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Antibacterial Effects of Aloe Vera Extracts on some Human and Animal Bacterial Pathogens

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Introduction: Aloe Vera compounds have inhibitory activity on fungi, bacteria, and viruses. This study examines the antibacterial activity of A. Vera purified extracts including gel, boiled skin, boiled gel, and distilled extract against pathogenic bacteria, Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Klebsiella pneumonia and Pseudomonas aeruginosa were elucidated. Method: The bacterial strains were collected from veterinary hospital. Freshly collected A. vera leaves were used for the juice extraction of gel, skin and distilled extracts. Antibacterial effects of various A. Vera extracts were evaluated using broth microdilution method. The crude polysaccharides of boiled skin extract were purified by phenol method; and fractionated by anion exchange chromatography. For each bacterium, minimum inhibitory concentration of various A. Vera extracts was determined. The protein expression changes of treated bacteria were detected by SDS-PAGE electrophoresis. Results: The distillate extract exhibited more antibacterial effects than other extracts. Out of seven-carbohydrate fractions of the skin extract, the fractions 6 and 7 had antibacterial effects on S. aureus and MRSA at 0.089 and 0.134 mg/ml, respectively; also fraction 5 showed antibacterial effects on MRSA at 0.113 mg/ml concentration. The protein profiles of these strains before and after treatment with A. Vera showed significant differences at 175, 60, 200 and 70 kDa protein bands of S. aureus, MRSA, P. aeruginosa and K. pneumonia, respectively. Conclusion: This finding showed that the distillate extract despite the minimal amount of carbohydrate and protein was more efficient against both Gram-positive and Gram negative bacteria.
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J Med Microbiol Infec Dis, 2015, 3 (1-2): 6-10
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Original Article
Antibacterial Effects of
Aloe Vera
Extracts on some Human and Animal
Bacterial Pathogens
Darioush Gharibi, *Mohammad Khosravi, Zohreh Hosseini, Fatemeh Boroun, Seyedeh Kolsum Barzegar,
Ali Forughi Far
Department of Pathobiology, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Received Mar 15, 2016; accepted Sep 13, 2016
INTRODUCTION
Antibiotics are the first choice for treating bacterial
infection. Long time exposure to antibiotics lead to the
development of antibiotic resistance; therfore this need
alternative approach for treatments of infectious disease.
These require other agents with greater antibacterial effect
and lower toxicity. However, despite a push for
development of new antibiotics, the rate of approved agents
has declined. Many plants contain numerous antibacterial
constituents that can be used for the treatment of infectious
diseases, especially in the cases of multiple bacterial
infections. The effects of herbal medicine are relied on their
chemical components. About 80% of world population use
herbs to treat disease [1]. Biological or pharmacological test
on plants has led to the discovery of a significant number of
new natural or semi-synthetic antibiotics [2, 3].
Aloe Vera is a juicy plant species originated in northern
Africa; it has frequently been cited as being used in herbal
medicine since the beginning of the first century AD [4]. It
contains several ingredients such as vitamins, sugars,
minerals and enzymes, anthraquinones, phenolic
compounds, prostaglandins, saponins, glycoproteins,
acemannan, sterols, salicylates, magnesium lactate, amino
acids and superoxide dismutases with antioxidant activity
[5, 6]. These compounds have inhibitory action on fungi,
bacteria, and viruses; in addition A. Vera has been used for
medicinal purposes and as an element in many beauty
products [7]. A. Vera gel consists of 99.3% water; the
remaining 0.7% is made up of solids with glucose and
mannose constituting for a large part. The amino acids and
sugars together with enzymes give the special properties as
a skin care product [8, 9]. The A. Vera gel is extensively
used in treatments of gastrointestinal disorders for example
peptic ulcer [10].
Staphylococcus aureus, Klebsiella pneumonia, and
Pseudomonas aeruginosa are the most important pathogens
in human nosocomial infection. S. aureus colonizes in the
nasal cavity, nasopharynx, skin and mucous membranes of
human and animals [11, 12] and causes a variety of
significant economic disease in human and animals [13].
