The Physiological Efficacy of Aloe Gel

Aloe Gel의 생리 효과에 대한 고찰 - Gel의 다당류와 미량 성분을 중심으로 -

  • 서화중 (조선대학교 식품영양학과)
  • Published : 1995.12.01

Abstract

Although aloe lost a lot of its previous popularity in modern clinical uses as medicine numerous scientific researches still have claimed the beneficial properties(curing and general tonic effect) of aloe gel. Whereas considerable contradictory reports have helped to confuse the aloe gel issue and continually aroused controversy about aloe gel efficacy. However health food, cosmetic and medicinal products made from aloe gel are widely available in the world market especially in U.S.A. so the growing of Aloe plant and the processing of A. vera gel have become big industries in some countries. In some previous papers the salicylic acid, one of the common trace gel components, was thought to have an analgetic and antinflammatory effect. Large amount of Mg ion in the gel was suggested to act as anesthetic, Mg-lactate as antihistamic, and Aloctin A(a glycoprotein) as wound healer by promoting the cell growth. The carboxypeptidase and bradykinase activity in the gel were proposed to have the pain relieving and antiinflammatory effect. But any of thes etheories concerining the physiological action of the trace gel components has not been demonstrated by modern pharmacology, and failed to be supported by clinical research. It was suggested by some research workers that trace amount of anthraquinone compounds in the gel play an important role to act as false substrate inhibitors for PG and TX production(antiprostanoid effect), by which, they believed, inflammation, burn and frostbite, and infected wound could be healed. This hypothesis has not been substantiated. Butthe suggested antimicrobial action, antidiabetic, and antidotic effect of aloe gel are likely to be attributed to the trace anthraquinone compounds. In a lot of recent experimental reports it has been claimed that aloe gel polysaccharides(acetylglucomannan, acetylmannan, and glycoprotein) have the antimicrobial, antinflammatory, antitumour, and infected wound healing effect by immunoenhancement. It is hoped that these effects will be soon documented in clinical studies, then the controversy on aloe gel beneficial effect will cease. In the 30 days subchronic toxicity test the lowest observed adverse effect level of acemannan(acetylmannan) on dog was 5.0 mg/kg, IP. But the aloe gel is generally agreed to be harmless and non toxic even for the internal use such as health food. In the case of idiosynrasy one must keep the delayed type hypersensitivity reaction of aloe gel in mind. In conclusion it seem to be impossible to simply refuse a lot of evidences made by research workers who have claimed aloe gel's beneficial effects and to deny the fact that there had been long therapeutic histories of Aloe plants.

