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1
Food is Medicine
–
An Introduction
by Perkins Muredzi
to Nutraceuticals
2
Food is Medicine –
An Introduction to
Nutraceuticals
3
Dedicated to Mrs Dorothy Stembile Muredzi,
Sean Muredzi,
Sheldean Muredzi
and
4
Contents
Chapter 1 .............................................................................................................................. 13
Understanding the concept of “Nutraceuticals” ...................................................................... 13
Historical Background ........................................................................................................... 13
Introduction .......................................................................................................................... 13
Nutraceuticals vs other Terminologies: .................................................................................. 15
Classification of Nutraceuticals ............................................................................................. 17
References: ........................................................................................................................... 25
Chapter 2 .............................................................................................................................. 29
Nutraceuticals and Diseases ................................................................................................... 29
2.0. Introduction .................................................................................................................... 29
Table 2.1. Nutraceuticals and Diseases................................................................................... 32
2.1. Cardiovascular Diseases ................................................................................................. 33
2.2. Current Status of Nutraceuticals in CVD ......................................................................... 35
2.3. Obesity........................................................................................................................... 35
2.4. Diabetes ......................................................................................................................... 36
2.5. Cancer ............................................................................................................................ 37
2.6. Immune Boosters and Anti-Inflammatory Agents ............................................................ 40
2.6.1. Immune Boosters ......................................................................................................... 40
2.6.2. Inflammatory Disorders ........................................................................................... 41
2.6.3. Osteoarthritis ........................................................................................................... 42
2.6.4. Allergy .................................................................................................................... 42
2.7. Degenerative Diseases .................................................................................................... 43
2.7.1. Macular Degeneration.............................................................................................. 43
2.7.2. Vision Improving Agents ......................................................................................... 44
2.7.3. Alzheimer's Disease................................................................................................. 44
2.7.4. Parkinson's Disease.................................................................................................. 45
2.8. Miscellaneous ................................................................................................................. 45
3.9. Metabolism, Bioavailability and Pharmacokinetics of Nutraceuticals - Metabolism Data.. 46
3.9.2. Pharmacokinetic Data .............................................................................................. 47
References: ........................................................................................................................... 48
Chapter 3 .............................................................................................................................. 50
Nutraceuticals from Seafood and Seafood By-Products.......................................................... 50
3.0. Introduction .................................................................................................................... 50
3.1. Marine Oils .................................................................................................................... 51
3.2. Omega-3 Concentrates .................................................................................................... 54
3.3. Structured Lipids ............................................................................................................ 55
3.4. Bioactive Peptides from Marine Resources...................................................................... 57
3.5. Chitin, Chitosan and Related Compounds........................................................................ 58
5
References ............................................................................................................................ 60
Chapter 4 .............................................................................................................................. 62
Nutraceutical Foods from Selected Asian Fruits and Fruit Products ........................................ 62
4.1. Annatto Fruits................................................................................................................. 62
4.2. Apples ............................................................................................................................ 63
4.3. Aronia Fruits .................................................................................................................. 64
4.4. Avocados ....................................................................................................................... 64
4.5. Bananas.......................................................................................................................... 65
4.6. Bilberries........................................................................................................................ 66
4.7. Black Prunes .................................................................................................................. 67
4.8. Cherimoyas .................................................................................................................... 68
4.9. Chinese Dates ................................................................................................................. 68
4.10. Red Dates: .................................................................................................................... 69
4.11. Black Dates: ................................................................................................................. 69
Citrus Fruits .......................................................................................................................... 69
4.12. Oranges ........................................................................................................................ 70
4.13. Red Tangerine .............................................................................................................. 71
4.14. Mandarin Oranges ........................................................................................................ 71
4.15. Kumquats ..................................................................................................................... 72
4.16. Pummelos..................................................................................................................... 72
4.17. Cranberries ................................................................................................................... 73
4.18. Durians......................................................................................................................... 74
4.19. Embalics....................................................................................................................... 74
4.20. Figs .............................................................................................................................. 75
4.21. Grapes .......................................................................................................................... 76
4.22. Guavas ......................................................................................................................... 77
4.23. Hawthorn Fruits............................................................................................................ 78
4.24. Indian Jujubes ............................................................................................................... 79
4.25. Jackfruits ...................................................................................................................... 80
4.26. Kiwifruits ..................................................................................................................... 80
4.27. Loquats ........................................................................................................................ 81
4.28. Longans........................................................................................................................ 81
4.29. Litchi............................................................................................................................ 82
4.30. Mangoes ....................................................................................................................... 83
4.31. Mangosteens................................................................................................................. 83
4.32. Mulberry ...................................................................................................................... 84
4.33. Papayas ........................................................................................................................ 85
4.34. Passion Fruits ............................................................................................................... 85
4.35. Persimmons .................................................................................................................. 86
6
4.36. Pineapples .................................................................................................................... 87
4.37. Pomegranates ............................................................................................................... 88
4.39. Sea Buckthorn Fruits .................................................................................................... 89
4.40. Santol Fruits ................................................................................................................. 90
4.41. Soursop Fruits .............................................................................................................. 90
4.42. Tamarinds .................................................................................................................... 91
4.43. Wolfberry ..................................................................................................................... 91
Chapter 5 .............................................................................................................................. 98
Selcted Fruits of African Origin – Nutraceutical Perspectives ................................................. 98
5.1. African Custard-Apple .................................................................................................... 98
5.2. The African Medlar ........................................................................................................ 99
5.3. African Moringa ........................................................................................................... 100
5.4. Aizen............................................................................................................................ 101
5.5. Balsam Apple ............................................................................................................... 102
5.6. Desert Date................................................................................................................... 103
5.7. Baobab ......................................................................................................................... 104
5.8. Butterfruit (Safou, Bush Mango) ................................................................................... 105
5.9. Carissa ......................................................................................................................... 105
5.10. Horned Melon ............................................................................................................ 106
5.11. Kei Apple ................................................................................................................... 107
5.12. Marula ........................................................................................................................ 108
5.13. Melon ......................................................................................................................... 109
5.14. Tamarind .................................................................................................................... 109
5.15. Watermelon ................................................................................................................ 110
Chapter 6 ............................................................................................................................ 111
Profiling Popular Foods and Herbs - Nutraceutical Perspectives ........................................... 111
6.1. Aloe Vera ..................................................................................................................... 111
6.1.1. References ............................................................................................................. 112
6.2. Apple Juice................................................................................................................... 113
6.2.1. References ............................................................................................................. 114
6.3. Beans ........................................................................................................................... 114
6.3.1. References ............................................................................................................. 115
6.4. Black Tea ..................................................................................................................... 115
6.4.1. References ............................................................................................................. 116
6.5. Cabbage ....................................................................................................................... 118
6.5.1. References ............................................................................................................. 118
6.6. Cacao ........................................................................................................................... 119
6.6.1. References ............................................................................................................. 119
6.7. Caffeine........................................................................................................................ 120
7
6.7.1. References ............................................................................................................. 121
6.8. Chocolate ..................................................................................................................... 122
6.8.1. References ............................................................................................................. 124
6.9. Cocoa (Theobroma cacao) ............................................................................................ 124
6.9.1. References ............................................................................................................. 125
6.10. Coconut (Cocos nucifera) ........................................................................................... 126
6.10.1. References ........................................................................................................... 126
6.11. Coffee ........................................................................................................................ 127
6.11.1. References ........................................................................................................... 129
6.12. Garlic ......................................................................................................................... 131
6.12.1. References ........................................................................................................... 132
6.13. Ginseng ...................................................................................................................... 133
6.13.1. References ........................................................................................................... 134
6.14. Green Tea ................................................................................................................... 135
6.14.1. References ........................................................................................................... 136
6.15. Honey......................................................................................................................... 137
6.15.1. References ........................................................................................................... 139
6.16. Lemon ........................................................................................................................ 139
6.16.1. References ........................................................................................................... 140
6.17. Onions (Allium cepa Liliacae) .................................................................................... 141
6.17.1. References ........................................................................................................... 141
6.18. Red Wines .................................................................................................................. 143
6.18.1. References ........................................................................................................... 144
6.19. Rooibos Tea ............................................................................................................... 145
6.19.1. References ........................................................................................................... 146
6.20. Sorghum (Sorghum Vulgare) ...................................................................................... 147
6.20.1. References ........................................................................................................... 148
6.21. Soya Beans ................................................................................................................. 149
6.21.1. References ........................................................................................................... 150
6.22. Sweet Potatoes ............................................................................................................ 151
6.22.1. References ........................................................................................................... 152
6.23. Taurine ....................................................................................................................... 153
6.23.1. References ........................................................................................................... 154
6.24. Tomato ....................................................................................................................... 156
6.24.1. References ........................................................................................................... 157
Chapter 7 ............................................................................................................................ 159
Research and Technology Trends of Nutraceuticals – A Japanese Perspective ...................... 159
7.1. Introduction ................................................................................................................ 159
7.1.1. Needs of Prophylactic Medicine ........................................................................... 159
8
7.1.2. Concept of Nutraceuticals ..................................................................................... 159
7.1.3. Procedure for Nutrigenomics ................................................................................ 161
7.2. Current Status of Nutraceuticals in Japan ..................................................................... 161
7.2.1. Food with Function Claims .................................................................................... 161
7.2.2.Nutraceuticals research in Japan.............................................................................. 164
7.2.2.1. Research on analysis and systematization of non-trophic functions of food .......... 164
7.2.2.2. Cooperative research with industries .................................................................. 165
7.2.2.3. Scientific evaluation in humans ........................................................................... 166
7.3. Nutraceuticals research in Europe ................................................................................. 167
7.3.1. Food valley in the Netherlands ............................................................................... 167
7.3.3.NIZO food research BV .......................................................................................... 170
7.3.4. NuGO; European nutrigenomics organization ........................................................ 170
7.3.5. UC Davis : disease prevention ............................................................................... 171
7.4. Reference ..................................................................................................................... 172
Chapter 8 ............................................................................................................................ 173
Analysis of Nutraceuticals – An Advanced and Comprehensive Perspective ......................... 173
8.0. Introduction .................................................................................................................. 173
8.1. Lipids ........................................................................................................................... 175
8.2. Fatty Acids ................................................................................................................... 178
8.3. Sterols .......................................................................................................................... 185
8.4. Terpenes....................................................................................................................... 186
8.5. Glycerolipids ................................................................................................................ 187
8.6. Sphingolipids................................................................................................................ 188
8.7. Vitamins....................................................................................................................... 191
8.8. Proteins, Peptides and Amino Acids.............................................................................. 195
8.9. Carbohydrates, Glycosides and Related Compounds...................................................... 196
8.10. Phenolic Compounds .................................................................................................. 202
Chapter 9 ............................................................................................................................ 227
Selected Nutraceutical and health Glossary of Terms and Concepts ..................................... 227
Chapter 10 .......................................................................................................................... 255
Current Status of the Global Nutraceuticals and Vitamins Industry – 2011 Review ............... 255
10.0. Status – 2011 .............................................................................................................. 255
10.1. Sector Growth and Challenges .................................................................................... 260
9
Epigraph
Chinese Proverb
10
PREFACE
Nearly two thirds of the world’s 6.1 billion people rely on the healing power of
plant based materials for many reasons to include: availability, affordability,
safety or their belief in traditional cures. Medical benefits of food have been
explored for thousands of years and it is considered that modern nutraceutical
industry began to develop in Japan during the 1980s.
11
maintain growth in the nutraceutical segment, companies must concentrate on
the scientific evidence backing the efficacy claims of their products. Many
experts believe that in some instances, pharmaceuticals can be replaced by
naturally derived products to reduce side effects, eliminate unfavorable drug
interactions, and improve patient outcomes. Most chronic illnesses are linked to
long-term lifestyle and behavior choices. Experts are hopeful that the trend of
personalized health science nutrition will contribute to successfully preventing,
improving and treating acute and chronic medical conditions.
12
Chapter 1
Understanding the concept of “Nutraceuticals”
Historical Background
The original idea in these concepts goes back three thousand years ago.
Hippocrates (460-377 BC), the well-recognized father of modern medicine,
stated “Let food be thy medicine and medicine be thy food” to predict the
relationship between appropriate foods for health and their therapeutic benefits.
The truth in this saying is widely recognised today. The concept of
nutraceuticals is not entirely new, although it has evolved considerably over
years. In the early 1900s, food manufacturers in the United States began adding
iodine to salt in an effort to prevent goiter, representing one of the first attempts
at creating a functional component through fortification. Today researchers
have indentified hundreds of compounds with functional qualities, and they
continue to make new discoveries surrounding the complex benefits of
phytochemicals (non-nutritive plant chemicals that have protective or disease
preventative properties) in foods. In Japan, England and other countries,
nutraceuaticals already have become part of the dietary landscape. Consumer
interest in the relationship between diet and health has increased the demand for
information on nutraceuticals. Rapid advances in science and technology,
increasing health care costs, changes in food laws affecting label and product
claims, an aging population and rising interest in attaining wellness through diet
are among the factors fueling U.S. interest in nutraceuticals. Credible scientific
research indicates many potential health benefits from food components. These
benefits could expand the health claims now permitted to be identified by the
Food and Drug Administration.
Introduction
About 2000 years ago, Hippocrates correctly emphasized “Let food be your
medicine and medicine be your food". Currently there is an increased global
13
interest due to the recognition that “nutraceuticals” play a major role in health
enhancement. The term "Nutraceutical" was coined by combining the terms
"Nutrition" and "Pharmaceutical" in 1989 by Dr Stephen DeFelice, Chairman of
the Foundation for Innovation in Medicine. “Nutraceutical” is a marketing term
developed for nutritional supplement that is sold with the intent to treat or
prevent disease and thus has no regulatory definition. Hence a “nutraceutical” is
any substance that may be considered a food or part of a food and provides
medical or health benefits, encompassing, prevention and treatment of diseases.
Such products may range from isolated nutrients, dietary supplements and diets
to genetically engineered "designer" foods, herbal products and processed foods
such as cereals, soups and beverages. Presently over 470 nutraceutical and
functional food products are available with documented health benefits.
“Nutraceuticals and functional foods have received considerable interest
because of their presumed safety and potential nutritional and therapeutic
effects”. The nutraceutical and functional food industry is in a unique position
to capitalize on consumers' interest. Be it a multinational pharmaceutical
corporation, a nutritional company, a large food multinational or a small
vitamin selling firm, all of them recognize the changing trends and are aware of
the more health-seeking consumer trend. There is, thus, a proliferation of these
value-added products aimed at not only keeping oneself healthy but also
prevention/treatment of various ailments ranging from heart diseases to cancer.
As mentioned earlier functional foods contain larger profit margins than
conventional foods (30 to 500 percent higher). The global market size is
estimated between 30 and 60 billion US$, with Japan, US, and Europe
occupying the biggest share. By 2010, the nutraceutical demand is forecast to
touch $197 billion. There is a lot of confusion regarding the terminologies like
“nutraceuticals”, “functional foods”, “dietary supplements” “designer foods”,
“medical foods”, “pharmafoods”, “phytochemicals” etc. There seems to be thin
dividing line in their interchangeable usage by different people on different
occasions. “Pharmaceuticals” may be considered as drugs used mainly to treat
diseases, while “nutraceuticals” are those that are intended to prevent diseases.
The above distinction between pharmaceuticals and nutraceuticals is cute, but
superficial and erroneous. Pharmaceuticals are substances which have (or have
had) patent protection as a result of expensive testing to conform to the
specifications of respective Governments. However, many nutrients may never
receive government approval since no one could justify the expense of testing
requirements for substances that cannot be protected by patent laws. Both
pharmaceuticals and nutrients can cure and prevent disease(s) but only
pharmaceuticals have governmental sanction. Many pharmaceuticals have their
origin in plants and animals and are no less "natural" than nutrients. Classic
example of nutrients is synthetic vitamins. Nutraceuticals sometimes referred as
“functional foods”, have caused heated debate because they blur the traditional
dividing line between food, and medicine. When food is being cooked or
prepared using "scientific intelligence" with or without the knowledge of how
or why it is being used, then the food is called as "functional food." Thus,
functional food provides the body with the required amount of vitamins, fats,
proteins, carbohydrates necessary for healthy survival. When functional food
aids in the prevention and/or treatment of disease(s)/disorder(s) other than
14
deficiency conditions like anemia it is called a “nutraceutical”. Thus, a
functional food for one consumer can act as a nutraceutical for another.
Examples of nutraceuticals include: fortified dairy products (milk as such is a
nutrient and its product casein is a pharmaceutical) and citrus fruits (orange
juice is nutrient and its constituent ascorbic acid is a pharmaceutical).
• Cardiovascular agents
• Antiobese agents
• Antidiabetics
• Anticancer agents
• Immune boosters
• Chronic inflammatory disorders
• Degenerative diseases
15
treatment or cure of a condition or disease or be administered with a view to
restoring, correcting or modifying physiological functions in human beings.
Both pharmaceuticals and nutrients can cure and prevent disease(s) but only
pharmaceuticals have governmental sanction. Drugs are subject to an approval
process prior to marketing. To be approved, a drug must demonstrate safety
and efficacy for its intended use. Nutraceuticals are not drugs simply because
they have not gone through an approval process. Many pharmaceuticals have
their origin in plants and animals and are no less “natural” than nutrients.
Classic example of nutrients is synthetic vitamins.
“Medical foods” are a specific category of therapeutic agents that are intended
for the nutritional management of a specific disease. An example of medical
foods is formulations intended to manage patients with inborn errors in amino
acid metabolism. Newer medical foods are designed to manage
hyperhomocysteinemia, pancreatic exocrine insufficiency, inflammatory
conditions, cancer cachexia, and other diseases. Food is generally recognized
as safe whereas Nutraceuticals may contain substances that are “natural” but
may not be generally recognised as safe.
A dietary supplement:
16
includes products such as an approved new drug, certified antibiotic, or licensed
biologic that was marketed as a dietary supplement or food before approval,
certification, or license.
Nutraceuticals must not only supplement the diet but should also aid in the
prevention and/or disorder.
Nutraceuticals are requested for use as a conventional food or as the sole item
of meal or diet.
Classification of Nutraceuticals
17
Solube fibre Legumes, oats, Anticancer, helpful in
barely, some fruits maintaining the digestive
tract
Insoluble fibre Whole grain foods Anticancer (colon), helpful
Wheat and corn in maintaining the
bran, nuts digestive tract
Polyphenolic compounds
Flavonones Citrus fruits Antioxidants, Anti cancer
Flavones Fruits, Vegetables, Antioxidants, Anti cancer
Soyabean
Flavonols Onions, apples, tea, Antioxidants
broccoli
Anthocyanins Blueberries, Anti-oxidants, counteracts
blackberries, black inflammation in the body,
raspberries Lower blood sugar levels
in people with diabetes
Phenolic acids Berries, legumes Phenolic acids reduce
oxidation of LDL
cholesterol.
Reduce formation of
cancer
Resveratrol Dark grapes, Lowers total serum
Raisins, berries, cholesterol increasing
peanuts HDL
Curcumin Turmeric root Strongly anti-
inflammatory and strongly
anti-oxidant, effective
anti-clotting agent
Fatty Acids
Omega 3 Fatty A cids (Poly Salmon, Flax seed Potent controllers of the
Unsaturated Fatty Acids) inflammatory processes,
Maintenance of brain
function, Reduce
cholesterol disposition
Monosaturated fatty acids Tree nuts Reduce risk of coronary
heart disease
Isothiocyanates Cauliflower, May enhance
Sulporaphane broccoli, cabbage, detoxification of
kale, Horseradish undersirable compounds
and bolster cellular
antioxidant defences
Phenols Apples, pears, May bolster cellular
Caffeic acid citrus fruits, some antioxidant defences:
Ferulic acid vegetables May contribute to
maintenance of vision and
heart health
Plant Stanols/Sterols Fortified table May reduce risk of
18
Stanol/sterol esters spreads, stanol coronary heart disease
ester dietary
supplements
Tocotrienol (Isoprenoids) Grains, Palm Oil Anticancer (breast cancer),
Promotes cardiovascular
health
Saponins Chickpeas and Lowers cholesterol level,
soybeans Anticancer activity (colon)
Probiotics/Prebiotics Yogurt, other dairy May improve
Lactobacilli, bifidobacteria and non dairy gastrointestinal health and
Applications systematic Immunity
Minerals Calcium, Food Important constituent of
selenium, potassium, zinc, balanced diets
copper
Polyols Sugar alcohols Fruits Reduces risk of dental
(xylitol, sorbital) caries
Sulphides/Thiols Cruciferous May contribute to
Dithiothiones vegetables maintenance of healthy
immune function
Gulcosinolates Cruciferous Anticancer (bladder
vegetables, cancer)
Cauliflower
Phytoestrogens
Isoflavanes (genistein, Soybeans, legumes Lowers LDL cholesterol
daidzein) antioxidant, anticancer
(prostate, breast, bowel)
Liganans Flaxseed, rye, Inhibit the development of
vegetables breast cancer and colon
cancer
Alkaloids
Quinine Cinchona Anti-malarial
Tropane alkaloids Solanaceous In treatment of heart
members: Deadly ailments
night shade, Datura
Morphine Opium poppy Antidepressant, pain killer
Ergot alkaloids Fungus: (Claviceps Abortifiacients
purpurea)
Vincristine Periwinkle Antineoplastic
Vinblastine Periwinkle Antineoplastic
Coumarin Fenugreek Hypoglycaemic
Scopoletin Fenugreek Hypoglycaemic
Fenugreekine Fenugreek Hypoglycaemic
Trigonelliine Fenugreek Hypoglycaemic
Non-carotenoid terpenoids
Perillyl alcohol Cherries and mints Anticancer
Saponins Legumes (Chicks, Reduces cholesterol levels
peas, fenugreek, all in blood
19
pulse crops)
Terpenol Carrots Anticancer
Terpene Limonoids Peels and Anticarcinogenic
membranes of
citrus fruits
Anthraquinones
Senna Legumes and Purgative
pulses
Barbaloin Aloe Laxative, anti-helminthic
Hypericn St. John’s Wort Analgesic
Capsaicin Capsicum (hot Anticancer, anti-
peppers) inflammatory, anti-
apoptotic
Piperine Black peppers, Helps in digestion
jalapeno peppers
Terpenes
Menthol (Monoterpene) Plants of mint Topical pain reliever &
family anti-pyretic
Borneol (Monoterpene) Pine oil Disinfectant
Santonin (Sesquiterpene) Wormwood Photosensitizer
Gossypo 1 (Sesquiterpene) Cotton Contraceptive
Chemical constituent Source Potential Benefit
Carotenoids (Isoprenoids)
Lycopene Tomatoes, pink Antioxidant activity,
grapefruit, guava protects against against
papaya, formation of cancer
watermelon mainly prostate, bladder,
cervical, leukemia.
Lutin Corn, avocado, Anticancer activity (colon)
eggyork, spinach cataracts, protects the eyes
against development of
age related muscular
degeneration.
β-Carotene Carrots, various Antioxidant activity which
fruits and neutralizes free radicals,
vegetables protect cornea against UV
Carrots light. Antioxidants,
α-Carotene Orange and anticarcinogenic
α-Cryptoxanthin Tangerines Antioxidants, anticancer
Zeaxanthin Corn, avocado Protects eye from macular
Degeneration and cataracts
Dietary fibres
Solube fibre Legumes, oats, Anticancer, helpful in
barely, some fruits maintaining the digestive
tract
Insoluble fibre Whole grain foods Anticancer (colon), helpful
Wheat and corn in maintaining the
20
bran, nuts digestive tract
Polyphenolic compounds
Flavonones Citrus fruits Antioxidants, Anti cancer
Flavones Fruits, Vegetables, Antioxidants, Anti cancer
Soyabean
Flavonols Onions, apples, tea, Antioxidants
broccoli
Anthocyanins Blueberries, Anti-oxidants, counteracts
blackberries, black inflammation in the body,
raspberries Lower blood sugar levels
in people with diabetes
Phenolic acids Berries, legumes Phenolic acids reduce
oxidation of LDL
cholesterol.
Reduce formation of
cancer
Resveratrol Dark grapes, Lowers total serum
Raisins, berries, cholesterol increasing
peanuts HDL
Curcumin Turmeric root Strongly anti-
inflammatory and strongly
anti-oxidant, effective
anti-clotting agent
Fatty Acids
Omega 3 Fatty A cids (Poly Salmon, Flax seed Potent controllers of the
Unsaturated Fatty Acids) inflammatory processes,
Maintenance of brain
function, Reduce
cholesterol disposition
Monosaturated fatty acids Tree nuts Reduce risk of coronary
heart disease
Isothiocyanates Cauliflower, May enhance
Sulporaphane broccoli, cabbage, detoxification of
kale, Horseradish undersirable compounds
and bolster cellular
antioxidant defences
Phenols Apples, pears, May bolster cellular
Caffeic acid citrus fruits, some antioxidant defences:
Ferulic acid vegetables May contribute to
maintenance of vision and
heart health
Plant Stanols/Sterols Fortified table May reduce risk of
Stanol/sterol esters spreads, stanol coronary heart disease
ester dietary
supplements
Tocotrienol (Isoprenoids) Grains, Palm Oil Anticancer (breast cancer),
Promotes cardiovascular
21
health
Saponins Chickpeas and Lowers cholesterol level,
soybeans Anticancer activity (colon)
Probiotics/Prebiotics Yogurt, other dairy May improve
Lactobacilli, bifidobacteria and non dairy gastrointestinal health and
Applications systematic Immunity
Minerals Calcium, Food Important constituent of
selenium, potassium, zinc, balance diet
copper
Polyols Sugar alcohols Fruits Reduces risk of dental
(xylitol, sorbital) caries
Sulfides/Thiols Cruciferous May contribute to
Dithiothiones vegetables maintenance of healthy
immune function
Gulcosinolates Cruciferous Anticancer (bladder
vegetables, cancer)
Cauliflower
Phytoestrogens
Isoflavanes (genistein, Soybeans, legumes Lowers LDL cholesterol
daidzein) antioxidant, anticancer
(prostate, breast, bowel)
Liganans Flaxseed, rye, Inhibit the development of
vegetables breast cancer and colon
cancer
Alkaloids
Quinine Cinchona Anti-malarial
Tropane alkaloids Solanaceous In treatment of heart
members: Deadly ailments
night shade, Datura
Morphine Opium poppy Antidepressant, pain killer
Ergot alkaloids Fungus: (Claviceps Abortifiacients
purpurea)
Vincristine Periwinkle Antineoplastic
Vinblastine Periwinkle Antineoplastic
Coumarin Fenugreek Hypoglycaemic
Scopoletin Fenugreek Hypoglycaemic
Fenugreekine Fenugreek Hypoglycaemic
Trigonelliine Fenugreek Hypoglycaemic
Non-carotenoid terpenoids
Perillyl alcohol Cherries and mints Anticancer
Saponins Legumes (Chicks, Reduces cholesterol levels
peas, fenugreek, all in blood
pulse crops)
Terpenol Carrots Anticancer
Terpene Limonoids Peels and Anticarcinogenic
membranes of
citrus fruits
22
Anthraquinones
Senna Legumes and Purgative
pulses
Barbaloin Aloe Laxative, anti-helminthic
Hypericn St. John’s Wort Analgesic
Capsaicin Capsicum (hot Anticancer, anti-
peppers) inflammatory, anti-
apoptotic
Piperine Black peppers, Helps in digestion
jalapeno peppers
Terpenes
Menthol (Monoterpene) Plants of mint Topical pain reliever &
family anti-pyretic
Borneol (Monoterpene) Pine oil Disinfectant
Santonin (Sesquiterpene) Wormwood Photosensitizer
Gossypo 1 (Sesquiterpene) Cotton Contraceptive
23
supplement vitamins healthcare
limited,
Ahmedabad,
India
Appetite Appetite Caffeine, tyrosine Natrol,
Intercept™ suppressant and Phenylalanine Chatsworth,
CA,USA
Betafactor® Immune Beta-glucan Ameriden
capsules supplement international Inc,
USA
Tozal Eye Health Improved vision Omega 3 fatty Ameri Sciences,
formula acids, zinc, USA
antioxidants and
lutein
Snapple-a-day™ Meal Vitamins and Snapple
replacement minerals beverages group,
beverages USA
Brainspeed Brain health Blend of vitamins Natrol, USA
Memory® and minerals
Red bull® Energy drink Taurine, caffeine Austrain red bull
and Gmbh
Glucoronolactone,
b-group vitamins
5-Hour energy® Energy drink Vitamins, tyrosin, Living essentials,
Taurine, malicacid, USA
caffeine,
Glucuronoloctone,
WelLife® Amino acid Granulated-L- Daesang
supplement glutamine America Inc.,
Hackensach, NJ,
USA
Pediasure® Nutritional Protein, vitamin Abbott nutrition
supplement and other natural
supplement
Threptin® Protein Proteins and Raptakos, Brett
Diskettes supplements vitamin B & Co. Ltd.,
Mumbai, India
Olivenol Dietary Natural Cre Agri,
supplement antioxidant, Hayward, CA,
hydroxytyrosol USA
Beneflora® Maintain Lactobacillus Nupro, USA
probiotic gastrointestinal acidophilus,
health bifidobacterium
bifidum
Ferradol® Nutrition Carbohydrates, Pfizer Limited,
Powder supplement proteins, India
Niacinamide,
24
calcium, iron, zinc,
vitamins
Muscle Meal Protein, vitamins, Jarrow formulas,
Optimeal® replacement dietary fibres, USA
drink mix xylitol and trace
elements
Revital® Daily health Ginseng, vitamins Ranbaxy
supplement and minerals
Becadexamine® Nutritional Multivitamins Glaxosmith kiln
supplement
Glowelle® Beauty drink Antioxidants, Nestle
vitamins and
botanical and fruit
extracts
References:
Brower V., Nutraceuticals: poised for a healthy slice of the healthcare market?,
Nat Biotechnology., 1998, 16, 728-731.
http://en.wikipedia.org/wiki/nutraceuticals.
Allen LV. Nutritional Products, In: Covington TR, Berardi RR, Young LL, et
al. Editors. Handbook of Nonprescription Drugs. Washington DC: American
Pharmaceutical
Association; 1997.
Tyler VE, Foster F. Herbs and phytochemicals, In: Covington TR, Berardi
RR, Young LL et al. editors. Handbook of Nonprescription Drugs. Washington
DC:
American Pharmaceutical Association; 1996.
25
India, health foods and dietary supplements association conference, Mumbai
sept10,2009.
www.pitt.edu/~super7/31011- 32001/31101.ppt
http://www.globalregulatory.com /labclass/nutraceutical_consultants.cfm
Bass IS and Young AL. Dietary Supplement Health and Education Act. The
Food and Drug Law Institute, Washington DC,1996.
Ohama H, Ikeda H, Moriyama H. Health foods and Foods with health claims
in Japan.
Toxicology. 2006;221:95-111.
www.medind.nic.in/ibi/t03/i6/ibit03i6p363 .pdf
www.marketwatch.com/Nutraceuticals.
German JB and Walzem RL. The health benefit of wine. Annu Rev Nutr.
2000; 20:
561-593.
26
Baljit S. Psyllium as therapeutic and drug delivery agent. Int J. Pharmaceutics.
2007; 334; 1-14
.
Daly PA, Khrieger DR and Dulloo AG. Ephedrine, caffeine and aspirin:
safety and
efficacy for treatment of human obesity. Int J Obes Relat Metab Disord. 1993;
17: 73-78.
Bell SJ, Goodrick GK. A Functional Food Product for the Management of
Weight
Critical Reviews in Food Science and Nutrition. 2002; 42: 163-178.
Mandel S, Packer L, You dim MBH, et al. Proceedings from the Third Int.
Conf. Mechanism of Action of Nutraceuticals. J. Nutritional Biochem. 2005;
16: 513-520.
27
Formica JV and Regelson W. Review of the Biology of Quercetin and
Related Bioflavonoids Food and Chemical Toxicology. 1995; 33:1061-1080.
Latif S, Anwar F Ashraf M, et al. Moringa oleifera: a food plant with multiple
medicinal uses. Phytother Res.2007; 21: 17-25.
Brower V. A nutraceutical a day may keep the doctor away. EMBO reports.