The rate of methicillin-resistant S. aureus (MRSA)
continues to raise in nosocomial infections surveillance
system hospitals [14]. MRSA infections of S. aureus and
coagulase-negative staphylococci are serious concerns of
the human population [15].
Introduction: Aloe Vera compounds have inhibitory activity on fungi, bacteria, and viruses. This study examines the
antibacterial activity of A. Vera purified extracts including gel, boiled skin, boiled gel, and distilled extract against pathogenic
bacteria, Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Klebsiella pneumonia and Pseudomonas aeruginosa were
elucidated. Method: The bacterial strains were collected from veterinary hospital. Freshly collected A. vera leaves were used for
the juice extraction of gel, skin and distilled extracts. Antibacterial effects of various A. Vera extracts were evaluated using
broth microdilution method. The crude polysaccharides of boiled skin extract were purified by phenol method; and
fractionated by anion exchange chromatography. For each bacterium, minimum inhibitory concentration of various A. Vera
extracts was determined. The protein expression changes of treated bacteria were detected by SDS-PAGE electrophoresis.
Results: The distillate extract exhibited more antibacterial effects than other extracts. Out of seven-carbohydrate fractions of
the skin extract, the fractions 6 and 7 had antibacterial effects on S. aureus and MRSA at 0.089 and 0.134 mg/ml, respectively;
also fraction 5 showed antibacterial effects on MRSA at 0.113 mg/ml concentration. The protein profiles of these strains
before and after treatment with A. Vera showed significant differences at 175, 60, 200 and 70 kDa protein bands of S. aureus,
MRSA, P. aeruginosa and K. pneumonia, respectively. Conclusion: This finding showed that the distillate extract despite the
minimal amount of carbohydrate and protein was more efficient against both Gram-positive and Gram negative bacteria. J Med
Microbiol Infec Dis, 2015, 3 (1-2): 6-10.
Keywords: Aloe Vera, Extracts, Antibacterial.
*Correspondence: Mohammad Khosravi
Department of Pathobiology, Faculty of Veterinary
Medicine, Shahid Chamran University of Ahvaz, Golestan
Blvd, Ahvaz, Iran, 6135714333.
Email: dr.khosravim@gmail.com
Tel: +98 (937) 6211901 Fax: +98 (61) 33360807
Downloaded from jommid.pasteur.ac.ir at 1:26 IRST on Thursday February 9th 2017
Antibacterial analysis of A. Vera extracts
J Med Microbiol Infec Dis 7 2015 Vol. 3 No. 1-2
K. pneumonia is an opportunistic pathogen and is
known to cause different infections including urinary tract
diseases to pneumonia in human and animals [16]. In recent
years, K. pneumonia has emerged as an important pathogen
in nosocomial infections [17]. P. aeruginosa is an
opportunistic pathogen that causes infection in animals and
human in some condition such as trauma, debilitation and
change of normal flora. It expressed the efflux systems
which plays a major role in antibiotic resistance [18, 19].
The above mentioned bacterial strains can develop
resistance to antibiotics; for this reason, the present study
was designed to evaluate the antibacterial activity of
various A. Vera extracts on these bacteria. The gel, boiled
skin, boiled gel and distilled extract of A. Vera were
purified, and their antibacterial effects against S. aureus, K.
pneumonia, and P. aeruginosa were elucidated. Also, the
protein profiles of these bacteria were analyzed before and
after the treatments to identify the most potent antibacterial
extract of A. Vera. Because the skin of A. Vera often
discarded as waste in food processing industry [20]; this
research also aimed to analyze the antibacterial properties
of polysaccharide fractions of A. Vera skin extract.
MATERIAL AND METHODS
The A. Vera leaves were collected from different areas
of Khuzestan Province. The bacterial strains of S. aureus, P.
aeruginosa, and K. pneumonia were isolated from animals
referred to the veterinary hospital of Shahid Chamran
University of Ahvaz, and the MRSA was a standard strain
(PTCC:33591). Blood agar and Mueller Hinton Broth were
used for propagation and maintenance of bacterial cultures.
Broth cultures were incubated under aerobic conditions at
37°C.
