*Corresponding Author:
Abinaya Chinnadurai
Department of Medicinal and Aromatic Crops, Tamil Nadu Agricultural University, Coimbatore 641003, Tamil Nadu, India
E-mail: abi.abinaya177@gmail.com
Date of Received 01 November 2023
Date of Revision 03 May 2024
Date of Acceptance 24 October 2024
Indian J Pharm Sci 2024;86(5):1756-1764  

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms

Abstract

Aloe vera, historically acclaimed as the plant of immortality, has gained significant attention for its therapeutic potential, particularly in dermatology and anti-inflammatory applications. In this study, we use a computational approach that integrates molecular docking analysis and pharmacokinetic assessment to explore the inhibitory potential of aloe vera phytochemicals against tumor necrosis factoralpha, a key inflammatory protein implicated in various pathologies, including rheumatoid arthritis. The in silico screening identified top-performing compounds, with aloesin emerging as a promising inhibitor. Pharmacological analyses revealed aloesin's favourable toxicity profile, positioning it as a promising candidate for further drug development. This research provides insights into the anti-inflammatory properties of aloesin in Aloe vera, paving the way for future experimental validations and the development of novel therapeutics for rheumatoid arthritis.

Keywords

Aloe vera, anti-inflammatory, molecular docking, aloesin, pharmacokinetics

A plant product plays a crucial role in combating human diseases. They contain a variety of bioactive compounds that offer therapeutic benefits through multiple mechanisms. These include antioxidant and anti-inflammatory properties, antimicrobial activities, and immune system modulation[1]. Many plant derived substances also target specific biological pathways involved in disease processes. Furthermore, plant products serve as important sources for novel drug development in modern medicine. Their complex composition often provides synergistic effects, enhancing their overall therapeutic potential against various human diseases. Aloe vera, recognized for its historical significance as the plant of immortality, holds profound pharmaceutical importance in both traditional and modern medicine. Its gel, containing a diverse array of bioactive compounds, positions aloe vera as a versatile candidate for therapeutic applications, particularly in dermatological formulations, wound healing, and anti-inflammatory interventions. The increasing global demand for natural remedies has driven a substantial rise in aloe vera production and cultivation. Its prevalence spans across arid regions worldwide, contributing significantly to the pharmaceutical and cosmetic industries. Noteworthy cultivation areas include India, Australia, United States of America (USA), Japan, and Europe, attesting to its economic importance and widespread applications. Inflammation, a pivotal aspect of the body's immune response, is intricately regulated by molecular signalling pathways. Tumour Necrosis Factor (TNF), a key inflammatory protein, plays a key role in initiating and perpetuating inflammatory cascades, implicated in various pathological conditions. Rheumatoid Arthritis (RA), a systemic autoimmune disorder, remains a challenge in medical treatment despite current interventions such as Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) and Disease-Modifying Anti-Rheumatic Drugs (DMARDs), specifically TNF-Alpha (α) inhibitors.

Aloe vera, renowned for its medicinal properties, has garnered scientific interest for its potential anti- inflammatory effects. Aloe vera’s polysaccharides, phenolic compounds, and sterols have emerged as key players in modulating inflammatory pathways. This study employs an in silico approach, utilizing molecular docking analyses and pharmacokinetic assessments, to evaluate the inhibitory potential of aloe phytochemicals against TNF-α. This computational analysis aims to provide insights into the therapeutic efficacy of aloe vera constituents against TNF-α, offering a foundation for future experimental investigations.

Materials and Methods

Selection of phytochemical compounds in aloe vera and anti-inflammatory drugs:

A curated selection of aloe vera phytochemicals was undertaken through a comprehensive literature review and utilization of the Indian Medicinal Plants, Phytochemistry And Therapeutics (IMPPAT) (https://cb.imsc.res.in/imppat) and ZINC databases. Phytochemicals were chosen based on documented presence in the literature and availability within these databases, ensuring a systematic approach aligned with established knowledge. Approved anti-inflammatory drugs from the therapeutic target database served as benchmarks for comparing the efficacy of bioactive compounds derived from aloe vera. This approach aimed to assess the relative effectiveness of aloe vera compounds against established anti-inflammatory medications (fig. 1).

