latin means “true.” 2000 years ago, the

Greek scientists regarded Aloe vera as the universal panacea. The Egyptians called Aloe “the

WORLD JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES

SJIF Impact Factor 7.632

Volume 10, Issue 9, 1308-1323 Review Article ISSN 2278 – 4357

*Corresponding Author

Raviraj Choudhary

Student of B. Pharma 4th

Year, Department of

Pharmaceutical Science,

Mewar University Gangrar,

Chittorgarh Rajasthan

312901.

Article Received on

30 June 2021,

Revised on 20 July 2021,

Accepted on 10 August 2021

DOI: 10.20959/wjpps20219-19875

https://www.webmd.com/skin-problems-and-treatments/picture-of-the-skin

https://www.webmd.com/digestive-disorders/digestive-diseases-constipation

https://www.webmd.com/cancer/default.htm


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plant of immortality.” Today, the Aloe vera plant has been used for various purposes in

dermatology.[1]

Aloe is a cactus-like plant that grows in hot, dry climates. It is cultivated in subtropical

regions around the world, including the southern border areas of Texas, New Mexico,

Arizona, and California.

Aloe vera is gel from the leaves of aloe plants. People have used it for thousands of years for

healing and softening the skin. Aloe has also long been a folk treatment for many maladies,

including constipation and skin disorders. Modern-day research into aloe vera's benefits is mixed,

with some evidence showing it can cause cancer in lab animals.[2]

There are no foods that contain aloe vera, so it must be taken in supplement or gel form.

Some forms of aloe vera are safer to take than others, and chronic use is discouraged.

Aloe is used topically (applied to the skin) and orally. Topical use of aloe is promoted for

acne, lichen planus (a very itchy rash on the skin or in the mouth), oral submucous fibrosis,

burning mouth syndrome, burns, and radiation-induced skin toxicity. Oral use of aloe is

promoted for weight loss, diabetes, hepatitis, and inflammatory bowel disease (a group of

conditions caused by gut inflammation that includes Crohn’s disease and ulcerative colitis).[3]

https://www.webmd.com/skin-problems-and-treatments/picture-of-the-skin

https://www.webmd.com/digestive-disorders/digestive-diseases-constipation

https://www.webmd.com/cancer/default.htm


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In 2002, the U.S. Food and Drug Administration issued a ruling that required manufacturers

to remove aloe from over-the-counter laxative products because of a lack of safety data.

History

Aloe vera has been used for medicinal purposes in several cultures for millennia: Greece,

Egypt, India, Mexico, Japan and China.[1]

Egyptian queens Nefertiti and Cleopatra used it as

part of their regular beauty regimes. Alexander the Great, and Christopher Columbus used it

to treat soldiers’ wounds. The first reference to Aloe vera in English was a translation by

John Goodyew in A.D. 1655 of Dioscorides’ Medical treatise De Materia Medica. By the

early 1800s, Aloe vera was in use as a laxative in the United States, but in the mid-1930s, a

turning point occurred when it was successfully used to treat chronic and severe radiation

dermatitis.[4]

Plant

The botanical name of Aloe vera is Aloe barbadensis miller. It belongs to Asphodelaceae

(Liliaceae) family, and is a shrubby or arborescent, perennial, xerophytic, succulent, pea-

green color plant. It grows mainly in the dry regions of Africa, Asia, Europe and America. In

India, it is found in Rajasthan, Andhra Pradesh, Gujarat, Maharashtra and Tamil Nadu.[5-6]

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2763764/#CIT1


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Anatomy

The plant has triangular, fleshy leaves with serrated edges, yellow tubular flowers and fruits

that contain numerous seeds. Each leaf is composed of three layers:

1. An inner clear gel that contains 99% water and rest is made of glucomannans, amino

acids, lipids, sterols and vitamins.

2. The middle layer of latex which is the bitter yellow sap and contains anthraquinones and

glycosides.