Preparation of A. Vera extracts. Freshly collected A.
vera leaves (250 gr) were washed and cut in half. Half of
inner tissue was squeezed, and the extract was separated
(gel extract); the remaining part was cut in small pieces in
100 mL PBS (phosphate-buffered saline: 0.06 mM sodium
phosphate buffer containing 0.15 M NaCl, pH 7.4) and
boiled at 50°C for 20 min (boiled gel). The outer parts of
leaves (150 gr), homogenized with 100 ml PBS in a blender
and boiled at 50°C for 20 min (boiled skin). All extracts
were filtered on a Whatman no. 2 paper to remove the
insoluble materials and then centrifuged at 6000 rpm for 30
min. The precipitate was discarded and the clear yellow
supernatant stored at 4°C to be used. In order to prepare
distillate extract, the whole leaves were ground with double
distilled water and used for distillation by utilization of
common distillation apparatuses. These extraction
procedures were repeated three times and the recovered
extracts were pooled.
Antibacterial and SDS-PAGE analysis. Antibacterial
effects of the various A. Vera extracts were evaluated using
a broth microdilution method in 96-well microplates. For
each bacterium, minimum inhibitory concentration (MIC)
of various A. Vera extracts was determined. The bacterial
strains were cultured on blood agar and incubated overnight
at 37°C. One colony was selected from the pure culture of
each strain and inoculated at 37°C in Mueller-Hinton Broth
and checked until the yield the bacterial suspension reached
to 0.5 McFarland standard turbidity. A serial of two-fold
dilution (1/2, 1/4, 1/8, 1/32, 1/64 and 1/128) of A. Vera
extracts was prepared in Mueller-Hinton Broth; the equal
volume of each prepared bacteria was added to the wells
and incubated at 37°C for 24 h. The lowest concentration of
each extract which inhibited visible bacterial growth was
taken as the MIC of extract [21]. Also, the bacteria were
treated with ½ and ¼ dilution of A. Vera distilled extract
and their total protein profiles before and after the treatment
were detected by SDS-PAGE electrophoresis. We used
12% separating gel and 4% stacking gel, and
electrophoresis was performed in running buffer (25 mM
Tris base pH 6.8, 192 mM glycine, 1% SDS) at 100 V for
90 min. The polyacrylamide gels were stained for 30 min
with Coomassie staining solution followed by destaining
with 7% acetic acid solution overnight.
Purification and fractionation of the crude
polysaccharides of boiled skin extract. The skin extracts
polysaccharides were purified by phenol methods; briefly,
the same volume of 90% phenol was added to the extracts
and shaked at 68°C for 15 min. The suspensions were
cooled and centrifuged at 8500 g for 15 min. The
supernatants were transferred to other tubes and phenol
phases were re-extracted. Carbohydrates were precipitated
by addition of sodium acetate at 0.5 M final concentration,
and ten volumes of 95% ethanol to the supernatants and
samples were stored at -20°C overnight. Tubes were then
centrifuged at 2000×g, 4°C for 10 min and the pellets were
suspended in distilled water. Extensive dialysis against
double distilled water was performed at 4°C [22].
The crude polysaccharides were fractionated by anion
exchange chromatography on a DEAE-C (Sigma, Cat No:
D6418) column. In brief, 50 mg of skin polysaccharide was
filtered through a 0.45-μm Millipore filter (MilliporeCo.,
Billerica, MA, USA), and applied onto the column of
DEAE-cellulose, previously equilibrated with 10mM Tris
HCl buffer (pH 8.5). After removing the unabsorbed
carbohydrates, the carbohydrate fractions were eluted with
0.1 to 2 M NaCl gradually [23]. The total carbohydrate
content was determined by the phenol-H2SO4 method
using glucose as the standard [24]. The different fractions
were concentrated and dialyzed in distilled water. The
antimicrobial effects of A. Vera boiled skin carbohydrate
fractions were evaluated using broth microdilution method
in 96-well microplates [21].
RESULTS
Protein and carbohydrate analysis. The highest value
of carbohydrate and protein were observed in boiled skin
and boiled gel extracts, respectively (as shown in Table 1).
The minimal amount for these was seen in distillate extract.
The antimicrobial effects of A. Vera extracts. The
MICs of the A. Vera extracts against S. aureus, MRSA, P.
aeruginosa and K. pneumonia were determined (Table 2).