Chemical

Fig. 1: Chemical structures of top 10 compounds derived from aloe vera

Molecular docking studies:

The primary objective in molecular docking was to accurately gauge the scoring function and assess interactions between proteins and ligands. AutoDock Vina, coupled with PyRx, was employed for generating a dataset of bioactive binding poses of ligands within the active site of TNF-α. Additionally, the Discovery Studio 2024 client software was utilized to model nonbonded polar and hydrophobic contacts within the inhibitor site of TNF-α[2].

Structure retrieval of compounds:

Three-dimensional structures of bioactive compounds in aloe vera and over-the-counter medicines recommended for inflammation, such as aspirin, hydrocortisone, melaxicam, ibuprofen, celecoxib, and naproxen, along with the three-dimensional structures of the target protein TNF-α, were retrieved from databases such as the Research Collaboratory for Structural Bioinformatics (RCSB) Protein Data Bank (PDB) and PubChem.

Molecular docking software:

Molecular docking studies were conducted using PyRx, an open-source tool that employs an iterative approach to predict ligand poses within the protein's binding site, and Discovery Studio, a comprehensive molecular modeling and simulation software integrating various algorithms and scoring functions for accurate prediction of protein-ligand binding affinities.

Docking procedure:

Preparation of protein: The three-dimensional structure of TNF obtained from RCSB PDB was processed to remove water molecules and optimize hydrogen bonds.

Ligand preparation: Aloe vera compounds and commercial drug compounds retrieved from PubChem were prepared by assigning correct bond orders and optimizing conformations. Ligands were loaded into PyRx virtual screening software using Open Babel for conversion to Program Database (PDB) format.

Grid generation: Docking was performed using AutoDock Vina in PyRx virtual screening software with specific grid parameters. The Lamarckian Genetic Algorithm (LGA) was employed to generate 10 docked positions for each ligand. Subsequently, docking results were analyzed and visualized based on docking scores using Discovery Studio 2024 client and PyMOL software.

Scoring and analysis:

Docking scores, binding efficiency, and hydrogen bond interactions were analyzed to evaluate the strength and specificity of ligand binding. Molecular docking results were thoroughly analyzed for binding affinity, and the most promising aloe vera compound was selected based on docking scores and hydrogen bond interactions with TNF (fig. 2a and fig. 2b).

bonding

Fig. 2: (a): H-bonding interactions between the best ligands with TNF a protein target and (b): All types of interactions between the best ligands with TNF-a Note: (A) Equation Donor and Equation Acceptor and (B) EquationConventional hydrogen bonds; Equation Unfavourable donor-donor; Equation Carbon hydrogen bond and Equation Van der walls force or bond

Pharmacology analysis:

Pharmacokinetic analysis of ligands was systematically performed using the SwissADME server (http://www.swissadme.ch/). This computational tool facilitated the comprehensive evaluation of various pharmacokinetic parameters, encompassing absorption, metabolism, distribution, excretion, and toxicity predictions for the prospective compounds under investigation. Additionally, the SwissADME server provided insights into critical aspects such as bioavailability score, druggability, and synthetic accessibility score, offering a holistic perspective on the pharmaceutical viability of the examined compounds. Ligands were screened according to Lipinski's Rule of Five (RO5), for safety assessment in drug development, and toxicology predictions were performed using the Small-molecule pharmacokinetics prediction (pkCSM) online server. Parameters analyzed included Ames toxicity, maximum tolerance dose, human Ether-a- go-go Related Gene (hERG) inhibition, Lethal Dose 50 (LD50), Lowest Observed Adverse Effect Level (LOAEL), hepatotoxicity, skin toxicity, Tetrahymena pyriformis toxicity, and minnow toxicity. This rigorous pharmacological scrutiny aims to inform and guide further exploration of these compounds in drug development endeavours.