3. The outer thick layer of 15–20 cells called as rind which has protective function and

synthesizes carbohydrates and proteins. Inside the rind are vascular bundles responsible

for transportation of substances such as water (xylem) and starch (phloem).[7-8]

Active components with its properties: Aloe vera contains 75 potentially active

constituents: vitamins, enzymes, minerals, sugars, lignin, saponins, salicylic acids and amino

acids.

1. Vitamins: It contains vitamins A (beta-carotene), C and E, which are antioxidants. It also

contains vitamin B12, folic acid, and choline. Antioxidant neutralizes free radicals.

2. Enzymes: It contains 8 enzymes: aliiase, alkaline phosphatase, amylase, bradykinase,

carboxypeptidase, catalase, cellulase, lipase, and peroxidase. Bradykinase helps to reduce

excessive inflammation when applied to the skin topically, while others help in the

breakdown of sugars and fats.

3. Minerals: It provides calcium, chromium, copper, selenium, magnesium, manganese,

potassium, sodium and zinc. They are essential for the proper functioning of various

enzyme systems in different metabolic pathways and few are antioxidants.

4. Sugars: It provides monosaccharides (glucose and fructose) and polysaccharides:

(glucomannans/polymannose). These are derived from the mucilage layer of the plant and

are known as mucopolysaccharides. The most prominent monosaccharide is mannose-6-

phosphate, and the most common polysaccharides are called glucomannans [beta-(1,4)-


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acetylated mannan]. Acemannan, a prominent glucomannan has also been found.

Recently, a glycoprotein with antiallergic properties, called alprogen and novel anti-

inflammatory compound, C-glucosyl chromone, has been isolated from Aloe vera gel.

5. Anthraquinones: It provides 12 anthraquinones, which are phenolic compounds

traditionally known as laxatives. Aloin and emodin act as analgesics, antibacterials and

antivirals.

6. Fatty acids: It provides 4 plant steroids; cholesterol, campesterol, β-sisosterol and lupeol.

All these have anti-inflammatory action and lupeol also possesses antiseptic and analgesic

properties.

7. Hormones: Auxins and gibberellins that help in wound healing and have anti-

inflammatory action.

8. Others: It provides 20 of the 22 human required amino acids and 7 of the 8 essential

amino acids. It also contains salicylic acid that possesses anti-inflammatory and

antibacterial properties. Lignin, an inert substance, when included in topical preparations,

enhances penetrative effect of the other ingredients into the skin. Saponins that are the

soapy substances form about 3% of the gel and have cleansing and antiseptic properties.

[9-10]

Taxonomical classification

Rank Scientific name and common Name

Kingdom

Subkingdom

Division

Class

Subclass

Order

Family

Genus

Species

Plantae

Tracheobionta

Spermatophyta

Magnoliophyta

Liliopsida

Liliales

Aloaceae

Aloe L

Aloe barbadensis mill.or alove vera (L)

burm. F

Morphology

It is a succulent plant.

It is an evergreen perennial plant.

It is an stem less or short stemmed plant.

It grows upto 60-100 cm of height.

Its leaves are thick and fleshy.

They may be green to grey- green in color.


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Margin of leaves are serrated and it has small white teeth.

The shape of leaves are rosette shape.

Large amount of pulp is present in the parenchyma of leaves.

The width of base is 10 cm.

The size of flowers are 90 cm.

Flowers have a yellow tubular corolla which is upro 2-3 cm.

The color of flower is ranging from white to yellow to orange to near-red.

Seeds are held in dry capsules.

It has no calyx.

Roots grow wide and not too deep in soil.

Roots forms a arbuscular mycorrhiza.

Fruits of aloe are triangular capsules.