Aloe식물에서 만든 전통적 aloe는 현대 임상 의약분 야에서 이전의 인기를 거의 잃고 있지만 aloe gel은 그 간 그의 효능 즉 여려가지 치료작용과 대사에 대한 유익한 tonic 효과를 밝히려는 수많은 연구자들에 의해서 꾸준히 gel의 치료 효능이 주장되어 온 반면에 상당수의 연구자들에 의한 상반된 연구 결과로 인해 aloe gel 효능에 대한 논쟁은 계속되고 있다. 그럼에도 불구하고 aloe gel을 원료로한 외용 또는 내용의 치료제와 화장품 그리고 특히 건강 식품들(general tonics)이 대중적 인기를 끌고 있다. 따라서 현재는 aloe gel 산업이 비교적 경제성을 크게 유지하는데 여기에는 일부 promotional works나 대중 매체의 영향도 일조 했으리라 본다(21). Gel의 유익한 생리작용을 내는 원인 물질에 관한 그간 많은 연구 보고에서 gel의 미량 성분들 중 salicylic acid의 진통 소염착용, Mg ion의 마취작용, Mg-lactate의 항 histamine작용, Aloctin A의 세포 성장 촉진에 의한 상처 치료작용, carboxypeptidase와 bradykinase에 의한 통증 감소와 소염작용이 여러 연구자들에 의해 제안되었으나 이들 생리작용이 현대 임상 약리학에서 거의 입증이 안되었고 지지를 지 못했다. Gel내 미량 anthraquinone 배당체(aloin)가 false substrate inhibitor작용에 기인한 항 prostanoid (항PG와 항TX) 효과에 의한 소염, 화상, 동상 상처 치료 작용을 낸다는 가설이 한 때 상당 기간 많은 연구자들에 의해 주장되었으나 이 제안도 증명되지 못했고 이제는 다른 연구자들의 다른 주장들에 의해 가려지고 있다. 또 gel의 항미생물, 항당뇨, 간해독 작용 등이 gel내 미량 anthraquinone 화합물의 작용에 기인할 것으로 제안되었다. 1980년 중반 부터 최근(1993년)에 이르기 까지 많은 연구자들에 의해 새로이 주장 되고 있는 gel의 생리작용은 주성분 다당류인 acetylglu-comannan과 acetylmannan 및 glycoprotein에 의한 면역 증진 내지 면역 조절작용에 의한 감염 상처 치료, 소염, 항미생물, 항암 작용이 계속 제안되고 있다. 저자는 acetylpolysacchride의 acetyl기가 in vivo에서 cyclooxy-genase를 억제하여 항 prostanoide 효과를 낼 것으로 가정해 본다. 이제는 acetylpolysacchride에 대한 여러 주장들이 임상적으로 증명되어 gel의 효력에 대한 논쟁에서 결론이 날 것으로 기대해 본다. Aloe gel의 다당류 acemannan의 실험 동물(개)에 대한 독성 실험 결과 복강내 주입에 의한 최저 부작용 유발량은 5.0mg/kg이었으나 aloe gel은 일반적으로 무독한 것으로 알려져 있다. 그러나 aloe gel의 임상 적용에서 가끔 과민 반응에 의한 부작용 사례 보고를 다수 볼 수 있고 실험적 연구에서도 입증되어 있으므로 aloe gel을 건강 식품으로 섭취하는 경우는 국소 적용시 유의해야 할 점이라 생각된다. 결국 aloe gel의 오랜 연구역사를 볼 때 어떤 생리작용의 기전에 의존한던 간에 aloe gel이 유익한 여러 효과를 낸다는 사실을 간단히 부정하기는 어려울 것 같다.울 것 같다.