Results and Discussion

The study addresses the considerable socio-economic burden posed by the inflammatory autoimmune disease rheumatoid arthritis, affecting around 1 % of the global population[3,4]. Acknowledging the limitations of current RA treatments, the research aims to explore alternative therapeutic interventions with reduced side effects. Aloe vera demonstrates anti-inflammatory properties by effectively inhibiting the cyclooxygenase pathway, resulting in a diminished synthesis of prostaglandins and, consequently, a reduction in inflammatory processes[5-7]. The bioactive compounds in aloe vera demonstrate an inhibitory effect on the release of pro-inflammatory mediators, such as cytokines and histamine[8,9]. The principal focus of the study was to investigate the potential of phytochemicals to target the cytokine TNF-α, thereby demonstrating their anti-inflammatory activity. In pursuit of identifying active chemical constituents of aloe vera possessing potential interactions with the TNF-α protein, molecular docking studies were conducted for a set of 74 aloe vera chemical constituents (Table 1).

S.No. Ligand PubChem ID Molecular formula Molecular weight (g/mol)
1        2(3H)-Benzothiazolone 13625 C7H5NOS 151.19
2        3,4-Dihydrocoumarin 660 C9H8O2 148.16
3        7-Hydroxy-4-benzopyrone 5409279 C9H6O3 162.14
4        15-Methylhexadecanoic acid 164860 C17H34O2 270.5
5        Acemannan 72041 C66H100NO49 1691.5
6       Allantoin 204 C4H6N4O3 158.12
7        Aloe emodin 10207 C15H10O5 270.24
8        Aloenin 162305 C19H22O10 410.4
9        Aloeresin 160190 C19H22O9 394.4
10    Aloesone 5317700 C13H12O4 232.23
11    Aloin A 12305761 C21H22O9 418.4
12    Aloin B 14989 C21H22O9 418.4
13    Aluminum 5359268 Al 26.981
14    anthracene 8418 C14H10 178.23
15    anthranol 10731 C14H10O 194.23
16    Anthraquinone 6780 C14H8O2 208.21
17    Ascorbic Acid 54670067 C6H8O6 176.12
18    Asparagine 6267 C4H8N2O3 132.12
19    Aspirin 2244 C9H8O4 180.16
20    Auxin 802 C10H9NO2 175.18
21    beta carotene 5280489 C40H56 536.9
22    beta sitosterol 222284 C29H50O 414.7
23    Campesterol 173183 C28H48O 400.7
24   Carvacrol 10364 C10H14O 150.22
25    Caryophyllene oxide 1742210 C15H24O 220.35
26    Caryophyllene 5281515 C15H24 204.35
27    Celecoxib 2662 C17H14F3N3O2S 381.4
28    Cholesterol 5997 C27H46O 386.7
29    Chrysophanic acid 10208 C15H10O4 254.24
30    chrysophanol 10208 C15H10O4 254.24
31    Citric acid 311 C6H8O7 192.12
32    Creatinine 588 C4H7N3O 113.12
33    Cycloartenol 92110 C30H50O 426.7
34    Cysteine hydrochloride 25150 C3H8ClNO2S 157.62
35    Cysteine 5862 C3H7NO2S 121.16
36    D fructose 2723872 C6H12O6 180.16
37    D galactonic acid 128869 C6H12O7 196.16
38    D galactose 6036 C6H12O6 180.16
39    D glucose 5793 C6H12O6 180.16
40    D mannose 18950 C6H12O6 180.16
41    d Tartaric acid 439655 C4H6O6 150.09
42    Danshenxinkun A 149138 C18H16O4 296.3
43    Danthron 2950 C14H8O4 240.21
44    Docosane 12405 C22H46 310.6
45    elgonica dimer A 21582596 C36H30O14 686.6
46    Feralolide 5317333 C18H16O7 344.3
47    Folacin 135398658 C19H19N7O6 441.4
48    Galactomannan 439336 C18H32O16 504.4
49    Globulin G 74329879 C36H61N7O19 895.9
50    Hydrocortisone 5754 C21H30O5 362.5
51    Ibuprofen 3672 C13H18O2 206.28
52    Isoaloeresin 76332505 C29H32O11 556.6
53    kaempferol 5280863 C15H10O6 286.24
54    L Arabinose 439195 C5H10O5 150.13
55    Leucine 6106 C6H13NO2 131.17
56    linalool 6549 C10H18O 154.25
57    Lophenol 160482 C28H48O 400.7
58    Lupeol 259846 C30H50O 426.7
59    Mannan 25147451 C24H42O21 666.6
60    Meloxicam 54677470 C14H13N3O4S2 351.4
61    Naproxen 156391 C14H14O3 230.26
62    Niacin 938 C6H5NO2 123.11
63    Phenylalanine 6140 C9H11NO2 165.19
64    Potassium 5462222 K 39.098
65    Proline 145742 C5H9NO2 115.13
66    Quercetin 5280343 C15H10O7 302.23
67    Rhababerone 12310964 C15H10O5 270.24
68    Salicylic acid 338 C7H6O3 138.12
69    Serine 5951 C3H7NO3 105.09
70    Sorbitol 5780 C6H14O6 182.17
71    Spathulenol 92231 C15H24O 220.35
72    Threonine 6288 C4H9NO3 119.12
73    Thymol acetate 68252 C12H16O2 192.25
74    Tricosane 12534 C23H48 324.6

