Open Access Open Access  Restricted Access Subscription Access

Therapeutic Effect of Aloe vera on Croton Oil Induced Hemorrhoids


Affiliations
1 Department of Pharmacology, SRM College of Pharmacy, SRM Institute of Science and Technology, Potheri, Chengalpattu – 603203, Tamil Nadu, India
 

Hemorrhoids are vascular structures in the anal canal with swollen veins in the lowest part of the rectum/anus. Till date, there is no specific treatment available for different grades of hemorrhoids. However, it is evident that lesser invasive options are to have opted for at the earliest along with conservative measures such as analgesics and anti-inflammatory agents. The study evaluates the efficacy of gel obtained from Aloe barbadensis Miller in treating hemorrhoids in a croton oil- induced Wistar rat model. Animals were allocated into 5 groups. Group I and II served as the normal and negative control, Group III as standard, and Group IV and V received an oral route and a topical route respectively. Biochemical parameters such as TNF-α and IL-6 were estimated in each group after the therapy of 5 days. Quantitative estimation of edema was done by determining the Evans blue dye concentration in the plasma exudates in recto-anal tissue. The recto-anal coefficient was estimated as a direct measure of inflammation. Histopathological variations among the groups were analyzed. Statistical analysis of the data affirms the curative effect of aloe vera on Hemorrhoids. Results demonstrate that aloe gel is much more effective when compared to Pilex ointment which was used as standard (p<0.05). However, oral preparation was not found to be effective in mitigating the disease as that standard (p>0.05).


Keywords

Aloe barbadensis Miller, Anti-inflammatory, Evans Blue Dye, Hemorrhoids.
Font Size

User

Notifications
JOURNAL COVERS
  

  • Ray-Offor E, Amadi S. Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment. Ann Afr Med. 2019; 18(1):12–6. https://doi.org/10.4103/aam.aam_4_18. PMid:30729927. PMCid:PMC6380113
  • Rubbini M, Ascanelli S. Classification and guidelines of hem- orrhoidal disease: Present and future. World J Gastrointest. Surg. 2019; 11(3):117–21. https://doi.org/10.4240/wjgs.v11. i3.117. PMid:31057696. PMCid:PMC6478596
  • Thomson WHF. The nature of haemorrhoids. Br J Surg. 1975; 62(7):542–52. https://doi.org/10.1002/bjs.1800620710. PMid:1174785
  • Deutsch AA, Moshkovitz M, Nudelman I, Dinari G, Reiss R. Anal pressure measurements in the study of hemorrhoid etiology and their relation to treatment. Dis. Colon Rectum. 1987; 30(11):855–7. https://doi.org/10.1007/BF02555423. PMid:3677959
  • Johannsson H, Graf W, Påhlman L. Bowel habits in hemor- rhoid patients and normal subjects. Am J Gastroenterol. 2005; 100(2):401–6. https://doi.org/10.1111/j.1572- 0241.2005.40195.x. PMid:15667500
  • Han W, Wang Z, Zhao B, Yang XQ, Wang D, Wang JP, et al. Pathologic change of elastic fibers with difference of microvessel density and expression of angiogenesis-related proteins in internal hemorrhoid tissues. Zhonghua wei Chang wai ke za zhi = Chinese Journal of Gastrointestinal Surgery. 2005; 8(1):56–9.
  • Yoon S-O, Park S-J, Yun C-H,Chung A-S. Roles of matrix metalloproteinases in tumor metastasis and angiogenesis. BMB Rep. 2003; 36(1):128–37. https://doi.org/10.5483/ BMBRep.2003.36.1.128. PMid:12542983
  • Sánchez M, González-Burgos E, Iglesias I, Pilar G-S. Pharmacological update properties of Aloe vera and its major active constituents. Molecules . 2020; 25(6):1324. https:// doi.org/10.3390/molecules25061324. PMid:32183224. PMCid:PMC7144722
  • Habeeb F, Cameron P, Ferro VA, Shakir E, Bradbury F, Cameron P, et al. Screening methods used to determine the anti-microbial properties of Aloe vera inner gel. 2007; 42(4):315–20. https://doi.org/10.1016/j.ymeth.2007.03.004. PMid:17560318
  • Eshghi F, Hosseinimehr SJ, Rahmani N, Khademloo M, Norozi MS, Hojati O. Effects of aloe vera cream on post- hemorrhoidectomy pain and wound healing: Results of a randomized, blind, placebo-control study. J Altern Complement Med. 2010; 16(6):647–50. https://doi. org/10.1089/acm.2009.0428. PMid:20569031
  • Chinchilla N, Carrera C, Durán AG, Macias M, Torres A, Macias FA. Aloe barbadensis: How a miraculous plant becomes reality. Phytochem Rev. 2013; 12:581–602. https:// doi.org/10.1007/s11101-013-9323-3
  • Fehrmann-Cartes K, Coronado M, Hernandez AJ, Allende ML, Feijoo CG. Anti-inflammatory effects of aloe vera on soy meal-induced intestinal inflammation in zebrafish. Fish & Shellfish. 2019; 95:564–73. https://doi.org/10.1016/j. fsi.2019.10.075. PMid:31706009
  • Azeemuddin M, Viswanatha GL, Rafiq M, Thippeswamy AH, Baig MR, Kavya KJ, et al. An improved experimental model of hemorrhoids in rats: Evaluation of antihemor- rhoidal activity of an herbal formulation. ISRN Pharmacol. 2014; 2014:1–7. https://doi.org/10.1155/2014/530931. PMid:25006493. PMCid:PMC3967498
  • Wang H-L, Lai T-W. Optimization of Evans blue quantita- tion in limited rat tissue samples. Sci Rep. 2014; 2014(4). https://doi.org/10.1038/srep06588. PMid:25300427. PMCid:PMC4192616
  • Babu S, Noor A. Aloe barbadensis Miller peptide/polypep- tide fraction alleviates inflammation through inhibition of proinflammatory cytokines and mediators in vitro and in rats with Freund’s adjuvant-induced hind paw edema. Asian Pac J Trop Biomed. 2019; 9(12):524–30. https://doi. org/10.4103/2221-1691.271726
  • Deepika B, Varma A. The evaluation of analgesic and anti- inflammatory action of Aloe barbadensis millar extract in albino rat. Int J Pharm Life Sci. 2019; 10(6):19–19.1.
  • Jo N, Mou J-C, Leem K, Kim T. Anti-inflammatory effects of co-treatment of Jingyoganghwaltang and Cheongsimhwan on croton oil induced hemorrhoid model in rats. The Korea Journal of Herbology. 2018; 33(6):79–86.
  • Gautam D, Banerjee MB, Chowdhury SSR, Pramanik J. Clinical safety and efficacy of pilex tablets and ointment in the management of hemorrhoids. BVS. 2012.
  • Nishiki K, Nishinak K, Kudoh D, Iwai K.[Croton oil-induced hemorrhoid model in rat: comparison of anti- inflammatory activity of diflucortolone valerate with other glucocorticoids]. Nihon Yakurigaku zasshi Folia Pharmacologica Japonica. 1988; 92(4):215–25. https://doi. org/10.1254/fpj.92.215. PMid:3243508
  • Qurrota Ayun N, Elya B. Anti-inflammation of Soursop Leaves (Annona muricata L.) against hemorrhoids in mice induced by croton oil. Pharmacogn J. 2020; 12(4):784–92. https://doi.org/10.5530/pj.2020.12.112
  • Moitra J, Sammani S, Garcia JGN. Re-evaluation of Evans Blue dye as a marker of albumin clearance in murine mod- els of acute lung injury. Transl Res. 2007; 150(4):253–65. https://doi.org/10.1016/j.trsl.2007.03.013. PMid:17900513
  • Babu SN, Govindarajan S, Noor A. Aloe vera and its two bioactive constituents in alleviation of diabetes - proteomic and mechanistic insights. J Ethnopharmacol. 2021; 280. https://doi.org/10.1016/j.jep.2021.114445. PMid:34303804
  • Danish P, Ali Q, Hafeez M, Malik A. Antifungal and anti- bacterial activity of aloe vera plant extract. Biological and Clinical Sciences Research Journal. 2020; 2020(1). https://doi.org/10.54112/bcsrj.v2020i1.4
  • Gürbüz M, Akkuş E, Utkan G. Topical aloe vera for the treatment of cetuximab-related acneiform rash in colorec- tal cancer: A case report. J Oncol Pharm Pract. 2021; 27(2):480–4. https://doi.org/10.1177/1078155220937751. PMid:32623964
  • Donkor A-M, Donkor MN, Kuubabongnaa N. Evaluation of anti-infective potencies of formulated aloin A ointment and aloin A isolated from Aloe barbadensis Miller. BMC Chem. 2020; 14(1):1–8. https://doi.org/10.1186/s13065-020-0659- 7. PMid:32047877. PMCid:PMC7006150
  • Shah AH, Qureshi S, Tariq M, Ageel AM. Toxicity studies on six plants used in the traditional Arab system of medicine. Phytother Res. 1989; 3(1):25–9. https://doi.org/10.1002/ ptr.2650030107