2005; 8: 708- 711
28
Chapter 2
Nutraceuticals and Diseases
2.0. Introduction
About 2000 years ago Hippocrates correctly emphasized “Let food be your
medicine and medicine be your food". Currently there is an increased global
interest due to the recognition that nutraceuticals play a major role in health
enhancement. The term "Nutraceutical" was coined by combining the terms
"Nutrition" and "Pharmaceutical" in 1989 by Dr Stephen De Felice, Chairman
of the Foundation for Innovation in Medicine. Nutraceutical is a marketing term
developed for nutritional supplement that is sold with the intent to treat or
prevent disease and thus has no regulatory definition. Hence a nutraceutical is
any substance that may be considered a food or part of a food and provides
medical or health benefits, encompassing, prevention and treatment of diseases.
Such products may range from isolated nutrients, dietary supplements and diets
to genetically engineered designer foods, herbal products and processed foods
such as cereals, soups and beverages. Presently over 470 nutraceutical and
functional food products are available with documented health benefits.
Concept of Nutraceuticals
“Nutraceuticals and functional foods have received considerable interest
because of their presumed safety and potential nutritional and therapeutic
effects”. The nutraceutical and functional food industry is in a unique position
to capitalize on consumers' interest. Be it a multinational pharmaceutical
corporation, a nutritional company, a large food multinational or a small
vitamin selling firm, all of them recognize the changing trends and are aware of
29
the more health-seeking consumer trend. There is a proliferation of these value-
added products aimed at not only keeping oneself healthy but also
prevention/treatment of various ailments ranging from heart diseases to cancer.
As mentioned earlier functional foods contain larger profit margins than
conventional foods (30 to 500 percent higher). The global market size is
estimated between 30 and 60 billion US$, with Japan, US, and Europe
occupying the biggest share. By 2010 the nutraceutical demand is forecast to
touch $197 billion. There is a lot of confusion regarding the terminologies like
nutraceuticals, functional foods, dietary supplements, designer foods, medical
foods, pharmafoods, phytochemicals etc. There seems to be thin dividing line in
their interchangeable usage by different people on different occasions.
Pharmaceuticals may be considered as drugs used mainly to treat diseases,
while nutraceuticals are those that are intended to prevent diseases. The above
distinction between pharmaceuticals and nutraceuticals is cute, but superficial
and erroneous. Pharmaceuticals are substances which have patent protection as
a result of expensive testing to conform to the specifications of respective
Governments. However, many nutrients may never receive government
approval since no one could justify the expense of testing requirements for
substances that cannot be protected by patent laws. Both pharmaceuticals and
nutrients can cure and prevent disease but only pharmaceuticals have
governmental sanction. Many pharmaceuticals have their origin in plants and
animals and are no less natural than nutrients. Classic example of nutrients is
synthetic vitamins. Nutraceuticals sometimes referred as functional foods, have
caused heated debate because they blur the traditional dividing line between
food, and medicine. When food is being cooked or prepared using "scientific
intelligence" with or without the knowledge of how or why it is being used, then
the food is called as "functional food." Thus, functional food provides the body
with the required amount of vitamins, fats, proteins, carbohydrates necessary for
healthy survival. When functional food aids in the prevention and/or treatment
of disease/disorder other than deficiency conditions like anemia it is called a
nutraceutical. Thus, a functional food for one consumer can act as a
nutraceutical for another. Examples of nutraceuticals include fortified dairy
products (milk as such is a nutrient and its product casein is a pharmaceutical)
and citrus fruits (orange juice is nutrient and its constituent ascorbic acid is a
pharmaceutical). A dietary supplement is a product that is intended to
supplement the diet that bears or contains one or more ingredients like, vitamin,
mineral, herb, amino acid or a concentrate, metabolite, constituent, extract, or
combinations of these. Medical foods are a specific category of therapeutic
agents that are intended for the nutritional management of a specific disease. An
example of medical foods is formulations intended to manage patients with
inborn errors in amino acid metabolism. Newer medical foods are designed to
manage hyperhomocysteinemia, pancreatic exocrine insufficiency,
inflammatory conditions, cancer and other diseases. The use of nutraceuticals,
as an attempt to accomplish desirable therapeutic outcomes with reduced side
effects, as compared with other therapeutic agents has met with great monetary
success. The preference for the discovery and production of nutraceuticals over
pharmaceuticals is well appreciated by the pharmaceutical and biotechnology
companies. Some popular nutraceuticals include glucosamine (for arthritis),
30
lutein (for macular degeneration), ginseng (for cold), echinacea (anti-immune),
folic acid, cod liver oil capsules, etc. The most popular functional food and
beverage products include omega-3 eggs, omega-3 enriched yoghurts, calcium-
enriched orange juice, green tea to mention a few. Majority of the nutraceuticals
do possess multiple therapeutic benefits, however in the present review much
effort has been devoted to decentralize them based on their disease specific
major indication.
31
production, absorption of iron from digestive tract.
17 Iodine Essential for proper functioning of the thyroid
32
are used for treating problems with inflammation and auto-
immune diseases. Glucosamine and chondroitin sulphate
are used against osteoarthritis and regulate gene expression
and synthesis of NO and PGE2. Cat’s claw has 17
alkaloids, along with glycosides, tannins, flavonoids, sterol
fractions, and other compounds and work as potent
antiinflammatory agent.
Alzheimer’s β-carotene, curcumin, lutein, lycopene, turmerin etc may
disease exert positive effects on specific diseases by neutralizing
the negative effects oxidative stress mitochondrial
dysfunction, and various forms of neural degeneration
Parkinson’s Vitamin E in food may be protective against Parkinson’s
disease disease. Creatine modifies Parkinson’s disease features as
measured by a decline in the clinical signs.
33
flavonglycosides - ginkgo), play a major role in curing the cardiovascular
diseases. Flavonoids block the angiotensin-converting enzyme (ACE) that raises
blood pressure; by blocking the "suicide" enzyme cyclooxygenase that breaks
down prostaglandins, they prevent platelet stickiness and hence platelet
aggregation. Flavonoids also protect the vascular system and strengthen the tiny
capillaries that carry oxygen and essential nutrients to all cells. Flavonoids
block the enzymes that produce estrogen, thus reducing the risk of estrogen-
induced cancers. Polyphenols are simple phenolic molecules to highly
polymerized compounds with molecular weights of greater than 30,000 Da.
Stilbenes, anthocyanins, condensed tannins (proanthocyanidins), in grape and
wine, tetrahydro-β-carbolines, dietary indoleamines, melatonin, and serotonin,
in different plant foods are hypothesized to impart health benefits, associated
with Mediterranean dietary style. Hesperidin is a flavanone glycoside which is
classified as a citrus bioflavonoid. Sweet oranges (Citrus sinensis) and tangelos
are the richest dietary sources of hesperidin. The peel and membranous parts of
lemons and oranges have the highest hesperidin concentrations. Therefore,
orange juice containing pulp is richer in the flavonoid than that without pulp.
Hesperidin, in combination with a flavone glycoside called diosmin, is used for
the treatment of venous insufficiency and hemorrhoids. Hesperidin, rutin and
other flavonoids are reported to possess analgesic and anti-inflammatory
activity.
34
from defatted rice bran has laxative and cholesterol-lowering ability with
attendant benefits towards prevention or alleviation of cardiovascular disease,
diabetes, diverticulosis and colon cancer. It has been suggested that rice bran is
a good fibre source (27%) that can be added to various food products. Milk and
eggs are the important animal sources of nutraceuticals like proteins and
polyunsaturated fats or essential fatty acids (EFAs). EFAs are required for
production and rebuilding of cells, to reduce blood pressure, lower cholesterol
and triglycerides, reduce the risk of blood clots, help prevent many diseases
including arthritis, arrhythmias, and other cardiovascular diseases. Nutritional
value of egg is increased because of added gamma linolenic acid (GLA) which
has many benefits, including prevention and management of CVD like
hypertension. Fatty acids of the omega-3 series (n-3 fatty acids) present in fish
are well established dietary components affecting plasma lipids and the major
cardiovascular disorders, such as arrhythmias. Octacosanol is a 28-carbon chain
alcohol. This nutraceutical is present in fruit, leaves and skin of many plants and
whole grains. It has gastroprotective and lipid lowering effects. Since it has no
side effects further studies may be undertaken to prove the claims.
2.3. Obesity
35
stimulants, such as ephedrine, caffeine, mahuang-guarana, chitosan and green
tea have proved effective in facilitating body weight loss. However, their use is
controversial due to their ability to cause undesired effects. Buckwheat seed
proteins have beneficial role in obesity and constipation acting similar to natural
fibres present in food. 5-hydroxytryptophan and green tea extract may promote
weight loss, while the former decreases appetite, the later increases the energy
expenditure. Current status of nutraceuticals in obesity A blend of
glucomannan, chitosan, fenugreek, G sylvestre, and vitamin C in the dietary
supplement significantly reduced body weight and promoted fat loss in obese
individuals. Further studies are needed to establish a long term efficacy and
adverse effect potential. There is a very high prevalence of obesity globally and
hence nutrition and exercise play a key role in its prevention and treatment.
Nutraceutical interventions are currently being investigated on a large-scale
basis as potential treatments for obesity and weight management. Nutraceuticals
like conjugated linoleic acid (CLA), capsaicin, Momordica Charantia (MC) and
Psyllium fibre possess potential antiobese properties.
2.4. Diabetes
36
neuropathy. It is possible that lipoic acid may be more effective as a long-term
dietary supplement aimed at the prophylactic protection of diabetics from
complications. Dietary fibres from psyllium have been used extensively both as
pharmacological supplements, food ingredients, in processed food to aid weight
reduction, for glucose control in diabetic patients and to reduce lipid levels in
hyperlipidemia. Good magnesium status reduces diabetes risk and improves
insulin sensitivity; chromium picolinate, calcium and vitamin D appear to
promote insulin sensitivity and improve glycemic control in some diabetics;
extracts of bitter melon and of cinnamon have the potential to treat and possibly
prevent diabetes. However it has been suggested that nutraceuticals with
meaningful doses of combinations may substantially prevent and presumably
could be marketed legally.
2.5. Cancer
In the year 2000, malignant tumors were responsible for 12 per cent of the
nearly 56 million deaths worldwide from all causes. According to the World
Cancer Report the cancer rates there would be 15 million new cases in the year
2020 i.e. a rise in 50%. Cancer has emerged as a major public health problem in
developing countries, matching the industrialized nations. A healthy lifestyle
and diet can help in preventing cancer. People who consume large amount of
lutein-rich foods such as chicken eggs, spinach, tomatoes, oranges and leafy
greens experienced the lowest incidence of colon cancer. Chronic inflammation
is associated with a high cancer risk. At the molecular level, free radicals and
aldehydes, produced during chronic inflammation, can induce deleterious gene
mutation and posttranslational modifications of key cancer-related proteins.
Chronic inflammation is also associated with immune suppression, which is a
risk factor for cancer. Ginseng as an example of an antiinflammatory molecule
that targets many of the key players in the inflammation-to cancer sequence.
Recently, attention has been on phytochemicals that possess cancer-preventive
properties. Besides chemo preventive components in vegetables and fruits,
some phytochemicals derived from herbs and spices also have potential
anticarcinogenic and antimutagenic activities, among other beneficial health
effect. A broad range of phyto-pharmaceuticals with a claimed hormonal
activity, called "phyto-estrogens", is recommended for prevention of
prostate/breast cancer. Flavonoids found in citrus fruit appear to protect against
cancer by acting as antioxidants59. Soy foods are a unique dietary source of
isoflavones, the polyphenolic phytochemicals exemplified by epigallocatechin
gallate from tea, curcumin from curry and soya isoflavones possess cancer
chemo preventive properties. The main soybean isoflavones, genistein,
daidzein, biochanin inhibits prostate cancer cell growth. Carotenoids are a
group of phytochemicals that are responsible for different colours of the foods.
Recent interest in carotenoids has focused on the role of lycopene in human
health. Because of the unsaturated nature of lycopene it is considered to be a
potent antioxidant and a singlet oxygen quencher. Lycopene prevents cancer,
cardiovascular disease, and gastrointestinal tract. It concentrates in the skin,
testes, adrenal and prostate where it protects against cancer. The linkage
37
between carotenoids and retinoids and the prevention of cancer coronary artery
diseases, and advanced age-related macular degeneration heightened the
importance of value-added fruits in human diet. Recently, it was reported that
lycopene containing fruits and vegetables exert cancer-protective effect via a
decrease in oxidative and other damage to DNA in humans66. Lycopene is one
of the major carotenoids in western diets and is found almost exclusively in
tomatoes, water melon, guava, pink grapefruit and papaya. Beta-carotene, the
important precursor of vitamin A has anti-oxidant properties and help in
preventing cancer and other diseases. Among the carotenes, beta carotene is the
most active as antioxidants. Alpha carotene possesses 50 % to 54 % of the
antioxidant activity of beta carotene, whereas epsilon carotene has 42 % to 50
% of the antioxidant activity. Alpha and beta carotenes, along with gamma
carotene and the carotenes lycopene and lutein which do not convert to vitamin
A, seem to offer protection against lung, colorectal, breast, uterine and prostate
cancers. β- Carotene is the more common form and can be found in yellow,
orange, and green leafy fruits and vegetables. These can be carrots, spinach,
lettuce, tomatoes, sweet potatoes, broccoli, cantaloupe, oranges, and winter
squash. Saponins are reported to possess antitumor and antimutagenic activities
and can lower the risk of human cancers, by preventing cancer cells from
growing. Saponins are phytochemicals which can be found in peas, soybeans,
and some herbs with names indicating foaming properties such as soapwort,
soapbark and soapberry. They are also present in spinach, tomatoes, potatoes,
alfalfa and clover. Commercial saponins are extracted mainly from Yucca
schidigera and Quillaja saponaria. The non-sugar part of saponins has also a
direct antioxidant activity, which may result in other benefits such as reduced
risk of cancer and heart diseases. Tannins also called proanthocyanidins,
detoxify carcinogens and scavenge harmful free radicals . Tannins in
cranberries also protect against urinary tract infections. It is present in
blackberries, blueberries, cranberries, grapes, lentils, tea and wine. Ellagic acid
is a proven anti-carcinogen is used in alternative medicine and to prevent
cancer. It is present in strawberries, cranberries, walnuts, pecans, pomegranates
and the best source, red raspberry seeds. Pectin is a soluble fibre found in
apples. A new form of citrus pectin called modified citrus pectin (MCP) has
been shown to prevent prostate cancer metastasis by inhibiting the cancer cells
from adhering to other cells in the body. Several studies have also shown pectin
to have positive influences in decreasing serum cholesterol levels, without
effecting serum triglyceride levels. Pectin also has the ability to reduce the rise
of blood sugar when combined with meal73. Naturally occurring phenolic acid
derivatives are reported to possess potential anticancer properties. Phenolics
such as ferulic, caffeic, gallic acids and curcumin are reported to possess
anticancer activity. Glucosinolates are found in cruciferous vegetables including
the Brassica crops—Brussels sprouts, broccoli, cauliflower, cabbage,
watercress, oilseed rape, and mustard and are powerful activators of liver
detoxification enzymes. Glucosinolates and their hydrolysis products, including
indoles and isothiocyanates, and high intake of cruciferous vegetables has been
associated with lower risk of lung and colorectal cancer They also regulate
white blood cells and cytokines. White blood cells are the scavengers of the
immune system and cytokines act as "messengers," coordinating the activities
38
of all immune cells. Bio-transformation products of glucosinolates include
isothiocyanates, dithiolthiones and sulphoraphane. They block the enzymes that
promote tumour growth, particularly in the breast, liver, colon, lung, stomach
and oesophagus. The sulphur compounds, in garlic were found to kill bacteria
and parasites, boost the immune system and reduce atherogenesis and platelet
stickiness. All members of the cruciferous family” broccoli, cauliflower,
cabbage, bok choy, Brussels sprouts, collards, cress, kale, kohlrabi, mustard”
contains a group of closely related sulphur compounds known as glucosinolates.
Sulforaphane rich in broccoli is a potent phase 2 enzyme inducer. It produces
Dglucarolactone, a significant inhibitor of breast cancer. Sulphoraphane is an
antioxidant and stimulator of natural detoxifying enzymes. Sulforaphane has
been reported to reduce the risk of breast cancer and prostate cancer.
Thiosulfonates an organosulfur phytochemical is present in garlic and onions
(Allium cepa). Onions are rich in two chemical groups that have perceived
benefits to human health, which include anticarcinogenic properties, antiplatelet
activity, antithrombotic activity, antiasthmatic and antibiotic effects. Curcumin
(diferuloylmethane) is a polyphenol derived from the plant Curcuma longa,
commonly called turmeric. Curcumin, an active yellow pigment of turmeric
reported to possesses anticarcinogenic, antioxidative and anti-inflammatory
properties. The anticancer potential of curcumin stems from its ability to
suppress proliferation of a wide variety of tumour cells. Top of Form Beet roots,
cucumber fruits, spinach leaves, and turmeric rhizomes, were reported to
possess anti-tumour activity. Non-prescription antioxidants and other nutrients
(patients using beta-carotene; vitamins A, C, and E; selenium; cysteine; B
vitamins; vitamin D3; vitamin K3; and glutathione as single agents or in
combination.) do not interfere with therapeutic modalities for cancer. Current
status of nutraceuticals in cancer Approximately 20-30% of Americans
consume multivitamin supplements daily, indicating high public interest in the
prevention of cancer and other chronic diseases through a nutrition-based
approach. Because epidemiologic studies generally evaluate foods rather than
specific bioactive food components, a systematic approach to determining how
combinations of vitamins and minerals may interact to ameliorate cancer risk is
necessary to further our understanding of the potential benefits and risks of
supplement use. Increasing consumption of vegetables and fruits elevates the
levels of antioxidative components, for example, selenium, vitamin E, vitamin
C, lycopene, cysteine-glutathione and various phytochemicals. These
detrimental processes of heme catalysis of oxidative damage hypothesized here
are not well recognized. More investigative studies in this field to be done.
Large scale clinical trials suggest that some agents such as selenium, lycopene,
soy, green tea, vitamins D and E, anti-inflammatory and inhibitors of 5a-
reductase are effective in preventing prostate cancer. In order to demonstrate
clinical benefit with the minimum adverse effects. Appropriate selection of
agent(s), trial design and end points is critical in selecting the most promising
regimens to accomplish these goals. Cancer was not prevented by beta-carotene,
alphatocopherol, retinol, retinyl palmitate, N-acetylcysteine, or isotretinoin in
smokers. On-going trials may help define new avenues for chemoprevention.
The concept of chemoprevention in lung cancer is still in its infancy, but in the
future it may have a significant impact on the incidence and mortality of lung
39
cancer. Several studies have demonstrated the improvement in quality of life
and the value of complementary medicine as an adjuvant to chemotherapy or
radiotherapy. Complimentary therapy might serve as a valuable and useful
supportive measure for prostate cancer patients89. Majority of the studies
indicate a preventive role of nutraceuticals in cancer, however more elaborate
randomized double blind studies are needed.
40
lymphoid tissue and improve the balance of pro- and anti-inflammatory
cytokines. Enteral polymeric feeding is effective in Crohn's disease. Dietary
nucleotides may improve growth and immunity, optimize maturation, recovery
and function of rapidly dividing tissue. Usage of probiotics (live viable
microbial organisms) in the treatment of specific diseases has evolved into an
extremely valuable option. The ability to reduce antibiotic use, the apparently
very high index of safety, and the public’s positive perception about “natural”
or “alternative”therapies. These products manipulated the intestinal microflora
to maintain the normal balance between pathogenic and non-pathogenic
bacteria. Therapeutic effects of most commercial preparations are
unsubstantiated. Certain probiotics will be effective in the treatment or
prevention of certain conditions. Lactobacillus GG has been shown to be
effective in the treatment or prevention of a number of problems including acute
diarrhoea in children, travellers’ diarrhoea in adults, Crohn’s disease, and
reduction of the incidence of antibiotic-associated diarrhoea in infants. Most
probiotic preparations are comprised of one or more lactic acid bacteria (LAB).
Within this group, strains of Lactobacillus, Bifidobacterium sp. And
occasionally Streptococcus are most commonly used. A supplementary use of
oral digestive enzymes and probiotics is also an anticancer dietary measure
towards decreasing the incidence of breast, colon-rectal, prostate and
bronchogenic cancer.
41
contain resveratrol, the level of this chemo protective compound in these fruits
was <10% that reported for grapes. Resveratrol shows the strongest sirtuin-like
deacetylase action of any known phytochemical. Sirtuins have been shown to
extend the lifespan of yeast and fruit flies. It acts as an anti-inflammatory agent,
antifungal and inhibits cyclooxygenase-1 enzyme. Other beneficial health
effects include anti-cancer, antiviral, neuroprotective, anti-aging and life-
prolonging effects. The omega-3 and omega-6 series play a significant role in
health and disease by generating potent modulatory molecules for inflammatory
responses, including eicosanoids (prostaglandins, and leukotrienes), and
cytokines (interleukins) and affecting the gene expression of various bioactive
molecules. Gamma linolenic acid (GLA, all cis 6, 9, 12-Octadecatrienoic acid,
C18:3, n-6), is produced in the body from linoleic acid (all cis 6,9-
octadecadienoic acid), an essential fatty acid of omega-6 series by the enzyme
delta-6- desaturase. Preformed GLA is present in trace amounts in green leafy
vegetables, nuts, vegetable oils, such as evening primrose (Oenothera biennis)
oil, blackcurrant seed oil, borage oil and hemp seed oil, and from spirulina,
cyanobacteria. It is a nutraceutical used for treating problems with inflammation
and auto-immune diseases. The most significant source of GLA for infants is
breast milk. GLA is further metabolized to dihomogamma linlenic acid (DGLA)
which undergoes oxidative metabolism by cyclooxygenases and lipoxygenases
to produce anti-inflammatory eicosanoids. Phytoconstituent gentianine present
in Gentian root is an effective anti-inflammatory agent. Anti-inflammatory
herbal nutraceuticals and anti-inflammatory nutraceutical compounds derived
from plants or herbs may also be used as anti-inflammatory agents. These
include bromolain, a proteolytic enzyme found in pineapple; teas and extracts of
stinging nettle; turmeric, extracts of turmeric, or curcumin, a yellow pigment
isolated from turmeric.
2.6.3. Osteoarthritis
2.6.4. Allergy
42
flavonols. It is widely distributed in the plant kingdom in rinds and barks.
Especially rich sources of QR include onions, red wine and green tea. QR is a
natural antihistamine and opposes the actions of the histamine in the body.
Histamines are responsible for allergic and inflammatory reactions. It can help
reduce the inflammation that results from hay fever, bursitis, gout, arthritis, and
asthma1. QR inhibits some inflammatory enzymes, such as lipid peroxidases,
and decreases leukotriene formation. QR has anti-inflammatory, antiviral,
immunomodulatory, anticancer and gastroprotective activities. QR blocks an
enzyme that leads to accumulation of sorbitol, which has been linked to nerve,
eye, and kidney damage in those with diabetes. QR also possesses potent
antioxidant properties. It protects LDL cholesterol from becoming damaged.
QR prevents damage to blood vessels by certain forms of cholesterol and other
chemicals produced by the body. LDL cholesterol is an underlying cause of
heart disease. QR also works as an antioxidant by scavenging damaging
particles in the body known as free radicals. People with diabetes are at higher
risk of blood vessel damage from free radicals.
43
disease due to oxidative damage, boosts immune system function, protects the
nervous system from degenerative diseases like Alzheimer's disease. It is used
in drug delivery for medicines that are insoluble in water. In vivo antioxidant
activity of carotenoids from green microalgae (Dunaliella salina) was reported.
Lutein is one of the carotenoids, found in many fruits and vegetables including
mangoes, corn, sweet potatoes, carrots, squash, tomatoes and dark, leafy greens
such as kale, collards and bok choy. Lutein dipalmitate is found in the plant
Helenium autumnale. Lutein also known as helenien is used for the treatment of
visual disorders. Zeaxanthin is used in traditional Chinese medicine mainly for
the treatment of visual disorders. Food sources of zeaxanthin, include corn, egg
yolks and green vegetables and fruits, such as broccoli, green beans, green peas,
brussel sprouts, cabbage, kale, collard greens, spinach, lettuce, kiwi and
honeydew. Lutein and zeaxanthin are also found in nettles, algae and the petals
of many yellow flowers. In green vegetables, fruits and egg yolk, lutein and
zeaxanthin exist in non-esterified forms. They also occur in plants in the form
of mono-or diesters of fatty acids. A new source of these carotenoids, a
crystalline lutein product, is an extract from the marigold flower (Tagetes
erecta) that contains approximately 86% by weight of the carotenoids lutein and
zeaxanthin.
44
2.7.4. Parkinson's Disease
Parkinson’s disease is a brain disorder that results from nerve damage in certain
regions of the brain causing muscle rigidity, shaking, and difficult walking,
usually occurring in mid to late adult life. Canadian researchers indicated that
vitamin E in food may be protective against Parkinson's disease. Creatine
appeared to modify Parkinson’s disease features as measured by a decline in the
clinical signs. Researchers have also studied glutathione to determine its effect
on nerve and its power as an antioxidant. The appropriate long-term dosing,
side-effects and the most effective method of administration are not yet clear.
Nutritional supplements have shown some promising results in preliminary
studies, it is important to remember that there is not sufficient scientific data to
recommend them for Parkinson's disease at present. The patients should be
cautioned that over-the-counter medications do have side-effects and
interactions with other drugs and are also expensive .
2.8. Miscellaneous
In our modern society women can be over-fed, but undernourished which can
lead to nutrient deficiencies with adverse impact on the pregnancy outcome.
Good quality nutritional supplements (combinations rather than isolated single
nutrients) can play a valuable role in the health of the pregnant mother and the
baby though emphasis must always be on eating a good diet. There is also
insufficient evidence to identify adverse effects and to say that excess multiple-
micronutrient supplementation during pregnancy is harmful to the mother or the
foetus. Angiogenesis is an enzymatic process involved in almost all classes of
enzymes. It is a process that is generally down regulated in healthy individuals.
Antiangiogenic compounds are selective against newly formed blood vessels
while sparing existing ones may not lead to side effects even after prolonged
exposure. Available indirect evidences suggest that antiangiogenic compounds
may prevent diseases involving degenerative process like, arthritis, multiple
sclerosis, Alzheimer's, Parkinson's, osteoporosis, diabetes and cancer. Many
inhibitors of angiogenesis are being isolated from functional foods. Naturally
occurring bioactive compounds are speculated to be potentially effective and
safe anti-angiogenic compounds. Such compounds include catechins, flavins,
Curcumin, Isoflavones, Resveratrol, proanthocyanidins, flavonoids, Saponins,
terpenes, Chitin, chitosan, Vitamins B3, Vitamin D3, Fatty acids, peptides and
amino acids (alpha 2-macroglobulin, arginine, phenylalanine etc. Psyllium, a
dietary fibre is valuable in the management of irritable bowel syndrome,
inflammatory bowel disease-ulcerative colitis, colon cancer, constipation.
Moringa oleifera Lam (Moringaceae) has an impressive range of medicinal uses
with high nutritional value. Different parts of this plant contain a profile of
important minerals, and are a good source of protein, vitamins, beta-carotene,
amino acids and various phenolics. It provides a rich and rare combination of
zeatin, QR, beta-sitosterol, caffeoylquinic acid and kaempferol. With water
purifying powers and high nutritional value. Various parts of this plant such as
the leaves, roots, seed, bark, fruit, flowers and immature pods act as cardiac and
45
circulatory stimulants, possess antitumor, antipyretic, antiepileptic, anti-
inflammatory, antiulcer, antispasmodic, diuretic, antihypertensive, cholesterol
lowering, antioxidant, antidiabetic, hepatoprotective, antibacterial and
antifungal activities, and are being employed for the treatment of different
ailments in the indigenous system of medicine, particularly in Asia.
46
mg/L tetra
hydroxystilbene
Resveratrol - 0.1-2.3 dihydroresveratrol
mg/L
Grape seed - - Catechin/proanthrocyani
din
metabolites
Lycopene - 2-5 mg/day 5,6 dihydroxy 5,6
dihydrolycopine
Lycopene - - Lycopene epoxide
Soy isoflavones - 15- 18-demethylated
20mg/day
47
Flax lignans 12 0.9 - 4.4 280μg.hr/ml
gm/kg
References:
Brower V., Nutraceuticals: poised for a healthy slice of the healthcare market?,
Nat Biotechnol., 1998, 16, 728-731.
Ahmad, M.F., Ashraf S.A., Ahmad F.A., Ansari J.K., and Siddiquee
M.R.A., Nutraceutical market and its regulation., Am. J. Food Technol., 2011,
6, 342-347.
Ely A, Lock Wood B., What is evidence for the safety and efficacy of dimethyl
sulphoxide and methylsulphonylmethane., pailief. Pharm J, 2002, 269,685-687.
48
Ward Nc, Croft KD, Puddey IB, Hodgson JM., Supplement with grape seed
polyphenols result in increased urinary excretion of 3- hydroxyphenyl propionic
acid,. J Agric Food Chem, 2004, 52, 5545-5549.
Kim LS., Axelrod L.J., Howard P., Buratovich N., Waters R.F., Efficacy of
49
Chapter 3
Nutraceuticals from Seafood and Seafood By-Products
3.0. Introduction
Marine foods have traditionally been used because of their variety of flavor,
color, and texture. More recently, seafoods have been appreciated because of
their role in health promotion arising primarily from constituent long-chain
omega-3 fatty acids, among others. Nutraceuticals from marine resources and
the potential application areas are varied, as listed in Table 3.0. Processing of
the catch brings about a considerable amount of by-products accounting for 10
to 80% of the total landing weight. The components of interest include lipids,
proteins, flavorants, minerals, carotenoids, enzymes, and chitin, among others.
The raw material from such resources may be isolated and used in different
applications, including functional foods and as nutraceuticals. The importance
of omega-3 fatty acids in reducing the incidence of heart disease, certain types
of cancer, diabetes, autoimmune disorders, and arthritis has been well
recognized. In addition, the residual protein in seafoods and their by-products
may be separated mechanically or via a hydrolysis process. The bioactive
peptides so obtained may be used in a variety of food and nonfood applications.
The bioactives from marine resources and their application areas are generally
diverse.
50
Carotenoids, carotenoproteins Nutraceuticals, fish feed
Omega-3 fatty acids Nutraceuticals, foods, baby formula,
etc.
Biopeptides Nutraceuticals, immune enhancing
agents
Minerals (Calcium, etc.) Food, nutraceuticals
Algae (Omega-3, minerals, Nutraceuticals
carotenoids)
Chondroitin sulfate Arthritic pain relief
Squalene Skin care
Specialty chemicals Miscellaneous
As shown in Figure 3.0, DHA may be retroconverted to DPA and EPA. Human
feeding trials have indicated a retro conversion of DHA to EPA of about 10%.
The beneficial health effects of marine oils in reducing the incidences of
coronary heart disease (CHD) have been attributed to their omega-3 fatty acid
constituents.Omega- 3 fatty acids are known to reduce the incidence of CHD by
lowering the level of serum triacylglycerols and possibly cholesterol and also to
lower the blood pressure in individuals with high blood pressure as well as to
decrease the ventricular arrhythmias, among others. In addition, omega-3 fatty
acids are known to relieve arthritic swelling and possibly pain, relieve type II
diabetes, and enhance body immunity. However, omega-3 fatty acids may
increase fluidity of the blood, and hence their consumption by patients on blood
thinners such as coumadin and aspirin should be carefully considered in order to
avoid any unnecessary complication due to vasodilation and possible rupture of
51
capillaries. The omega-3 fatty acids, especially DHA, are known to dominate
the fatty acid spectrum of brain and retina lipids and play an essential role in the
development of fetus and infants as well as in the health status and body
requirements of pregnant and lactating women. Consideration of the three-
dimensional structures of unsaturated fatty acids demonstrates that bending of
the molecules increases with an increase in the number of double bonds in their
chemical structures, and this is further influenced by the position of the double
bonds (i.e., omega-3 vs. omega-6). These structural features in the
triacylglycerol molecules as well as the location of the fatty acids in the glycerol
molecule (i.e., sn-1, sn-2, and sn-3) may have a major effect on the
bioavailability of fatty acids involved and their potential health benefits.
Figure 3.0. Essential fatty acids of the omega-6 and omega-3 families.