Table 1: Characteristic of Phytoconstituents of Aloe Vera

The use of AutoDock Vina facilitated the determination of molecular interactions and binding energy between aloe vera phytoconstituents and TNF-α protein, contributing valuable insights for drug discovery endeavours. Molecular docking revealed significant interactions between aloe vera compounds and TNF-α. The measure of the affinity in a ligand-protein complex is termed as binding energy. It represents the difference between the energy of the complex (ligand bound to the protein) and the sum of the energies of each molecule separately (ligand and protein considered as independent entities). In other words, it quantifies the stability and strength of the interaction between the ligand and the protein in a molecular complex. A lower binding energy typically indicates a more favourable and stronger binding interaction. Table 2 summarizes the binding energies and key interactions of the top-performing compounds, thus revealing several high-energy interactions between aloe vera compounds and TNF-α. The observed binding affinity values range from -10 to -9.1 kcal/mol. Mannan exhibited the highest binding affinity with a docking score of -10.0 kcal/mol, forming multiple hydrogen bonds with PRO 100C, Glutamine (GLN) 102B, Arginine (ARG) 103B, Glutamine (GLN) 102A, PRO 100A, and Glutamic acid (GLU) 116B. It also engaged in hydrophobic interactions with GLU 116C, ARG 103A, GLU 104C, and PRO 100B.

Compound name Docking score (Kcal/mol) Amino acids with hydrogen bonds Amino acids with hydrophobic interactions
Drug references
Aspirin -5.6 GLN 102B GLN 102A
Celecoxib -7.6 ARG 103B, GLU 104B GLN 102A, GLN 102B, GLN 102C, GLU 104A
Hydrocortisone -6.3 ALN 33A, ASN 34A, ARG 82C
Ibuprufen -6.5 TYR 115A, SER 99C, CYS 101A PRO 100A
Meloxicam -6.3 ARG 103C, GLU 104A, GLU 104B, GLU 104C, GLN 102B, ARG 103A ARG 103B
Naproxen -7.1 LYS 65B, LEU 142B PHE 144B
Aloe vera compounds
Mannan -10 PRO 100C, GLN 102B, ARG 103B, GLN 102A, PRO 100°, GLU 116B GLU 116C, ARG 103°, GLU 104C, PRO 100B
Folacin -9.8 SER 99B, SER 99C GLU 116B, GLN 102A GLN 102C, GLU 116A
Aloesin -9.8 ALA 22B, GLY 24B, LYS 65B, ASP 140B -
Beta sitosterol -9.6 GLU 116C, LYS 98B ARG 103B
Campesterol -9.6 GLU 116B ARG 103B
Lophenol -9.4 GLU 116A ARG 103B
Galactomannan -9.4 THR 105B, ARG 103B, ARG 103A, GLN 102A, GLN 102B, GLU 104A, GLU 104B GLU 107B
Cholesterol -9.3 GLU 116B, LYS 98C ARG 103B, LYS 98B
Quercetin -9.1 GLN 102A, PRO 100A, GLU 116C, GLN 102C
Kaempferol -9.1 ASN 34A, GLN 125C, THR 7A, LEU 37A LEU 36A