Seeds are winged.[11-12]

Cultivation and Collection

It is an evergreen perennial growing to 0.8 m by 1 m at a slow rate. The plant prefers light

(sandy) and medium (loamy) soils, requires well-drained soil and can grow in nutritionally

poor soil. The plant prefers acid, neutral and basic (alkaline) soils. It cannot grow in the

shade. It requires dry or moist soil and can tolerate drought. They are xerophytic plant. It can

be propagated by seeds. Seeds are sown in the spring in a warm green house. The seed

usually germinates in 1–6 months at 16°C. The seedlings are transferred to the pots

containing well-drained soil. They are allowed to grow in sunny part for at least their first

two winters. The offsets will be available, usually in spring. The plants produce offsets quite


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freely and they can be divided at any time of the year as long as it is warm enough to

encourage fresh root growth to allow reestablishment of the plants. Young offsets are planted

in the soil after the rainy season in rows situated at a distance of 60 cm.[13-14]

In the second year leaves are collected by the natives by protecting their hands because of the

spiny nature of leaves. The leaves are cut near the base, kept inside of kerosene tins and taken

them to a central place for the preparation of aloe. Juice of aloe is present in parenchymatous

cells of pericycle that are mucilage cells. In a single incision mucilage cells exert pressure on

pericycle cells and the entire juice from the leaves is drained out.

Chemical constituents

The chief chemical constituent of aloe is aloe-emodin, which occurs in free form.

It is present as a glycoside in the various species of aloe.

The amount of emodin present in curacao aloe is two and half times less than the amount

present in cape-aloes.

They also composed of anthrones and anthranols, which may be present in free or

combined form as glycoside.

It also contain isobarbaloin and resins.

The active resin present in aloes is also known as aloesin.

Other chemical constituents are volatile oil to some extent which is responsible of its

characteristic odour.

Gama- coniceine (piperidine) is also present in some species of aloe.

It also contain amino acids, enzymes, vitamins and minerals.

Sugars and hormones and salicylic acid is also present in aloe.

Steroids are also present in aloe.[14-15]

Aloe vera harvesting

It’s easy to find aloe vera at the store. If you want to grow your own aloe vera plant, here’s

how to collect the gel:

Cut an outer leaf close to the stem and rinse it.

Place on a cutting board, rounded side up.

Use a knife to peel off skin around the edges.

Then use the knife to slide the gel off the remaining skin.

Puree or mash it.


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You now have aloe vera gel.

Mechanism of actions

1. Healing properties

Glucomannan, a mannose-rich polysaccharide, and gibberellin, a growth hormone, interacts

with growth factor receptors on the fibroblast, thereby stimulating its activity and

proliferation, which in turn significantly increases collagen synthesis after topical and oral

Aloe vera. Aloe gel not only increased collagen content of the wound but also changed

collagen composition (more type III) and increased the degree of collagen cross linking. Due

to this, it accelerated wound contraction and increased the breaking strength of resulting scar

tissue. An increased synthesis of hyaluronic acid and dermatan sulfate in the granulation

tissue of a healing wound following oral or topical treatment has been reported.[16-17]

2. Effects on skin exposure to UV and Gamma radiation

Aloe vera gel has been reported to have a protective effect against radiation damage to the

skin. Exact role is not known, but following the administration of aloe vera gel, an

antioxidant protein, metallothionein, is generated in the skin, which scavenges hydroxyl

radicals and prevents suppression of superoxide dismutase and glutathione peroxidase in the

skin. It reduces the production and release of skin keratinocyte-derived immunosuppressive

cytokines such as interleukin-10 (IL-10) and hence prevents UV-induced suppression of

delayed type hypersensitivity.[18-19]

3. Anti-inflammatory action

Aloe vera inhibits the cyclooxygenase pathway and reduces prostaglandin E2 production

from arachidonic acid. Recently, the novel anti-inflammatory compound called C-glucosyl

chromone was isolated from gel extracts.

4. Effects on the immune system

Alprogen inhibit calcium influx into mast cells, thereby inhibiting the antigen-antibody-

mediated release of histamine and leukotriene from mast cells.[7]

In a study on mice that had

previously been implanted with murine sarcoma cells, acemannan stimulates the synthesis

and release of interleukin-1 (IL-1) and tumor necrosis factor from macrophages in mice,

which in turn initiated an immune attack that resulted in necrosis and regression of the

cancerous cells.[15]

Several low-molecular-weight compounds are also capable of inhibiting

the release of reactive oxygen free radicals from activated human neutrophils.[20-21]




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5. Laxative effects: Anthraquinones present in latex are a potent laxative. It increases

intestinal water content, stimulates mucus secretion and increases intestinal peristalsis.

