Aloe Vera in .NET

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Aloe Vera
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Aloe vera is one of the most widely used herbal products in the world It is native to northern Africa and the Arabian Peninsula, but through trade its use extended to most of the ancient civilizations (Egypt, Persia, Greece, Rome, India, and China) where it was used for the treatment of burns and wounds The Spanish later brought it to America and parts of the Caribbean including Barbados (from which the alternate INCI name Aloe barbadensis is derived)77 There is a large body of anecdotal evidence attesting to the efficacy of aloe for the treatment of myriad diseases; unfortunately, exaggerated claims are not uncommon and therefore caution is warranted in the interpretation of some of the available information78 Explanations of aloe gel efficacy are still varied because it has in fact several active constituents operating through different mechanisms79 Its action as a moisturizer, for example, is a popular use that may account for much of its effects80 Furthermore, aloe is reputed to exhibit potent anti-inflammatory effects, and the substances that have been proposed as its active anti-inflammatory constituents include salicylates (providing aspirin-like effects ); magnesium lactate, which is believed to inhibit the production of histamine; BK and TX inhibitors, which provide pain reduction; and polysaccharides, particularly acemannan, which has reported immunomodulatory properties81,82 Another substance isolated from aloe, C-glucosyl chromone, has exhibited topical antiinflammatory activity equivalent to that of hydrocortisone (200 g/ mouse ear)83 A recent study by Habeeb et al84 explored reports of antimicrobial effects associated with aloe85 Using a simple in vitro assay, they determined the effect of the inner gel of aloe on bacterialinduced proinflammatory cytokine production (namely, TNF- and IL-1 ) from human leukocytes stimulated with Shigella flexneri Results demonstrated the suppression of both bacterial-induced cytokines with the use of aloe inner gel84 Further studies are still needed for a deeper and more precise understand-
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CHAPTER 35 ANTI-INFLAMMATORY AGENTS
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Botanicals and Other Natural Ingredients
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Natural ingredients have been used in traditional medicine throughout the world for thousands of years; however, it is in the last 15 years that botanically derived products have gained widespread usage and interest among the US population76 As a result, botanical products have become highly marketable This increased popularity has occurred for several reasons: (1) concerns about the adverse effects of chemical drugs; (2) questioning of the approaches and assumptions of allopathic medicine; (3) greater public access to health information; and (4) the growing popularity of organic products All this translates into a very broad array of botanical products now being used in different medical specialties including dermatology Fortunately, we are now able to employ scientific methods to prove or question their efficacy and better understand their mechanisms of action The following discussion focuses on some of the
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Cucumber Extract
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Cucumber (INCI name: Cucumis sativus) has a long history of use in ancient and folk medicine Reputedly used by Cleopatra to preserve her skin,93 cucumber extract has found regular usage in
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modern skin care, with most of its healthy characteristics observed when used topically Cucumber extract is known for its emollient and soothing properties, specifically It contains high amounts of amino acids and organic acids that are beneficial to the skin s acid mantle In addition, shikimate dehydrogenase, an enzyme extracted from cucumber pulp, has demonstrated anti-inflammatory properties when applied to the skin93 More scientific studies are needed, though, to confirm and further expand the limited known cutaneous effects of treatment with cucumber extract
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Feverfew
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Feverfew (FF) (INCI name: Tanacetum parthenium) is a rapidly growing small bush with citrus-scented leaves and daisy-like flowers (Fig 35-3) It belongs to the Asteraceae (or Compositae) family, characterized by the star-shaped flower head of its members Since the first century, FF has been used to reduce fever and pain The use of this herb as an antipyretic led to the appellation
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feverfew a corruption of the Latin word febrifugia (fever reducer)94,95 FF acts as a PG antagonist,96 and one of its extracts, parthenolide, has been reported to inhibit platelet aggregation Additionally, it has been shown to bind to and inhibit I B kinase (IKK- ), the kinase subunit known to play a critical role in cytokine-mediated stimulation of genes involved in inflammation,97 which may partly explain the anti-inflammatory properties attributed to this herb Parthenolide is a type of sesquiterpene lactone, an essential oil commonly found in members of the Asteraceae family Sesquiterpene lactones are known for their anti-inflammatory effects; nevertheless, they also exert the major allergenic effects of this plant family In fact, FF-derived parthenolide forms part of the Compositae Mix (CM) a solution of extracts from five plant species that can be applied as a patch test to screen for Asteraceae allergy98 The Aveeno Ultra Calming line of skin care products contains FF but with the parthenolide portion removed, thus yielding the antiinflammatory properties of FF without posing the risk of contact dermatitis
The beneficial effects of this parthenolide-depleted extract of FF were demonstrated in a recent study99 In this research, in vitro FF was shown to attenuate the formation of UV-induced hydrogen peroxide and to reduce proinflammatory cytokine release; in vivo, topical FF reduced UV-induced epidermal hyperplasia, DNA damage, and apotosis99
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