Table 2: Molecular Docking Results of Aloe Vera Compounds against TNF Alpha and The Interacting Amino Acids

Folacin and aloesin both demonstrated strong binding with docking scores of -9.8 kcal/mol. Folacin formed hydrogen bonds with SER 99B, SER 99C, GLU 116B, and GLN 102A, while also engaging in hydrophobic interactions with GLN 102C and GLU 116A. Aloesin, interestingly, formed four hydrogen bonds with Alanine (ALA) 22B, Glycine (GLY) 24B, Lysine (LYS) 65B, and Aspartic acid (ASP) 140B, without any notable hydrophobic interactions. β-sitosterol and campesterol both showed binding energies of -9.6 kcal/mol, with β-sitosterol forming hydrogen bonds with GLU 116C and LYS 98B, and campesterol with GLU 116B. Both compounds shared a hydrophobic interaction with ARG 103B. These high-energy interactions suggest strong binding potential between the aloe vera compounds and TNF-α. The stability of the ligand-receptor complex is attributed to hydrogen bonds formed by OH and C=O groups, with the ligand playing a dual role as acceptor and donor[10]. This interaction, coupled with dispersion forces[11], π-π interactions, and hydrophobic interactions, particularly involving polar amino acids, contributes to the overall stability of the complex[12,13].

To contextualize our findings, we compared the binding energies of aloe vera compounds with those of standard anti-inflammatory drugs (Table 3). Notably, all of the top-performing aloe vera compounds exhibited higher binding affinities than the standard anti-inflammatory drugs. This suggests that these compounds, particularly mannan, folacin, and aloesin, may have significant potential as TNF-α inhibitors. This inhibition could play a crucial role in reducing inflammation associated with conditions like rheumatoid arthritis. However, the anti-inflammatory effects of aloe vera likely extend beyond simple TNF-α inhibition. Recent studies have highlighted the importance of crosstalk between Interleukin (IL-9) and TNF-α in modulating inflammatory responses, playing a crucial role in the anti-inflammatory pathway[4]. This interaction involves reciprocal regulation, shared signalling pathways, and cell-specific effects, contributing to the complexity of inflammatoryregulationindifferenttissues. Inthecontext of our study on aloe vera compounds targeting TNF-α, understanding this crosstalk is crucial. The potential inhibition of TNF-α by aloe vera phytochemicals may not only directly reduce inflammation but also indirectly modulate IL-9 signalling, potentially contributing to the overall anti-inflammatory properties of aloe vera observed in various studies. The complex interplay between different inflammatory mediators underscores the potential advantages of multi-target therapeutic approaches, such as those offered by plant- derived compounds. Aloe vera, with its diverse array of bioactive molecules, may be particularly well-suited to modulate these intricate inflammatory networks.

Code Compound Molecular weight (Da) Log p HBD HBA Violation Yes/No Solubility Log S (mol/l)
1 Mannan 666.58 0.53 14 21 3 No Highly soluble 2.5
2 Folacin 441.4 0.04 6 9 2 No Soluble -2.91
3 Aloesin 394.37 0.92 5 9 0 Yes Very soluble -1.53
4 Beta sitosterol 414.71 5.05 1 1 1 Yes Poorly soluble -9.67
5 Campesterol 400.68 4.97 1 1 1 Yes Poorly soluble -9.11
6 Lophenol 400.68 5.06 1 1 1 Yes Poorly soluble -9.02
7 Galactomannan 504.44 0.13 11 16 3 No Highly soluble 1.38
8 Cholesterol 386.65 4.89 1 1 1 Yes Poorly soluble -9.02
9 Quercetin 302.24 1.63 5 7 0 Yes Soluble -3.91
10 Kaempferol 286.24 1.7 4 6 0 Yes Soluble -3.86

Table 3: LIPINSKI Parameters for Dataset from Swissadme

Our investigation also extended to assessing the pharmacokinetics and toxicity properties of molecules exhibiting promising results, positioning them as potential drug candidates. The selection of potential inhibitors or optimal docked ligands was based on their binding energy, a critical factor in determining their efficacy. However, in the context of drug development, the evaluation of Absorption, Distribution, Metabolism, Excretion, and Toxicity (ADMET) properties is essential.