Out of these four extracts, distilled extracts exhibit the most
potent antibacterial effects. There was no difference in the
vulnerability of gram-positive and gram-negative bacteria
toward distillate extracts.
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Gharibi et al.
J Med Microbiol Infec Dis 8 2015 Vol. 3 No. 1-2
Table 1. The protein and carbohydrate contents (mg/mL) of various A. Vera extracts.
Gel
Boiled gel
Boiled skin
Distilled
5.71
3.35
2.25
0.06
11
19
47
0.7
Table 2. The antimicrobial effects of A. Vera extracts. The MICs were observed at ¼ dilutions.
Gel
Boiled gel
Boiled skin
Distilled
-
-
+
+
+
+
+
+
-
-
-
+
-
-
-
+
SDS-PAGE analysis. SDS-PAGE analysis of whole-
cell protein extracts from the four bacteria produced
patterns containing discrete bands with molecular weights
ranging from >5 to <200 kDa. The protein profiles of these
strains before and after treatment with A. Vera were
compared. Significant differences were seen at 175, 60, 200
and 70 kDa protein bands of S. aureus, MRSA, P.
aeruginosa and K. pneumonia, respectively (Figure 1).
Purification and Fractionation of crude
polysaccharides. The phenol method showed to be more
useful for carbohydrate purification of A. Vera skin extract.
Seven carbohydrate fractions were purified by DE-C
column (Table 3). The fractions eluted with 0.1 M NaCl
have the highest carbohydrate concentration and the one
eluted with >2 M NaCl have negligible carbohydrate
concentration. Out of seven-carbohydrate fractions of skin
extract, fractions 6 and 7 had antibacterial effects on S.
aureus and MRSA at 0.089 and 0.134 mg/ml, respectively.
Moreover, fraction 5 showed bacteriostatic effects on
MRSA at 0.113 mg/ml concentration (Table 4)
Fig. 1 SDS-PAGE analysis of whole-cell protein of bacterial strains: A) S. aureus, B) MRSA, C) K. pneumonia, D) P. aeruginosa. Lanes 1-
3: The first lane of each group was the untreated bacteria, and lanes 2 and 3, treated with ½ and ¼ dilution of A. Vera distilled extract,
respectively.
Table 3. The carbohydrate concentration of seven isolated fractions (1-7) of boiled skin extract.
Fraction
1
2
3
4
5
6
7
Carbohydrate
(mg/mL)
0.16
5.8
0.88
0.2
0.452
0.356
0.536
Table 4. The antimicrobial effects of A. Vera skin boiled carbohydrate fractions.
Fraction
1
2
3
4
5
6
7
S. aureus
-
-
-
-
-
+
+
MRSA
-
-
-
-
+
+
+
Fractions 6 and 7 fractions have the bacteriostatic effects on S. aureus and MRSA, fraction 5 also has the bacteriostatic effects on MRSA. The MICs were
observed at ¼ dilutions.
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Antibacterial analysis of A. Vera extracts
J Med Microbiol Infec Dis 9 2015 Vol. 3 No. 1-2
DISCUSSION
Previously, various preparations of A. Vera including
confection, lotion, and juice, have been used as traditional
medicine in several communities for curing various
diseases [25]. In present study, only A. Vera distilled
extract was effective against P. aeruginosa. However, by
using the A. Vera gel extracts, Agarry et al. [9] and
Azghani et al. [26] reported a reduction in P. aeruginosa
infection and inhibition of attaching it to human lung
epithelial cells. This disagreement may be due to the
difference in the source of A. Vera and extracts preparation
process, various bacterial isolates or the test conditions. In
agreement with the current study, Kaithwas et al. [27]
showed that the A. Vera gel is rich in variety metabolites,
such as, anthraquinone, polysaccharides, glycoproteins,
glycosides, gamma-linolenic acid and prostaglandins which
are effective against gram-positive bacteria in particular
against S. aureus. Also, previously, antibacterial activity of
A. Vera essential oil against S. aureus and P. aeruginosa
was reported [28]. In addition, the antibacterial component
of A. Vera extract was reported to be effective against S.
aureus, Streptococcus pyogenes, Escherichia coli, K.
pneumoniae, Salmonella typhi, P. aeruginosa, Helicobacter
pylori and Propionibacterium acne [29-31].
