Abstract

Aloe vera (AV), a succulent plant belonging to the Liliaceae family, has been widely used for biomedical and pharmaceutical application. Its popularity stems from several of its bioactive components that have anti-oxidant, anti-microbial, anti-inflammatory and even immunomodulatory effects. Given such unique multi-modal biological impact, AV has been considered as a biomaterial for regenerative medicine and tissue engineering applications, where tissue repair and neo-angiogenesis are vital. This review outlines the growing scientific evidence that demonstrates the advantage of AV as tissue engineering scaffolds. We particularly highlight the recent advances in the application of AV-based scaffolds. From a tissue engineering perspective, it is pivotal that the implanted scaffolds strike an appropriate foreign body response to be well-accepted in the body without complications. Herein, we highlight the key cellular processes that regulate the foreign body response to implanted scaffolds and underline the immunomodulatory effects incurred by AV on the innate and adaptive system. Given that AV has several beneficial components, we discuss the importance of delving deeper into uncovering its action mechanism and thereby improving material design strategies for better tissue engineering constructs for biomedical applications.

Highlights

  • The Aloe vera (AV) plant has been used for centuries for its health, beauty, medicinal and healing properties

  • The AV/synthetic PLGA, PCL polymers have shown that low concentrations of AV increases the tensile strength [66], whereas AV/natural biomaterials comprising chitosan and gelatin showed excellent porosity in hydrogel format but adding AV decreased the mechanical strength of the films

  • Incorporating AV and its components is an attractive strategy for overcoming the immunobiological hurdles in Tissue engineering (TE)

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Summary

Introduction

The Aloe vera (AV) plant has been used for centuries for its health, beauty, medicinal and healing properties. AV is widely used in food, cosmetics and healing creams and its general medicinal properties have had broad applications in skin injuries, anti-cancer therapeutics, diabetes and dental areas. The growing therapeutic appreciation for AV stems from emerging scientific evidence in several diseases, such as rheumatism, Parkinson’s disease, asthma, diabetes, cancer, burns and infections [8]. This has fuelled the use of AV and its bioactive components, to be incorporated with biomaterials as well as cellular therapy to enhance the repair and regeneration of damaged tissues. We discuss the clinical and foreign body response considerations that would directly impact AV-based implantable scaffolds’ design and their application in the biomedical field

Bioactive Components of Aloe vera
Polysaccharides
Phenolic Compounds
Processing of AV
Anti-Oxidant
Anti-Viral
Anti-Microbial
Application of Aloe vera in Tissue Engineering
Mesh and Mats
Hydrogels
Foreign Body Response to Implanted Biomaterials
Immune Response to AV-Based Scaffolds
Findings
Conclusions
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