Symbols are: LA, linoleic acid; GLA, gamma linolenic acid; DGLA,
dihomo-gamma linolenic acid; AA, arachidonic acid; DPA,
docosapantaenoic acid; ALA, “alpha linolenic acid; EPA, eicosapentaenoic
acid; and DHA, docosahexaenoic acid.
52
Two important sources of omega-3 fatty acids, namely menhaden oil (MO) and
seal blubber oil (SBO) were considered in our work. Table 3.1 summarizes the
fatty acids of MO, SBO, cod liver oil, and a commercial algal oil known as
DHASCO (docosahexaenoic acid cell oil). While omega-3 fatty acids,
especially DHA, are primarily located in the sn-2 position in menhaden oil, they
are mainly in the sn-1 and sn-3 positions of seal blubber oil.
Table 3.1. : Major Fatty Acids of Omega-3 Rich Marine and Algal Oils
Note: Units are weight percents of total fatty acids. EPA = eicosapentaenoic
acid; DPA = docosapentaenoic acid; and DHA = docosahexaenoic acid.
53
3.2. Omega-3 Concentrates
For therapeutic purposes the natural sources of omega-3 fatty acids, as such,
may not provide the necessary amounts of these fatty acids and hence
production and use of concentrates of omega-3 fatty acids may be required. The
omega-3 fatty acid concentrates may be produced in the free fatty acid, simple
alkyl ester and acylglycerol forms. To achieve this, physical, chemical, and
enzymatic processes may be employed for concentrate production. The
available methods suitable for large-scale production include low-temperature
crystallization, fractional or molecular distillation, chromatography,
supercritical fluid extraction, urea complexation, and enzymatic splitting.
Among the simplest methods for concentrate production is fractional
crystallization, which takes advantage of the existing differences in the melting
points of different fatty acids, as neat compounds or in different solvent
systems. The more saturated fatty acids have higher melting points and may
crystallize out of the mixtures and hence leave behind, in the liquid form, the
more unsaturated fatty acids. Obviously, the free fatty acids and simple alkyl
esters are more amenable to provide a higher concentration of omega-3 fatty
acids than acylglycerols. This is because the latter mixtures consist of fatty
acids with varying chain lengths and degrees of unsaturation in many different
combinations in the triacylglycerol molecules. Fractional distillation is another
facile process for separation of mixtures of fatty acid esters under reduced
pressure (0.1 to 1.0 mm Hg) . However, due to sensitivity of more highly
unsaturated fatty acids to oxidation, one may use a spinning band column,
which does not impose such limitations. While fractional distillation of
menhaden oil ethyl esters increased the content of EPA from 15.9 to 28.4%, and
DHA from 9.0 to 43.9%, molecular distillation afforded DHA with 90% parity.
Reverse phase chromatography has been used by Nakahara to produce a DHA
and DPA concentrate from marine microalgae. Teshiman used a silver nitrate-
impregnated silica gel column to separate EPA and DHA from squid liver oil
fatty acid methyl esters. The yield of the process for these fatty acids was 39
and 48%, respectively, with 85 to 96% EPA and 95 to 98% DHA purity. Similar
studies on a variety of other oils have recently appeared in the literature using
highperformance liquid chromatography. More recently, centrifugal partition
chromatography (CPC) has gained attention for production of omega-3
concentrates. Wanasundara Shahidi used a CPC technique to produce highly
concentrated fatty acids such as EPA and DHA with a near quantitative yield.
Supercritical fluid extraction (SFE) is a relatively new process, which is
desirable for separation of PUFA. Since this method is based on separation of
compounds based on their molecular weight and not their degree of
unsaturation, a prior concentration step may be required in order to concentrate
the omega-3 PUFA. Thus omega-3 fatty acids have been concentrated by SFE
from fish oil and seaweed.
Fish oil esters were fractionated by SFE to obtain an oil with 60 to 65% DHA.
Another possibility for concentration of omega-3 fatty acids is urea
complexation. The natural acylglycerols are hydrolyzed to their fatty acid
constituents in ethanol and the resultant components are allowed to crystallize
54
in the presence of urea. The highly unsaturated fatty acids, which deviate more
and more from a near linear shape, are not included in the urea crystals and
remain in the liquid form, referred to as nonurea complexing fraction (NUCF).
Meanwhile, saturated fatty acids and, to a lesser extent, mono- and
diunsaturated fatty acids may be included in the urea to afford the urea
complexing fraction (UCF). In this manner, depending on the variables
involved, e.g., the amount of solvent, urea, and time and temperature, optimum
conditions may be employed for the preparation of concentrates. If necessary,
the urea complexation process may be repeated in order to enhance the
concentration of certain fatty acids in the final products. We have used such
techniques to prepare concentrates dominated by DHA, EPA, or DPA. The total
omega-3 fatty acids in one such preparation from seal blubber oil was 88.2%
and this was dominated by DHA (67%) Finally, enzymatic procedures may be
used to produce concentrates of omega-3 fatty acids. Depending on the type of
enzyme, reaction time, temperature, and the concentration of the reactants and
enzyme, it is possible to produce concentrates in different forms, e.g., as free
fatty acids or as acylglycerols. Thus, processes such as transesterification,
acidolysis, alcoholysis, and hydrolysis as well as esterification of fatty acids
with alcohols or glycerol may be employed. Wanasundara and Shahidi have
shown that enzymes might be used to selectively hydrolyze saturated and less
unsaturated lipids from triacylglycerols, hence concentrating the omega-3 fatty
acids in seal blubber and menhaden oils in the acylglycerol form. In this
manner, the omega-3 PUFA content was nearly doubled. Furthermore,
following urea complexation, omega-3 concentrates obtained may be subjected
to esterification with glycerol to produce concentrated acylglycerols. Upon
glycerolysis of specialty alkyl esters from seal blubber oil, we found that
monoacylglycerols (MAG), diacylglycerols (DAG), and triacylglycerols (TAG)
were formed simultaneously. The amount of MAGs decreased continuously
while that of TAGs increased Depending on the structural characteristics of
final products, the stability of acylglycerols was found to be better than that of
their corresponding ethyl esters. Possible loss of natural antioxidants during
processing may also affect the stability of products involved. Therefore, it is
important to stabilize the modified oils using any of the recommended synthetic
antioxidants or preferably natural stabilizers. Thus, TBHQ (tertiary-
butylhydroquinone) at 200 ppm was able to inhibit oxidation of menhaden oil at
60°C over a 7-day storage period. Meanwhile, the inhibition effects were 32.5%
for mixed tocopherols (500 ppm), 18.0% for alphatocopherol (500 ppm), 39.8%
for mixed green tea catechins (200 ppm), 45.1% for EC (epicatechin), 48.2%
for ECG (epicatechin gallate), 51.3% for EGC (epigallocatechin), and 50% for
EGCG (epigallocatechin-3 gallate). For seal blubber oil, the best protection of
56.3% was rendered by TBHQ at 200 ppm and 58.6% by ECG (200 ppm).
55
produced by chemical or enzymatic means. SLs are developed to fully optimize
the benefits of their fatty acid varieties in order to affect metabolic parameters
such as immune function, nitrogen balance and lipid clearance from the
bloodstream. These specialty lipids may be produced via direct esterification,
acidolysis, and hydrolysis or interestification. MCFA are those with 6 to 12
carbon atoms and are often used for production of SLs. As mentioned earlier,
MCFA are highly susceptible to oxidation.
These fatty acids are not stored in the adipose tissues and are often used in the
diet of patients with maldigestion and malabsorption. They have also been
employed in total parenteral nutrition and formulas for preterm infants.
Production of SLs via acidolysis of blubber oil with capric acid was recently
reported. Lipozyme-IM from Mucor miehei was used as a biocatalyst at an oil
to fatty acid mole ratio of 1:3 in hexane, at 45°C for 24 h and 1% (w/w) water.
Under these conditions, a SL containing 2.3% EPA and 7.6% DHA at 27.1%
capric acid (CA) was obtained. In this product, CA molecules were primarily
located in the sn-1 and sn-3 positions, thus serving as a readily available source
of energy to be released upon the action of pancreatic lipase. Incorporation of
CA into fish oil TAG using immobilized lipase from Rhizomucor miehei (IM-
60) was also reported.
Table 3.3. Enzymatic Modification of Seal Blubber Oil with Capric Acid
Note: Percentage of modified fatty acid in sn-1 and Sn-3 positions. Units are
percentages of total fatty acids. The enzyme used was lypozyme-IM from Mucor
miehei
After a 24 h incubation in hexane, 43% CA was incorporated into fish oil while
the content of EPA and DHA in the product was reduced to 27.8 and 23.5%,
respectively. Similar results were obtained upon acidolysis of seal blubber with
lauric acid. In an effort to produce specialty lipids containing both omega-3
PUFA and gamma linolenic acid (GLA), preparation of such products under
optimum conditions was reported.
56
GLA is found in relatively large amounts in borage oil (20 to 25%), evening
primrose oil (8 to 10%) and blackcurrant oil (15 to 18%). Using borage oil, urea
complexation process afforded a concentrate with 91% GLA under optimum
reaction conditions. Lipase-catalysed acidolysis of seal blubber oil and
menhaden oil with GLA concentrate, under optimum conditions of GLA to
TAG mole ratio of 3:1, reaction temperature of 40°C over 24 hrs and 500 units
enzyme per gram oil afforded products with 37.1 and 39.6% GLA
incorporation, respectively. Of the two enzymes tested, lipase PS-30 from
Pseudomonas sp. served better in the acidolysis process than Mucor miehei
Incorporation of GLA was in all positions and its content in the sn-2 position of
both seal blubber oil and menhaden oil was 22.1 and 25.7%, respectively. Thus,
PS-30 served in a nonspecific manner in the acidolysis process. The structured
lipids containing GLA, EPA, and DHA so produced may have health benefits
above those exerted by use of their physical mixtures. Production of structured
lipids containing GLA, EPA, and DHA may also be achieved using borage and
evening primrose oils as sources of GLA and either EPA or DHA or their
combinations. The products so obtained, while similar to those produced by
incorporation of GLA into marine oils, differ in the composition and
distribution of fatty acids involved.
Table 3.4. Fatty Acids of Seal Blubber Oil (SBO), Menhaden Oil (MO) and
Their Acidolysis Products with Gamma linolenic Acid (GLA, 18:3T6)
SBO MO
Fatty Unmodified Modified Sn-1 Unmodified Modified Sn-1
acid and and
Sn-3a Sn-3a
57
evaluated for their amino acid sequence as well as their antioxidant and other
activities.
Chitin may be recovered from processing discards of shrimp, crab, lobster, and
crayfish following deproteinization and demineralization. The chitin so obtained
may then be deacetylated to afford chitosan. Depending on the duration of the
deacetylation process, the chitosan produced may assume different viscosities
and molecular weights. The chitosans produced are soluble in weak acid
solutions, thus chitosan ascorbate, chitosan acetate, chitosan lactate, and
chitosan malate, among others, may be obtained and these are all soluble in
water. Chitosan has a variety of health benefits and may be employed in a
number of nutraceutical and health-related applications. Chitosan derivatives
58
may also be produced in order to obtain more effective products for certain
applications. However, to have the products solubilized in water without the use
of acids, enzymatic processes may be carried out to produce chitosan oligomers.
Due to their solubility in water, chitosan oligomers serve best in rendering their
benefits under normal physiological conditions and in foods with neutral pH.
Furthermore, depending on the type of enzyme employed, chitosan oligomers
with specific chain length may be produced for certain applications. Chitosans
with different viscosities were prepared and used in an experiment designed to
protect both raw and cooked fish against oxidation as well as microbial
spoilage. The content of propanal, an indicator of oxidation of omega-3 fatty
acids, was decreased when chitosan was used as an edible invisible film in
herring.
Properties Chitosan
I II III
Deacetylation 4 hrs 10 hrs 20 hrs
timeb
Moisture (%) 4.50 ± 0.30 3.95 ± 0.34 3.75 ± 0.21
Nitrogen (%) 7.55 ± 0.10 7.70 ± 0.19 7.63 ± 0.08
Ash (%) 0.30 ± 0.03 0.25 ± 0.02 0.30 ± 0.00
AVa (cps)d 360 57 14
DAc (%) 86.3 ± 2.1 91.3 ± 1.2 94.5 ± 1.3
Mvc (dalton) 1,816,732 963,884 695,122
a
Results are expressed as mean ∀ standard deviation of three determinations.
b
Deacetylation for chitosan I, II and III was achieved using 50% NaOH at
100°C.
c
Mv = viscosity molecular weight; AV = apparent viscosity; and DA = degree
of deacetylation.
d
cps = cycles per second.
59
a
Results are expressed as mean standard deviation of three determinations.
Values with the same superscripts within each column are not significantly
different (P<0.05).
Furthermore, the effects were more pronounced as the molecular weight of the
chitosan increased . In addition, inhibitory effects of chitosan coatings in the
total microbial counts for cod and herring showed an approximately 1.5 and 2.0
log cycles difference between coated and uncoated samples, respectively, after
10 days of refrigerated storage (results not shown). The monomer of chitin, N-
acetylglucosamine, has been shown to possess anti-inflammatory properties.
Meanwhile, glucosamine, the monomer of chitosan, prepared via HCl
hydrolysis, is marketed as glucosamine sulfate. This formulation is prepared by
addition of ferrous sulfate to the preparation. Glucosamine products may also be
sold in formulation containing chondroitin 4- and chondroitin 6-sulfates. While
glucosamine helps to form proteoglycans that sit within the space in the
cartilege, chondroitin sulfate acts like a liquid magnet. Thus, glucosamine and
chondroitin work in a complementary manner to improve the health of the joint
cartilage. The by-products in chitin extraction process from shellfish include
carotenoids/carotenoproteins and enzymes.52–54 These components may also
be isolated for further utilization in a variety of applications.
References
Alasalvar, C., Taylor, T. Eds., Springer, Berlin and New York, NY, 2002, pp
157–174
He, Y., Shahidi, F. Enzymatic esterification of T-3 fatty acid concentrates from
seal blubber oil with glycerol. J. Am. Oil Chem. Soc. 1997, 74, 1133–1136.
60
Kamil, J.Y.V.A., Jeon, Y-J., Shahidi, F. Antioxidative activity of different
viscosity chitosans in cooked comminuted flesh of herring (Clupea harengus).
Food Chem. 2002, 79, 69–77.
Kim, S-K., Kim, Y-T., Byun, H-G., Nam, K-S., Joo, D-S., Shahidi, F.
Isolation and characterization of antioxidative peptides from gelatin hydrolyzate
of Alaska pollack skin. J. Agric. Food Chem. 2001, 49, 1984–1989.
Shahidi, F., Arachchi, J.K.V., Jeon, Y-J. Food application of chitin and
chitosans. Trends Food Sci. Technol. 1999, 10, 37–51.
Shahidi, F., Kamil, J., Jeon, Y-J., Kim, S-K. Antioxidant role of chitosan in a
cooked cod (Gadus morhua) model systems. J. Food Lipids 2002, 9, 57–64.
Shahidi, F., Kamil, Y.V.J. Enzymes from fish and aquatic invertebrates and
their application in the food industry. Trends Food Sci. Technol. 2001, 12, 435–
464.
Simopoulos, A.P. Omega-3 fatty acids in health and disease and growth and
development. Am. J. Clin. Nutr. 1991, 54, 438–463.
61
Chapter 4
Nutraceutical Foods from Selected Asian Fruits and Fruit
Products
The annatto ( Bixa orellana L.) is cultivated in many tropical countries in Asia.
The fruits inside are generally found in cavities containing 10 to 50 small seeds,
about the size of grape seeds. The seeds are covered with a thin, highly colored,
orange to red resinous layer from which the natural color is obtained. The main
application of annatto fruits is for coloring cheese and other dairy products such
as ice cream, butter mixes, yogurt, meat (sausages), fish margarine, snacks,
dressings, sauces, and confectionery. Among the naturally occurring colorants,
annatto colorant ranks second in economic importance after caramel. Around
80% of the carotenoids in annatto consist of bixin, a diapocarotenoid that
contains 24 carbon atoms in the skeleton and a (Z)-double bond. Also norbixin,
the corresponding dicarboxylic acid with the (all- E )-configuration has been
isolated. It is well established that the carotenoids possess a wide range of
biological activities, with potential health benefits. Some minor carotenoids in
annatto and some 15 minor compounds have been identified recently.
62
4.2. Apples
Apples ( Malus sylvestris ) are grown in China, Korea, Japan, and India. Most
of apples are eaten fresh. Fresh apples can be made into puree, then dried and
grounded into powder. Apple powder is a special product used mainly in the
treatment of infant diarrhea. Apple pectin in apple powder has a strong
bacteriostatic action on Staphylococcus aureus ,Streptococcus faecalis,
Pseudomonas aeruginosa , and Escherichia coli. Eberhardt et al. suggested that
the strong inhibition of tumor-cell proliferation in vitro could be due to apples’
combination of phytochemicals (phenolic acids and flavonoids), as these are
natural antioxidants. Apple pectin inhibits azoxymethane (AOM)-induced colon
carcinogenesis. Therefore, apple pectin may be expected to have a strong
influence on the intestinal microflora and bacterial enzyme activities. The same
intestinal bacteria may reportedly play a significant role in the pathogenesis of
colon cancer because their enzymes are important in the metabolism of
procarcinogens, and the production of tumor promoters in the colon. Apple
pectin has a stronger bacteriostatic action against pathogenic bacteria than citrus
pectin. The induction of colon neoplasia by AOM is dose-dependently inhibited
by apple pectin. Fecal tryptophanase activity tends to decrease in the apple
pectin group compared with that in the control group. The reduced level of
tryptophan metabolites in the colon might be related to the inhibitory effect of
apple pectin on colon carcinogenesis. Apple pectin exerts an antitumor effect
and prevents cancer metastasis and carcinogenesis by modifying host immune
function, and altering the intestinal flora. The inhibition of hepatic metastasis by
oral administration of apple pectin (apple powder) suggests it may be effective
for the prevention of hepatic metastasis and residual cancer cells remaining after
surgery.
63
4.3. Aronia Fruits
4.4. Avocados
64
Avocados ( Persea Americana Mill.) are commercially grown in the
Philippines, Hawaii, and Israel. People usually prefer the avocado fruits
sweetened with sugar, or combined with other fruits such as pineapples,
oranges, grapefruits, dates, and bananas. Avocados have a high lipid content of
5 to 25%. Among the saturated fatty acids the myristic level may be 0.1%,
palmitic 14 to 21%, and stearic 0.6 to 1.7%. The oil in the flesh is rich in
Vitamins A, B, G, E. The fruit peel is considered as an antibiotic for vermifuge
and a remedy for dysentery.
4.5. Bananas
Bananas ( Misa acuminate Colla.) are grown in the humid tropical regions and
constitute one of the largest fruit crops of the world. India is the leading banana
producer in Asia. Other producers are Taiwan, Indonesia, and the Philippines.
Most of bananas are eaten fresh. Some are dried in various forms such as
banana powder and some are made into puree. Diced banana products are used
as raisin substitutes in food ingredients. They can be eaten as a snack food or
used in making fruit cake and bakery products. Banana puree is by far the most
important processed product from the pulp of ripe fruits. The puree has a
creamy white to golden yellow colour, free from musty or off-flavors. Banana
puree is an important infant food. Puree canned in drums by the aseptic canning
process is a new product for the baking and ice cream industry. All parts of
banana fruits, peel and flesh, have medicinal applications. Banana pulp soup is
taken to control dysentery and diarrhea and also used for treating malignant
ulcers. Antifungal and antibiotic principles are found in the peel and pulp of
ripe bananas. Norepinephrine, dopamine, and serotonin are also present in the
ripe bananas, which give bananas a functionality in elevated blood pressure and
inhibiting gastric secretion and stimulating the smooth muscle of intestines.
65
4.6. Bilberries
66
within the capillaries of the retina, inhibiting of Maillard reactions in the lens to
reduce cataract formation, and protection from ultraviolet light. The antioxidant
properties of bilberry extracts may be responsible for these health benefits.
Antioxidants have been suggested to retard oxidation in the lens and slow
retinal angiopathy that occurs in age-related macular degeneration and diabetic
retinopathy. Tannins in bilberry are considered to be responsible for their ability
to treat acute diarrhea and mild inflammations of the mouth and throat.
The black prune ( Prunus armeniace , Thunb.) is also known as the Japanese
apricot. The fruit is sour and tart to taste. Major chemical components are
glucoside prudomenin, malic acid, and succinic acid. Some of its medicinal
functions are to act as an astringent, antipyretic, and vermicidal, to stimulate
contraction of the muscles of intestinal parasites and gallbladder, and to cause
relaxation of the bile duct. It is also an antimicrobial agent. People usually use it
for the treatment of chronic diarrhea and dysentery, feverish thirst, achlorhydria,
no appetite, residue coughing, chronic malaria, biliary ascariasis, hookworms,
abdominal pain, cholecystitis, and gallstones. The fruits are commonly
preserved as snack foods, or made into a beverage or wine. Carambolas The
Carambola (Averrhoa carambola L.) is originated in Sri Lanka. The common
name is “star fruit” due to its shape when cut in cross section. The major
production areas are in East Asia, including Indonesia, Malaysia, Sri Lanka,
Taiwan, the southern part of China, and Vietnam. There are two distinct
cultivars: sweet and sour cultivars. The sour cultivar is rich in flavor, with more
oxalic acid. The sweet cultivar is mild flavoured, rather bland, with less oxalic
acid. The sweet cultivar is used for fresh consumption and juice processing,
while the sour cultivar is processed into jam, jelly, canned fruits, sweetened
nectar, or other preserves. Juice products are by far the most important
processed commodities of carambola fruits. Fermented carambola juice is a
traditional health drink in China and India. It is served as a cooling beverage,
and good for smoothing some uncomfortable body conditions, such as to
quench thirst, increase the salivary secretion, and allay fever. The fruit pulp is
considered to allay biliousness and diarrhea, and relieve a hangover from
67
excessive indulgence in alcohol. In India, the ripe fruit is used to halt
hemorrhages and to relieve bleeding hemorrhoids. Carambola is recommended
as a diuretic in kidney and bladder complaints, and is believed to have a
beneficial effect in the treatment of eczema.
4.8. Cherimoyas
Chinese dates ( Zizyphus vulgaris var. spinosa) are grown in the Hunan,
Shandong, Zhejiang, and Shanxi provinces of China. Chinese dates are dried in
the sun, or by dryers depending on the technique used for drying, the final dried
68
dates products have different names: “red dates” and “black dates.” The final
products have moisture levels of 18 to 20%.
Fully ripe Chinese dates are blanched and dried as whole fruits by the sun. The
product has a dark-red color, golden-yellow meat, elastic texture, and sweet
taste.
Fully ripe Chinese dates are selected, blanched, then dried and fumed at 60 to
70°C for 20 to 24 hrs. The product has a dark-violet color, wrinkled surface,
sweet taste, and elastic texture. Chinese date products have a special function in
invigorating blood circulation according to Chinese traditional medicine. Some
major medicinal functions are to strengthen the spleen and stomach, moisturize
the heart and lungs, and regulate various medications. Chinese dates products
are used for treatment of weak stomach and spleen, anemia, inadequate energy
(fatigue), and salivation. Dates and rice cooked into gruel is nutritious.
Citrus Fruits
Citrus fruits are widely known to contain various types of chemopreventers
such as -limonene, limonoids and their glucosides, flavonoids, and carotenoids.
Levels of auraptene vary from high (408 to 585 mg/kg fresh wt.) in the peels of
natsumikan and hassaku oranges, moderate (101 to 120 mg/kg fresh wt.), and
absent (<1 mg/kg fresh wt.) in the peels of the Satsuma mandarin (tangerine),
69
Valencia orange, navel orange, lemon, and lime. The auraptene content in the
sarcocarps of the above fruits is similar to that in the peels. Commercial juices
from natsumikan and hassaku oranges showed higher contents of auraptene
(0.87 to 1.80 mg/L). Auraptene, a citrus coumarin, is an effective cancer
chemopreventer. These characteristics together with high chemopreventive
potency make it an appropriate source substance for the creation of
physiologically functional foods. The citrus juices have hypocholesterolemic
effects in heart disease.
4.12. Oranges
The juice of oranges ( Citrus sinensis ) grown in China, India, and Japan has a
deep orange color. Orange juice concentrate is prepared from either freshly
extracted and pasteurized single-strength juice or from a storage and pasteurized
singlestrength juice. Spraying and drum drying produce dehydrated orange
juice. The final powder has less than 0.6% moisture and maintains its quality
when stored at room temperature. Orange products are traditionally taken to
allay fever and catarrh. The roasted pulp is prepared as a poultice for skin
diseases. The immature fruits are also made into infusion (or tea) to relieve
stomach and intestinal complaints.
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4.13. Red Tangerine
Red tangerine ( Citrus reliculata Blanco.) peels are the redcolored external
layer of the pericarp. The major chemical components are citral, geraniol,
linalool, methylanthranilate, stachydrine, putrescine, apyrocatechol, and
glucosides (naringin, poncirin, hesperidin, neohespiridin, and nobiletin). Some
of the medicinal functions are to correct energy circulation, strengthen the
lungs, and resolve phlegm. Red tangerine peels are used for treatment of
fullness in chest and indigestion, eliminating sputum and coughing. People use
it as a tea, or prepare a red tangerine peel gruel made by decocting and cooking,
in which the ingredients include red tangerine peel and bitter apricot kernel. The
red tangerine peels can also be steamed with chicken and wine.
71
and pectin. Some medicinal functions are to correct energy circulation,
strengthen the spleen, counteract excessive moisture in the body, and resolve
phlegm. People often use it for easing of fullness in chest and abdomen,
regurgitation and vomiting, chest and abdominal pains, poor appetite,
productive coughing, indigestion, and diarrhea. It also can be used as a popular
dish called mandarin orange peels beef, or as preserved fruit products to
enhance the digestive system and blood circulation.
4.15. Kumquats
4.16. Pummelos
Pummelos ( Citrus maxima Merr.) are the largest citrus fruit, native to
southeastern Asia, and are grown in China, India, Indonesia, Japan, Malaysia,
Thailand, Taiwan, and the Philippines. People like to eat the juicy pulp, which
is used for salads, desserts, or made into preserves. Pummelo juice makes an
excellent beverage. The pulp and peel have a sedative effect in cases of
72
epilepsy, chorea, and convulsive coughing. Pummelo juice is taken as a
febrifuge in the Philippines and Southeast Asia.
4.17. Cranberries
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4.18. Durians
Durians ( Durio zibethinus L.) are large fruits covered with hard, hexagonal,
stubby spines. It is a heavy fruit reaching the size of a honey melon. Skin of the
ripened fruit turns from brown to bright yellow. Durian is a delicious tropical
fruit and well known throughout Southeast Asia, Thailand, Malaysia, and South
Vietnam; the southern Philippines are important producers of durians. Durian
flesh is mostly eaten fresh but is also canned in syrup, or dried, or made into
paste. Durian is a good source of iron, B vitamins, and ascorbic acid. The thick,
pudding-like texture of the aril is due to gums, pectin, and hemicellulose. The
flesh of durian is said to serve as a vermifuge. Durian flesh is also widely
considered an aphrodisiac in Thailand. In India, durian products are marketed to
provide energy, to keep the body vigorous and tireless, the mind alert with
faculties undimmed and spirit youthful.
4.19. Embalics
74
fermentation, are helpful for indigestion, anemia, jaundice, dyspepsia, coughs,
nasal congestion, retention of urine, and some cardiac problems. The embolic
powder is an effective expectorant as it stimulates the bronchial glands.
4.20. Figs
Figs ( Ficus carica L.) are believed to be indigenous to Western Asia, and
grown in mild temperate climates, and have been commercially produced in
most of the countries bordering the Mediterranean Sea. Fig flesh is usually
eaten out of hand, but the fruits are also cooked in pies, cakes, bread, cookies,
or ice cream. Fruits also can be prepared into jam, marmalade, and paste. They
are usually sun-dried, but dehydration is also practiced to produce low-moisture
fig products. Turkey is one of the most important fig-producing countries. Dried
figs are eaten as a snack, or used as cake fillings. Dried figs are a good nutrient
and energy source because of their carbohydrate content. Figs are an especially
good source of fibre, which aids in the anticonstipation process. Dried figs
contain 5.6% fiber. In addition, the potassium salts of organic acids in figs help
maintain acid-alkaline balance in the body by neutralizing the excess acids
present. Dried figs exert a positive effect on the alkaline reserves in the body.
Figs and fig extracts have been used for medicinal purposes such as in the
treatment of Ehrlich sarcoma. Dried figs have long been appreciated for their
laxative action. The latex is widely used for treating warts, skin ulcers and
sores, and taken as a purgative and vermifuge. A decoction of the fruits is
gargled to relieve sore throat. The fig fruits are used as poultices on tumors and
other abnormal growths.
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4.21. Grapes
Grapes (Vitis vinifera) are processed primarily into wine, juice, raisins, and
brandy. Other products include grape-seed oil, grape pomace, hydrocolloids,
and anthocyanins. The components of grapes and grape products play a
significant role in preventing or delaying the onset of diseases including cancer
and cardiovascular diseases. Phenolic compounds and other health-promoting
compounds are secondary plant metabolites that significantly contribute to the
flavour and color characteristics of grapes, grape juices, and wines. The
phenolic compounds of grapes include phenolic acids, anthocyanins, flavonols,
flavan-3-ols, and tannins. The flavonoids (C6 -C3-C6), which include the
amthocyanins, flavonols, and flavan-3-ols, are powerful antioxidants, and are
found in high concentration in grapes and grape products. These compounds
exhibit a wide range of biochemical and pharmacological effects, including
anti-inflammatory and antiallergic effects. Other grape flavonoids such as
quercetin, kaempferol, and myricetin also inhibit carcinogen-induced tumors.
Grape is rich in anthocyanins, which have known pharmacological properties
and are used by humans for therapeutic purposes. Applied orally or by
intravenal or intramuscular injection, pharmaceutical preparations of
anthocyanins reduce capillary permeability and fragility.35 This anti-
inflammatory activity of anthocyanins accounts for their significant antiedema
properties and their action on diabetic microangiopathy. It has also been
reported that anthocyanins possess antiulcer activity, and provide protection
against UV radiation. Ellagic acid and resveratrol are two important
components to reduce the risk of cancer and coronary heart diseases. Ellagic
acid (C14H6O8) is an acid hydrolytic product of ellagitannin found in grape
juice. Resveratrol (3,4,5-trihydroxystilbene), a naturally occurring phytoalexin
produced in response to injury, has drawn much attention as a functional
component. It is found in large quantities in grapes, and its presence in wine is
thought to be responsible for the low mortality from coronary heart disease in
76
wine-drinking populations. Resveratrol is reported to be a cancer
chemopreventive agent having shown activity in assays representing three
stages of carcinogenesis. It is also shown to be an antioxidant, inhibiting
lipopolysaccharide or phorbol esterinduced superoxide radical and hydrogen
peroxide production by macrophages. In muscadine grapes, the skins have the
highest concentration of resveratrol.
4.22. Guavas
Guavas (Psidium guajava L.) are grown in Malaysia, Indonesia, India, Vietnam,
Thailand, South China, and the Philippines. Guava flesh is often eaten fresh as
dessert and salads. Many commercial products use guava flesh in pies, cakes,
puddings, sauce, ice cream, juice, nectar, jam, jelly, marmalade, chutney, relish,
and other products, which may frequently be seen on the markets in India,
Pakistan, and Indonesia. The products made from immature fruits are
commonly used to halt gastroenteritis, diarrhea, and dysentery throughout the
tropical area. It contains several glucosides including avicularin, guaijavarin,
and amritoside, and their hydrolyzed genin, quercetin. Fruits of Fan Shi Liu
exhibit antidiarrheal and antibacterial effects, which are spasmolytic, chiefly
from the effect of the glucosides and their genin and quercetin. The fruit has a
slight antihyperglycemic effect.The water-based extract also exerts an
antimutagenic activity and can counteract the mutagenicity of the direct action
of mutagens. The fruit is used to treat dysentery and acute gastrointestinal
inflammation.