The assessment of physicochemical properties, a key parameter influencing efficacy, safety, and metabolism, was carried out employing appropriate methodologies, emphasizing the significance of these properties in the drug development and discovery processes. In evaluating the physicochemical properties using RO5, which includes criteria such as molecular mass, hydrogen- bond donors, hydrogen-bond acceptors, and logP, the results demonstrated that among the top ten ligands, only 3 ligands fully complied with Lipinski's rule. Lipinski’s screening serves as a crucial filter in the drug design process, determining the suitability of a compound for further development[14]. The polysaccharides mannan and galactomannan, along with the steroids campasterol, β-sitosterol, cholesterol, and lophenol, exhibited a noteworthy affinity for TNF-α. However, their potential use as drugs is hindered by a failure to comply with essential pharmacological parameters and a violation of the Lipinski rule of drug-likeness. In contrast, the chromone aloesin, and the flavonoids quercetin and kampferol, emerged as promising TNF-α inhibitors. These compounds not only demonstrated high affinity but also met all pharmacological parameters, showing potential for effective drug development. Importantly, these compounds adhered to pharmacological rules and displayed lead-like properties, as outlined in Table 3.

This suggests a potential avenue for the development of these phytochemicals into drug molecules specifically targeting the cytokine TNF-α. Table 4 presents the pharmacokinetic and toxicity properties of the three potential inhibitors such as mannan, folacin, and aloesin. The Ames test (Ames_test), assessing mutagenicity, indicates that all 3 ligands are non- mutagenic. Carcinogenicity in rats (carcino_rat) is negative for all ligands, suggesting no carcinogenic potential. None of the ligands are predicted to permeate the Blood-Brain Barrier (BBB non-permeant). Mannan and folacin show hERG type 1 (hERG1) inhibition, indicating a potential risk for cardiac arrhythmia, while aloesin does not inhibit hERG I. All ligands are non-substrates for P-glycoprotein (P-gp), suggesting a low likelihood of causing drug interactions related to P-gp. Folacin and aloesin are predicted to have hepatotoxicity, while mannan is absence. None of the ligands show skin sensitization. Regarding cytochrome P450 inhibition, all ligands exhibit no inhibitory effects on the assessed isoforms (1A2, 2C19, 2C9, 2D6, 3A4). Overall, these results suggest that aloesin demonstrates a more favourable toxicity profile compared to mannan and folacin, making it a promising candidate for further drug development.

Ligand Ames_test Carcino_rat BBB permeant hERG I hERG II P-gp S Hepatotoxicity Skin sensitization 1A2 2C19 2C9 2D6 3A4
Mannan No Negative No No Yes Yes No No No No No No No
Folacin No Negative No No No No Yes No No No No No No
Aloesin No Negative No No No No Yes No No No No No No

Table 4: Pharmacokinetics and Toxicity Properties of The 3 Potential Inhibitors

In addressing the global burden of rheumatoid arthritis, this study investigates the anti-inflammatory potential of aloe vera phytochemicals targeting TNF-α. Molecular docking studies identified promising compounds, such as aloesin, quercetin, and kampferol, exhibiting high affinity for TNF-α. Despite Lipinski's rule violations for some compounds, aloesin stands out for its superior binding energy and drug like properties. Future directions include in vivo studies, biological assays, compound optimization, exploring combination therapy, and progressing to clinical trials. These findings suggest a potential avenue for developing novel and effective therapeutics for rheumatoid arthritis.

Conflict of interest:

The authors declared no conflict of interests.

References