6. Antiviral and antitumor activity: These actions may be due to indirect or direct effects.

Indirect effect is due to stimulation of the immune system and direct effect is due to

anthraquinones. The anthraquinone aloin inactivates various enveloped viruses such as

herpes simplex, varicella zoster and influenza. In recent studies, a polysaccharide fraction

has shown to inhibit the binding of benzopyrene to primary rat hepatocytes, thereby

preventing the formation of potentially cancer-initiating benzopyrene-DNA adducts. An

induction of glutathione S-transferase and an inhibition of the tumor-promoting effects of

phorbol myristic acetate has also been reported which suggest a possible benefit of using

aloe gel in cancer chemoprevention.[22-23]

7. Moisturizing and Anti-aging effect: Mucopolysaccharides help in binding moisture into

the skin. Aloe stimulates fibroblast which produces the collagen and elastin fibers making

the skin more elastic and less wrinkled. It also has cohesive effects on the superficial

flaking epidermal cells by sticking them together, which softens the skin. The amino

acids also soften hardened skin cells and zinc acts as an astringent to tighten pores. Its

moisturizing effects has also been studied in treatment of dry skin associated with

occupational exposure where aloe vera gel gloves improved the skin integrity, decreases

appearance of fine wrinkle and decreases erythema. It also has anti-acne effect.

[24-25]

8. Antiseptic effect: Aloe vera contains 6 antiseptic agents: Lupeol, salicylic acid, urea

nitrogen, cinnamonic acid, phenols and sulfur. They all have inhibitory action on fungi,

bacteria and viruses.

Uses

It has purgative property.

It is used to treat painful inflammatory manifestations.

It is used as an ingredient in the preparation of compound tincture of benzoin or friar’s

balsam.

Aloe gel is used to treat and cure radiation burns to get immediate relief from itching and

pains.

It is usually applied with carminatives.

It is an ingredient of lotions, yogurt and beverages and some desserts.


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It is used to treat skin wounds.

It helps to reduce psoriasis and rosacea, warts.

It also helps to reduce ageing and wrinkles.

It also reduces eczema.

It helps to improve flexibility.

It also have body cell regeneration ability.

It generate movement of bowel in the condition of constipation.

Helps to heal insect bites, rashes, sores and fungal infection.

It is used to treat herpes and urticaria and conjunctivitis.

It is used to treat vaginal infection and allergic reactions.

Its boiled juice is used to treat hair fall.[26-27]

Side effects

Topical

It may cause redness, burning, stinging sensation and rarely generalized dermatitis in

sensitive individuals. Allergic reactions are mostly due to anthraquinones, such as aloin and

barbaloin. It is best to apply it to a small area first to test for possible allergic reaction.

Oral

Abdominal cramps, diarrhea, red urine, hepatitis, dependency or worsening of constipation.

Prolonged use has been reported to increase the risk of colorectal cancer. Laxative effect may

cause electrolyte imbalances (low potassium levels).

Contraindication

Contraindicated in cases of known allergy to plants in the Liliaceae family.

Pregnancy and Breastfeeding

Oral aloe is not recommended during pregnancy due to theoretical stimulation of uterine

contractions, and in breastfeeding mothers, it may sometime causes gastrointestinal distress

in the nursing infant.

Interactions

Application of aloe to skin may increase the absorption of steroid creams such as

hydrocortisone. It reduces the effectiveness and may increases the adverse effects of digoxin

and digitoxin, due to its potassium lowering effect. Combined use of Aloe vera and


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furosemide may increase the risk of potassium depletion. It decreases the blood sugar levels

and thus may interact with oral hypoglycemic drugs and insulin.

Thus, though Aloe vera has wide spectrum of the properties and uses, some of them could be

myths and some of them could be real magic. In future, controlled studies are required to

prove the effectiveness of Aloe vera under various conditions.[28-29]

Therapeutic uses

Wound healing

Wound healing is a dynamic process, occurring in 3 phases. The first phase is inflammation,

hyperaemia and leukocyte infiltration. The second phase consists of removal of dead tissue.