77
4.23. Hawthorn Fruits
Hawthorn fruits (Crataegus pinnatifida Bge.) are grown in China. Hawthorn has
long been used to make candies in China. It can be consumed as a snack food
such as hawthorn cookies and hawthorn cake. Hawthorn fruits have a sweetsour
taste, and a fresh flavour. The dish of sweet and sour pork with hawthorn is
considered a medicinal food, in which hawthorn and licorice are first cooked. It
is also used as a sauce for deep-fried pork. The fruit contains chlorogenic acid,
caffeic acid, phlobaphene, L-epicatechol, choline, choline acetate, (β)-sitosterol,
sorbitol, vitamin C, crategolic acid, hyperin, tartaric acid, citric acid, and certain
chromones. Hawthorn is a rich source of the flavan-3-ol (α)-epicatechin and
proanthocyanidins related to (α)-epicatechin, e.g., epicatechin- (4β→8)-
epicatechin (procyanidin B2). This fruit has also long been used in Chinese
herbal medicine to provide one of the best tonic remedies for the heart and
circulatory system, and for treating swelling. Hawthorn fruits are said to control
blood stasis, relieve pains associated with swelling, promote digestive function,
and mitigate other conditions, especially in reducing blood pressure. Some of
the pharmacological activities, e.g., the hypotensive effects, have been
attributed to the chromones. They act in a normalizing way upon the heart,
depending on the need, stimulating or depressing its activity. The major
medicinal functions are to help digestion, stimulate blood circulation, stop
diarrhea, lower blood cholesterol, smooth the surface of the atherosclerotic area,
increase blood flow in heart, increase the myocardial contractibility, and lower
blood pressure.Hawthorn products are usually used for treatment of indigestion,
infantile marasmus, menstrual cramps, diarrhea, dysentery, hernia, hyperchole
sterolemia, angina pectoris, and hypertension. It is often used as a cardiac tonic,
and the blossoms are also effective. Recently a study on 104
hypercholesterolemic patients demonstrated that a daily dose equivalent to 46 g
of the fruit for 45 days caused normalization of cholesterol value in 75% of the
patients, with an additional 15% of the patients experiencing a 20
milligrams/deciliter (mg/dl) reduction. Daily supplementation of an extract of
the fruit (equivalent to 15 g fresh fruit daily) for 12 weeks in 16 coronary artery
78
patients with angina led to outstanding improvement in the conditions of most
of the patients, including normalization of exertional electrocardiogram and
resting electrocardiogram. There were also substantial reductions in serum
triglycerides and cholesterol. Oral supplementation of extracts of the fruit
showed effectiveness in lowering blood pressure in hypertensive patients. In
addition to these human studies, many animal studies also demonstrated that the
hawthorn fruits and their extracts can reduce heart muscle fatigue, strengthen
the heart muscles, contraction amplitude and pumping power, dilate the
coronary artery, and enhance blood supply to the heart muscles. Extracts of
hawthorn fruits are now sold in world markets as a health food or cardiac tonic.
Indian jujubes (Zizyphus mauritiana Mill.), with other names such as Indian
plum, Indian cherry, and Malay jujube, are grown in India, Indonesia, Malaysia,
Southern China, Thailand, and the Philippines. The ripe fruits are usually eaten
raw, or stewed. Some canned products, juice, and dried powder are also
available in the markets. The fruits are traditionally used for cuts and ulcers, for
pulmonary ailments and fevers. The dried fruit powder is a mild laxative.
Sometimes the fruit pulps are blended with salt and chili for indigestion and
biliousness.
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4.25. Jackfruits
4.26. Kiwifruits
80
optimal flavor is produced from ripe fruits of sound quality. With other fruit
juice, a sparkling kiwifruit juice can be made by carbonation. In China, the fruit
juice is valued for promoting expulsion of the kidney or gallstone.
4.27. Loquats
4.28. Longans
81
sucrose, and tartaric acid. The fruit products can be administered as a
stomachic, febrifuge, and vermifuge, and are regarded as an antidote for poison.
A decoction of the dried flesh is traditionally taken as a tonic and treatment for
insomnia and neurasthenic neurosis. Some major medicinal functions are to
nourish the spleen, cultivate the heart, and supplement the intellect.
Traditionally the fruit products are used for anemia, hyperactive mental activity,
and forgetfulness.
4.29. Litchi
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4.30. Mangoes
Mangoes (Mangifera indica L.) are originally from the Indo- Malaysian region.
The earliest growing area was Northeastern India and Burma eastward to
Indochina. The production of mangoes later extended into many Asian countries
and regions such as Southern India, the Philippines, Indonesia, China, Thailand,
Malaysia, Sri Lanka, and Israel. India, the Philippines, Pakistan, and Thailand
are the leading exporters of processed mango products. Most people enjoy
eating mango flesh as appetizers or dessert. The ripe flesh may be spiced and
preserved in jars or canned in syrup, or made into jam, marmalade, jelly, or
nectar. Dried mangoes are utilized commercially as a substitute for the mangoes
used in chutney manufacture. Dried slices are prepared from ripe fruits. The
peeled or unpeeled slices of raw mango are dried in the sun or in a cabinet
dryer, then turned into powder used as a souring agent in Indian cuisine. Mango
juice has a red-yellow colour, and high in fresh like flavour. Mango juice
powder is used in infant and invalid foods. Mango products have the medicinal
properties of a laxative, diuretic and a fattening agent according to traditional
medicine. Mango juice has a cooling effect and is used during hot weather in
the North Indian region. It is also alleged to help cure cholera and plague. Dried
mango peel and flowers, containing up to 15% tannins, can be used as
astringents in cases of diarrhea, chronic dysentery, catarrh of the bladder, and
chronic urethritis resulting from gonorrhea.
4.31. Mangosteens
83
Mangosteens (Garcinia mangostana L.) are grown in Burma, India, Malaysia,
Sri Lanka, Thailand, the Philippines, and Vietnam. The mangosteen flesh is
often eaten fresh as dessert. The flesh amounts to 31% of the fruits. The fruit
flesh contains phytin up to 0.68% on a dry basis. The flesh is canned, or made
into jam in Malaysia and the Philippines. The dried fruit powder is used to
overcome dysentery in traditional medicine, and is also applied on eczema and
skin disorders, to relieve chronic diarrhea, cystitis, gonorrhea, and gleet, it is
sometimes used for astringent lotion.
4.32. Mulberry
Mulberry (Morus alba L.) is grown in subtropical areas. Mulberry is sour and
tart, yet has a pleasant taste. Some chemical components such as morin,
dihydromorin, dihydromorin, dihydrokaempterol, 2,4,4′,6-
tetrahydroxybenzophenone, maclurin, mulberrin, mulberrochromene, and
cyclomulberrochromene have been isolated from mulberry. Major medicinal
functions are to strengthen kidneys, aid vision, and nourish blood. People use it
for treatment of agitation and insomnia, deafness and blurred vision, white
patches in hair and beard, hot intestines and constipation, pain in back and
knees, and stiffness of muscles and joints. Famous mulberry gruel is made with
mulberry fruits, rice, chicken, and other ingredients, including red jujubes, lotus
seeds, and pine seeds. The congee is very effective for bronchitis, sinusitis, and
asthma. It is said to strengthen the lungs and is used as an antitussive. Mulberry
is also processed into fruit beverage.
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4.33. Papayas
Papayas (Carica papaya L.) are grown in Hawaii, India, Malaysia, Sri Lanka,
Thailand, and the Philippines. Ripe papayas are most eaten fresh. The ripe flesh
is usually made into sauce, or pickled, or preserved as marmalade and jam.
Papaya flesh is rich in carotenoids. The major carotenoid is cryptoxanthin.
Papaya flesh is also prepared into juice, puree, and nectar. Papaya juice is
extracted, then prepared into nectar, a ready-to-drink beverage. Papaya juice has
a deep, rich orange color, and contains papain. It is also high in vitamin A and
C, and is considered a “health food.” Papaya juice concentrate is commonly
sold to hospitals and health food stores in the Philippines.
Passion fruits (Passiflora edulis Deg.) are grown in Southern Asia. Passion fruit
juice, due to its unique intense flavor, high acidity, and yellow/orange pulp, has
been described as a natural concentrate. Passion fruit juice makes a highly
palatable beverage when sweetened and diluted. India, Sri Lanka, Indonesia,
Thailand, Malaysia, Taiwan, and the Philippines are important sources of
passion fruit products in the world market. The yellow flesh has less ascorbic
acid than that in the purple flesh, but is richer in total acid (mainly citric acid)
85
and carotene content. Carotenoids in the flesh are 0.6 to 1.16%. The flesh is a
good source of niacin and riboflavin. The juice can be sweetened, and then
diluted with water or other fruit juices, to make cold drinks. Passion fruit juice
can be concentrated, then used in the making of sauces, gelatin desserts, candy,
ice cream, sherbet, cake filling, meringue or chiffon pie, cold fruit soup, and
cocktails. The frozen juice can be kept for 1 year, and is a very appealing
product. The juice can also be dehydrated using a freeze-dryer or vacuumdryer
process. According to Chinese traditional medicine, passion fruits (or dried
powder) can be prescribed for insomnia, convulsions, nervous breakdown,
menopause, fevers, tension, and high blood pressure. It is rich in the nutrient
complexes, especially calcium and magnesium. The juice is taken as a digestive
stimulant, and used in treatment for gastric cancer. There is currently a revival
of interest in the pharmaceutical industry in the use of glycosides as sedatives or
tranquilizers.
4.35. Persimmons
Persimmons (Diospyros kaki L.) are grown all over Asia. Japan is the largest
producer and Kaki is its popular name in Japan. Other persimmon-producing
countries are China, Israel, the Philippines, Indonesia, India, Burma, Vietnam,
and Korea. The fully ripe persimmons are usually eaten fresh. The flesh may be
added to salads, blended with ice cream, yogurt, cakes, cookies, desserts,
puddings, jam, or marmalade. The Japanese dry large quantities of persimmons,
which are used as confection or food. Dried persimmon products have white
“persimmon sugar” on the surface, with a soft texture, and a sweet taste. Large
quantities of persimmons are preserved by drying in the sun. The dried products
are flattened into form by pressing, sugar crystals then appear on the surface. In
Indonesia, ripe fruits are stewed until soft, then pressed flat and dried in the sun.
In Israel, the intestinal compaction from consumption of persimmons has been
eliminated by drying the fruits before marketing, and some dried fruits are now
86
being exported to Europe. A decoction of the calyx and fruit products is
traditionally taken to relieve hiccups, coughs, and labored respiration in Asian
countries.
4.36. Pineapples
Over the past 100 years, pineapple (Ananas comosus Merr.) has become one of
the leading commercial tropical fruits in the world. Major producing areas are
Malaysia, Hawaii, Taiwan, the Philippines, and Thailand. Field ripe fruits are
best eaten fresh. The flesh of pineapples is cut in pieces and eaten fresh as
dessert, in salads, or cooked in pies, cakes, puddings, or made into sauces or
preserves. In Malaysia, pineapples are used in curries and meat dishes. In the
Philippines, the fermented pineapple pulp is made into a popular sweetmeat
called nata de pina. Much of the Asian-grown pineapples are canned and are an
important value-added product in world markets. The chief sources of the
world’s canned pineapple and pineapple juice are Bangladesh, India, Malaysia,
Taiwan, Thailand, and the Philippines. Thailand is the leading producer and
exporter in the world canned pineapple product market. There is a growing
demand for pineapple juice. Pineapple juice, nectar, and concentrate are now
commercially prepared. Pineapple juice as syrup is used in confections and
beverages, or made into powder. Pineapple juice is traditionally taken as a
diuretic and to expedite labor, also as a gargle in cases of sore throat and as an
antidote for seasickness.
87
4.37. Pomegranates
88
4.39. Sea Buckthorn Fruits
89
4.40. Santol Fruits
Soursop (Annona muricata L.) fruits are the largest tropic fruits, and are very
common in the markets of Malaysia, Thailand, the Philippines, and Southeast
Vietnam. Soursop fruits are eaten fresh, or in refreshing juices throughout the
tropical area. The pulp is made into tarts, jelly, syrup, and nectar. The strained
and frozen pulp and canned vacuumconcentrated juice are commercial products
in the Philippines. The juice of the ripe soursop fruits has a diuretic function and
is considered a remedy for hematuria and urethritis. It is also believed that juice
can relieve liver ailments and leprosy.
90
4.42. Tamarinds
Tamarind (Tamarindus indica L.) fruits are grown in Cambodia, India, Laos,
Malaysia, the Philippines, and Vietnam. The pulp is rich in calcium,
phosphorous, iron, thiamine, riboflavin, and niacin. The fully ripe fresh fruits
are relished and eaten fresh. The tender, immature, and sour pulp is cooked as
seasoning with rice, fish, and meats in India. The acid-sweet pulp is also
blended with sugar to make into confection, sauce, jam, or nectar. In Southeast
Asia, some people use the tamarinds to counteract the ill effects of an overdose
of false chaulmoogra. Tamarind pulp is considered useful in the restoration of
sensation in cases of paralysis.
4.43. Wolfberry
91
References
92
SP Plami, JT Kumpulainen, RL Tahvonen. Total dietary fiber contents in
vegetables, fruits and berries consumed in Finland, J. Sci. Food Agric.
59(4):545–549, 1992.
ST Chow. Fruit Processing and Storage. 2nd ed., Beijing Scientific Press,
China, 1991.
93
A Chiralt, X Martinez-Monzo, M Chafer, P Fito. Limonene from citrus. In:
Functional Foods: Processing and Biochemistry Aspects, J. Shi, G. Mazza, M.
Le Maguer, Eds. CRC Press, New York, 2002.
94
H Wagner. New plant phenolics of pharmaceutical interest, Ann. Proc.
Phytochem. Soc. Eur., Vol. 15. cf. Van Sumere and PJ Lea, Oxford
UK:Clarendon Press. pp 409–425, 1985.
Shen Yang Army Hospital. Medical Data Base. Vols. 1 and 2 (in Chinese),
1975.
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AN Liao Ling See Fung Chau An, County Health Survey. County Health
Department. Database on Canton Medicines. 11, 44–49, 1977.
WL Su. Oriental Herbal Cook Book for Good Health (1). Shun An Tong
Corp., Flushing, NY, 1993.
96
PG Sur, DK Ganguly, Y Hara, Y Matsuo. Antitumor activity of Emblica
officinalis Gaertn fruit extract, In: Functional Foods for Disease Prevention 1.
Fruits, Vegetables, and Teas. Chapter 10, p. 104, 1997.
97
Chapter 5
Selcted Fruits of African Origin – Nutraceutical Perspectives
98
Natural gum in the bark is used to close open wounds. Roots are also used
medicinally in treating a gamut of conditions, from dizziness and indigestion to
chest colds to venereal diseases. Suckering shoots provide binding fibers, and
the malleable, pale brown to white wood is used to carve tool handles, or
fashioned into poles. Wood ash is an admixture to chewing tobacco and snuff,
and also in soap production as solvent. The essential oils in the fruits and leaves
are valued for their organic chemical constituents: car-3-ene[clarification
needed] (in fruit) and linalool (from leaves). Certain parts of A. senegalensis are
used in treating skin or eye disorders. Many South Africans believe the roots
can cure insanity. Some Mozambicans feed them to infants to wean them from
their mother's breast.
99
5.3. African Moringa
Much of the plant is edible by humans or by farm animals. The leaves are rich
in protein, vitamin A, vitamin B, vitamin C and minerals. One hundred grams of
fresh Moringa leaves have: 2 times the protein of 100 gm yogurt (Moringa 8.3
g, yogurt 3.8 g); 4 times the calcium of 100 gm milk (Moringa 434 mg, whole
cow milk 120 mg); the same potassium as 100 gm banana (Moringa 404 mg,
banana 376 mg); the same vitamin A as 100 gm carrot (Moringa 738 mcg,
carrot 713 mcg); 3 times the vitamin C of 100 gm orange (Moringa 164 mg,
orange 46.9 mg.
All parts of the tree except the wood are edible, providing a highly nutritious
food for both humans and animals. The flowers are a good nectar source for
honey and the seeds are a rich oil source for cooking and lubricant uses. Many
parts of the plant have been used in medicinal preparations. Whole plants have
been used as living hedges, fences, and windbreaks. The wood is very soft;
useful for paper but makes low-grade firewood and poor charcoal. Attracting
attention in recent decades is the use of the dried, crushed seeds as a coagulant
similar to the chemical alum. Even very muddy water can be cleared when
crushed seeds are added. Solid matter and some bacteria will coagulate and then
sink to the bottom of a container. The cleaned water can then be poured off and
boiled. Use 100 milligrams (about 1 to 1 ½ seeds) of crushed seed to clean 1
liter (1 quart) of muddy water.
100
5.4. Aizen
101
5.5. Balsam Apple
102
5.6. Desert Date
103
spleen disorders. A decoction of the bark are also used as an Abortifacient and
an antidote for arrow-poison in West African traditional medicine. The seed
contains 30-48% fixed (non-volatile) oil, like the leaves, fruit pulp, bark and
roots, and contains the sapogenins diosgenin and yamogenin. Saponins likewise
occur in the roots, bark wood and fruit. Diosgenin can be used to produce
hormones such as those in combined oral contraceptive pills and corticoids.
Children like the sugary balanites fruits, and throughout the species’ range these
are widely consumed by the young. This makes it a key to malnutrition
reduction in the vast, parched, and perilous arid zone where few other useful
plant species exist. The pulp contains carbohydrate (notably sugars), protein, a
smidgen of fat, and undoubtedly notable levels of vitamins and minerals. In
addition, the seed kernel is rich in both an oil of the desirable unsaturated type
and a protein whose amino-acid quality almost matches that in peanut. The pulp
and seeds, separately or together, are thus excellent dietary means for assisting
the malnourished, both young and not so young.
5.7. Baobab
The baobab fruit has three times as much vitamin C as an orange, 50 per cent
more calcium than spinach and is a plentiful source of anti-oxidants, those
disease-fighting molecules credited with helping reduce the risk of everything
from cancer to heart disease. Nutritionally speaking, the strange chalky powder
from a baobab fruit can be considered nature’s gift to natural food fortification.
The dry, soluble flour provides a simple way to add protein, carbohydrate,
energy, fiber, provitamin A, vitamin C, several B vitamins, calcium,
phosphorus, and iron to other foods even in remote areas where delivering those
by other means is difficult. Moreover the protein has an excellent amino-acid
profile, including good quantities of such essential vegetative rarities as lysine,
methionine, cystine, and tryptophan. At least in principle, this seems like a
readily available homegrown means for reducing malnutrition on a long-term
and large-scale throughout much of Africa.
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5.8. Butterfruit (Safou, Bush Mango)
The colorful prunelike morsels of the butterfruit (Dacryodes edulis) are well
known in Central and West Africa. They are roasted or boiled with maize as a
main course, they are enjoyed (fresh or cooked) as snacks, and they feature in
traditional ceremonies and special functions. These are commercial fruits that
pour into cities and rural markets in considerable quantities. They are especially
important in the hot and humid zone stretching from Eastern Nigeria to Angola.
There, women peddling the fruits at locations along the highways are a common
sight.
5.9. Carissa
Although generally eaten for pleasure rather than health, Carissa nevertheless
packs some nutritional wallop. Indeed, it contains somewhat more vitamin C
105
than the average orange and enough calcium, phosphorus, and magnesium to
designate it a fine source of minerals. The red pulp looks and tastes so good it is
often added to sick-people’s foods to entice them into downing pasty-colored
porridges. The fruits are also dropped into water bottles and gourds to liven up
the liquid contents. For these and other features carissa could be a good delivery
system for the very nutrients everyone needs and not everyone gets.
The horned melon (Cucumis metuliferus), also called African horned cucumber
or melon, kiwano, jelly melon, hedged gourd, or melano, is an annual vine in
the cucumber and melon family. It is considered to be the ancestor of the other
cultivated melons. Often known by its nickname in the southeastern United
States, blowfish fruit, it is grown for its fruit, which look like oval melons with
horn-like spines. The fruit of this plant is edible, but it is used as often for
decoration as for food. When ripe, it has a yellow-orange skin and a lime green,
jelly-like flesh with a tart taste, and texture similar to a cucumber. The horned
melon is native to Africa, and it is now grown in California, Chile, Australia
and New Zealand, as well.
106
the pulp and spit out the seeds, although eating the skin and/or the seeds is also
known.The nutritional value of the horned melon’s flesh is low, and the seeds
are poorly known. The fruit seems unlikely in its present form to make a major
dietary contribution against malnutrition.
The kei apple, Dovyalis caffra Warb. is also known as umkokolo in Africa and
this is abbreviated to umkolo in the Philippines. The generic name has been
rendered Doryalis by many writers but botanists now agree that this form was
not the original spelling. Kei apples are highly acidic for the simple reason they
have more vitamin C than oranges. Beyond that, little of their food value is
known. This fruit’s value in nutrition programs is certain to be good but not
necessarily good enough to warrant special effort on those grounds alone.
Most people consider the fruit too acid for eating out-of-hand even when fully
ripe. It is best cut in half, peeled, seeded, sprinkled with sugar and allowed to
stand for a few hours before serving as dessert or in fruit salads. The halves can
stand only a few minutes of cooking before they turn into sauce. Simmered
briefly in sirup, they make excellent shortcake. Kei apples are customarily made
into jam and jelly, and, when underripe, pickles.Fresh ripe fruits contain 83 mg
ascorbic acid per 100 g and 3.7% pectin. Scientists in Egypt have reported 15
amino acids: alanine, 0.41%; arginine, 0.36%; aspartic acid, 0.96%; glutamic
acid, 2.00%; glycine, 0.39%; histidine, 0.10%; isoleucine, 0.25%; leucine,
0.75%; lysine, 0.36%; methionine + valine, 0.28%; phenylalanine, 0.40%;
proline, trace; serine, 0.48%; threonine, 0.34%.
107
5.12. Marula
Sclerocarya birrea, the marula, (Greek σκληρός, sklērós, "hard", and κάρυον,
káryon, "nut", in reference to the stone inside the fleshy fruit) is a medium-sized
dioecious tree, indigenous to the miombo woodlands of Southern Africa, the
Sudano-Sahelian range of West Africa, and Madagascar. The tree is a single
stemmed tree with a wide spreading crown. It is characterised by a grey mottled
bark. The tree grows up to 18 m tall mostly in low altitudes and open
woodlands. The fruits are used in the liqueur Amarula. The distribution of this
species throughout Africa and Madagascar has followed the Bantu in their
migrations, as it has been an important item in their diet since time
immemorial.Although an important source of several nutrients, marula fruit
stands out for its vitamin C. In this regard, the flesh commonly surpasses
orange, grapefruit, and lemon. Add to that macadamia-like nuts, possessing
protein, an edible oil ranked with the elites, and minerals such as calcium,
magnesium, and phosphorus, and you have a nutritional powerhouse borne by a
widespread plant seemingly created for today’s needs.
The bark is used both as treatment and a prophylaxis for malaria. An infusion of
the inner bark of the marula tree may be applied to scorpion stings and snake
bites to alleviate pain. The leaves are chewed on to help indigestion and to treat
heartburn. Marula oil, made from the seed kernel, can be used as a type of skin
care oil.
The seed kernels are high in protein and fat with a subtle nutty flavour and
constitute an important emergency food. Fruits are commonly eaten fresh or
used to prepare juice, jelly and alcoholic drink. Marula oil, made from the seed
kernel, is a delicious additive to meals in Africa. It contains antioxidants and
oleic acid.
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5.13. Melon
Melons originated in Africa and southwest Asia, but they gradually began to
appear in Europe toward the end of the Roman Empire. Melons were among the
earliest plants to be domesticated in both the Old and New Worlds. Early
American settlers are recorded as growing honeydew and casaba melons as
early as the 1600s. A number of Native American tribes in New Mexico,
including Acoma, Cochiti, Isleta, Navajo, Santo Domingo and San Felipe,
maintain a tradition of growing their own characteristic melon cultivars, derived
from melons originally introduced by the Spanish. Dietarily speaking, most
people consider melon a sugary nothing. But it provides potassium, vitamin C,
and almost as much provitamin A as mango.
5.14. Tamarind
Tamarind pulp is a good source of the B vitamins thiamin, niacin, and riboflavin
as well as phosphorus, potassium, and calcium (whose content is reportedly the
highest found in any fruit). There are claims that tamarinds are also high in iron,
which could make them useful anemia preventatives. The fact that kids love
sucking on these not-so-pretty fruits means this longlived and highly adaptable
tree could be a significant nutrition-delivery tool. Plant tamarinds beside the
tracks to school and you’ll likely feed generations of children and, in addition,
109
leave a legacy of shade for the society and soothing scenery for the ages.
Tamarind fruit contains certain health benefiting essential volatile chemical
compounds, minerals, vitamins and dietary fibre. Its sticky pulp is rich source of
non-starch polysaccharides (NSP) or dietary-fibre such as gums,
hemicelluloses, mucilage, pectin and tannins. 100 g of fruit pulp provides 5.1 or
over 13% of dietary fibre. NSP or dietary fiber in the food increases its bulk and
augments bowel movements thereby help prevent constipation. The fibre also
binds to toxins in the food thereby help protect the colon mucus membrane from
cancer-causing chemicals. In addition, dietary fibres in the pulp bind to bile
salts (produced from cholesterol) and decrease their re-absorption in the colon;
thereby help excretion of “bad” or LDL cholesterol levels from the body. While
lemon composes of citric acid, tamarind is rich in tartaric acid. Tartaric acid
gives a sour taste to food but is also a very powerful antioxidant. (Anti-oxidant
E-number is E334). It helps the body protect from harmful free radicals.
Tamarind fruit contains many volatile phytochemicals such as limonene,
geraniol, safrole, cinnamic acid, methyl salicylate, pyrazine and alkylthiazoles.
Together these compounds account for the medicinal properties of
tamarind.This prized spice is a good source of minerals like copper, potassium,
calcium, iron, selenium, zinc and magnesium. Potassium is an important
component of cell and body fluids that helps control heart rate and blood
pressure. Iron is essential for red blood cell production and as a co-factor for
cytochrome oxidases enzymes.In addition, it is also rich in many vital vitamins,
including thiamin (36% of daily required levels), vitamin A, folic acid,
riboflavin, niacin, and vitamin-C. Much of these vitamins plays antioxidant, and
co-factor functions for enzyme metabolism inside the body.
5.15. Watermelon
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Chapter 6
Profiling Popular Foods and Herbs - Nutraceutical Perspectives
111
immunostimulatory activity compared to the main carbohydrate component,
acemannan. Aloeride as an immunostimulant could be beneficial for wound
healing and immunotherapy. A supercritical carbon dioxide extract from Aloe
vera skin was shown by Hu et al. (2004) to be a superior antioxidant to BHT or
α-tocopherol. A quality and safety (HACCP) management system was recently
developed by He et al. (2005) for processing Aloe vera gel juice for the food
industry.
6.1.1. References
Avila, H., Rivero, J., Herrera, F., and Fraile, G., Cytotoxicity of a low
molecular weight fraction from Aloe vera (Aloa barbadensis Miller) gel,
Toxicon., 35: 1423–1430, 1997.
Chithra, P., Sajithial, G.B., and Chandrakasan, G., Influence of Aloe vera
on collagen characteristics in healing dermal wounds made in rats, Moll. Cell.
Biochem., 181:71–76, 1998.
Corsi, M.M., Bertelli, A.A., Gaja, G., Fulgenzi, A., and Ferrero, M.E., The
therapeutic potential of Aloe vera in tumor-bearing rats, Int. J. Tissue React.,
20: 115–118, 1998.
He, W., Changhong, L., Kojo, E., and Tian, Z., Quality and safety assurance
in the processing of aloe vera gel juice, Food Cont., 16:95–104, 2005.
Hu, Q., Hu, Y., and Xu, J., 2004. Free-radical scavenging activity of Aloe vera
(Aloe barbadensis Miller) extracts by supercritical carbon dioxide extraction,
Food Chem., 2004 (in press).
Lee, C.K., Han, S.S., Kim, R.S., Chung, M.H., Park, Y.I., Lee, S.K., and
Kim, Y.S., Prevention of ultraviolet radiation-induced suppression of sensory
cell function of langerhans cells of Aloe vera gel components,
Immunopharmacology, 37:153–162, 1997.
Pugh, N., Ross, S.A., ElSohly, M.A., and Pasco, D.S., Characterization of
aloeride, a new highmolecular polysaccharide from Aloe vera with potent
immunostimulatory activity, J. Agric. Food Chem., 49:1030–1034, 2001.
Shamaan, A., Kader, K.A., Rahmat, A., and Ngah, W.Z.W., Vitamin C and
aloe vera supplementation protects from chemical hepatocarcinogenesis in the
rat, Nutrition, 14:846–852, 1998.
Vazquez, B., Avila, G., Segura, D., and Escalante, B., Anti-inflammatory
activity of extracts from Aloe vera gel, J. Ethnopharmacol., 55:69–75, 1996.
112
6.2. Apple Juice
Pearson and coworkers (1999) examined the ability of six commercial apple
juices to inhibit copper-catalyzed LDL-oxidation. Their results further support
the inclusion of apple and apple products in a healthy diet. In addition, some
apple phenolics also inhibited glucose transport via the Na-dependent glucose
transporter (SGLT1). One such phenolic, phloridzin (phloretin 2′-O-β-D-
glucoside), a flavonoid dihydrochalcone, is used in studies on glucose transport.
Phloridzin and related dihydrochalcones are found in apple products, such as
cider (Tomas-Barberan et al., 1993). Johnston and coworkers (2002) showed
that apple-juice consumption modulated glucose uptake by delaying the
intestinal absorption of glucose. Cloudy apple juice, containing higher levels of
phloridzin and other phenols, suppressed glucose absorption in the proximal GI
tract to a greater degree than clear apple juice. These researchers suggested that
such plant phenols could play a role in determining the glycemic index of plant
foods for the treatment of noninsulin-dependent diabetes mellitus (NIDDM). In
a recent paper by Andlauer et al. (2004), phloridzin amplified the absorption of
the isoflavone genistin in isolated rat small intestine. Because of the cancer-
protective effects associated with genistin, a functional food combining soy and
apple may provide distinct health benefits
113
6.2.1. References
Andlauer, W., Kolb, J., and Furst, P., Phloridzin improves absorption of
genistin in isolated rat small intestine, Clin. Nutr., 23:989–995, 2004.
Pearson, D.A., Tan, C.H., German, J.B., Davis, P.A., and Gershwin, M.E.,
Apple juice inhibits low density lipoprotein oxidation, Life Sci., 64:1913–1920,
1999.
Johnston, K.L., Clifford, M.N., and Morgan, L.M., Possible role for apple
juice phenolic compounds in the acute modification of glucose tolerance and
gastrointestinal hormone secretions in humans, J. Sci. Food. Agric., 82:1800–
1805, 2002.
6.3. Beans
Beans are an important part of our diet and represent a good source of protein
and nutrients. The consumption of beans, particularly in Mexico, has a long
history and was estimated at 19.5 kg/annum per capita (Gonzalez de Mejia,
1990). The importance of phenolic compounds in plant foods, including beans,
is related to their effect on nutritional and esthetic properties. In addition to their
antioxidant and chelating properties, they are able to scavenge reactive-oxygen
species and electrophiles, as well as modulate cellular-enzyme activities (Huang
and Ferraro, 1992). The antimutagenic properties of the phenolic compounds
from common beans (Phaseolus vulgaris) were reported by Gonzalez de Maija
et al. (1999). The majority of poly phenols were located in the seed coat with
negligible amounts in the cotyledons. The key antimutagenic compounds in
beans, easily extracted with methanol, were phenols, while low-
molecularweight hydrolyzable phenols were present in the aqueous extract. The
phenolic compounds specifically identified were catechin, tannic acid, and
ellagic acid. These compounds were effective against the mutagenic activities of
1-nitropyrene (1-NP) and benzo[α]pyrene using the Salmonella typhimurium
114
tester strain YG1024 in the plateincorporation test. Dose-dependent inhibition
was observed for all the samples tested. Doses of 500 μg equivalent
catechin/plate resulted in 63%, 81%, and 83% inhibition for water,
water/methanol, and methanol extracts, respectively. The greatest inhibition was
evident for the methanol extract at lower doses of 50 μg equivalent
catechin/plate. These results were consistent with earlier findings by Mandal
and coworkers (1987) regarding the antimutagenic effects of ellagic acid.