In the current research, out of the four A. Vera
extracts, the distillate extract, despite containing the lowest
amount of carbohydrate compared to other extracts,
exhibited the most antibacterial effects against four
bacterial strains which included both gram positive and
gram negative bacteria. This could be due to the activation
of some antibacterial elements after distillation.
The gel and boiled skin extracts were only effective
against S. aureus; such a weak antibacterial effect for
aqueous extract was reported by others [32, 33]. Various
antibacterial effects by different extraction methods were
reported by others; in agreement with the results of the
current study, Nejatzadeh-Barandozi [20] suggested the
skin extracts as a source of antibacterial agents against S.
aureus and MRSA. The alcoholic extracts was reported as a
stronger antibacterial and antifungal agent than aqueous
extract [34] and the methanolic A. Vera gel extract had
more antibacterial activity against gram-positive bacteria
compared to gram-negative bacteria [35]. This may be due
to the difference in cell walls of gram positive and negative
bacteria. Also, whole leaf component of A. Vera, mainly
anthraquinones and saponins had antibacterial activities [29,
36].
Cock et al. [37] investigated the antimicrobial effects of
different methanolic fractions of A. Vera inner tissues and
showed that five fractions had antimicrobial activities,
which first fraction had the highest antibacterial effects;
however, in the current study, the three last fractions of the
aqueous skin extracts showed antibacterial effects.
In overall, the extraction methods may influence on
antibacterial effects of A. Vera extracts. The most
antibacterial active components of A. Vera are volatile or
saturated compounds which are mainly obtained in distillate
extracts of A. Vera. It is noteworthy to suggest the distillate
extract as antibacterial agents against the tested bacteria.
Although, the most affected protein bands were recognized
at SDS-PAGE analysis; this needs an additional research to
realize the exact mechanism of antibacterial effects of A.
Vera extracts.
ACKNOWLEDGEMENT
This study was financially supported by Shahid
Chamran University, Ahvaz, Iran grant.
CONFLICT OF INTEREST
The authors declare that there are no conflicts of interest
associated with this manuscript.
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... The current study showed agreement with previous studies where it was also found that AV extract possessed broad-spectrum antimicrobial activity due to its inhibitory and bactericidal effect against mastitis-causing organisms including S. aureus, S. agalactiae, E. coli, P. aeroginosae, P. vulgaris, E. faecalis, S. epidermididis, and Bacillus subtilis [17][18][19]. The present result is in accordance with previous findings in which crude extract of AV showed antibacterial potential against Gram-positive and Gram-negative bacterial organisms such as S. aureus, S. agalactiae (Fig. 2) [10,20]. ...
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Diabetic foot infections and diabetic foot ulcers (DFU) cause significant suffering and are often recurring. DFU have three important pathogenic factors, namely, microangiopathy causing local tissue anoxia, neuropathy making the foot prone to injuries from trivial trauma, and local tissue hyperglycaemia favouring infection and delaying the wound healing. DFU have been the leading cause for non-traumatic amputations of part or whole of the limb. Western medicines focus mainly on euglycaemia, antimicrobials, debridement and wound cover with grafts, and off-loading techniques. Advances in euglycaemic control, foot care and footwear, systemic antimicrobial therapy, and overall health care access and delivery, have resulted in an overall decrease in amputations. However, the process of wound care after adequate debridement remains a major cost burden globally, especially in developing nations. This process revolves around two basic concerns regarding control/eradication of local infection and promotion of faster healing in a chronic DFU without recurrence. Wound modulation with various dressings and techniques are often a costly affair. Some aspects of the topical therapy with modern/Western medicines are frequently not addressed. Cost of and compliance to these therapies are important as both the wounds and their treatment are “chronic.” Naturally occurring agents/medications from traditional medicine systems have been used frequently in different cultures and nations, though without adequate clinical base/relevance. Traditional Chinese medicine involves restoring yin-yang balance, regulating the ‘chi’, and promoting local blood circulation. Traditional medicines from India have been emphasizing on ‘naturally’ available products to control wound infection and promote all the aspects of wound healing. There is one more group of chemicals which are not pharmaceutical agents but can create acidic milieu in the wound to satisfy the above-mentioned basic concerns. Various natural and plant derived products (e.g., honey, aloe vera, oils, and calendula) and maggots are also used for wound healing purposes. We believe that patients with a chronic wound are so tired physically, emotionally, and financially that they usually accept native traditional medicine which has the same cultural base, belief, and faith. Many of these products have never been tested in accordance to “evidence-based medicine.” There are usually case reports and experience-based reports about these products. Recently, there have been some trials (in vitro and in vivo) to verify the claims of usage of traditional medicines in management of DFU. Such studies show that these natural products enhance the healing process by controlling infection, stimulating granulation tissue, antimicrobial action, promoting fibroblastic activity and collagen deposition, etc. In this review, we attempt to study and analyse the available literature on results of topical traditional medicines, which are usually advocated in the management of DFU. An integrated and ‘holistic’ approach of both modern and traditional medicine may be more acceptable to the patient, cost effective, and easy to administer and monitor. This may also nevertheless lead to further improvement in quality of life and decrease in the rates of amputations for DFU.