Abstract Views: 163

PDF Views: 91




  • Therapeutic Effect of Aloe vera on Croton Oil Induced Hemorrhoids

Abstract Views: 163  |  PDF Views: 91

Authors

Swathi Suresh
Department of Pharmacology, SRM College of Pharmacy, SRM Institute of Science and Technology, Potheri, Chengalpattu – 603203, Tamil Nadu, India
Ankul Singh
Department of Pharmacology, SRM College of Pharmacy, SRM Institute of Science and Technology, Potheri, Chengalpattu – 603203, Tamil Nadu, India
Chitra Vellapandian
Department of Pharmacology, SRM College of Pharmacy, SRM Institute of Science and Technology, Potheri, Chengalpattu – 603203, Tamil Nadu, India

Abstract


Hemorrhoids are vascular structures in the anal canal with swollen veins in the lowest part of the rectum/anus. Till date, there is no specific treatment available for different grades of hemorrhoids. However, it is evident that lesser invasive options are to have opted for at the earliest along with conservative measures such as analgesics and anti-inflammatory agents. The study evaluates the efficacy of gel obtained from Aloe barbadensis Miller in treating hemorrhoids in a croton oil- induced Wistar rat model. Animals were allocated into 5 groups. Group I and II served as the normal and negative control, Group III as standard, and Group IV and V received an oral route and a topical route respectively. Biochemical parameters such as TNF-α and IL-6 were estimated in each group after the therapy of 5 days. Quantitative estimation of edema was done by determining the Evans blue dye concentration in the plasma exudates in recto-anal tissue. The recto-anal coefficient was estimated as a direct measure of inflammation. Histopathological variations among the groups were analyzed. Statistical analysis of the data affirms the curative effect of aloe vera on Hemorrhoids. Results demonstrate that aloe gel is much more effective when compared to Pilex ointment which was used as standard (p<0.05). However, oral preparation was not found to be effective in mitigating the disease as that standard (p>0.05).


Keywords


Aloe barbadensis Miller, Anti-inflammatory, Evans Blue Dye, Hemorrhoids.

References





DOI: https://doi.org/10.18311/jnr%2F2022%2F29777