6.3.1. References
C., Lee, C.Y., and Huang, M., Eds., American Chemical Society, Washington,
D.C., 1992, pp. 8–35.
Mandal, S., Ahuja, A., Shivapurkar, N.M., Sheng, S.J., Groopman, J.D.,
and Stoner, G.D., Inhibition of aflatoxin B in Salmonella typhimurium and
DNA damage in cultured rat and human tracheobronchial tissues by ellagic
acid, Carcinogenesis, 8:1651–1656, 1987.ihydrochalcones from apple juices
and jams, Food Chem., 46: 33–36, 1993.
115
Black tea is the fermented tea, which contains a group of yellow- to darkbrown-
colored polyphenolic compounds formed during fermentation (Xiao et al.,
1998). Theaflavins (TF) and thearubigins (TR) are the two major classes of
polyphenols responsible for its color and taste. During fermentation, these
pigments form a mixture of catechin dimers, trimers, or multipolymers, referred
to as tea pigments (Nursten, 1997). Animal and clinical studies have
demonstrated the ability of tea pigments to treat hypertension, decrease blood
sugar, and prevent atherosclerosis and cancer (Morse et al., 1997: Ye, 1997).
Tea pigments were also shown to increase superoxide dismutase (SOD) activity
and decrease lipid-peroxidation levels in experimental animals (Li et al., 1998;
Ren et al., 1998). Cadneri et al. (2000) showed that polyphenolic extracts from
black tea was similar to wine extracts in their ability to protect rats against
AOM-induced colon carcinogenesis Black-tea extracts were far more effective
than green-tea extracts in increasing apoptosis of the tumors. The
anticarcinogenic properties of black-tea extracts were demonstrated by Shukla
and Taneja (2002), who reported significant decreases in the number of
diethylnitrosamine (DEN)-induced pulmonary tumors in Swiss albino mice fed
2 percent and 4 percent blacktea extracts. Yaping and coworkers (2003) recently
showed that tea pigments had similar free-radical-scavenging abilities to tea
polyphenols, which further supports their role in disease prevention. A melanin-
like pigment was isolated by Sava et al. (2001) from black tea leaves by alkaline
extraction, acid hydrolysis, and precipitation. The isolated pigment ha
immunostimulating activity, suggesting possible health benefits. Significant
antimutagenic effects were also reported by Gupta et al. (2002) for black tea
and its polyphenols using the Ames Salmonella assays. Recent work by Besra et
al. (2003) also demonstrated the antidiarrheal properties of a hot-water extract
of black tea.
6.4.1. References
Caderni, G., De Filippo, C., Luceri, C., Salvadori, M., Giannini, A., Biggeri,
A., Remy, S., Cheynier, V., and Dolara, P., Effects of black tea, green tea and
wine extracts on intestinal carcinogenesis induced by azoxymethane in F344
rats, Carcinogenesis, 21: 1965–1969, 2000.
Gupta, S., Chaudhuri, T., Seth, P., Ganguly, D.K., and Giri, A.K.,
Antimutagenic effects of black tea (World Blend) and its two active
polyphenols theafla-vins and thearubigins in Salmonella assays, Phytother.
Res., 16:655–661, 2002.
116
Li, N., Han, H., and Wang, Z., Protective effect of tea pigments on oxidative
damage by free radical in guinea pig, Zhong Guo Zhong Yi Yao Technology,
29:23–24, 1998 (in Chinese).
Morse, M.A., Kresty, L.A., Steele, V.E., Kelloff, G.J., Boone, C.W.,
Balentine, D.A., Harbowy, M.E., and Stoner, G.D, Effects of theaflavins on
N-nitrosomethylbenzylamine-induced esophageal tumorigenesis, Nutr. Cancer
Int. J., 29:7–12, 1997.
Ren, M., Zheng, Y., and Xu, S., 1998. The inhibitory effect of tea pigments on
lipid peroxidation in mice, Jiang Xi Med. Acta, 38:49–51, 1998 (in Chinese).
Sava, V.M., Galkin, B.N., Hong, M.Y., Yang, P.C., and Huang, G.S., A
novel melanin-like pigment derived from black tea leaves with immuno-
stimulating activity, Food Res. Inter., 34:337–343, 2001.
Yaping, Z., Wenli, Y., Dapu, W., Xiaofeng, L., and Tianxi, H.,
Chemiluminescence determination of free radical scavenging abilities of “tea
pigments” and comparison with “tea polyphenols,” Food Chem., 80:115–118,
2003.
Ye, W., The study and application of tea pigment, China Food Add., 4:23–24,
1997 (in Chinese).
Xiao, W., Zhong, J., Xiao, H, and Li, D., The mechanism of formation of tea
pigments during the industrial processing of tea known as “fermentation,”
Fujian Tea, 3:8–12, 1998.
117
6.5. Cabbage
6.5.1. References
Bresnick, E., Birt, D.F., Wolterman, K., Wheeler, M., and Markin, R.S.,
Reduction in mammary tumorigenesis in the rat by cabbage and cabbage
residue, Carcinogenesis, 11:1159–1163, 1990.
Chu, Y.F., Sun, J., Wu, X., and Liu, R.H., Antioxidant and antiproliferative
activities of common vegetables, J. Agric. Food Chem., 50:6910–6916, 2002.
Mehta, R.G., Liu, J., Constantinou, A., Thomas, C.F., Hawthorne, M., You,
M., Gerhauser, C., Pezzuto, J.M., Moon, R.C., and Moriarty, R.M., Cancer
chemopreventive activity of brassinin, a phytoalexin from cabbage,
Carcinogenesis, 16:399–404, 1995
118
6.6. Cacao
6.6.1. References
Balbach, A., in As Plantas que Curam, Tree Press, Sao Paulo, 1972, pp. 302–
303.
119
inflammatory properties of Caesalpinia ferrea crude extract, J. Ethnopharm.,
53:175–178, 1996.
Nakamura, E.S., Kurosaki, F., Arisawa, M., Mukainaka, T., Okuda, M.,
Tokuda, H., Nishino, H., and Pastore, F., Jr., Cancer chemoprotective effects
of constituents of Caesalpinia ferrea and related com pounds, Cancer Lett.,
177:119–124, 2002
6.7. Caffeine
120
(2003) reported that caffeine, combined with paclitaxel, a naturally occurring
chemotherapeutic agent from the bark of the Western yew, suppressed cell
proliferation in a dose-dependent manner. Examination of the dose responses of
paclitaxel alone and in combination with caffeine on the survival of a human
lung adenocarcinoma cell line, A549, is shown in Figure C.17. The cell-killing
effect of paclitaxel increased in a dose-response manner up to a maximum of 50
nM, with no further improvement at 100 nM. Combining with 5 mM caffeine,
however, reduced the cytotoxicity of paclitaxel, which was further dramatically
suppressed in the presence of 20 mM caffeine. These researchers showed that in
the cell-cycle analysis, caffeine caused early G1 accumulation, while paclitaxel
caused an early increase in G2-M and a decrease in G1. These effects suggested
that while cell-modifying agents, like caffeine, can diminish the cytotoxic
effects of paclitaxel, caution should be exercised in combining these substances.
6.7.1. References
Chung, F.L., Wang, M., Rivenson, A., Iatropoulos, M.J., Reinhardt, J.C.,
Pittman, B., Ho, C.T., and Amin, S.G., Inhibition of lung carcinogenesis by
black tea in Fischer rats treated with a tobaccospecific carcinogen: Caffeine as
an important constituent, Cancer Res., 58:4096–4101, 1998.
Hagiwara, A., Boonyaphiphat, H., Tanaka, H., Kawabe, M., Tamano, S.,
Kaneko, H., Matsui, M., Hirose, N., Ito, N., and Shirai, T., Organ-dependent
modifying effects of caffeine, and two naturally occurring antioxidants -
tocopherol and n-tritriacontane-16,18-dione, on 2-amino-1- methyl-6-
phenylimidazo[4,5-b]pyridine(PhIP)-induced mammary and colonic
carcinogenesis in female F344 rats, Jpn. J. Cancer Res., 90:399–405, 1999.
Higuchi, K., Mitsuhashi, N., Saitoh, J., Maebayashi, K., Sakurai, H.,
Akimoto, T., and Niibe, H., Caffeine enhanced radiosensitivity of rat tumor
cells with a mutant-type p53 by inducing apoptosis in a p5 3-independent
manner, Cancer Lett., 152:157–162, 2000.
Ito, K., Nakazato, T., Miyakawa, Y., Yamato, K., Ikeda, Y., and Masahiro,
K., Caffeine induces G2.M arrest and apoptosis via a novel p5 3-dependent
path-way in NB4 promyelocytic leukemia cells, J. Cell. Physiol., 2003 (in
press).
121
Kitamoto, Y., Sakurai, H., Mitsuhashi, N., Akimoto, T., and Nakano, T.,
Caffeine diminishes cytotoxic effects of paclitaxel on a human lung
adenocarcinoma cell line, Cancer Lett., 191:101–107, 2003.
Lu, Y.P., Lu, Y.R., Lin, Y., Shih, W.J., Huang, M.T., Yang, C.S., and
Conney, A.H., Inhibitory effects of orally administered green tea, black tea and
caffeine on skin carcinogenesis in mice previously treated with ultraviolet B
light (high-risk mice): Relation-ship to decreased tissue fat, Cancer Res.,
61:5002–5009, 2001.
Nafisi, S., Manajemi, M., and Ebrahimi, S., The effects of mono- and
divalent metal cations on the solution structure of caffeine and theophylline, J.
Mol. Struct., 705:35–39, 2004.
Nishikawa, A., Furukawa, F., Imizaka, T., Ikezaki, S., Hasegawa, T., and
Takahasi, M., Effects of caffeine on glandular stomach carcinogenesis induced
in rats by N-methyl-N-nitro-Nnitrosoguanidine and sodium chloride, Food
Chem. Toxicol., 33:21–26, 1995.
Takeshita, F., Ogawa, K., Asomoto, M., and Shirai, T., Mechanistic
approach of contrasting modifying effects of caffeine on carcinogenesis in the
rat colon and mammary gland induced with 2-amino-1-methyl-6-phenylimidazo
[4,5-b]pyridine, Cancer Lett., 194:25–35, 2003.
6.8. Chocolate
122
Chocolate contains fats, sugars, and protein, together with small quantities of
magnesium, potassium, calcium, iron, and riboflavin, as well as the stimulant
caffeine. The main ingredient in all chocolates is cocoa, derived from beans
cultivated in West Africa and Southeast Asia. Among the hundreds of
compounds in cocoa are a group of polyphenolic compounds or flavonoids. One
group of flavonoids, the procyanidins, account for 35 percent of all polyphenols
in cocoa. Procyanidins consist of flavan-3-ol(−) epicatechin (epicatechin) and
its polymers (Adamson et al., 1999). Evidence from epidemiological Studies
suggest that diets high in polyphenols reduce the risk of cardiovascular disease
and related chronic diseases. Chocolate flavonoids are potent antioxidants
capable of protecting LDL from oxidation. Richelle and coworkers (1999)
demonstrated a physiologically significant increase in plasma levels of
epicatechin (0.7 μmol/L) in eight healthy male volunteers after consuming 80 g
of black chocolates. Wang and coworkers (2000) demonstrated a marked
increase in plasma levels of epicatechin in healthy adults 2 hours following the
consumption of procyanidin-rich chocolates. Rein et al., (2000) showed that a
polyphenolic-rich cocoa beverage exerted an aspirin-like effect in 30 healthy
subjects by suppressing platelet activation and function, key factors in the
development of coronary artery disease. A recent study by Mursu et al. (2004)
showed that nonsmoking, healthy young volunteers consuming 75 g daily of
dark chocolate and dark chocolate enriched with cocoa polyphenols increased
their HDL-cholesterol levels by 11.4 percent and 13.7 percent, respectively. In
comparison, the control group consuming white chocolate had a small but
significant decrease in HDL cholesterol levels of -2.9 percent. No effect of
cocoa polyphenols on lipid peroxidation was observed in the young subjects
maintained on the study. Cocoa procyanidins were found by Mao et al. (1999)
to exhibit immunomodulatory effects by inhibiting proliferation and
suppressing the production of interleukin-2 and human T-lymphocytes.
Carnesecchi and coworkers (2002) further examined the antiproliferative effects
of cocoa polyphenols using human colon-cancer cells. The cocoa flavonols and
procyanidins caused nonapoptotic cell death and blocked the G2/M phase of the
cell cycle. They suggested polyamine biosynthesis as one of the targets affected.
123
Figure: Epicatechin. (Adapted from Babich et al., Toxicology, in vitro.,
19:231–242, 2005)
6.8.1. References
Adamson, G.E., Lazarus, S.A., Mitchell, A.E., Prior, R.L., Cao, G., Jacobs,
P.H., Kramer, B.G., Hammerstone, J.F., Rucker, R.B., Ritter, K.A., and
Schmidt, H.H., HPLC method for quantification of procyanidins in cocoa
chocolate and correlation to total antioxidant activity, J. Agric. Food Chem.,
47:4168–4186, 1999.
Babich, H., Kruska, M.E., Nissim, H.A. and Zuckerbraun, H.L. Differential
in vitro cytoxicity of (−)-epicatechin gallate (ECG) to cancer and normal cells
from human oral cavity. Toxicol. In vitro. 19:231–241, 2005.
124
dioxygenase and 5,6-leukotriene A4 (LTA4) synthase activities of human 5-
lipoxygenase, which could account for the antiinflammatory effects of cocoa
products. Inhibition of growth and polyamine biosynthesis by human colonic
cancer cells by cocoa powder and extracts was reported by Carnesecchi and
coworkers (2002). The procyanidin-enriched extracts significantly decreased
ornithine decarboxylase and S-adenosyl-methionine decarboxylase, two key
enzymes of polyamine biosynthesis. These results suggested polyamine
metabolism may be an important target in the antiproliferative effects of cocoa
polyphenols. Yamagishi et al. (2002) reported cocoa liquor proanthocyanidins
protected the lungs from 2-amino-1 -methyl-6-phenylimidazo[4,5-b] pyridine
(PhIP)-induced tumorigenesis, and rat pancreatic carcinogenesis in the initiation
stage but not mammary carcinogenesis.
6.9.1. References
Carnesecchi, S., Schneider, Y., Lazarus, S.A., Coehlo, D., Gosse, F., and
Raul, F., Flavonols and procyanidins of cocoa and chocolate inhibit growth and
polyamine biosynthesis of human colonic cancer cells, Cancer Lett., 175:147–
155, 2002.
Middleton, E., Jr., Kandaswami, C., and Theoharides, T.C., The effects of
plant flavonoids on mammalian cells: Implications for inflammation, heart
disease and cancer, Pharmacol. Rev., 52:673–751, 2000.
Mursu, J., Voutilainen, S., Nurmi, T., Rissanen, T.H., Virtanen, J.K.,
Kaikkonen, J., Nyyssonen, K., and Salonen, J.T., Dark chocolate
consumption increases HDL cholesterol concentration and chocolate fatty acids
may inhibit lipid peroxidation in healthy humans, Free Rad. Biol. Med.,
37:1351–1359, 2004.
Schewe, T., Sadik, C., Klotz, L.O., Yoshimoto, T., Kuhn, H., and Sies, H.,
Polyphenols in cocoa: Inhibition of mammalian 15-lipoxygenase, Biol. Chem.,
383:1687–1696, 2001.
Schewe, T., Kuhn, H., and Sies, H., Flavonoids of cocoa inhibit recombinant
human 15- lipoxygenase, J. Nutr., 132:1825–1829, 2002.
125
6.10. Coconut (Cocos nucifera)
Coconut is the seed of the coconut palm tree native to the Pacific region of the
tropics. It is composed of a thick outer fibrous husk surrounding a hard, stony
shell. The lining of the shell, or kernel, contains a white, fleshy, oily area called
the meat. Coconut oil is high in saturated fatty acids. Lauric acid, a 12-carbon
saturated acid, accounts for almost 50 percent of the total fatty acids present.
Feeding healthy Polynesians coconut oil, butter, and safflower diets, however,
still showed cholesterol synthesis was lower on the coconut/safflower-oil diets
compared to diets rich in butter (Cox et al., 1998). Padmakumaran Nair and
coworkers (1999) reported that human volunteers fed a diet of coconut oil and
coconut-kernel protein had lower serum-totaland LDL-cholesterol levels
compared to feeding coconut oil alone. The beneficial effects of the kernel
protein was attributed to its very low lysine/arginine ratio.
6.10.1. References
Cox, C., Sutherland, W., Mann, J., de Jong, S., Chisholm, A., and Skeaff,
M., Effects of dietary coconut oil, butter, and safflower oil on plasma lipids,
Eur. J. Clin. Nutr., 52:650–654, 1998.
Pillai, M.G., Thampi, B.S.H., Menon, V.P., and Leelamma, S., Influence of
dietary fiber from coconut kernel (Cocos nucifera) on the 1,2-dimethylhy-
drazine-induced lipid peroxidation, J. Nutr. Biochem., 10:555–560, 1999.
126
6.11. Coffee
127
Figure: Structures of coffee diterpenes cafestol (C) and kahweol (K). (From
Cavin et al., Food Chem. Toxicol., 40:1155–1163, 2002. With permission.)
128
DNA adduct formation in primary rat hepatocytes and human bronchial Beas-
2B cells. Huber et al. (2003) showed that K/C and Turkish coffee (cafestol
alone) both increased hepatic DNA repair protein O6-methylguanine-DNA
methyl-transferase (MGMT) in a dose-dependent manner. The increase in
MGMT expression provides new insight regarding the
antimutagenic/anticarcinogenic potential of these coffee components. Van Dam
and Feskens (2002) reported coffee consumption may reduce the risk of type 2
diabetes mellitus. Of 17,111 Dutch men and women between the ages of 30–60,
those drinking a minimum of seven cups of coffee a day were 0.50 (95 percent
CI 0.35=0.72, p= 0.0002) times as likely to develop diabetes mellitus compared
to those drinking two or fewer cups. Components in coffee that could contribute
to this effect are caffeine, chlorogenic acid, and magnesium. Tavani and
coworkers (2003) observed an inverse relationship between coffee intake and
risk of oral, pharyngeal, and esophageal cancers. A total of 749 and 395 cases
were studied suffering from oral/pharyngeal and esophageal cancers,
respectively. The multivariate odds ratio (OR) for those drinking more than
three cups of coffee/day compared to one cup of coffee/day were 0.6 (95
percent CI 0.5–0.9) for oral/pharyngeal and 0.6 (95 percent CI 0.4–0.9) for
esophageal cancer, irrespective of age, sex, education, and alcohol
consumption. These results suggested coffee consumption may decrease the risk
of oral/pharyngeal and esophageal cancers.
6.11.1. References
Cavin, C., Bezencon, C., Guignard, G., and Schilter, B., Coffee diterpenes
prevent benzo[a]pyrene genotoxicity in rat and human culture systems,
Biochem. Biophys. Res. Commun., 306:488–495, 2003.
Cavin, C., Holzhaeuser, D., Scharf, G., Constable, A., Huber, W.W., and
Schilter, B., Cafestol and Kahweol, two coffee specific diterpenes with
anticarcinogenic activity, Food Chem. Toxicol., 40:1155–1163, 2002.
Gershbein, L.L., Action of dietary trypsin, pressed coffee oil, silmarin and iron
salt on 1,2- dimethylhy-drazine tumorigenesis by gavage, Anticancer Res.,
14:1113–1116, 1994.
129
Inoue, M., Tajima, K., and Hirose, K., Tea and coffee consumption and the
risk of digestive tract cancers: Data from a comparative case-referent study in
Japan, Cancer Causes Control, 9:209– 216, 1998.
Nishi, M., Ohba, S., Hirata, K., and Miyake, H., Dose-response relationship
between coffee and the risk of pancreas cancer, Jpn. J. Oncol., 26:42–48, 1996.
Nishikawa, A., Tanaka, T., and Mori, H., An inhibi-tory effect of coffee on
nitrosaminehepatocarcinogenesis with aminopyrine and sodium nitrite in rats, J.
Nutr. Growth Cancer, 3:161–166, 1986.
Schilter, B., Cavin, C., Tritscher, A., and Constable, A., Coffee: Health and
safety considerations, in Coffee Recent Developments, Clarke, R.J., and
Vitzhthum, O.G., Eds., Blackwell Science, London, 2001a, pp. 165–183.
Schilter, B., Holzhaeuser, D., and Cavin, C., Health benefits of coffee,
Proceedings of the 19th International Scientific Colloqium on Coffee, Trieste,
May 14–18, 2001b.
Stadler, R.H., The use of chemical markers and model studies to assess the in
vitro pro- and antioxidative properties of methyl xanthine-rich beverages, Food
Rev. Int., 17:385–418, 2001.
Tavani, A., Bertuzzi, M., Talamini, R., Gallus, S., Parpinel, M., Franceschi,
S., Levi, F., and La Vecchia, C.L., Coffee and tea intake and risk of oral,
pharyngeal and esophageal cancer, Oral Oncol., 39:695–700, 2003.
130
Van Dam, R.M. and Feskens, E.J.M., Coffee consumption and risk of type 2
diabetes mellitus, Lancet, 360:1477–1478, 2002.
Wattenberg, L.W., Hanley, A.B., Barany, G., Sparnins, V.L., and Fenwick,
G.R., Inhibition of carcinogenesis by some minor constituents, in Diet,
Nutrition and Cancer, Hayashi, Y., Ed., Japan Science Society Press, Tokyo,
1986, pp. 193–203.
6.12. Garlic
131
relationship between garlic consumption and reduced risk of cardiovascular
disease (Kendler, 1987; Keys, 1980). In their review of garlic and
cardiovascular disease, Banerjee and Maulik (2002) pointed to the need to
identify specific components responsible for its cardioprotective effects. Ozturk
et al. (1994) observed the beneficial effects of garlic extract on vascular
responsiveness in normal rats. A recent study by Baluchnejadmojarad et al.
(2003) showed an aqueous garlic extract significantly improved impaired
endothelium-dependent relaxations, as well as decreased the enhanced
contractile response to phenyl epinephrine in diabetic rats. Fresh garlic was
reported to lower blood pressure in spontaneously hypertensive rats (Foushee et
al., 1982). Further researchers confirmed the ability of garlic to control mild
hypertension. Al-Quattan et al. (1999) examined the effectiveness of garlic in
treating more severe hypertension, such as in unilateral renovascular
hypertension (URVH). Using a 2K1C hypertensive rat, they showed that a
single dose had a maximum antihypertensive effect 2–6 h after administration,
continuing for up to 24 h (Table G.33). Multiple doses of garlic also controlled
the rise in blood pressure in these hypertensive rats. Sharif et al. (2003) showed
a negative correlation between garlic, blood pressure, and angiotensin-
converting enzyme (ACE) using the same 2K1C hypertensive model. An
enteric-coated garlic-powder supplement suggested that the ability of garlic to
lower blood pressure was attributed, in part, to a reduction in ACE activity.
6.12.1. References
Al-Quattan, K.K., Alnaqeeb, M.A., and Ali, M., The antihypertensive effect
of garlic (Allium sativum) in the rat two-kidney-one-clip Goldblatt model, J.
Ethnopharmacol., 66:217–222, 1999.
Durak, I., Yllmaz, E., Devrim, E., Perk, H., and Kacmaz, M., Consumption
of aqueous garlic extract leads to significant improvement in patients with
benign prostate hyperplasia and prostate cancer, Nutr. Res., 23:199–204, 2003.
Foushee, D.B., Ruffn, J., and Banerjee, U., Garlic as a natural agent for the
treatment of hypertension: A preliminary report, Cytobios, 34:142–152, 1982.
Iimuro, M., Shibata, H., Kawamori, T., Matsumoto, T., Arakawa, T.,
Sugimura, T., and Wakabayashi, K., Suppressive effects of garlic extract on
132
Helicobacter pylori-induced gastritis in Mongolian gerbils, Cancer Lett.,
187:61–68, 2002.
Kendler, B.S., Garlic (Allium sativum) and onion (Alliuim cepa): A review of
their relationship to cardiovascular disease, Prev. Med., 16:670–685, 1987.
Keys, A., Wine, garlic and CHD in seven countries. Lancet, 1:145–146, 1980.
Ozturk, Y., Aydin, S., Kosar, M., and Baser, K.H.C., Endothelium-
dependent and independent effects of garlic and rat aorta, J. Ethnopharmacol.,
44:109–116, 1994.
Sengupta, A., Ghosh, S., and Das, S., Administration of garlic and tomato can
protect from carcinogen induced clastogenicity, Nutr. Res., 22:859–866, 2002.
Zhang, X.-H., Lowe, D., Giles, P., Fell, S., Connock, M.J., and Maslin, D.J.,
Gender may affect the action of garlic oil on plasma cholesterol and glucose
levels of normal subjects, J. Nutr., 131:1471–1478, 2001.
6.13. Ginseng
Ginseng, the root of Panax ginseng, has been used in Oriental medicine for
many centuries to treat a wide range of ailments. In Europe, it is sold over the
counter to enhance physical and mental performance. Ginseng products are
either white or red. White ginseng is the dried root with the skin peeled off,
whereas red ginseng is the steamed root, which is caramel-colored. White
ginseng (includes lateral roots and root hairs) is commonly used in the
133
European market, while red ginseng is the preferred form in Asia. The unique
constituents identified in ginseng include several classes of compounds:
triterpene saponins; essential oil-containing poly acetylenes and sesquiterpenes;
polysaccharides; peptidoglycans; and nitrogen-containing compounds (Tang
and Eisenbrand 1992). Triterpene saponins are referred to as ginsenosides, as
their property appears to be a function of the number of monosaccharide
residues in the sugar chain (Hostettmann and Marston, 1995). Thirty-one
ginsenosides have been isolated from the roots of white and red ginseng that can
be categorized into three groups, based on their aglycones, as protopanaxadiol-
type, protopanaxatriol-type, and oleanolic acid-type saponins (Sticher, 1998).
Ginseng is specified in the Swiss and German pharmacopeias on the total
ginsensoside content, calculated as ginsenoside Rg1, as not less than 2.0 percent
and 1.5 percent, respectively. The European pharmacopeia requires that the
ginsenoside Rga and Rb1 content in ginseng must not be less than 0.3 percent.
Research on ginseng suggests ginsenosides have antiaging properties by
enhancing the immune system by increasing serum-specific antibodies and IgG
content and protective B-lymphocytes (Nah et al, 1995; Liu et al., 1995;
Yamada et al., 1995). In addition to ginsenosides other isolated components,
such as polyacetylenes, panaxytriol, panaxynol, and panaxydol have cytotoxic,
antiplatelet, and antiinflammatory properties, respectively (Deng and Zhang,
1991; Matsunaga et al., 1995; Kobayashi et al., 1995). The hypoglycemic effect
of ginseng is attributed to its polysaccharides, the panaxans, which are
themselves peptidoglycans. Immunological activity is also associated with some
of its polysaccharides, the ginsenans. While the precise structures of these
polysaccharides are not fully known, their backbone chain is mainly β-1,3-
linked D-galactoside (Tomoda et al., 1993).
6.13.1. References
Deng, H. and Zhang, J., Anti-lipid peroxidative effect of ginsenoside Rb1 and
Rg1, Chin. Med. J., 104:395–398, 1991.
Kobayashi, M., Mahmud, T., Umezome, T., and Kitgawa, I., The absolute
stereostructure of panaxytriol, a biologically active diacetylenic acetogenin,
from Ginseng Radix Rubra, Chem. Pharm. Bull., 43:1595–1597, 1995.
Liu, J., Wang, S., Liu, H., Yang, L., and Nan, G., Stimulatory effect of
saponin from Panax ginseng on immune function of lymphocytes in the elderly,
Mech. Ageing Dev., 83:43–53, 1995.
134
Matsunaga, H., Saita, T., Nagumo, F., Mori, M., and Katano, M., A possible
mechanism for the cytoxicity of a polyacetylenic alcohol, panaxtriol, inhibition
of mitochondrial respiration, Cancer Chemother. Pharmacol., 35:291–296,
1995.
Nah, S., Park, H., and McCleskey, E.W., A trace component of ginseng that
inhibits Ca2+ channels through a pertussis toxin-sensitive G-protein, Proc. Natl.
Acad. Sci., 92:8739–8743, 1995.
Yamada, H., Otsuka, H., and Kiyohra, H., Fractionation and characterization
of anticomplimentary and mitogenic substances from Panax ginseng extract G-
115, Phytother. Res., 9:264–269, 1995.
Green tea, a popular beverage in Japan made from the leaves of Camellia
sinensis, is recognized for its health benefits. It is a nonfermented product
obtained by leaf dessication that contains potent, polyphenolic antioxidants,
with a flavan-3-olic structure, referred to as green-tea catechins. They include
seven types, (−)-gallocatechin (GC), (−)- epigallocat-echin (EGC), (+)-catechin
(C), (−)-epigallocat-echin-3-gallate (EGCG), (−)- epigallocatechin (EC), (−)-
gallocatechingallate (GCG), and (−) epicatechingallate (ECG) (Bonoli et al.,
2003). Many studies have shown that drinking EGCG and green tea prevents
carcinogenesis in rodent organs (Wang et al., 1992; Fujiki, 2002). Kavanagh et
al. (2001) showed green tea had a significant chemoprotective effect against 7,
12-dimethyl(a)anthracene (DMBA)-induced mammary tumorigenesis in
Sprague-Dawley rats. Inhibition of human breast cancer Hs578T cell
proliferation by green tea appeared to be mediated, in part, by induction of
p27Kip cyclindependent kinase inhibitor (CKI) expression. Gupta et al. (2002)
summarized the antimutagenic and anticlastogenic properties of green and black
teas. Green tea inhibited mutagenesis at concentration levels equivalent to
135
human daily consumption. Using human umbilicalvein endothelial cells,
Kojima-Yuasa et al. (2003) demonstrated, for the first time, that green-tea
extracts reduced expression of vascular endothelial growth factor (VEGF)
receptors fms-like tyrosine kinase (Flt-1) and fetal liver kinase-1/Kinase insert
domain containing receptor (Flk-1/KDR). The antiangiogenic property of green-
tea extracts has therapeutic potential in preventing the development of new
microvascular networks (angiogenesis) needed for tumor growth. Maiti and
coworkers (2003) also found green-tea polyphenols inhibited angiogenesis by
reducing vascularization of chicken chorioallantoic membrane (CAM) by an
angiogenin-like protein isolated from goat serum. Kemberling et al. (2003)
showed greentea EGCG effectively inhibited bladder-tumor implantation
growth in a Fischer 344 rat model, pointing to its potential as an intravesical
chemotherapeutic agent. Reducing the risk of coronary artery disease is
associated with a number of factors, including inhibition of platelet function.
EGCG was reported to inhibit platelet aggregation, possibly by involving
inhibition of cytoplasmic calcium increase (Kang et al., 1999). Lill and
coworkers (2003) found that only those green catechins with a galloyl group in
the 3′ position inhibited platelet aggregation, while those without a galloyl
group (catechin and epicatechin) or withthe galloyl group in the 2′ position
(epigallo-catechin) did not. EGCG proved to be the most effective in reducing
thrombrin-induced aggregation of washed human platelets .The ability of green-
tea catechins to inhibit adenovirus infection and adenain, the human adenovirus
2 endopeptidase, was reported by Weber and coworkers (2003). EGCG proved
the most potent inhibitor of four green-tea catechins tested with a IC50 of 200
μM (Table G.36). Since the viral protease, adenain, appeared to be the target of
EGCG, it is possible that all adenoviruses are sensitive to its action.
6.14.1. References
Bono, M., Colabufalo, P., Pelillo, M., Toschi, T.G. and Lerker, G., First
determination of catechins and xanthines in tea beverage by micellar
electrokinetic chromatograph, J. Agric. Food Chem., 51:1141–1147, 2003.
Fujiki, H., Two stages of cancer prevention with green tea, J. Cancer Res. Clin.
Oncol., 125:589– 597, 1999.
Fujiki, H., Suganuma, M., Imai, K., and Nakachi, K., Green tea: Cancer
preventive beverage and/or drug, Cancer Lett., 188:1–2, 9–13, 2002.
136
Kang, W.S., Lim, I.H., Yuk, D.Y., Chung, K.H., Park, J.B., Yoo, H.S. and
Yu, Y.P., Antithrombotic activities of green tea catechins and C-1-
epigallocatechin gallate, Thromb. Res., 96:229–237, 1999.