The third phase of proliferation consisting of epithelial regeneration and formation of fibrous

tissue.

Anti-Inflammatory action

The anti-inflammatory activity of Aloe vera gel has been revealed by a number of in vitro and

in vivo studies through bradykinase activity. The peptidase bradykinase was isolated from

aloe and shown to break down the bradykinin, an inflammatory substance that induces pain.

A novel anti-inflammatory compound, C-glucosyl chromone, was isolated from gel

extracts.[30]

Aloe vera inhibits the cyclo-oxygenase pathway and reduces prostaglandin E2 production

from arachidonic acid. Fresh Aloe vera gel significantly reduced acute inflammation in rats

(carrageenin-induced paw oedema), but not in chronic inflammation.


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Effects on the immune system

Alprogen inhibit calcium influx into mast cells, thereby inhibiting the antigen-antibody-

mediated release of histamine and leukotriene from mast cells. In a study on mice that had

previously been implanted with murine sarcoma cells, acemannan stimulates the synthesis

and release of interleukin-1 (IL-1) and tumor necrosis factor from macrophages in mice,

which in turn initiated an immune attack that resulted in necrosis and regression of the

cancerous cells. Several low-molecular-weight compounds are also capable of inhibiting the

release of reactive oxygen free radicals from activated human neutrophils.[31]

Antiseptic

The antiseptic property of Aloe vera is due to presence of six antiseptic agents namely lupeol,

salicylic acid, urea nitrogen, cinnamonic acid, phenols and sulphur. These compounds have

inhibitory action on fungi, bacteria and viruses. Though most of these uses are interesting

controlled trials are essential to determine its effectiveness in all diseases.

Anti diabetic

The five phytosterols of A. vera, lophenol, 24-methyllophenol, 24-ethyl-lophenol,

cycloartanol and 24-methylenecycloartanol showed anti-diabetic effects in type-2 diabetic

mice. Aloe vera contains polysaccharides which increase the insulin level and show

hypoglycemic properties.

Antitumor activity

A number of glycoproteins present in Aloe vera gel have been reported to have antitumor and

antiulcer effects and to increase proliferation of normal human dermal cells. However,

statistically significant clinical studies on the efficacy of Aloe vera gel on human health are

very limited and often inconclusive. In recent studies, a polysaccharide fraction has shown to

inhibit the binding of benzopyrene to primary rat hepatocytes, thereby preventing the

formation of potentially cancer-initiating benzopyrene-DNA adducts. An induction of

glutathione S-transferase and an inhibition of the tumor-promoting effects of phorbol myristic

acetate has also been reported which suggest a possible benefit of using aloe gel in cancer

chemoprevention.[32]

Anticancer properties

The role of Aloe in carcinogenicity has not been evaluated well. The chronic abuse of

anthranoid-containing laxatives has been hypothesized to play a role in colorectal cancer,


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however, no causal relationship between anthranoid laxative abuse and colorectal cancer has

been demonstrated and report on cancer prevention is done.

Aloe vera juice enables the body to heal itself from cancer and also from the damage caused

by radio and chemotherapy that destroys healthy immune cells crucial for the recovery. Aloe

vera emodin, an anthraquinone, has the ability to suppress or inhibit the growth of malignant

cancer cells making it to have antineoplastic properties.[33-34]

CONCLUSION

The active ingredients hidden in its succulent leaves have the power to soothe human life and

health in a myriad ways. The plant has importance in everyday life to soothe a variety of skin

ailments such as mild cuts, antidote for insect stings, bruises, poison ivy and eczema along

with skin moisturizing and anti ageing, digestive tract health, blood and lymphatic circulation

and functioning of kidney, liver and gall bladder makes it a boon to human kind. Aloe vera as

the “wonder plant” is multiple from being an antiseptic, anti-inflammatory agent, helps in

relieving like cancer and diabetes, and being a cosmetic field. The plant is in need to a greater

research emphasis for better utilization of this plant for humankind. Aloe vera is undoubtedly,

the nature’s gift to humanity for cosmetic, burn and medicinal application and it remains for

us to introduce it to ourselves and thank the nature for its never-ending gift.

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