... This antibacterial activity of A. vera purified extracts including gel, boiled skin, boiled gel, and distilled extract against pathogenic bacteria, Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Klebsiella pneumonia and Pseudomonas aeruginosa were elucidated. The A. vera distillate extract despite the minimal amount of carbohydrate and protein was more efficient against both Gram-positive and Gram negative bacteria [26]. ...
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... Because drugs can have a toxic effect on humans, there is a growing interest in alternative, natural antimicrobial agents that would inhibit the growth and reproduction of opportunistic bacteria. Plants and natural preparations that have potential to inhibit the growth of microorganisms and ensure lower toxicity than drugs are nowadays very interesting [6]. Among these plants are also Aloe arborescens and Aloe barbadensis. ...
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... The active components of Aloe vera include vitamins (A, C, E and B12), enzymes (Bradykinase which helps to reduce excessive inflammation), minerals, sugars, anthraquinones (aloin and emodin) (Fig. 3), lignin, saponins, phenolic compounds, hormones (auxins and gibberellins that help in wound healing), salicylic acid (anti-inflammatory and antibacterial properties) and amino acids [19]. [20][21][22]. Bashir et al. [23] evaluated the antibacterial activity of leaf extracts and gel of A. vera against Gram-positive (S. aureus, Staphylococcus epidermidis and Streptococcus pyogenes) and Gram-negative (P. aeruginosa) bacteria isolated from human skin wounds, burns, and acne and compared it with standard antibiotics (methicillin, bacitracin, vancomycin, novobiocin and erythromycin). ...
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Aloe vera is a perennial ethno-medicinal potential plant with a xerophytic characteristic, but not a cactus. It has a famous history owing to its phytopharmaceutical properties and this had made it useful in the pharmaceutical, cosmetic and food industries. Studies had shown the positive effects of its extract against bacteria, fungi, virus and parasitic organisms. The phytochemical properties of A. vera have been exploited for various economic and commercial purposes. This review contributes literature on the bioactive potential composition, processing and the pharmaceutical potential uses, an adverse side-effect that might spring up in case of overdosage and important safety precautions are summarized. More scientific innovations and developments in the aspect of analytical chemistry are on the way to provide a more acceptable, purified chemical characterization of A. vera using sophisticated laboratory equipment and machines.
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The comparative antimicrobial activities of the gel and leaf of Aloe vera were tested against Staphylococcus aureus, Pseudomonas aeruginosa, Trichophyton mentagraphytes, T. schoeleinii, Microsporium canis and Candida albicans. Ethanol was used for the extraction of the leaf after obtaining the gel from it. Antimicrobial effect was measured by the appearance of zones of inhibition. Antimicrobial susceptibility test showed that both the gel and the leaf inhibited the growth of S. aureus (18.0 and 4.0 mm, respectively). Only the gel inhibited the growth of T. mentagrophytes (20.0 mm), while the leaf possesses inhibitory effects on both P. aeruginosa and C. albicans. The results of this study tend to give credence to the popular use of both Aloe vera gel and leaf.
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