Kavanagh, K.T., Hafer, L.J., Kim, D.W., Mann, K.K., Sherr, D.H., Rogers,
A.E. and Sonenshein, G.E., Green tea extracts decrease carcinogen-induced
mammary tumor burden in rats and rate of breast cancer cell proliferation in
culture, J. Cell Biochem., 82:387–398, 2001.
Kemberling, J.K., Hampton, J.A., Keck, R.W., Gomez, M.A. and Selman,
S.H., Inhibition of bladder tumor growth by the green tea derivative
epigallocatechin-3-gallate, J. Urol., 170:773– 776, 2003.
Lill, G., Voit, S., Schror, K., and Weber, A.-A., Complex effects of different
green tea catechins on human platelets, FEBS Lett., 546:265–270, 2003.
Maiti, T.K., Chatterjee, J. and Dasgupta, S., Effect of green tea polyphenols
on angiogenesis induced by an angiogenin-like protein, Biochem. Biophys. Res.
Commun., 308:64–67, 2003.
Toschi, T.G., Bordoni, A., Hrelia, S., Bendini, A., Lercker, G., and Biagi,
P.L., The protective role of different green tea extracts after oxidative damage
is related to their catechin composition, J. Agric. Food Chem., 48:3973–3978,
2000.
Wang, Z.Y., Hong, J.-Y., Huang, M.T., Ruehl, K.R., Conney, A.H., and
Yang, C.S., Inhibition of N-nitrosodiethylamine and 4-(methylnitrosamino)-1-
(3-pyridyl)-1-butanone induced tumorigenesis in A/J mice by green tea and
black tea, Cancer Res., 52: 1943–1947, 1992.
6.15. Honey
137
Honey, a complex mixture of carbohydrates, has been studied extensively
(Horvath and Molnarl-Perl, 1998; Gomez Barez et al., 2000). In addition, some
cyclitols or poly alcohols, such as myo-inositol and mannitol, have also been
reported in edible honeys (Horvath and Molnarl-Perl, 1998). Sanz and
coworkers (2004) identified quercitol, pinitol, 1-O-methylmuco-inositol, and
muco-inositol for the first time in edible honey. Of 28 honeys examined, most
had myo-inositol and pinitol, while only in some samples were the other
cyclitols detected. The anti-inflammatory nature of (+)-pinitol, isolated from
Abies pindrow leaves, was demonstrated by Singh and coworkers (2001) using
the carrageenan-induced paw edema in rats. A significant reduction in edema
volume was evident in the presence of pinitol with a dose of 10 mg/kg
comparable to that of phenylbutazone . Certain honeys derived from such floral
sources as Leptospermum scoparium (Manuka) and L. polygalifolium
(Meadhoney) provide additional antioxidants, antibacterial agents, and other
unidentified compounds and are referred to as therapeutic honeys (Lusby et al.,
2002). The ability of these honeys to prevent microbial growth in the moist-
wound environment accounts, in part, for their beneficial effects in wound
healing. Tonks et al. (2003) examined the wound-healing ability of three honeys
(manuka, pasture, and jelly bush) on the activation state of immunoincompetent
cells, using the human monocytic cell-line model MonoMac-6. All of the
honeys significantly increased the release of important inflammatory cytokines
TNF-α, IL-1β, and IL-6 . These cytokines are both proinflammatory and anti-
inflammatory. While all three honeys showed significant increases in cytokines
compared to the sugar-solution control, the Australian jelly-bush honey had the
greatest effect. The ability of these honeys to regulate the production of
cytokines is probably due to the presence of components other than sugar.
These components have yet to be identified but could involve cyclitols.
138
6.15.1. References
Gomez Barez, J.A., Garcia Villanova, R.J., Elvira Garcia, S., Rivas Pala,
T., Gonzalez Paramas, A.M., and Sanchez Sanchez, J., Geographical
distribution of honeys through the employment of sugar patterns and common
chemical quality parameters, Eur. Food Res. Technol., 210:437– 444, 2000.
Hart, J.B., Kroger, L., Falshaw, A., Falshaw, R., Farkas, E., Thiem, J., and
Win, A.L., Enzymecatalysed synthesis of galactosylated 1D- and 1L-chiro-
inositol, 1D-pinitol, myo-inositol and selected derivatives using the β-
galactosidase from the thermophile Thermoanaerobacter sp. strain TP6-B1,
Carbohydr. Res., 339:1857–1871, 2004.
Lusby, P.E., Coombes, A., and Wilkinson, J.M., Honey: A potent agent for
wound healing? JWOCN, 29:295–300, 2002.
Sanz, M.L., Sanz, S.J., and Martinez-Castro, I., Presence of some cyclitols in
honey, Food Chem., 84: 133–135, 2004.
Singh, R.K., Pandey, B.L., Tripathi, M., and Pandey, V.B., Anti-
inflammatory effect of (+)-pinitol, Fitoterapia, 72:168–170, 2001.
Tonks, A.J., Cooper, R.A., Jones, K.P., Blair, S., Parton, J., and Tonks, A.,
Honey stimulates inflammatory cytokine production from monocytes, Cytokine,
21:242–247, 2003.
6.16. Lemon
139
Lemon juice is a rich source of ascorbic acid and flavonoids. The antioxidant
properties of these compounds have been suggested to inhibit heart disease and
certain types of cancers (Salah et al., 1995). Marin and coworkers (2002) found
these nutraceuticals were higher in Fino lemon juice compared to the Vern
variety. In addition, they found that different industrial-extraction systems
affected the levels of these components. Miyake et al. (1997) identified the
flavonoid, eriocitrin, in lemon fruit, which had considerable antioxidant activity.
Ogata and coworkers (2000) showed this flavonoid induced apoptosis in HL-60
cells and may have therapeutic applications. A recent study of Citrus limon
flavonoids by Del Rio et al. (2004) found that immature fruit from Lisbon and
Fino-9 cultivars were excellent sources of the flavonone hesperidin, while
mature fruits from Fino-9 and leaves of Eureka were good sources of the
flavone diosmin and the flavonone eriocitrin. Each of these flavonoids have
been shown to have pharmaceutical properties.
6.16.1. References
Del Rio, J.A., Fuster, M.D., Gonez, P., Porras, I., Garcia-Lidon, A., and
Ortuno, A., Citrius limon: A source of flavonoids of pharmaceutical interest,
Food Chem., 84:457–461, 2004.
Marin, F.R., Martinez, M., Uribesalgo, T., Casillo, S., and Frutos, M.J.,
Changes in nutraceutical composition of lemon juices according to different
industrial extraction systems, Food Chem., 78:319–324, 2002.
Ogata, S., Miyaje, Y., Yamomoto, K., Okumura, K., and Taguchi, H.,
Apoptosis induced by the flavonoid from lemon fruit (Citrus limon BURM. f.)
and its metabolites in HL-60 cells, Biosci. Biotechnol. Biochem., 64:1975–
1978, 2000.
Salah, N., Miller, N.J., Paganga, G., Tijburg, L., Bolwell, G.P., and Rice-
Evans, C., Polyphenolic flavonols as scavenger of aqueous phase radicals and
as chain-breaking antioxidants, Arch. Biochem. Biophys., 322:339–346, 1995.
140
6.17. Onions (Allium cepa Liliacae)
Onions are one of the major sources of flavonoids in the Western diet (Knekt et
al., 1996). They are particularly rich in quercetin, and its glycosides have been
used in traditional medicine for their antiasthmatic, antithrombotic,
antihypertensive, antihyperglycemic, antihyperlipidemic, and antitumor
properties (Bordia et al., 1975, 1977; Belman, 1983; Dorsch et al., 1985;
Kleijnen et al., 1990; Wagner et al., 1990). These health benefits are attributed
to the presence of flavonoids and alk(en)yl cysteine sulphoxides in onions
(Griffiths et al., 2002). In vitro studies by Glasser et al. (2002) showed
quercetin, a flavonoid in onion, inhibited hepatic cholesterol biosynthesis.
Kumari and Augusti (2002) found (+)-Smethyl- L-cysteine sulfoxide in onion
exhibited antidiabetic and antioxidant activities comparable to standard drugs.
However, Ali and coworkers (2000) found onion extracts ineffective in
lowering serum cholesterol in rabbits kept on a cholesterol-supplemented diet
compared to garlic. The presence of quercetin, alkyl sulfides, and diallyl
disulfide in onions suggested it had strong anticancer properties. Seki et al.
(2000) found that both onions and garlic equally suppressed the growth of
leukemia HL-60 cells. Hu and coworkers (1999) reported an inverse
relationship between onions in the diet and the risk of brain cancer. Shon and
coworkers (2004) found the antioxidant and antimutagenic activities of
ethylacetate extracts from red, yellow, and white onion extracts could be
attributed to the presence of phenols and flavonoids.
6.17.1. References
Ali, M., Thomson, M., and Afzal, M., Garlic and onions: Their effect on
eicosanoid mretabolism and its clinical relevance, Prost. Leuk. Essent. Fatty
Acids, 62:55–73, 2000.
Belman, S., Onion and garlic oils inhibit tumour promotion, Carcinogenesis,
4:1063–1065, 1983.
141
Bordia, A., Bansal, H.C., Arora, S.K., and Singh, S.V., Effect of essential
oils of garlic and onion on alimentary hyperlipemia, Atherosclerosis, 21:15–19,
1975.
Bordia, A., Verma, S.K., Vyas, A.K., Khabya, B.L., Rathore, A.S., Bhu, N.,
and Bedi, H.K., Effect of essential oil of onion and garlic on experimental
atherosclerosis in rabbits, Atherosclerosis, 26:379–386, 1977.
Dorsch, W.V., W., Adam, H.O., Weber, J., and Ziegeltrum, T.,
Antiasthmatic effects of onion extracts—detection of benzyl- and other
isothiocyanates (mustard oils) as antiasthmatic compounds of plant origin, Eur.
J. Pharmacol., 107:17–24, 1984.
Glasser, G., Graefe, E.U., Struck, F., Veit, M., and Gebhardt, R.,
Comparison of antioxidative capacities and inhibitory effects on cholesterol
biosynthesis of quercetin and potential metabolites, Phytomedicine, 9:33–40,
2002.
Griffiths, G., Trueman, L., Crowther, T., Thomas, B., and Smith, B.,
Onions—a global benefit to health, Phytother. Res., 16:603–615, 2002.
Hu, J., La Vecchia, C., Nigri, E., Chatenoid, L., Bosetti, C., Jia, X., Liu, R.,
Huang, G., Bi, D., and Wang, C., Diet and brain cancer in adults: a case
controlled study in Northeat China, Inst. J. Cancer, 81:2–23, 1999.
Kleijnen, J., Knipschild, P., and Terriet, G., Garlic, onions and
cardiovascular risk factors: A review of the evidence from human experiments
with emphasis on commercially available preparations, Br. J. Clin. Pharmacol.,
28:535–544, 1989.
Knekt, P., Jarvinen, R., Reunanen, A., and Maatela, J., Flavonoid intake and
coronary mortality in Finland: A cohort study, Br. Med. J., 312:478–481, 1996.
Seki, T., Tsuji, K., Hayato, Y., Moritomo, T., and Ariga, T., Garlic and
onion oils inhibit proliferation and induce proliferation and induce
differentiation of HL60 cells, Cancer Lett., 160:29–35, 2000.
Shon. M.-Y., Choi, S.-D., Kahng, G.-G., Nam, S.-H., and Sung, N.-J.,
Antimutagenic, antioxidant and free radical scavenging activity of ethyl acetate
extracts from white, yellow and red onions, Food Chem. Toxicol., 42:659–666,
2004.
142
Thomson, M., Alnaqeeb, M.A., Bordia, T., Al-Hassan, J., Afzal, M., and
Ali, M., Effects of aqueous extract of onion on the liver and lung of rats, J.
Ethnopharmacol., 61:91–99, 1998.
Wagner, H., Dorsch, W., Bayer, Th., Breu, W., and Wilier, F.,
Antiasthmatic effects of onions: Inhibition of 5-lipoxygenase and
cyclooxygenase in vitro by thiosulfinates and cepaenes, Prostagland. Leuk.
Essent. Fatty Acids, 39:59–62, 1990
143
proanthocyanidins, are equally effective in reducing myocardial ischemic
reperfusion injury, which suggests that these redwine polyphenolic antioxidants
play a crucial role in cardioprotection. Schafer and Bauersachs (2002) reported
that red wine may beneficially affect the development of high-altitude
pulmonary edema, which is the predominant cause of death due to highaltitude
illness. Two cellular mechanisms have been described for the altituderelated
reduction in barometric pressure: enhanced endothelin 1 production and the
increased generation of reactive-oxygen species. Both were suppressed by red
wine.
6.18.1. References
Bhat, K.P.L., Kosmeder, II, J.W., and Pezzuto, J.M., Biological effects of
resveratrol, Antioxid. Redox Signal, 3:1041–1064, 2001.
Das, D.K., Sato, M., Ray, P.S., Maulik, G., Engelman, R.M., Bertelli, A.A.,
and Bertelli, A., Cardioprotection of red wine: Role of polyphenolic
antioxidants, Drugs Exp. Clin. Res., 25:115–120, 1999.
Wollin, S.D. and Jones, P.J., Alcohol, red wine and cardiovascular disease, J.
Nutr., 131:1401– 1404, 2001.
Wu, J.M., Wang, Z.R., Hsieh, T.C., Bruder, J.L., Zou, J.G., and Huang,
Y.Z., Mechanism of cardioprotection by resveratrol, a phenolic antioxidant
present in red wine (review), Int. J. Mol. Med., 8:3–17, 2001.
144
6.19. Rooibos Tea
Rooibos tea is an herbal tea produced from the leaves and fine stems of the
South African leguminous shrub Aspalathus linearis, also known as Rooibos.
The herbal tea is considered a health drink due to the presence of beneficial
phenolic antioxidants. The antioxidant properties of Rooibos tea were found to
be similar to green, oolong, and black tea (von Gadow et al., 1997a). Rooibos
tea, however, contains a unique compound, aspalathin, that mimics superoxide
dismutase (SOD) (Yoshikawa et al., 1990; Ito et al., 1991). Compared to BHA,
BHT, and α-tocopherol, aspalathin exhibited the highest radical-scavenging
activity (von Gadow et al., 1997b). In vitro and in vivo studies found rooibos
tea exhibited anti-mutagenic properties against aflatoxin B1 and 2-acetylamino
fluorine-induced mutagenesis (Marnewick et al., 2000; Marnewick et al.,
2004a). In addition, aqueous extracts of rooibos tea enhanced phase II
detoxifying enzymes, glutathione-S transferase, and UDP-glucuronyl
transferase in rat liver, stabilizing glutathione (GSH) (Marnewick et al., 2003).
Ethanol/ acetone (E/A)-soluble fractions prepared from methanolic extracts of
processed and unprocessed South African herbal teas, rooibos, and honeybush
compared to green tea were recently shown by Marnewick and coworkers
(2004b) to inhibit tumor promotion in mouse skin. Using the two-stage mouse-
skin carcinogenesis assay with the tumor promoter 12-O-tetra decanoylphorbol-
13-acetate (TPA) on ICR mouse skin initiated with 7,12-dimethyl
benz[a]anthracene (DMBA), they found herbaltea fractions significantly
(p<0.001) decreased tumor volume, as well as delayed their development
(Figure R.87). Compared to the control, tumors did not appear in the
DMBA/TPA-treated mice at 4 and 12 weeks when maintained on processed and
145
unprocessed rooibos, respectively. Green tea exhibited 100 percent inhibition
compared to 90 percent and 84.2 percent inhibition for unprocessed and
processed honeybush. While processed and unprocessed rooibos proved to be
the least effective, they nevertheless accounted for an impressive 75 percent and
60 percent inhibition of tumor promotion, respectively. The variability in tumor
inhibition exhibited by these herbal teas was attributed to differences in their
flavonol/proanthocyanidin and flavonol/flavone composition and
nonpolyphenolic components.
6.19.1. References
Ito, A., Shinohara, K., and Kator, K., Protective action of Rooibos tea
(Aspalathis linearis) extract against inactivation of L5178Y cells by H2O2, in
Proceedings of the International Symposium on Tea Science, Shizuoka, Japan,
1991, pp. 381–384.
Marnewick, J.L., Batenburg, W., Wart, P., Joubert, E., Swanevelder, S.,
and Gelderblom, W.C.A., Ex vivo modulation of chemical-induced
mutagenesis by sub cellular liver fraction of rats treated with rooibos
(Aspalathus linearis) tea, honeybush (Cyclopia intermedia) tea, as well as green
and black (Camellia sinensis) teas, Mutat. Res., 558:145–154, 2004a.
146
Marnewick, J.L., Joubert, E., Swart, P., Joubert, E., van der Westhuizen,
F., and Gelderblom, W.C.A., Modulation of hepatic drug metabolizing
enzymes and oxidative status of rooibos (Aspalathus linearis) and honeybush
(Cyclopia intermedia) green and black (Camellia sinensis) teas in rats, J. Agric.
Food Chem., 51:8113–8119, 2003.
von Gadow, A., Joubert, E., and Hansmann, C.F., Comparison of the
antioxidant activity of rooibos tea (Aspalathus linearis) with green, Oolong and
black tea, Food Chem., 60:73–77, 1997a.
von Gadow, A., Joubert, E., and Hansmann, C.F., Comparison of the
antioxidant activity of aspalathin with that of other plant phenols of Rooibos tea
(Aspalathus linearis), alphatocopherol, BHT, and BHA, J. Agric. Food Chem.,
45:632–638, 1997b.
Yoshikawa, T., Naito, Y., Oyamada, H., Ueda, S., Tanigawa, S., Takemura,
T., Sugino, S., and Kondo, M., Scavenging effect of Aspalathus linearis
(Rooibos tea) on active oxygen species, in Antioxidants in Therapy and
Preventative Medicine, Emerit, I., Packer, L., and Auclair, C., Eds., Plenum
Press, New York. 1990, pp. 171–174.
Sorghum is the major food crop in the semiarid regions of Africa and Asia. It
provides a component to the diets of many people in the form of unleavened
breads, boiled porridge or gruel, malted beverages, and specialty foods, such as
popped grain and beer (Anglani, 1998). A syrup is produced from sweet
sorghum. The crop is also used for building material, fencing, fodder for
animals, and for brooms. In the United States, sorghum grain is used primarily
for livestock feed, and the stems and foliage for green chop, hay, silage, and
pasture. A comparison of the nutritional and chemical parameters of 10 varieties
of sorghum showed components to range from lipids (2.70–3.75 percent), raw
fiber (60.0–64.7 percent), protein (9.01–11.43 percent), no nitrogen extract
147
(77.65–83.07 percent), starch (60.5–64.20 percent), tannin (2.50–10.16 mg/g),
and total calories (380–4000 kcal). Ash content, with values of 1.17–1.91
percent, protein digestibility (23.8–38.8 percent), and in situ starch (54.4–66.6
percent) were not statistically different (Torres Cepeda et al., 1996) Sorghum is
a rich source of various phytochemicals, including tannins, phenolic acids,
anthocyanins, phytosterols, and policosanols (Awika and Rooney, 2004). These
phytochemicals are known to impact human health. Sorghum fractions possess
high antioxidant activity in vitro, relative to other cereals or fruits.
Epidemiological studies suggest that, in comparison to other cereals, sorghum
consumption reduces the risk of certain types of cancer in humans. Kamath et
al. (2004), using the DPPH model system for assessing antiradical properties,
recently identified various extracts from sorghum flour that exhibited
significant, greater antioxidant activity than BHT .
Even though they were unable to correlate anti-oxidant activity and phenolic
content, diets rich in sorghum could still be helpful in combating chronic
diseases involving free radicals. This explains why sorghum phytochemicals
promote cardiovascular health and are involved in cancer prevention (Awika
and Rooney, 2004).
6.20.1. References
148
Anglani, C., Sorghum for human food—a review, Plant Foods Hum. Nutr.,
52:85–95, 1998.
Awika, J.M. and Rooney, L.W., Sorghum phytochemicals and their potential
impact on human health, Phytochemistry, 65:1199–1221, 2004.
Torres Cepeda, T.E., Alanis Guzman, M.G., and Maiti, R., Relationship
between nutritional composition and anatomical parameters in sorghum
(Sorghum bicolor L. Moench), Arch. Latinoam. Nutr., 46: 253–259, 1996.
149
the benefit of soy for the treatment of perimenopausal symptoms provides some
evidence for the efficacy of soy preparations for perimenopausal symptoms, but
the heterogeneity of the studies performed makes it difficult to achieve a
definitive statement (Huntley and Ernst, 2004). The ability of soybean extracts
to inhibit mouse mammary adenocarcinoma tumor growth was not only due to
the presence of genistein but to other constituents present (Hewitt and
Singletary, 2003). Recent studies demonstrated a direct effect of soy saponins
on cancer cells, which further leads to elucidating the nature of soy constituents
involved in cancer protection (Kerwin, 2004). The Bowman-Birk inhibitor, a
serine protease inhibitor derived from soybeans, is presently being evaluated in
clinical trials for its ability to serve as a cancer preventive or anti-inflammatory
agent (Kennedy et al., 2002). Kunitz inhibitor was also found to inhibit cell
invasiveness through suppression of urokinasetype plasminogen activator
signalling cascade (Kobayashi et al., 2004). Soy infant formulas are widely
used, but only a few studies have evaluated their longterm safety or specific
forms of toxicity, such as the effects of genistein and daidzein in soy infant
formula, on the endocrine or immune systems. In addition, there is
inconsistency in the existing data, which point to the need for more clinical and
epidemiological studies (Chen and Rogan, 2004). Soybean oil is the world’s
most widely used, edible oil. In the United States, soybean oil accounts for
nearly 80 percent of edible-oil consumption. It contains 61 percent
polyunsaturated fat and 24 percent monounsaturated fat. It is one of the few
vegetable oils to contain linolenic acid, an omega-3 fatty acid (7.2 percent
C18:3n-3) known to prevent cardiovascular diseases. Soybean oil also contains
54 percent C18:2n-6
6.21.1. References
Csaky, I. and Fekete, S., Soybean: feed quality and safety. Part 1. Biologically
active components, a review, Acta Vet. Hung., 52:299–313, 2004.
Dijsselbloem, N., Vanden Berghe, W., De Naeyer, A., and Haegeman, G.,
Soy isoflavone phytopharmaceuticals in interleukin-6 affections, Multi-purpose
nutraceuticals at the crossroad of hormone replacement, anti-cancer and anti-
inflammatory therapy, Biochem. Pharmacol., 68:1171–1185, 2004.
Harkness, L., Soy and bone, where do we stand? Orthop. Nurs., 23:12–17,
2004.
150
Hasler, C.M., The cardiovascular effects of soy products, J. Cardiovasc. Nurs.,
16:50–63, 2002.
Huntley, A.L. and Ernst, E., Soy for the treatment of perimenopausal
symptoms—a systematic review, Maturitas, 47:1–9, 2004.
Kennedy, A.R., Billings, P.C., Wan, X.S., and Newberne, P.M., Effects of
Bowman-Birk inhibitor on rat colon carcinogenesis, Nutr. Cancer, 43:174–186,
2002.
Kerwin, S.M., Soy saponins and the anticancer effects of soybeans and soy-
based foods, Curr. Med. Chem. Anti-Canc. Agents, 4:263–272, 2004.
Kobayashi, H., Suzuki, M., Kanayama, N., and Terao, T., A soybean Kunitz
trypsin inhibitor suppresses ovarian cancer cell invasion by blocking urokinase
upregulation, Clin. Exp. Metastasis, 21: 159–166, 2004.
Sarkar, F.H. and Li, Y., Soy isoflavones and cancer prevention, Cancer
Invest., 21:744–757, 2003.
Valachovicova, T., Slivova, V., and Sliva, D., Cellular and physiological
effects of soy flavonoids, Mini Rev. Med. Chem., 4:881–887, 2004.
Sweet potatoes, a crop native to South America, are easy to grow and have
become a staple food in many African countries. The orange-fleshed sweet-
151
potato variety is rich in β-carotene, which offers hope to the population who are
currently beyond the reach of a vitamin A supplement. The effect of 60 days of
daily supplementation with 750 mg retinol equivalents (RE) of pureed sweet
potatoes were tested by Haskell et al. (2004). The overall geometric mean of
initial vitamin A stores was 0.108 +/− 0.067 mmol. Relative to the low vitamin
A control group, the estimated mean changes in vitamin A stores were 0.029
mmol. Vitamin A equivalency factors (β-carotene :retinol, wt:wt) were
estimated as approximately 13:1 for sweet potato. Thus, daily consumption of
pureed sweet potatoes has a positive effect on vitamin A stores in populations at
risk of vitamin A deficiency (Haskell et al., 2004). The major phenolic
components contained in the 70 percent methanol extract of sweet potatoes with
strong antioxidative activity were identified as chlorogenic acid and
isochlorogenic acid-1, -2, and -3. The other minor free phenolics were identified
as caffeic acid and 4-O-caffeoylquinic acid. Chlorogenic acid and
isochlorogenic acids, however, had only a slight antioxidative activity. Thus,
the effective a of the sweet-potato extract was proposed to be mainly based on
the synergistic effect of phenolic compounds with amino acids (Hayase and
Kato, 1984). The dietary fiber content of sweet potatoes was found to range
from 9–12 percent for cured roots. Soluble and insoluble dietary fiber averaged
5–30 percent and 543 percent, respectively (Mullin et al., 1994). Anthocyanins
are the chemical components that give the intense color to sweet potatoes, as in
many other fruits and vegetables. Epidemiological investigations have indicated
that moderate consumption of anthocyanin products is associated with a lower
risk of cardiovascular disease and improvement of visual functions (Hou, 2003).
Recently, the leaves of sweet potatoes were found to be rich in nutritive and
functional components. They were found to contain a large amount of protein,
showing high aminoacid score, soluble dietary fibers and minerals, particularly
iron, and vitamins, such as carotene, vitamin B2, vitamin C, and vitamin E.
Further-more, polyphenol content in the leaves was comparatively high. These
results suggest that the whole parts of sweet potatoes should be utilized as
valuable foodstuffs (Ishida et al., 2000).
6.22.1. References
Haskell, M.J., Jamil, K.M., Hassan, F., Peerson, J.M., Hossain, M.I., Fuchs,
G.J., and Brown, K.H., Daily consumption of Indian spinach (Basella alba) or
sweet potatoes has a positive effect on total-body vitamin A stores in
Bangladeshi men, Am. J. Clin. Nutr., 80:705–714, 2004.
152
Hou, D.X., Potential mechanisms of cancer. Dietary fibre in sweet potatoes,
Food Res. Int., 27:563–565, 1994.
Ishida, H., Suzuno, H., Sugiyama, N., Innami, S., Tadokoro, T. and
Maekawa, A., Nutritive evaluation of chemical components of leaves, stalks
and stems of sweet potatoes (Ipomoea batatas poir), Food Chem., 68:359–367,
2000.
Mullin, J., Rosa, N. and Reynolds, L.B., Dietary fibre in sweet potatoes, Food
Res. Int., 27:563– 565, 1994.
6.23. Taurine
acid moiety, that is not incorporated into proteins and is one of the most
abundant free amino acids in many tissues, including skeletal and cardiac
muscle and the brain (Huxtable, 1992). In vitro and animal studies demonstrated
that low levels of taurine are associated with various pathological lesions,
including cardiovascular disorders (Satoh and Sperelakis, 1998; Oudit et al.,
2004), retinal degeneration (Sheik et al., 1981), and growth retardation (Geggel
et al., 1985). Taurine is also involved in such metabolic activities as bile-acid
conjugation (Smith et al., 1991; Carrasco et al., 1990), detoxification
(Waterfield et al., 1993; Timbrell and Waterfield, 1996) membrane stabilization
(Qi et al., 1995), osmoregulation (Olivero and Stutzin, 2004), and modulation of
cellular calcium levels (Satoh and Sperelakis, 1998). Clinically, taurine has
been used in the treatment of cardiovascular diseases (Azuma et al., 1992; Modi
and Suleiman, 2004), ischemia-reperfusion injury (Kingston et al., 2004),
153
hypercholesterolemia (Matsushima et al., 2003), epilepsy and other seizure
disorders (Airaksinen et al., 1980), macular degeneration (Sturman, 1986),
Alzheimer's disease (Csernansky et al., 1996), hepatic disorders (Matsuyama et
al., 1983), alcoholism, and cystic fibrosis (Smith et al., 1991; Carrasco et al.,
1990). Taurine was recently shown by Takatani and coworkers (2004) to inhibit
ischemicinduced apoptosis in cultured neonatal rat cardiomyocytes by
increasing the activities of Akt kinase and inactivating caspase-9. Figure T.95A
shows simulated ischemia induced a 4.5-fold and 11-fold increase in caspase-9
and caspase-3 compared to the control. In the presence of taurine caspase-9 and
caspase-3, activities were significantly reduced. Thus, taurine treatment could
be beneficial for treating heart failure.
Recent in vivo and in vitro evidence found that taurine, through its ability to
control sarcolemmal excitability and muscle contractibility, could have
beneficial effects in many muscle dysfunctions (Conte Camerino et al., 2004).
6.23.1. References
Azuma, J., Sawamura, A., and Awata, K., Usefulness of taurine in chronic
congestive heart failure and its prospective application, Jpn. Circ. J., 56:95–99,
1992.
154
Carrasco, S., Codoceo, R., Prieto, G. et al., Effect of taurine supplements on
growth, fat absorption and bile acid on cystic fibrosis, Acta Univ. Carol., 36:
152–156, 1990.
Conte Camerino, D., Tricarico, D., Pierno, S., Desaphy, J.F., Liantonio, A.,
Pusch, M., Burdi, R., Camerino, C., Fraysse, B., and De Luca, A., Taurine
and skeletal muscle disorders, Neurochem. Res., 29:135–142; 2004
Csernansky, J.G., Bardgett, M.E., Sheline, Y.I. et al., CSF excitatory amino
acids and severity of illness in Alzheimer’s disease, Neurology, 46:1715–1720,
1996.
Kingston, R., Kelly, C.J., and Murray, P., The therapeutic role of taurine in
ischaemia-reperfusion injury, Curr. Pharm. Des., 10:2401–2410, 2004.
Matsushima, Y., Sekine, T., Kondo, Y., Sakurai, T., Kameo, K., Tachibana,
M., and Murakami, S., Effects of taurine on serum cholesterol levels and
development of atherosclerosis in spontaneously hyperlipidaemic mice, Clin.
Exp. Pharmacol. Physiol., 30:295–299, 2003.
Matsuyama, Y., Morita, T., Higuchi, M., and Tsujii, T., The effect of taurine
administration on patients with acute hepatitis, Prog. Clin. Biol. Res., 125:461–
468, 1983.
Oudit, G.Y., Trivieri, M.G., Khaper, N., Husain, T., Wilson, G.J., Liu, P.,
Sole, M.J., and Backx, P.H., Taurine supplementation reduces oxidative stress
and improves cardiovascular function in an iron-overload murine model,
Circulation, 109:1877–1885, 2004.
Qi, B., Yamagami, T., Naruse, Y., Sokejima, S. and Kogamimori, S., Effects
of taurine on depletion of erythrocyte membrane Na-K ATPase activity due to
ozone exposure or cholesterol enrichment, J. Nutr. Sci. Vitaminol., 41:627–634,
1995.
155
Satoh, H. and Sperelakis, N., Review of some actions of taurine on ion
channels of cardiac muscle cells and others, Gen. Pharmacol., 30:451–463,
1998.
Sheik, K., Toskes, P., and Dawson, W., Taurine deficiency and retinal defects
associated with small intestinal bacterial overgrowth, Gastroenterology,
80:1363, 1981.
Smith, U., Lacaille, F., and Lepage, G., Taurine decreases fecal fatty acid and
sterol excretion in cystic fibrosis, a randomized double-blind study, Am. J. Dis.
Child, 145:1401–1404, 1991.
Takatani, T., Takahasi, K., Uozumi, Y., Matsuda, T., Ito, T., Schaffer,
S.W., Fujio, Y., and Azuma, J., Taurine prevents the ischemia-induced
apoptosis in cultured neonatal rat cardiomycetes through Akt/caspase-9
pathway, Biochem. Biophys. Res. Commun., 316:484–489, 2004.