Keywords

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  131. J. Trauma v.23 Frostbite injuries. A rational approach based on the pathophysiology McCauley,R.L.;Hing,D.N.;Robson,M.C.
  132. Postgraduate Medicine v.88 Frostbite. Methods to minimize tissue loss McCauley,R.L.;Heggers,J.P.;Robson,M.C.
  133. Journal of Dermatologic Surgery & Oncology v.13 Dermabrasion-Loo-punch-excision technique for the treatment of acne induced osteoma cutis Fulton,J.E.Jr.
  134. Journal of Dermatologic Srugery & Oncology v.16 The stimulation of postdermabrasion wound healing with stabilized Alloe vera gel-polye-thylene oxide dressing Fulton,J.E.Jr.
  135. Angiology-The Journal of Vascular Diseases v.36 Prevention of atheromatous heart disease Agarwal,O.P.
  136. Annals of Emergency Medicine v.16 Experimental and clinical observations on frostbite. Heggers,J.P.;Robson,M.C.;Manavalen,K.;Weinganen,M.D.;Carethers,J.M.;Boertman,J.A.;Smith,D.J.Jr.;Sarchs,R.J.
  137. Journal of Ethnophar-macology v.23 Two functionally and chemically distinct immunomodulatory compounds in the gel of Aloe vera 't Hart,L.A.;van Enckevort,P.H.;van Dijk,H.;Zaat,R.;de Silva,K.T.;Labadie,R.P.
  138. Planta Medica v.55 An anti-coplementary polysaccharide with immunological adjuvant activity from the leaf parenchyma gel of Aloe vera t' Hart,L.A.;van den Berg,A.J.;Kuis,L.;van Dijk,H.;Labadie,R.P.
  139. Journal of the American Podiatric Medical Association v.79 no.8 Processed Aloe vera administered topically inhibits inflammation Davis,R.H.;Rosenthal,K.Y.;Cesario,L.R.;Rouw,G.A.
  140. Yakugaku Zasshi-Journal of the Pharmaceutical Society of Japan v.110 Studies on chemical protector against radiation. XXXI. Protection effects of Aloe arborescens on skin injury induced by X-irradiation Sato,Y.;Ohta,S.;Shinoda,M.
  141. 식품 공전 보건사회부
  142. American Journal of Botany v.34 The healing action of extracts of Aloe vera leaf on abrasions of human skin Barnes,T.C.
  143. Meditsinskaya Promyshiennost, USSR v.11 An Aloe emulsion-a new medicinal preparation Aleshkina,J.A.;Rostotskii,B.K.
  144. Arerugi-Japanese Journal of Allergology v.36 Effect of amino acids in Aloe extrat on phagocytosis by peripheral neutrophil in adult bronchial asthma Yagi,A.;Shida,T.;Nishimura,H.
  145. Chemical & Pharmaceutical Bulletin v.37 Effect of water extracts of aloe and some herbs in decreasing blood ethanol concentration in rats. II Sakai,K.;Saitoh,Y.;Ikawa,C.;Nishihata,T.
  146. Chung-Kuo Chung Yao Tsa Chih-China Journal of Chinese Materia Medica v.14 Protective effect of extracts from Aloe vera L. var. chinensis(Haw.)Berg. on experimental hepatic lesions and primary clinical study on the injection of in patients with hepatitis Fan,Y.J.;Li,M.;Yang,W.L.;Qin,L.;Zou,J.
  147. Hormone Research v.24 The antidiabetic activity of aloes. Preliminary clinical and experimental observations Ghannam,N.;Kingston,M.;Al-Meshaal,I.A.;Tariq,M.;Parman,N.S.;Woodhouse,N.
  148. Journal of Athnopharmacology v.28 Effect of aloes on blood glucose levels in normal and alloxane diabetic mice Ajabnoor,M.A.
  149. Antimicrobial Agents & Chemotherapy v.35 Inactivation of enveloped viruses by anthraquinones extracted from plants Sydiskis,R.J.;Owen,D.G.;Lohr,J.L.;Rosler,K.H.;Blomster,R.N.
  150. Antiviral Research v.16 In vitro virucidal activity of selected anthra-quinones and anthraquinone derivatives Anderson,D.O.;Wever,N.D.;Wood,S.G.;Hughes,B.G.;Murray,B.K.;North,J.A.
  151. Mutation Research v.240 Genotoxicity of naturally occurring hydroxyanthraquinones Westendorf,J.;Marzuardt,H.;Poginsky,B.;Dominiak,M.;Schmidt,I.
  152. Cancer Resarch v.50 Hydroxy-anthraquinones as tumour promoters. Enhancement of malignant transformation of C3h mouse fibroblasts and growth stimulation of primary rat hepatocytes Wolfle,D.;Schmutte,C.;Westendorf,I.;Marquardf,H.
  153. 약용 식물학 임기홍
  154. Veterinary & Human Toxicology v.34 Subchronic oral administration of acemannan in the rat and dog Fogleman,R.W.;Shellenberger,T.E.;Balmer,M.F.;Carpenter,R.H.;McAnalley,B.H.
  155. Veterinary & Human Toxicology v.34 Toxicologic evaluation of injectable acemannan in the mouse, rat and dog Fogleman,R.W.;Chapdelaine,J.M.;Carpenter,R.H.;McAnalley,B.H.
  156. J. Am. Podiatr. Med. Assoc. v.77 Topical antiinflammatory activity of Aloe vera as measured by ear swelling Davis,R.H.;Leitner,M.G.;Russo,J.M.
  157. Hawaii Medical Journal v.46 Lymphocutaneous sporotrichosis Satta,S.
  158. Journal of Burn Care & Rehabilitation v.9 Aloe vera gel hindered wound healing of experimental second-degree burns, a quantitative controlled study Kaufman,T.;Kalderon,N.;Ullmann,Y.;Berger,J.
  159. Journal of Dermatologic Surgery & Oncology v.15 The role of topical agents in the healing of full-thickness wounds Watcher,M.A.;Wheeland,R.G.
  160. Archivos De Inverstigacion Medica v.22 Experimental study of the hypogly-cemic effect of some antidiabetic plants Roman-Ramos,R.;Flores-Saenz,J.L.;Partida-Hernandez,G.;Lara-Lemus,A.;Alarcon-Aguilar,F.