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. 2018 Sep 19;19(9):2843. doi: 10.3390/ijms19092843

Table 6.

Bioactive effects of Aloe plant species: pre-clinical (in vitro and in vivo) studies.

Biological Activities Observed Effects Active Molecules References
Wound healing and cell proliferation Skin damage treatment, cell type proliferation stimulation, cell phagocytic activity stimulation, wound contraction rate, collagen and elastin synthesis increase, fibroblast proliferation, hyaluronic acid, and hydroxyproline production Mannose-6-phosphate, polysaccharides, glycoproteins, saponins, acemannan [5,33,135,174,175,176,178,179,180,184,185,186]
Intestinal absorption and purgative action Drug permeability increase (opening tight junctions), intestinal water absorption reduction, mucus secretion stimulation, reduce visceral fat accumulation, reduce large-sized intestinal polyps, intestinal motility improvement Anthraquinones (aloin, aloe-emodin, emodin), pytosterols [5,133,188,189,190,191,192,194]
Anti-inflammatory and immunomodulatory Phagocytic and prolifertive activity raise (through cyclooxygenase (COX) pathways inhibition and prostaglandins production reduction), abolish albumin gene transcription, inflammatory processes inhibition (leukocyte adhesion and pro-inflammatory cytokines production reduction), cerebral ischemia and reperfusion injury attenuation (inhibition of systemic inflammatory response, leukocyte aggregation, and lipid peroxidation) Aloe-emodin, polysaccharides, aloesin, anthraquinones, chromones [2,148,199,200,201,202,203,204,205,206,207,208]
Hepatoprotective Morphofunctional and molecular changes reduction, protection against hepatocyte death and lipid peroxidation, liver fatty acid synthesis downregulation and oxidation upregulation, cytokine level reduction, mRNA lipogenic gene expression suppression Aloe-emodin, anthraquinones, phytosterols (lophenol, cycloartanol) [74,133,209]
Antioxidant Free radical scavenging activity, free radicals’ generation and reactive oxygen species (ROS) production suppression, lipid peroxidation reduction, superoxide dismutase (SOD) activity raise Aloesin, aloeresin A, and aloesone [44,49,198,212,213,214,215,216,217,218]
Antibacterial, antifungal and antiviral Phagocytic leukocyte activity stimulation, cytotoxic effects, alkalization promotion and constipation alleviation, virus replication inhibition Emodin, aloin A, aloe-emodin, saponins, chrysophanol, acemannan, pyrocatechol, polysaccharides [6,56,58,67,71,76,79,136,146,148,170,181,192,198,219,220,221,222,223,224,225,226,227,228,229,230,231,232,233]
Anticancer Chemopreventive activity, VEGF secretion inhibition, tumor angiogenesis and angiogenic response inhibition, proliferation inhibition and endothelial cell migration, N-acetyl transferase activity and gene expression inhibition, STAT3 activation blocking, benzopyrene binding, iNOS, NFkB, and P53 activity inhibition, TNF-α, IL-1, and interferon production stimulation Aloin, aloe-emodin, rhein, acemannan, barbaloin, physcion, chrysophanol, aloesin, diethyl hexylphthalate and an N-terminal octapeptide [148,184,225,234,235,236,237,238,239,240,241,242,243,244,245,246,247,248,249,250,251,252,253,254,255]
Antidiabetic Glucose transporter mRNA expression modulation, reduce fasting blood glucose levels, glucose transport improvement through proximal and distal marker modulation Polysaccharides, phytosterols (lophenol, 24-methyl-lophenol, 24-ethyl-lophenol, cycloartanol and 24-methylene cycloartenol), aloe-emodin-8-O-glycoside [37,73,74,148,183,255,256,257,258,259,260]
Antihyperlipidemic Reduce visceral fat mass, total cholesterol, triglycerides, LDL and VLDL levels, glucose intolerance and lipid metabolizing enzymes improvement and abnormal estrous cyclicity reversion Phytosterols [261,262,263,264,265]
Estrogen status Suppress breast cancer cells proliferation, estrogen receptor-α inhibition Emodin, aloe-emodin [52,263]
Antiulcer Promote digestion, cytoprotection, dose-dependent gastric acid secretion inhibition Plant extract [5,266,267,268,269]
Skin use Increase type I and type III collagen synthesis gene expression and hyaluronic acid levels, tyrosinase inhibitory activity, Sterols, aloin, aloesin [270,271,272,273,274,275]
Antiallergic Reduce histamine release, stimulate leukotriene synthesis and secretion, protein kinase C and phospholipase C activities inhibition, Ca2+ influx blocking during mast cell activation Glycoprotein [276]

VEGF: vascular endothelial growth factor; iNOS: inducible nitric oxide synthase; NFκB: nuclear factor κB; TNF-α: tumor necrosis factor α; IL-1: interleukin 1; LDL: low density lipoprotein; VLDL: very low density lipoprotein.