Waterfield, C.J., Turton, J.A., Scales, M.D., and Timbrell, J.A., Reduction
of liver taurine in rats by betaalanine treatment increases carbon tetrachloride
toxicity, Toxicology, 77:7–20, 1993.
6.24. Tomato
156
that tomato extracts inhibit platelet aggregation (Lazarus and Garg, 2004). The
most abundant carotenoid in tomatoes is lycopene (Agarwal and Rao, 2000). It
appears to be responsible, in large part, for the potential health benefits of
tomato products (Clinton, 1998). Tomatoes showed high antioxidant activities.
For example, at the level of 1 g fresh sample, low-density lipoprotein
peroxidation was inhibited by at least 90 percent by tomato meat. The total
phenolic content was significantly correlated with antioxidant activities
measured (Huang et al., 2004).
6.24.1. References
Agarwal, S. and Rao, A.V., Tomato lycopene and its role in human health and
chronic diseases, Can. Med. Assoc. J., 163:739–744, 2000.
Arab, L. and Steck, S., Lycopene and cardiovascular disease, Am. J. Clin.
Nutr., 71:1691S-1695S, discussion 1696S–1697S, 2000.
157
Clinton, S.K., Lycopene: chemistry, biology, and implications for human
health and disease, Nutr. Rev., 56:35–51, 1998.
Duvoix, A., Blasius, R., Delhalle, S., Schneckenburger, M., Morceau, F.,
Henry, E., Dicato, M., and Diederich, M., Chemopreventive and therapeutic
effects of curcumin, Cancer Lett., 223:181–190, 2005.
Huang, H.Y., Chang, C.K., Tso, T.K., Huang, J.J., Chang, W.W., and Tsai,
Y.C., Antioxidant activities of various fruits and vegetables produced in
Taiwan, Int. J. Food Sci. Nutr., 55(5):423–429, 2004.
Lazarus, S.A. and Garg, M.L., Tomato extract inhibits human platelet
aggregation in vitro without increasing basal cAMP levels, Int. J. Food Sci.
Nutr., 55(3):249–256, 2004.
Yoon, K.Y., Woodams, E.E., and Hang, Y.D., Probiotication of tomato juice
by lactic acid bacteria, J. Microbiol., 42(4):315–318, 2004.
158
Chapter 7
Research and Technology Trends of Nutraceuticals – A
Japanese Perspective
7.1. Introduction
159
Figure 1 : Concept of nutraceuticals Source: Kalra E. K. (2003)
160
7.1.3. Procedure for Nutrigenomics
Nutraceuticals, the new concept of food with a new function to prevent
diseases, was started by the combination of genome science and technology,
which has been accomplishing remarkable development for the verification.
Thus, the genome technique called Nutrigenomics (nourishment genome
science) was created. Nutrigenomics is newly developed methodology
combined with multiple genomic techniques and molecular biology
technologies, as shown in Figure 2. It has been then used as a basic technology
that became a driving force for the creation of Nutraceuticals. In the field of the
pharmaceutical development, biomarkers such as proteins levels and gene
expression show the reaction to medicines, and is measured to verify the
medicinal effects of drugs. Nutrigenomics technology role is to verify the
medical effects of food and food composition, by linking with the biomarkers at
an early stage at a level of protein and gene expression. It is now possible to
determine the biomarker for each physiological function related to disease
which should be prevented in order to study the mechanism for preventing the
diseases, and to determine the amount of food necessary for a person to have a
preventive effect towards diseases. As of now, this is only for the assessment of
individual Nutraceuticals. Meanwhile, if it is possible to designate target
biomarkers in order to prevent the same disease, or to standardize the
assessments to have a uniform criterion, the assessment results will be further
objective. It is now essential to create such a mechanism to realize this.
Furthermore, various disorders can bepredicted indivisually, including the
difference of susceptibility or the difference of disease risk, and the
effectiveness of drugs by analyzing the SNPs (Single Nucleotide
Polymorphisms,: single nucleotide mutation), which represents personal
variation of genomes. Therefore, it is thought in the future that more
personalized information on food functions can be provided for disease
prevention, in correspondence with individual differences of genome.
Accordingly, development of the Nutrigenomics technology is expected to
highly contribute to the realization of disease prevention by foods, along with
Nutraceuticals, as individuals are able to obtain detailed food information
effective for their health.
161
project is the world’s first proposal of the effects of food on human bodies as a
“Function”, especially through the research on prevention of life-style related
diseases. With advancement of “functional food” research, “Functional Foods
(Tokutei Hoken-yo Shokuhin; “TOKUHO” in short Japanese” or Food for
Specified Health Uses; FOSHU” was put into effect in 1991. In 1993, when
Shiseido marketed rice with less allergens, as the first product of TOKUHO,
“Nature”, world famous English academic journal, introduced in the article
“Physiologically functional food” as a brand-new food concept from Japan. It
had a big impact and “Functional Food” was acknowledged internationally as a
future food category for human health. In 2002, “standardized Food with
Nutrient Function Claims; FNFC” was set up in addition to the existing FOSHU
(TOKUHO) foods. FOSHU and FNFC have become the main elements in the
current policy of “Food with Function Claims”. FOSHU must undergo
application for every individual product, and must be evaluated as effective and
safe by a committee of experts, to be permitted to be displayed as “TOKUHO”.
The conditions for permission are the confirmed effectiveness and safety
through tests of the human body and quantitative data of the functional
ingredient. Furthermore, TOKUHO was followed by “Standardized FOSHU”,
“Disease Risk Reduction FOSHU” and “Limited Conditional FOSHU” at the
time of revision in February, 2005. The concept of “Disease Risk Reduction
FOSHU” is to specifically designate the foods which are medically and
nutritionally proven to reduce the risk of diseases. This is one of the measures
for stepping forward with disease prevention, however, there are only two kinds
of elements designated in this category at the moment; calcium and folic
acid.“Standardized FOSHU”is the food on which has received permission, after
evaluating whether the ingredients comply with the standards set by the
authority. The standards are based on the preset standards concerning
ingredients that have been proven to function by sufficient scientific reasons.
There is no individual assessment of the target required. Several kinds of
ingredients including dietary fiber and oligosaccharide fall into this category. In
the contrast,“Limited Conditional FOSHU” is for foods permitted with the
condition that it should have a label to represent the limited scientific evidence
of ingredient effectiveness, even though it is insufficiently backed-up by
scientific data. As for FOSHU (TOKUHO), 752 items are now authorized and
listed as of December 2007. This shows that TOKUHO has been penetrating the
Japanese market. Meanwhile, “FNFC” lists only five kinds of minerals and 12
kinds of nutrients. These foods are sold in the market with a label for each
functional nutrient. FOSHU(TOKUHO) and FNFC a r e now internationally
acknowledged as global standards for nutritious functional foods. From the
disease prevention point of view, “Disease Risk Reduction FOSHU” is thought
to be the best suited for the purpose of Nutraceuticals. However, the foods
which are authorized in this category are only calcium and folic acid at the
162
moment, and so that it is still insufficient to obtain effective evidence from the
human trials in Japan.
163
About a system Nutrient
Food with Nutrient FNFC Zinc, calcium, iron,
Function Claims is a food product with copper, niacin,
labels to show its pantothenic acid, biotin,
nutrition. To be a vitamin A, β - carotene,
nutrient function food for vitamin
sale, it is necessary for B1, vitamin B2, vitamin
the food to contain a B6, vitamin B12,
certain amount of vitamin C, vitamin E,
nutrition in the intake per folic acid
day within the
lower/upper limit, as
well as to have a notice
of its risk.
As the basic study of food ingredient functions and its roles in Japan, “Research
concerning Analysis and Systematization of Non-trophic Functions of Food”
(2000-2004) is one of the most advanced examples of Nutraceuticals research in
Japan, and it is funded by the Ministry of Education, Culture, Sports, Science
and Technology Technical Promoting Adjustment Expense. Professor Soichi
Arai of Faculty of Agriculture of Tokyo University and his group made of a
scientific evaluation of various non-nutritious ingredients of food, such as
flavonoids, carotenoids and peptides, and then created useful databases. This
assessment started in 2000.
164
During the intermediate stage of the research, it was realized that the attempt to
analyze the function of non-nourishment materials in food should not be done
by investigating individual biomarkers, but by using a more comprehensive
analysis, such as utilizing serum proteome metaborome, which in the future will
be able to handle proteins in bulks. This resulted in the conclusion that
Nutrigenomics technology needed to be further developed.
Moreover, the effectiveness and safety data obtained through the process
above, should be standardized through the examination and evaluation by
specialists. It will also need highly reliable evidence, and should be open to
public. In order to discover the new functionality of foods and the importance of
scientific proof of effectiveness of functional food ingredients, it is necessary to
promptly apply the technique of Nutrigenomics. This database will be the key
for the development of Nuraceuticals in the future.
Item Description
Research on the functions of 1) Extraction/measurement/function
non-trophic material included assessment of non-trophic material
in food New methodology of functionality
and safety, especially introduction of
Genomics (Phase 2: to be an
165
independence item from the second
stage)
2) Research concerning the amount of
flavonoid, and polyphenol, and its
function
3) Research concerning the amount and
function of terpenoid and carotenoid
4) Research concerning the amount and
function of sulphur containing
compound, volatile ingredient and
spice
5) Research concerning the amount and
function of peptides
Research on database of non- 1) Research concerning non-trophic
trophic material materials for mutual reaction→
included in food Effectiveness
2) Non-trophic materials integrated
database creation/disclosure→ Safety
166
in 2007. This is an activity to analyze the potential of foods by medical doctors
and academic researchers. They received 15 entries and 5 items (5 companies)
were selected for further assessment. Currently, it is scheduled to form 5
assessment teams, in collaboration with Japan Physicians Association, to create
specific assessment programs and tests for scientific evidence using volunteers
in 2008. In addition, the “Healthy Food Material Evaluation Committee” has
been formed, based on the achievement of the projects, for the research and
development, evaluation, and creation of the information systems.
167
such as TNO Nutrition & Food Research and NIZO Food Research made a
partnership, therefore, the technological transfer and industrialization of
advanced technologies have been conducted continuously. Afterwards, many
food companies have come to the city to create Food Valley, thus, enterprises,
administration and technical institutes could work in cooperation to make the
largest food research and development cluster in Europe. Thus, this city became
a place of innovation for new food companies.
168
results to enterprises, commitment of
researches for enterprises
NIZO Food Research(NIZO) Technological transfer of basic research
results to enterprises, commitment of
researches for enterprises
Centre for BioSystems Genomics Consortium composed of several ten
enterprises, including Wageningen UR
to play a key role. For improvement of
quality and nature of grains by using
Nutorigenomics technology.
Nutrigenomics Consortium Research of biomarkers using
Nutorigenomics technology, focusing
on diabetic, hyperlipemia, and high
blood pressure resulted from the
Metabolic syndrome.
Top Institute Food and Nutrition Technical assistance necessary to
provide new food products that
contribute to health
Table: Various organizations in food valley and their function
169
7.3.3.NIZO food research BV
The NIZO Food Research Facility, for contracting with enterprises on research
activities, is located in Ede city near Wageningen. NIZO has food related
laboratories and the pilot plants for the testing of food production. Clients
inquire to them to conduct various tests for production before the full
investment of a production facilities. Thus the companies can have business
supports from NIZO just before the production.
170
Committed test and registration Consulting investigation concerning
services regulations
1) Confirmation of applicable
regulations
2) Confirmation of required data
3) Pre-assessment of customer data
4) Proposal of cost
Committed test and registration 1) Evaluation of data
services 2) Safety testing
3) Preparation of application forms
Other services ・Examination of human volunteer - Test
design
・Enterobacteria/immunization test -
Allergic examination
・Various analyses of nourishment,
chemical substances, and
microorganisms
・Nourishment evaluation and
nourishment genomics
・The biomarker's identification -
Epidemiology examination
All processes from the regulation ・Research on laws and regulations –
investigation to the application Implementation of toxic test
・Preparation of application forms
171
relationships of foods and gene expression, or medical treatment and
preventative medicine. The nonlinearity algorithm called an Isomap is used to
process a large number of genetic information about a biomarker, by using
microchip technologies. The examination has been progressed.
7.4. Reference
172
Chapter 8
Analysis of Nutraceuticals – An Advanced and Comprehensive
Perspective
8.0. Introduction
For a long time, natural products obtained mainly from plants have been used as
a prominent source of prophylactic agents for the prevention and treatment of
diseases in humans and animals . Hippocrates (460–370 BC) stated “Let food be
your medicine and medicine be your food”. Nowadays, the relationship between
food and drugs is getting closer. Thus, the term nutraceutical was firstly
mentioned 20 years ago to describe a union between nutrition and
pharmaceutics, both key contributors to human wellness . In the last 20 years,
many research publications were devoted to so-called “functional foods” and
“nutraceuticals”. Research into functional ingredients was showing promising
prospects for the use of such ingredients in food products, thereby creating
added value for manufacturers and benefits for consumer health . It is also
interesting to mention that more than 150 revision works related to
nutraceuticals and functional foods have been published in the same period of
time. Some of them are focussed onto the beneficial properties of a particular
natural matrix as sesame , tea or spices , other manuscripts paid their attention
onto specific natural compounds like phytochemicals , proteins and peptides or
lipids , meanwhile other works showed the benefits of nutraceuticals against
several diseases like atherosclerosis and degenerative joint diseases . It must be
pointed out that, to our knowledge, there is not a revision work in which the
advanced analytical techniques used to analyze nutraceuticals are summarized
and discussed. Nutraceuticals as defined by Zeisel are dietary supplements that
deliver a concentrated form of a presumed bioactive agent from a food,
presented in a non-food matrix, and used with the purpose of enhancing health
in dosages that exceed those that could be obtained from normal foods. No
specific regulation exists in Europe to control nutraceuticals, although they are
considered under the same laws that regulate medicine and drug. In the USA,
the Food and Drug Administration regulates dietary supplements under a
different set of guidelines than those covering conventional foods and drug
products.
173
Otherwise, functional foods are those that when consumed regularly produce a
specific beneficial health effect beyond their nutritional properties. The
boundary between nutraceuticals and functional foods is not always clear being
the main difference the format in which they are consumed: nutraceuticals are
consumed as capsules, pills, tablets, etc. while functional foods are always
consumed as ordinary foods. Thus, when a phytochemical is included in a food
formulation is considered a functional food. If the same phytochemical is
included in a capsule it will constitute a nutraceutical. The capacity of some
plant-derived foods to reduce the risk of chronic diseases has been associated, at
least in part, to the occurrence of secondary metabolites (phytochemicals) that
have been shown to exert a wide range of biological activities. In general, these
metabolites have low potency as bioactive compounds when compared to
pharmaceutical drugs, but since they are ingested regularly and in significant
amounts as part of the diet, they may have a noticeable long-term physiological
effect. There are numerous biological mechanisms by which nutraceuticals
might be expected to exert favourable influences on pathophysiological
processes. These products are safe and well tolerated, but interpretation of the
collective results is hampered by heterogeneity of the studies, inconsistent
results, and/or not well designed investigations. On the other hand,
nutraceuticals are expected to be substantially safer and with less secondary
effects than many drugs routinely prescribed in the treatment of certain
symptoms; however, they are often expensive, lack pharmaceutical-level
manufacturing standard controls, and may not work . An additional problem
related to the production and consume of nutraceuticals is that the composition
and contents of active constituents in natural plants (like in any other natural
source) vary depending on season, climate, temperature, humidity, soil and
several other factors. So the collection, identification and maintenance of
uniform quality, quantification and standardization are critical factors to
consider. The development of advanced analytical techniques is, therefore,
indispensable in nutraceuticals research. It includes the identification of new
nutraceuticals, characterization of their chemical structure and bioactivity,
quantification in the natural source, product development, quality control in
their dosage forms, etc. Due to the complexity of these natural matrices, the use
of advanced analytical techniques (such as Mass Spectrometry (MS), Nuclear
Magnetic Resonance (NMR), High performance Liquid Chromatography
(HPLC), Capillary Electrophoresis (CE), HPLC-NMR, HPLC-MS, GC-MS and
CE-MS) is mandatory in order to carry out the mentioned studies. Some of
these techniques are already applied for quality control of the natural product
confirming their composition from lot to lot and assuring the safety of the final
product. Also, these techniques are typically used in a combined way for
product development at the initial stages of their discovery, mainly for facing
the challenge to analyse multiple components or multiple classes of
174
components. Moreover, the choice of the analytical technique depends also on
the target compounds and the matrix in which they can be found. For example,
their physico-chemical properties (polarity, size, volatility,...) will have a strong
influence onto the sample preparation procedure, separation mechanism and
technique (GC, HPLC, CE) and the type of detector to be employed (Ultraviolet
Detector (UV), Fluorescence Detector (FLD), Flame Ionization Detector (FID),
MS, etc.). Moreover, advanced analytical techniques are also needed to obtain a
better understanding of the health promoting effects of the nutraceuticals, and
for knowing the body exposure and bioavailability after the intake of these
compounds. Important aspects during product development should include
nutraceuticals bioactivity and bioavailability studies, so, in vitro, in vivo and
clinical trials should ideally be employed. However, the current legislation on
these compounds is in many countries not as demanding as for standard drugs,
what usually results in minimum studies to confirm their activity.
8.1. Lipids
Lipids are a large group of natural compounds which includes fats, waxes,
sterols, fat-soluble vitamins (such as vitamins A, D, E and K), monoglycerides,
diglycerides, phospholipids, carotenoids and others. Molecules such as fatty
acids and their derivatives (including tri-, di-, and monoglycerides and
phospholipids), sterol containing metabolites, such as cholesterol, are also
grouped as lipids. The main biological functions of lipids include energy
storage, structural components of cell membranes, and important signalling
molecules. Although humans and other mammals use various biosynthetic
pathways to both break down and synthesize lipids, some essential lipids cannot
be made this way and must be obtained from diet. Interestingly, many papers
have discussed the health benefits that can be derived from some of these lipids.
Lipids with potential benefits for human health have been identified in several
natural sources (cereals, fruits, animals, oils, plants, mushrooms. . .) using for
their chemical identification Gas Chromatography (GC) coupled to several
detectors (FID, Electronic Capture Detector, MS. . .), High Performance Liquid
Chromatography (HPLC) with different detection modes - UV, Photodiode
Array Detector, MS, Tandem Mass Spectrometry, Nuclear Magnetic
Resonance (NMR) and Mass Spectrometry (MS) as stand-alone techniques.
175
fruits, nut, soybean). R. Zadernowski, M. Naczk, S.
Czaplicki, Chemical
composition of Pinus sibirica
nut oils, Eur. J. Lipid Sci.
Technol. 111 (2009) 698–704.
Rice oil GC and HT-GC R. Denev, I. Kuzmanova, S.
(FID, MS) TLC Panayotova, S. Momchilova,
V. Kancheva, B.R. Lokesh,
Lipid composition of Indian
rice bran oil, C. R. Acad. Bulg.
Sci. 62 (2009) 709–716.
R. Przybylski, D. Klensporf-
Pawlik, F. Anwar, M.
Rudzinska, Lipid components
of North American wild rice
(Zizania palustris), J. Am. Oil
Chem. Soc. 86 (2009) 553–559.
Aquatic animals (salmon, GC (FID, MS) T. Sun, Z. Xu, W.
catfish, crustacean) Prinyawiwatkul, FA
composition of the oil extracted
from farmed atlantic salmon
(Salmo salar L.) viscera, J. Am.
Oil Chem. Soc. 83 (2006) 615–
619.
Di.L. Badiu, A.M. Balu, L.
Barbes, R. Luque, R. Nita, M.
Radu, E. Tanase, N. Rosoiu,
Physico-chemical
characterisation of lipids from
Mytilus galloprovincialis (L.)
and Rapana venosa and their
healing properties on skin
burns, Lipids 43 (2008) 829–
841.
Grass-fed and grain-fed GC (FID, MS) C.A. Daley, A. Abbott, P.S. Doyle,
beef G.A. Nader, S. Larson, A review of
fatty acid
profiles and antioxidant content in grass-
fed and grain-fed beef, Nutr. J. 9 (2010)
1–12.
Leuconostoc GC-MS R.P. Shobha, R. Agrawal, Volatile
paramesenteroides, compounds of therapeutic importance
isolated from cheddar produced by Leuconostoc
cheese paramesenteroides, a native laboratory
isolate, Turk. J. Biol. 31 (2007) 35–40.
Plants (Typhonium GC (FID, MS) C.-S. Lai, R.H.M.H. Mas,
flagelliforme, Cistus N.K. Nair, S.M. Mansor, V.
ladanifer, Cupressus Navaratnam, Chemical
lusitanica and Eucalyptus constituents and in vitro
gunnii) anticancer activity of
Typhonium flagelliforme
(Araceae), J. Ethnopharmacol.
127 (2010) 486–494.
R. Guimarães, R. Guimarães,
L. Barros, A.M. Carvalho,
M.J. Sousa, J.S. Morais,
I.C.F.R. Ferreira, Aromatic
176
plants as a source of important
phytochemicals: vitamins,
sugars and fatty acids in Cistus
ladanifer, Cupressus lusitanica
and Eucalyptus gunnii leaves,
Ind. Crop. Prod. 30 (2009)
427–430.
Wild and commercial GC-FID L. Barros, T. Cruz, P.
mushrooms Baptista, L.M. Estevinho,
C.F.R. Isabel, Ferreira, Wild
and commercial mushrooms as
source of nutrients and
nutraceuticals, Food Chem.
Toxicol. 46 (2008) 2742–2747.
L. Barros, B.A. Venturini, P.
Baptista, L.M. Estevinho,
I.C.F.R. Ferreira, Chemical
composition and biological
properties of Portuguese wild
mushrooms: a comprehensive
study, J. Agric. Food Chem. 56
(2008) 3856–3862.
Alga (Porphyridium GC (FID, MS) Rodríguez-Meizoso, L. Jaime,
cruentum, Himanthalia HPLC-QTOF-MS S. Santoyo, A. Cifuentes, G.
elongata and García-Blairsy Reina, F.J.
Synechocystis s, Se˜noráns, E. Ibá˜nez,
Chaetoceros muelleri, Pressurized fluid extraction of
Chlorella vulgari, Spirulina bioactive compounds from
platensis) Phormidium species, J. Agric.
Food Chem. 56 (2008) 3517–
3523.
M.G. Sajilata, S. Rekha,
Singhal, Y. Madhusudan,
Kamat, Supercritical CO2
extraction of g-linolenic acid
(GLA) from Spirulina platensis
ARM 740 using response
surface methodology, J. Food
Eng. 84 (2008) 321–326.
Fruits (Italian walnut, GC-FID, ESR, spin- V. Verardo, A. Bendini, L.
Black mulberry, orange, label oximetry Cerretani, D. Malaguti, E.
blackthorn and rose fruits) methods. Cozzolino, M.F. Caboni,
Capillary gas chromatography
analysis of lipid composition
and evaluation of phenolic
compounds by micellar
electrokinetic chromatography
in Italian walnut (Juglans Regia
L.): irrigation and fertilization
influence, J. Food Quality 32
(2009) 262–281
J.-J Yin, J.K.G. Kramer,
M.P. Yurawecz, A.R. Eynard,
M.M. Mossoba, L. Yu, Effects
of conjugated linoleic acid
(CLA) isomers on oxygen
diffusion-concentration
177
products in liposomes and
phospholipid solutions, J.
Agric. Food Chem. 54 (2006)
7287–7293
178
P. Angers,
Triacylglycerols of
Apiaceae seed oils:
composition and
regiodistribution of
fatty acids, Eur.
J.Lipid Sci. Technol.
111 (2009) 164–169.
M.F. Ramadan, G.
Sharanabasappa,
Y.N. Seetharam,M.
Seshagiri, J.-T.
Moersel,Characterisa
tion of fatty acids and
bioactive compounds
of kachnar (Bauhinia
purpurea L.) seed oil,
Food Chem. 98
(2006) 359–365.
Phytosterols, γ- Rice Antioxidant, HPLC- R. Przybylski, D.
oryzanol and decrease GC-FID, Klensporf-Pawlik,
steryl ferulates cholesterol GC (FID, F. Anwar, M.
octacosanol, absorption, MS) Rudzinska, Lipid
and squalene. protect against HPLC- components of North
atherosclerosis, PDA American wild rice
nerve (Zizania palustris), J.
imbalance and Am. Oil Chem. Soc.
disorders of 86 (2009) 553–559
menopause A. Miller, K.-H.
Engel, Content of γ-
oryzanol and
composition of steryl
ferulates in Brown
Rice (Oryza sativa
L.) of European
origin, J. Agric. Food
Chem. 54 (2006)
8127–8133.
T.-Y. Ha, S.-N. Ko,
S.-M. Lee, H.-R.
Kim, S.-H. Chung,
S.-R. Kim, H.-H.
Yoon, I.-H. Kim,
Changes in
nutraceutical lipid
components of rice at
different degrees of
milling, Eur. J. Lipid
Sci. Technol. 108
(2006) 175–181.
Sterols Mediterranea Skin-care GC-MS Di.L. Badiu, A.M. Balu, L.
n mussel and Barbes, R. Luque, R. Nita,
Rapana M. Radu, E. Tanase, N.
venosa Rosoiu, Physico-chemical
(hard- characterisation of lipids from
shellclam) Mytilus galloprovincialis (L.)
and Rapana venosa and their
179
healing properties on skin
burns, Lipids 43 (2008)
829–841.
Glycerolipids Microalga Antimicrobial HPLC- J.A. Mendiola, C.F.
and anti- ELSD, Torres, P.J. Martín-
inflammatory HPLC- Álvarez, S. Santoyo,
activities QTOF- B.O. Arredondo,
MS F.J. Se˜norans, A.
Cifuentes, E.
Ibá˜nez, Use of
supercritical CO2 to
obtain extracts with
antimicrobial activity
from Chaetoceros
muelleri microalga.
A correlation with
their lipidic content,
Eur. Food Res.
Technol. 224 (2007)
505–510.
M. Herrero, M.J.
Vicente, A.
Cifuentes, E.
Ibá˜nez,
Characterization by
highperformance
liquid
chromatography/elect
rospray ionization
quadrupole time-of-
flight mass
spectrometry of the
lipid fraction of
Spirulina platensis
pressurized ethanol
extract, Rapid
Commun. Mass
Spectrom. 21 (2007)
1729–1738.
Sterols Italian Decrease GC-FID V. Verardo, A. Bendini, L.
walnut cholesterol and Cerretani, D. Malaguti, E.
reduce the Cozzolino, M.F. Caboni,
risk of Capillary gas chromatography
coronary heart analysis of lipid composition
disease and evaluation of phenolic
compounds by micellar
electrokinetic chromatography
in Italian walnut (Juglans
Regia L.): irrigation and
fertilization influence, J. Food
Quality 32 (2009) 262–281.
Phytosterols Milk and Decrease GC-MS R. Santos, E. Limas, M.
and yoghurt cholesterol Sousa, M. da, C. Castilho, F.
phytostanols levels Ramos, M.I. Noronha da
Silveira, Optimization of
analytical procedures for GC-
MS determination of
180
phytosterols and phytostanols
in enriched milk and yoghurt,
Food Chem. 102 (2007) 113–
117.
Phytosterols Tetraploid Decrease GC (FID, G. Iafelice, V. Verardo, E.
and cholesterol MS) Marconi, M.F. Caboni,
hexaploid levels Characterization of total, free
wheats and esterified phytosterols in
tetraploid and hexaploid
wheats, J. Agric. Food Chem.
57 (2009) 2267–2273.
Squalene Vegetable Decrease HPLC- L. Vázquez, C.F. Torres, T.
oil cholesterol and ELSD, Fornari, F.J. Se˜noráns, G.
anti-cancer GC-FID Reglero, Recovery of
activity squalene from vegetable oil
sources using countercurrent
supercritical carbon dioxide
extraction, J. Supercrit. Fluids
40 (2007) 59–66.
Terpenes and Essential oils Antiseptic, GC-MS, M.-T. Golmakani,
terpenoids carminative, HPLC K. Rezaei,
antimicrobial, (DAD, Comparison of
and MS) microwave-assisted
antioxidative hydrodistillation with
effects. the traditional
hydrodistillation
method in the
extraction of essential
oils from Thymus
vulgaris L., Food
Chem. 109 (2008)
925–930.
L. Pérez-Fons, F.J.
Aranda, J. Guillén,
J. Villalaín, V.
Micol, Rosemary
(Rosmarinus
officinalis) diterpenes
affect lipid
polymorphism and
fluidity in
phospholipid
membranes, Arch.
Biochem. Biophys.
453 (2006) 224–236.
Terpenoids Quinoa flour Antibacterial HPLC K. Brady, C.-T. Ho, R.T.
(pseudo- and (UV, MS) Rosen, S. Sang, M.V. Karwe,
cereal) antineoplastic NMR Effects of processing on the
properties. nutraceutical profile of
quinoa, Food Chem. 100
(2007) 1209–1216.
Milk lipids Milk Immuno- HPLC- B. Casado, M. Affolter, M.
(triglycerides, suppressive, MS/MS, Kussmann, OMICS-rooted
diacylglyceride anti- GC/LC. studies of milk proteins,
s, saturated inflammatory, oligosaccharides and lipids, J.
fatty acids and andantimicrobi Proteomics 73 (2009) 196–
PUFAs). al 208.
181
properties.
Gangliosides Dairy Protect against MALDI- R. Lacomba, J.
products enteric TOF-MS, Salcedo, A. Alegría,
(milk) pathogens, and HPTLC, M.J. Lagarda, R.
prebiotic HPLC- Barberá, E.
functions. MS Matencio,
Determination of
sialic acid and
gangliosides in
biological samples
and dairy products: a
review, J.
Pharmaceut. Biomed.
51 (2010) 346–357.
I. Mocchetti,
Exogenous
gangliosides,
neuronal plasticity
and repair, and the
neurotrophins, Cell.
Mol. Life Sci. 62
(2005) 2283–2294.
Fatty acids are carboxylic acids with a variable unbranched aliphatic tail
(chain), which is either saturated or unsaturated. They are important as
nutritional substances in living organisms. Longchain polyunsaturated fatty
acids (PUFA), especially those of the ω-3 series, such as α-linolenic (18:3 n−3),
are essential for human metabolism and have many beneficial effects including
the prevention of a number of diseases, such as coronary heart diseases,
inflammation, autoimmune disorders, hypertension, hypotriglyceridemic effect,
etc. [83,84]. Regarding to the analytical techniques more used for determining
fatty acids, 95% of the works summarized in the Table above employed gas
chromatography or high temperature gas chromatography (HT-GC) with FID or
MS detectors. It must be taken into account that most of the times, before GC
analysis, it is necessary to prepare non-reactive derivatives of fatty acids
(methyl esters, FAMEs, steryl esters FASEs, or other derivatives) which are
also more volatile than the free acid components. There are only few works in
which other analytical techniques have been used. As an example, Herrero et al.
characterized several free fatty acids in Spirulina platensis by using LC-QTOF-
MS, while Yin et al. used electron spin resonance (ESR) and spin-label
oximetry methods to determine conjugated linoleic acids (CLAs) in soybean
182
and other matrices . Approximately in 40% of the articles devoted to the
analysis of fatty acids the matrix was oil (vegetable or animal) , and all of them
employed gas chromatography with FID or MS detectors. The analysis by GC-
FID of fatty acids in rice oil have been carried out in several works , discussing
the importance of, this matrix as source of fatty acids. Fatty acids have also
been determined by GC-FID and GC-MS in salmon, catfish or crustaceans ,
beef , cheese and plants . Fatty acids could also be found in several fruits by
using GC-FID and in daily dietary intakes . The nutritional and biological
properties of mushrooms have also been studied , identifying several fatty acids
that were analysed by GC-FID previous methylation of these compounds.
According to the published literature in the reviewed period (2005–2010), an
important source of fatty acids are algae. Fatty acids, mainly as methyl or ethyl
esters, were determined by GC-MS and GC-FID in several varieties of alga
(e.g., C. muelleri, Chlorella vulgaris, S. platensis, etc.) . Liquid chromatography
coupled to aMS detector has also been employed in the analysis of fatty acid in
algae [51]. The separation provided by HPLC combined with the high mass
accuracy and MS/MS capability of the QTOF mass analyzer made possible the
direct identification of four free fatty acids and nine polar lipids (Glycerolipids)
in this complex matrix without any further sample pre-treatment or
derivatization.
