Formulation of Aloe vera and Forest Honey Hydrogel Dressing for Diabetic Ulcer Healing

Multiani S Latif, Faramita Hiola, Lisa Efriani Puluhulawa, Mohamad Aprianto Paneo, Siti Aulia Pou, Verawaty Fajrin H Abay

Abstract


Hydrogel dressings are widely used for chronic wound management because they maintain a moist microenvironment, accommodate exudate, and support tissue repair. This study formulated a chitosan-based forest honey–Aloe vera hydrogel dressing and evaluated its physicochemical characteristics and wound-healing performance in an alloxan-induced hyperglycaemic excisional wound model in male rats (Rattus norvegicus). Four formulations were prepared by varying the proportions of forest honey and Aloe vera: F1 (20% honey), F2 (20% Aloe vera), F3 (15% honey + 5% Aloe vera), and F4 (5% honey + 15% Aloe vera). Physicochemical evaluation included organoleptic characteristics and homogeneity, pH, spreadability, adhesion time, and swelling capacity. All formulations produced homogeneous, translucent hydrogels without visible phase separation. The pH values were mildly acidic (4.85–5.40), spreadability ranged from 5.80 to 6.50 cm, adhesion time ranged from 8.1 to 14.2 min, and swelling capacity ranged from 190% to 230%. In vivo, complete macroscopic wound closure occurred by Day 10 for F2 and the positive control, followed by Day 11 for F4, Day 12 for F3, and Day 13 for F1; the untreated negative control did not reach closure by Day 14. Overall, the Aloe vera–dominant hydrogel (F2) showed the fastest closure kinetics in this dataset.

Keywords


Aloe vera; Forest honey; Chitosan hydrogel dressing; Diabetic wound model; Alloxan; Rattus norvegicus

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References


International Diabetes Federation, IDF Diabetes Atlas, 11th ed. Brussels, Belgium: International Diabetes Federation, 2025. [Online]. Available: https://diabetesatlas.org/resources/idf-diabetes-atlas-2025/

D. G. Armstrong, A. J. M. Boulton, and S. A. Bus, “Diabetic foot ulcers and their recurrence,” N. Engl. J. Med., vol. 376, no. 24, pp. 2367–2375, 2017. [Online]. Available: https://doi.org/10.1056/NEJMra1615439

P. Chen et al., “Guidelines on interventions to enhance healing of foot ulcers in people with diabetes (IWGDF 2023 update),” Diabetes/Metab. Res. Rev., vol. 40, no. 3, Art. no. e3644, 2024. [Online]. Available: https://doi.org/10.1002/dmrr.3644

J. Li and D. J. Mooney, “Designing hydrogels for controlled drug delivery,” Nat. Rev. Mater., vol. 1, Art. no. 16071, 2016. [Online]. Available: https://doi.org/10.1038/natrevmats.2016.71

Y. Tang, L. Chen, and X. Ran, “Efficacy and safety of honey dressings in the management of chronic wounds: An updated systematic review and meta-analysis,” Nutrients, vol. 16, no. 15, Art. no. 2455, 2024. [Online]. Available: https://doi.org/10.3390/nu16152455

Q. Zhang, M. Zhang, T. Wang, X. Chen, Q. Li, and X. Zhao, “Preparation of aloe polysaccharide/honey/PVA composite hydrogel: Antibacterial activity and promoting wound healing,” Int. J. Biol. Macromol., vol. 211, pp. 249–258, 2022. [Online]. Available: https://doi.org/10.1016/j.ijbiomac.2022.05.072

C. Guo et al., “Chitosan-based hydrogels as dressings for skin wound healing: A review,” Gels, vol. 10, no. 3, Art. no. 175, 2024. [Online]. Available: https://doi.org/10.3390/gels10030175

A. Garg, D. Aggarwal, S. Garg, and A. K. Singla, “Spreading of semisolid formulations: An update,” Pharm. Technol., vol. 26, no. 9, pp. 84–105, 2002. [Online]. Available: https://www.pharmtech.com/view/spreading-semisolid-formulations-update

O. M. Ighodaro, A. M. Adeosun, and O. A. Akinloye, “Alloxan-induced diabetes, a common model for evaluating the glycemic-control potential of therapeutic compounds and plant extracts in experimental studies,” Medicina, vol. 53, pp. 365–374, 2017. [Online]. Available: https://doi.org/10.1016/j.medici.2018.02.001

L. R. D. M. Estevão et al., “Morphological evaluation of wound healing events in the excisional wound healing model in rats,” Bio-protocol, vol. 9, no. 13, Art. no. e3285, 2019. [Online]. Available: https://doi.org/10.21769/BioProtoc.3285

N. C. Percie du Sert et al., “The ARRIVE guidelines 2.0: Updated guidelines for reporting animal research,” PLoS Biol., vol. 18, no. 7, Art. no. e3000410, 2020. [Online]. Available: https://doi.org/10.1371/journal.pbio.3000410

K. Z. Meza-Valle et al., “Characterization and topical study of Aloe vera hydrogel on the wound-healing process,” Polymers (Basel), vol. 13, no. 22, Art. no. 3958, 2021. [Online]. Available: https://doi.org/10.3390/polym13223958

M. Chelu et al., “High-content Aloe vera-based hydrogels: Physicochemical and pharmaceutical properties,” Polymers (Basel), vol. 15, no. 5, Art. no. 1312, 2023. [Online]. Available: https://doi.org/10.3390/polym15051312

W. Hanif et al., “Physically cross-linked PVA/graphene-based/Aloe vera hydrogels with antibacterial activity,” RSC Adv., vol. 11, no. 46, pp. 29029–29041, 2021. [Online]. Available: https://doi.org/10.1039/D1RA04992E

N. Ahmad et al., “Biological role of honey and its interaction with poly (vinyl alcohol) hydrogel in wound management,” Front. Bioeng. Biotechnol., vol. 8, Art. no. 895, 2020. [Online]. Available: https://doi.org/10.31661/gmj.v0i0.1362

N. A. Mohd Nasir et al., “Honey-based hydrogel as wound dressing: Physicochemical and biological properties,” Polymers (Basel), vol. 13, no. 11, Art. no. 1858, 2021. [Online]. Available: https://doi.org/10.3390/polym13111858

R. Y. Basha, T. S. Sampath Kumar, and M. Doble, “Design of biocompatible poly(vinyl alcohol)–chitosan composite hydrogels for wound healing application,” Int. J. Biol. Macromol., vol. 163, pp. 1828–1839, 2020. [Online]. Available: https://www.sciencedirect.com/journal/international-journal-of-biological-macromolecules/vol/163/suppl/C?page=2

S. Shahzad et al., “Citric acid cross-linked honey and Aloe vera gel-loaded chitosan hydrogels for diabetic wound healing,” RSC Adv., vol. 15, pp. 40745–40759, 2025. [Online]. Available: https://doi.org/10.1039/D5RA05550D

N. Zainuddin et al., “Honey-containing hydrogels: A review of their potential in wound healing applications,” Gels, vol. 11, no. 3, Art. no. 194, 2025. [Online]. Available: https://doi.org/10.3390/gels11030194

J. Movaffagh et al., “In vivo wound healing efficiency of chitosan and Aloe vera gel-based 3D hydrogel for diabetic wounds,” J. Tissue Viability, vol. 31, no. 4, pp. 774–781, 2022. [Online]. Available: https://doi.org/10.1016/j.jtv.2022.07.009




DOI: https://doi.org/10.37311/jsscr.v8i1.34919

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