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      A comparative study of the effects of topical application of Aloe vera, thyroid hormone and silver sulfadiazine on skin wounds in Wistar rats

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          Abstract

          Many research studies report the healing effects of Aloe Vera, thyroid hormone cream and silver sulfadiazine. However, the effects of these therapeutic agents are not well understood and have not been compared in one study. This study aimed at investigating the effects of topical application of an Aloe vera gel, a thyroid hormone cream and a silver sulfadiazine cream on the healing of skin wounds surgically induced in Wistar rats for determining the treatment of choice. In a randomized controlled trial, twelve male rats, aged 120 days and with a mean weight of 250 to 300 g, were divided randomly into 5 groups based on drug treatments: Aloe vera gel (AV), thyroid hormone cream (TC), silver sulfadiazine 1% (S), vehicle (V) and control. To evaluate the efficacy of each treatment technique, a biomechanical approach was used to assess tensile stress after 14 days of treatment. Tensile stress was significantly improved in the Aloe vera gel group as compared with the other four groups ( P≤0.05). While the other treatment options resulted in better healing than the control group, this difference was not significant. We conclude that Aloe vera topical application accelerated the healing process more than thyroid hormone, silver sulfadiazine and vehicle in surgically induced incisions in rats.

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          Most cited references35

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          Anti-inflammatory and wound healing activity of a growth substance in Aloe vera.

          Aloe vera improves wound healing and inhibits inflammation. Since mannose-6-phosphate is the major sugar in the Aloe gel, the authors examined the possibility of its being an active growth substance. Mice receiving 300 mg/kg of mannose-6-phosphate had improved wound healing over saline controls. This dose also had anti-inflammatory activity. The function of mannose-6-phosphate in A. vera is discussed.
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            The cytotoxic effects of commonly used topical antimicrobial agents on human fibroblasts and keratinocytes.

            This study evaluated the cytotoxicity of commonly used topical agents to human dermal fibroblasts and epidermal keratinocytes, which play a prominent role in wound healing. The effects of these topical agents were assessed using two separate assays for the fibroblasts--tritiated thymidine incorporation and the uptake of a vital dye (neutral red). Keratinocytes were evaluated with the neutral red assay. Serial dilutions of each of 10 commonly used topical agents produced decreases in both the uptake of neutral red and the incorporation of thymidine at clinically relevant doses. Only Neosporin G.U. irrigant showed no significant difference compared with controls in the assays for both the fibroblasts and the keratinocytes. Careful attention must be paid to which agent is used in the clinical setting, since many of these can have profound effects on cells that influence wound healing.
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              Retardation of wound healing by silver sulfadiazine is reversed by Aloe vera and nystatin.

              Inhibition of wound contraction by topical anti microbial agents has been described. The purpose of this study was to further investigate that phenomenon and to explore the effect that other agents such as Aloe vera might have on this process. Full-thickness excised wounds were created on the dorsum of Sprague-Dawley rats under anaesthesia. The wounds were treated with topical agents three times daily for fourteen days, then observed until healed. Groups were: saline control, placebo (aqueous cream) control, silver sulphadiazine (SSD) cream 1%, SSD 0.5%, SSD 1% with Aloe vera, SSD 1% with nystatin, nystatin. Wound surface areas were measured each three days. Time to 50% and 90% healing was compared using ANOVA. Wound half-life and healing times were shortest in the SSD/Aloe vera and nystatin groups (P<0.05) and longest in the 1% SSD and saline control groups. The placebo group (aqueous cream) healed in a significantly shorter time (P<0.05) than the control (saline) group. Wound contraction was delayed by saline and SSD. Nystatin and Aloe vera, when added to SSD, reversed that effect. These data suggest that a dry wound (saline) heals slowly. Infection control without delay of wound healing is most appealing and clinical trials are planned.
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                Author and article information

                Journal
                Lab Anim Res
                Lab Anim Res
                LAR
                Laboratory Animal Research
                Korean Association for Laboratory Animal Science
                1738-6055
                2233-7660
                March 2012
                21 March 2012
                : 28
                : 1
                : 17-21
                Affiliations
                [1 ]Anatomical and Biological Sciences Department, Medical School of Shahid Beheshti Medical University, Tehran, Iran.
                [2 ]English Language Department, Medical School of Shahid Beheshti Medical University, Tehran, Iran.
                [3 ]Department of Pathology, Army Medical University, Tehran, Iran.
                [4 ]Anatomical and Biological Sciences Department, Medical School of Rasht Medical University, Rasht, Iran.
                Author notes
                Corresponding author: Mahsa Tarameshloo, Anatomical and Biological Sciences Department, Medical School of Shahid Beheshti Medical University, Tabnak street, Evin Ave, Tehran 50122, Iran. Tel: +98-22363256; Fax: +98-2122439949; m.taramoshlou@ 123456sbmu.ac.ir
                Article
                10.5625/lar.2012.28.1.17
                3315193
                22474470
                bd818d9a-5990-44dd-b6fb-52e5f1106a90
                Copyright © 2012 Korean Association for Laboratory Animal Science

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 December 2011
                : 01 February 2012
                : 21 February 2012
                Categories
                Original Article

                Life sciences
                wound healing,thyroid hormone,topical application,incision,silver sulfadiazine,aloe vera
                Life sciences
                wound healing, thyroid hormone, topical application, incision, silver sulfadiazine, aloe vera

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