Nutraceutical Matrix Possible health Analytical Reference
effect techniques
β-carotene β- Mandarin, Antioxidant, LCxLC- P. Dugo, M. Herrero,
cryptoxanthin, Orange juices inmunomodulation DAD- T. Kumm, D.
mutatoxanthin, and cancer MS(APCI- Giuffrida, G. Dugo, L.
antheraxanthin, prevention IT-TOF-MS) Mondello,
luteoxanthin, Comprehensive normal-
epoxycarotenoids phase×reversed-phase
esters. . . liquid chromatography
coupled to photodiode
array and mass
spectrometry detection
for the analysis of free
carotenoids and
carotenoid esters from
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Chromatogr. A 1189
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P. Dugo, D. Giuffrida,
M. Herrero, P. Donato,
L. Mondello,
Epoxycarotenoids
esters analysis in intact orange
juices using two-dimensional
comprehensive
liquid chromatography, J. Sep. Sci.
32 (2009) 973–980
β-carotene, Thai fruits Antioxidant, anti- HPLC- R. Charoensiri, R.
lycopene cancer, UV/Vis Kongkachuichai, S. Suknicom, P.
prevent degenerative Sungpuag, β-carotene, lycopene,
diseases and α tocopherol contents of
selected Thai fruits, Food Chem.
113 (2009) 202–207
β-carotene, lutein, Chesnut Antioxidant, HPLC-PDA d.C.B.M. de Vasconcelos, R.N.
lycopene inmunomodulation Bennett, S. Quideau, R. Jacquet,
and cancer E.A.S. Rosa, J.V. Ferreira-
183
prevention Cardoso, Evaluating the potential
of chestnut (Castanea sativa Mill.)
fruit pericarp and integument as a
source of tocopherols, pigments and
polyphenols, Ind. Crops Prod. 31
(2010) 301–311.
β-carotene Tea seed oils Antioxidant effects HPLC-DAD M. Fazel, M.A. Sahari, M.
Barzegar, Determination of main
tea seed oil antioxidants and their
effects on common kilka oil, Int.
Food. Res. J. 15 (2008)
209–217
Astaxanthin, β- Alga Antioxidant, HPLC L. Barros, B.A.
carotene, lutein, inmunomodulation (UV/Vis, Venturini, P. Baptista,
cantaxanthin, and cancer DAD) L.M. Estevinho,
violaxanthin, prevention. I.C.F.R. Ferreira,
neoxanthin Chemical composition
and biological properties
of Portuguese wild
mushrooms: a
comprehensive study, J.
Agric. Food Chem. 56
(2008) 3856–3862
B.P. Nobre, F.
Marcelo, R. Passos, L.
Beiráo, A. Palabra, L.
Gouveia, R. Mendes,
Supercritical carbon
dioxide extraction of
astaxanthin and other
carotenoids from the
microalga
Haematococcus
pluvialis, Eur. Food
Technol. 223 (2006)
787–790.
M. Herrero, L. Jaime,
P.J. Martin-Alvarez, A.
Cifuentes, E. Ibanez,
Optimization of the
extraction of
antioxidants from
Dunaliella salina
microalga by pressurized
liquids, J. Agric. Food
Chem. 54 (2006) 5597–
5603.
Lycopene Tomato Antioxidant, anti- HPLC (UV, D. Naviglio, T. Caruso,
products, cancer DAD) NMR, P. Iannece, A. Aragón,
nutritional ESI-MS/MS, A. Santini,
supplements HPTLC Characterization of high
purity lycopene from
tomato wastes using a
new pressurized
extraction approach, J.
Agric. Food Chem. 56
(2008) 6227–6231.
P. Benatti, G. Peluso,
R. Nicolai, M. Calvani,
Polyunsaturated fatty
acids: biochemical,
nutritional and
epigenetic properties, J.
Am. Coll. Nutr. 23
(2004) 281–302.
184
Notation: ESI, Electrospray ionization; APCI, Atmospheric Pressure Chemical
Ionization; IT, Ionic Trap.
8.3. Sterols
Sterols are an important group of organic molecules that can be found in plants,
animals, and fungi, being cholesterol the most popular animal sterol. Sterols
from plants, which are known as phytosterols, have been shown in clinical trials
to block cholesterol absorption sites in the human intestine, and decrease the
level of plasma cholesterol associated with low density lipoproteins (LDL), thus
helping to reduce cholesterol in humans. According to some studies they have
anti-cancer anti-inflammatory and antithrombotic activities. For these reasons,
its use has been approved by US-FDA as food additive. After checking the
published literature , it could be stated that sterols compounds have been usually
185
identified using GC coupled to FID or MS. Analysis of sterols has been carried
out in several classes of vegetable oils, like: olive , sunflower , Indian rice bran
and other plants . Sterols could be also found in enriched milk and yoghurt by
using an optimized GC-MS method ,meanwhile total, free and esterified
phytosterols in tetraploid and hexaploid wheats where determined by GC-FID
and GC-MS . GC was also employed in the analysis of the lipid composition of
Italian walnut and for the chemical characterization of lipids from crustacean
which can be employed for the skin-care, with potential benefits on burns,
inflammations, etc. . Sterols have been also analyzed in different varieties of
rice together with γ-oryzanol and other compounds like steryl ferrulates or
squalene, showing antioxidant activity and decreasing cholesterol .
Chromatographic techniques as GC or HPLC have been used to determine the
sterol composition in the different rice samples. Also, on-line coupling between
LC and GC (on-line LC-GC-FID) can be used to determine sterols . This
coupling is an efficient approach for the analysis of minor constituents in
complex matrices, because it avoids laborious off-line purification steps. In that
work γ-oryzanol is pre-separated by normal phase HPLC from other rice lipids
and transferred on-line to GC analysis to separate its major constituents . Total
γ-oryzanol content was quantified by HPLC-UV and the ratios of each
individual steryl ferulate calculated by GC-FID.
8.4. Terpenes
Terpenes, which could be also named as isoprenoids, constitute the largest and
most diverse class of natural products. Amajority of these compounds are found
only in plants, but some of the larger and more complex terpenes occur in
animals. Squalene, which is a natural complex terpene produced by all plants
and animals, has been proposed to be an important ingredient of the
Mediterranean diet as it may be a chemopreventive substance that protects
against cancer. Squalene has been analyzed in rice by GC coupled to FID and
MS detectors . This compound has also been identified in vegetable oils using
HPLC with evaporative light scattering detection (ELSD) . Terpenes and
terpenoids are the primary constituents of the essential oils of many types of
plants and flowers or cereals and they have shown antibacterial and
antioxidant activity among other beneficial effects for human health. They have
been usually analyzed by GC-MS or HPLC-UV-MS although sometimes to
elucidate the real structure of these compounds NMR is preferred .
186
8.5. Glycerolipids
187
Figure 8.1. : On-line LC-GC analysis of γ-oryzanol in a crude lipid extract
from brown rice. (a) LC chromatogram; UVdetection of γ-oryzanol at 325
nm. The fraction transferred to GC is shown by the indicated time window.
(b) GC chromatogram of the γ- oryzanol-containing fraction; separation of
γ-oryzanol into campesteryl ferulate (1), campestanyl ferulate (2), β -
sitosteryl ferulate (3), cycloartenyl ferulate (4), and 24-
methylenecycloartanyl ferulate (5). (I) and (II) were identified as the co-
transferred free sterols cycloartenol and 24-methylenecycloartanol.
Reprinted from A. Miller, K.-H. Engel, (2006) Copyright (2006) American
Chemical Society.
8.6. Sphingolipids
188
M.B. Reena, B.R.
Lokesh, (2007)
V. Verardo, A.
Bendini, L. Cerretani,
D. Malaguti, E.
Cozzolino, M.F.
Caboni, (2009) .
Tocopherols Microalga Antioxidant and HPLC (DAD, Y. Durmaz, M.
(Vitamin E) prevents FLD) Monteiro, N.
degenerative disorders Bandarra, S.
Gokpinar, O. Isik,
The effect of
lowtemperature on
fatty acid composition
and tocopherols of the
red
microalgaPorphyridiu
m cruentum, J. Appl.
Phycol. 19 (2007)
223–227.
L. Gouveia, B.P.
Nobre, F.M.Marcelo,
S. Mrejen, M.T.
Cardoso, A.F.
Palavra,
R.L.Mendes,
Functional food oil
coloured by pigments
extracted from
microalgaewith
supercritical CO2,
Food Chem. 101
(2007) 717–723.
J.A. Mendiola, D.
García-Martínez,
F.J. Rupérez, P.J.
Martín-Álvarez, G.
Reglero,A. Cifuentes,
C. Barbas, E.
Ibá˜nez, F.J.
Se˜noráns,
Enrichment of vitamin
E fromSpirulina
platensis microalga by
SFE, J. Supercrit.
Fluid. 43 (2008) 484–
489.
Vitamin B1 and Mushrooms Antioxidant HPLC (DAD, R.P. Zanes Furlani, H. Teixeira
B2 FLD) Godoy, Vitamins B1, B2
contents in cultivated
mushrooms, Food Chem. 106
(2008) 816–819.
Water-soluble Maize flour, Antioxidant and co- HPLC- A. Gentili, F. Caretti, G.
vitamins (B1, green and enzymes MS/MS D’Ascenzo, S. Marchese, D.
B2, two B3 golden Perret, D. Di Corcia,
vitamins, B5, five kiwi and tomato L. Mainero Rocca, Simultaneous
B6 vitamins, B8, pulp. determination of water-soluble
B9, B12 and vitamins in selected food
C). matrices by liquid
chromatography/electrospray
ionization tandem mass
spectrometry, Rapid Commun.
Mass Spectrom. 22 (2008)
2029–2043.
Vitamins B2, B3 Energy drinks Antioxidant and co- HPTLC, ESI M. Aranda, G. Morlock,
and B6 enzymes MS/MS Simultaneous determination of
riboflavin, pyridoxine,
nicotinamide, caffeine and
taurine in energy drinks by planar
chromatography-multiple
detection with confirmation by
electrospray ionization mass
189
spectrometry, J. Chromatogr. A
1131 (2006) 253–260
Vitamin C (L- Fruits Antioxidant HPLC G. Oms-Oliu, I.
ascorbic acid) (UV/Vis) Odriozola-Serrano,
R. Soliva-Fortuny,
O. Martín-
Belloso,Antioxidant
content of fresh-cut
pears stored in high-
O2 active packages
compared with
conventional low-O2
active and passive
modified atmosphere
packaging, J. Agric.
Food Chem. 56 (2008)
932–940.
H. Borochov-Neori,
S. Judeinstein, A.
Greenberg, B.
Fuhrman, J. Attias,
T. Nina Volkova, M.
Hayek, Aviram,
Phenolic antioxidants
and antiatherogenic
effects of marula
(Sclerocarrya birrea
Subsp. caffra) fruit
juice in healthy
humans, J. Agric.
Food Chem. 56 (2008)
9884–9891.
R. González-
Montelongo, M.G.
Lobo, M. González,
Antioxidant activity in
banana peel extracts:
testing extraction
conditions and related
bioactive compounds,
Food Chem. 119
(2010) 1030–1039.
L-ascorbic Buckwheats Antioxidant HPLC- S.J. Kim, C. Kawaharada, T.
acid UV/Vis Suzuki, K. Saito, N. Hashimoto,
dehydroascorbic S. Takigawa, T. Noda,
acid) C. Matsuura-Endo, H.
Yamauchi, Effect of natural light
periods on rutin, free amino acid
and vitamin C contents in the
sprouts of common (Fagopyrum
esculentum Moench) and tartary
(F. tataricum Gaertn.)
buckwheats, Food Sci.
Technol. Res. 12 (2006) 199–
205.
S-methyl-L- Centella asiatica Wound healing HPLC-UV W.-J. Kim, J. Kim, B.
methionine Veriansyah, J.-D. Kim, Y.-W.
(vitamin U) Lee, S.-G. Oh, R.R.
Tjandrawinata,
Extraction of bioactive
components from Centella
asiatica using subcritical water, J.
Supercrit. Fluid. 48 (2009) 211–
216.
Fat and water Beer and Antioxidant and co- HPLC-DAD J.A. Mendiola, F.R. Marin, F.J.
soluble vitamins bioactive drinks enzymes Se˜norans, G. Reglero, P.J.
Martín-Álvarez, A.
Cifuentes, E. Ibá˜nez, Profiling
of different bioactive compounds
in functional drinks by high-
performance liquid
chromatography, J. Chromatogr.
190
A 1188 (2008) 234–241.
Carotenoids
8.7. Vitamins
191
They are classified as either water-soluble or fat soluble. In humans there are 13
vitamins: 4 fat-soluble (A, D, E and K) and 9 water-soluble (8 B vitamins and
vitamin C). These compounds have diverse biochemical roles. Some have
hormone-like functions as regulators of mineral metabolism (e.g., vitamin D),
or regulators of cell and tissue growth and differentiation (e.g., some forms of
vitamin A). Others work as antioxidants (e.g., vitamin E and sometimes
vitamins B and C). The largest numbers of vitamins (e.g., Bcomplex vitamins)
work as precursors of enzyme cofactors. Recently, it has been published one
work where vitamins have been usually determined by HPLC with several
detectors as UV/Vis, VWD, PDA, FLD, MS. ; although GC-FID and HPTLC
have been also employed. Some compounds related to vitamin B group have
been identified in mushrooms by HPLC-DAD-FLD , in more complex food
matrices by using HPLC-MS/MS [92] and in energy drinks employing HPTLC .
VitaminC(L-ascorbic acid or L-ascorbate) is an essential nutrient for humans
and other animal species. Deficiency in this vitamin causes the disease known
as scurvy in humans. This compound is also widely used as a food additive
because of its antioxidant activity. Compared to the other vitamins, the number
of works about Vitamin E is by far the highest one. Vitamin E is a generic term
for tocopherols and tocotrienols, and it is a fat-soluble antioxidant that block the
production of reactive oxygen species formed when lipids undergoes oxidation.
The most frequently employed analytical tool for determining vitamin E has
also been HPLC coupled to all possible types of detectors as FLD, UV, PDA,
MS. However, in two works , based on the relative volatility and thermal
stability of vitamin E, GC-FID was employed to detect vitamin E in vegetable
and fruit matrix.Some algae can also be good natural sources of this vitamin as
reported in several works in which HPLC with FLD or DAD was used to
identify vitamin E. However, it has to be noted that the main natural source of
vitamin E arevegetable and vegetable oils, being HPLC the analytical tool more
usually employed . A new HPLC-DAD method was recently developed for the
simultaneous detection and quantification of water- and fat-soluble vitamins in
different beverages from different natural sources (orange, strawberry, apple,
peach pineapple, plum and blackcurrant juices, soybean milk and beers) , with
the additional advantage that it was not required any previous sample
preparation prior to their analysis. This fact was attributed to the use of an
endcapped column, which posses an ultralow silanol activity.
Nutraceutical Matrix Possible health Analytical Reference
effect techniques
Milk proteins, peptides Milk and Antihypertensive, HPLC-MS/MS, R. Lacomba, J.
Lactoferrin and derived antimicrobial, 2D-PAGE, Salcedo, A.
immunoglobulin G. products anti-inflammatory MALDI- Alegría, M.J.
and TOFMS, Lagarda, R.
inmunostimulating Inmunosensors, Barberá, E.
activities. CE (UV, MS), Matencio,
Important source of Determination of
amino acids sialic acid and
gangliosides in
192
biological samples
and dairy
products: a review,
J. Pharmaceut.
Biomed. 51 (2010)
346–357.
G. Oms-Oliu, I.
Odriozola-
Serrano, R.
Soliva-Fortuny,
Olga Martín-
Belloso,
Antioxidant
content of fresh-
cut pears stored
inhigh-O2 active
packages
compared with
conventional low-
O2 active and
passive modified
atmosphere
packaging, J.
Agric. Food
Chem. 56 (2008)
932–940.
C. De Simone, G.
Picariello, G.
Mamone, P.
Stiuso, A.
Dicitore, D.
Vanacore, L.
Chianese, F.
Addeo, P.
Ferranti,
Characterisation
and
cytomodulatory
properties of
peptides from
Mozzarella di
Bufala Campana
cheese whey, J.
Pept. Sci. 15
(2009) 251–258.
Amino acids Sprouts, Effect on the HPLC (UV/Vis, S.J. Kim, C.
alga and nervous system, MS) MEKC- Kawaharada, T.
sport drinks antioxidant, anti- LIF, Suzuki, K. Saito,
and tablets cancer and source Microchip N. Hashimoto, S.
of muscle energy electrophoresis Takigawa, T.
(MCE) Noda, C.
Matsuura-Endo,
H. Yamauchi,
Effect of natural
light periods on
rutin, free amino
acid and vitamin C
contents in the
sprouts of
common
(Fagopyrum
esculentum
Moench) and
tartary (F.
tataricum Gaertn.)
buckwheats, Food
Sci. Technol. Res.
12 (2006) 199–
205.
M. Herrero, E.
Ibá˜nez, S.
Fanali, A.
193
Cifuentes,
Quantitation of
chiral amino acids
from microalgae
by MEKC and LIF
detection,
Electrophoresis 28
(2007) 2701–2709.
H. Ueno, J.
Wang, N. Kaji,
M. Tokeshi, Y.
Baba, Quantitative
determination of
amino acids in
functional foods
by microchip
electrophoresis, J.
Sep. Sci. 31 (2008)
898–903.
Peptide Fishes Antihypertensive, HPLC-MS/MS, L. Beaulieu, J.
antioxidant and QTOFMS, Thibodeau, P.
anticoagulant GPC, Bryl, M.-E.
activities HPLC-FLD Carbonneau,
Proteolytic
processing of
herring (Clupea
harengus):
biochemical and
nutritional
characterisation of
hydrolysates, Int.
J. Food Sci.
Technol. 44 (2009)
2113– 2119.
S.-H. Lee, Z.-J.
Qian, S.-K. Kim,
A novel
angiotensin I
converting enzyme
inhibitory peptide
from tuna frame
protein
hydrolysate and its
antihypertensive
effect in
spontaneously
hypertensive rats,
Food Chem. 118
(2010) 96–102.
Type II collagen Chick Can suppress SDS-PAGE, H. Cao, S.-Y. Xu,
Rheumatoid HPLC-UV/Vis, Purification and
arthritis FTIR characterization of type II
(RA) and promote collagen from chick sternal
healthy joints cartilage, Food Chem. 108
(2008) 439–445.
∼35 kDa antioxidant Curry Antioxidant SDS-PAGE, M.B. Ningappa, L. Srinivas,
protein leaves properties MALDI-TOF- Purification and
MS characterization of ∼35 kDa
antioxidant protein from curry
leaves (Murraya koenigii L.),
Toxicol. in Vitro 22 (2008)
699–709.
Immunomodulatoryproteins Garlic Immunomodulation SDS-PAGE F. Clement, S.N. Pramod,
(Allium activity Y.P. Venkatesh, Identity of
sativum) the immunomodulatory
proteins from garlic (Allium
sativum) with themajor garlic
lectins or agglutinins,
Int. Immunopharmacol. 10
(2010) 316–324.
Total proteins Ganoderma Prevention and 2D-PAGE R. Saltarelli, P. Ceccaroli,
lucidum treatment of M. Iotti, A. Zambonelli, M.
194
(fungi) hypertension, Buffalini, L. Casadei, L.
diabetes, hepatitis, Vallorani, V. Stocchi,
cancers and AIDS Biochemical characterisation
and antioxidant activity of
mycelium of Ganoderma
lucidum from Central Italy,
Food Chem. 116 (2009)
143–151.
Lysozyme-derivedpeptides Hen’s egg Antimicrobial HPLC-MS/MS S.-J. You, C.C. Udenigwe,
activity R.E. Aluko, J. Wu,
Multifunctional peptides from
egg
white lysozyme, Food Res.
Int. 43 (2010) 848–855.
Cyclopeptides Cow cockle Estrogen like HPLC-MS Ö. Güclü-Üstünda˘g, G.
seed activity in vivo Mazza, Extraction of
saponins and cyclopeptides
from
cow cockle seed with
pressurized low polarity
water, Food Sci. Technol. 41
(2008) 1600–1606.
Phaseolamin Kidney May reduce calorie HPAEC-PAD M. Mosca, C. Boniglia, B.
bean absorbance, Carratù, S. Giammarioli, V.
(Phaseolus thereby promoting Nera, E. Manzini,
vulg.) weight loss Determination of α-amylase
inhibitor activity of
phaseolamin from kidney
bean
(Phaseolus vulgaris) in dietary
supplements by HPAEC-
PAD, Anal. Chim. Acta 617
(2008) 192–195.
Selenopeptides Nuts Antioxidant, anti- nanoLC- M. Dernovics, P. Giusti, R.
cancer, anti-heart Q/TOFMS/MS. Lobinski, ICP-MS-assisted
disease ICP-MS nanoHPLC-electrospray
Q/time-of-flight MS/MS
selenopeptide mapping in
Brazil nuts, J. Anal. At.
Spectrom. 22 (2007) 41–50.
According to the information showed in the table above, there are several
benefits for the human health that can de derived from the consume of some
proteins, peptides and/or aminoacids. They can have antibacterial, antioxidant,
immunostimulating, antithrombotic and anti-inflammatory activities; they could
be used for prevention and treatment of hypertension, diabetes and hepatitis
among other positive effects in the organism. All these health promoting effects
make these compounds of great relevance as nutraceuticals. Proteins, peptides
and/or aminoacids are found in a great variety of matrices including animals,
fungi, vegetables, cereals, etc., Their identification requires the use of advanced
analytical techniques due to the complexity of these compounds. As a result,
HPLC, GC, CE, NMR, Fourier Transform Infrared Spectroscopy (FTIR),
195
Inductively Coupled Plasma Mass Spectrometry (ICP-MS), inmunosensors, etc,
have been used to analyze these compounds. Thus, amino acids have been
identified and quantified in different natural matrices using Micellar
Electrokinetic Chromatography coupled to Laser Induced Fluorescence
(MEKC-LIF), micro chip electrophoresis or HPLC . Marine animals like
sardinelle , tuna , and echiuroid worms are important sources of peptides with
antioxidant, anticoagulant and antihypertensive properties. For their
identification HPLC coupled to mass spectrometry (Triple Quadrupole Mass
Analyzer (QQQ), QTOFMS) have been usually employed. Amino acids and
protein hydrolisates have been analyzed in fishes, as herring [106], using gel
permeation chromatography (GPC) and HPLC-FLD. Another important source
of proteins, peptides and amino acids is milk and dairy products. An omics-
rooted study of milk proteins has been carried out using advanced analytical
techniques (HPLC-MS/MS, Bidimensional Polyacrylamide Gel Electrophoresis
(2D-PAGE), MALDI-TOFMS) showing the great potential of this modern
approach . Analysis of these compounds in milk usually is carried out
employing liquid chromatography coupled to mass spectrometry, although other
analytical techniques like capillary electrophoresis have also been used for this
purpose. Also, immunosensors have been applied for the determination of
lactoferrin and immunoglobulin G in milk . PAGE, sodium dodecyl sulfate
PAGE (SDS-PAGE) and 2D-PAGE have been employed to analyze proteins in
several matrices like milk, chick, curry leaves, garlic or fungi . These more
classical techniques do not provide an identification of these biomolecules as
accurate as CE or HPLC coupled to mass spectrometry. Thus, mass
spectrometry alone or coupled to HPLC has been used to characterize, identify
and analyze proteins, peptides and amino acids in several matrices, for example
lisozyme derived peptides with antimicrobial activity were detected in hen eggs
, while several cyclopeptides with estrogen activity in vivo were found in cow
cockle seeds. High-performance anion exchange chromatography coupled with
pulsed amperometric detection (HPAEC-PAD) has been used to measure the α-
amylase inhibitor activity of phaseolamin from kidney bean . Using several
advanced analytical techniques, as ICP-MS, MALDI-TOF-MS, nano-HPLC-
MS/MS it was possible to obtain the whole selenopeptide map of Brazilian nuts
.
196
or anti-inflammatory activity. The identification and quantification of these
compounds have brought about the development of multiple analytical trategies
mainly based on analytical techniques such as HPLC, GC, CE and/or NMR .
Chondritin sulphate is a mucopolysaccharide, or sulfated glycosaminoglycan,
that acts as an important structural component of cartilage providing much of its
resistance to compression. Along with glucosamine, chondroitin sulfate has
become a widely used dietary supplement for treatment of osteoarthritis. It has
been determined in raw materials and formulations by CEUV . It has also been
analyzed in dietary supplements by using a specific and sensitive agarose-gel
electrophoresis and strong-anion exchange–high performance liquid
chromatography (SAX-LC) method , and this latter technique was followed by
a high-performance size-exclusion chromatography (HPSEC) to determine the
chondritin sulphate molecular mass. Other saccharides have been analyzed in
different matrices (plant, fungus, etc.) with different analytical techniques like
NMR, HPLC or CE . Two different CE approaches have been developed to
determine glucosamine, an important and abundant monosacharide, in
nutraceutical preparations . This compound is shown to be effective in treating
osteoarthritis pain, rehabilitating cartilage, renewing synovial fluid and
repairing joints that have been damaged by osteoarthritis. Glycosides are
compounds containing a carbohydrate molecule (sugar) bound to a non-
carbohydrate moiety. These compounds are mainly found in plants, and they
can be converted, by hydrolytic cleavage, into a sugar and a non-sugar
component (aglycone). They are named specifically by the type of sugar that
they contain, as glucosides (glucose), pentosides (pentose), fructosides
(fructose), etc. Many plant glycosides have shown activity for cancer
prevention, as well as antidiabetic, anti-obese, antibacterial or antineoplastic
effect . Among the multiple glycosides, several complex glucosides have been
determined in plants and cereals using HPLC, MS, NMR or GC. Saponins,
which are amphipathic glycosides, have been also studied in seeds, plants and
cereals. Saponins can stimulate muscle growth and raise testosterone levels and
they can also show antibacterial, immunological and antidiabetic properties .
The analytical methods used to determine saponins have been GC-MS as well
as HPLC, NMR, and MS.
197
Figure 8.2. : (a) Size-exclusion–ICP MS chromatogram of the extracted
Brazil nut proteins. Regular line: 78Se; thin line: 34S.The rectangular area
indicates the fraction collected for further analyses; (b) MALDI-TOF mass
spectrum of the fraction indicated in subpart a. The insets show the zooms
of the 6 and 12 kDa peaks (doubly and singly charged ions, respectively);
(c) size-exclusion–ICP MS chromatogram of the tryptic digest (5 kDa
198
cutoff filtered) of the fraction indicated in subpart a. The arrowsmark the
elution volumes of the calibration standards. The rectangular fractions
labelled with numbers were collected for nanoHPLC analyses. Reprinted
from M. Dernovics, P. Giusti, R. Lobinski, (2007) . Copyright (2007) The
Royal Society of Chemistry.
199
Katsube, K.
Yokota,
Identification of
novel saponins
from edible seeds
of Japanese horse
chestnut
(Aesculus
turbinata Blume)
after treatment
with wooden
ashes and their
nutraceutical
activity, J.
Pharmaceut.
Biomed. 41
(2006) 1657–
1665.
Chondroitin sulphate Raw Treatment of CE-UV, C.J. Malavaki,
materials, osteoarthritis SAX-LC, A.P.
formulation and some HPSEC Asimakopoulou,
s ophthalmolog F.N. Lamari,
and dietary ic diseases. A.D. Theocharis,
supplement G.N.
s Tzanakakis,
N.K.
Karamanos,
Capillary
electrophoresis
for the quality
control of
chondroitin
sulfates in raw
materials and
formulations,
Anal. Biochem.
374 (2008) 213–
220.
N. Volpi, F.
Maccari,
Quantitative and
qualitative
evaluation of
chondroitin
sulfate in dietary
supplements,
Food Anal.
Methods 1 (2008)
195–204.
Polysaccharide Poria cocos Anti- 1D and M.-K. Lu, J.-J. Cheng,
(1,3-α-galactan) (fungus inflammatory 2D NMR C.-Y. Lin, C.-C. Chang,
effects Purification, structural
elucidation, and anti-
inflammatory effect of a
water-soluble 1,6-
branched 1,3-α-D galactan
from cultured mycelia of
200
Poria cocos, Food Chem.
118 (2010)
349–356.
201
glycyrrzhin, , 1D and Supercritical CO2
liquiritin, anti-cancer, 2D extraction of
steroidal glycosides. . antioxidant, NMR. glycosides from
.) anorexant Stevia rebaudiana
and diuretic leaves:
properties identification and
optimization, J.
Supercrit. Fluid.
51 (2009) 29–35.
S. Dall’Acqua,
G. Innocenti,
Steroidal
glycosides from
Hoodia gordonii,
Steroids 72
(2007) 559–568.
Under the denomination “phenolic compounds” there are more than 4000
compounds divided in 12 subclasses. Vegetables, fruits, fungi and some bacteria
produce, as part of their secondary metabolism, a wide variety of phenolic
compounds. Some of them are highly important for their physiological
functions, some others are used to defend themselves from stress situations or to
attract or repeal other organisms. In the early 1960s, phenolic compounds were
widely viewed as metabolic waste products that were stored in the plant
vacuole. Whilst there was interest at that time in their function as flower
colorants, and in their distribution between plant taxa, the earliest investigations
of their biosynthesis had just begun . In foods this kind of compounds acts as
pigments, antioxidants, flavour precursors, etc. and, nowadays, as part of our
diet they have been associated with several health promoting activities such as:
decreasing blood sugar levels, reducing body weight , anticarcinogenic ,
antiinflamatory, antiaging and antithrombotic activity . However, the major
claimed activity of phenolic compounds has been as antioxidans. The main
difference between bioactive phenolic compounds that can act as nutraceuticals
and other phenolic compounds without noticeable bioactivity is their metabolic
origin. The first ones are derived from two biosynthetic routes: shikimic acid
and/or polyacetates routes. Usually phenolic compounds bind sugars or other
phenolic compounds. A fast classification of phenolic compounds could be
done as follows :
202
Phenolic acids: derived from benzoic acid (C6-C1) or cinnamic acid (C6-
C3), when phenolic acids are associated as long polymers form tannins
and lignans.
Coumarins: with a basic structure of 2H-1-benzopiran-2-one.
Flavonoids: with a basic structure of diarylpropane (C6-C3- C6), this
group is the widest and is formed by subfamilies like catechins,
flavones, flavonols, flavanones, isoflavonoids and anthocyanes .
203
Nutraceutical Matrix Possible health Analytica Reference
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Licochalcone A Glycyrrhiza Lipase NMR MS S.-R. Won, S.-K.
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Flavonol Ginkgo biloba Memory HPLC- D.E. Gray, R. Upton,
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Isoflavones Soy milk Estrogenic HPLC- S. Jung, P.A.
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Isoflavones Soy supplements Antimenopausi HPLC- L. Krenn, V. Patsch,
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Flavonoids Citrus peel Antiinflammato HPLC- S. Li, C.-Y. Lo, C.-T.
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Resveratrol Carex folliculata Antioxidant, HPLC- L. Li, G.E. Henry,
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Phenolic acids Infant cereals Antioxidant & HPLC- W. Li, J. Friel, T.
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O-glucoside Olive by- Antioxidant, HPLC- R. Japón Luján, F.
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Isoflavones Red clover Antifungal HPLC- N.M.M. Saviranta,
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(2008) 127–136.
219
Figure 8.3. : MS/MS product ion spectra of [M+H]+ ion of apigenin-8-C-
glucoside-4I-O-rhamnoside (cone voltage 30 V, collision energy 20 and 40
eV). Reprinted from B. Abad-García, L.A. Berrueta, S. Garmón-Lobato, B.
Gallo, F. Vicente, (2009) ; Copyright (2009) Elsevier B.V.
Their strategy was based in four steps: (i) taking into account its UV–visible
spectrum and elution order, assign the unknown polyphenol to a polyphenol
class, (ii) identify the quasi-molecular ion using positive and negative MS
spectra, being supported by adducts generated with solvent or sodium and
molecular complexes, (iii) determinate the pattern of glycosylation in positive
mode using ESI(+)-CID MS/MS product ion scan experiments (CID: Collision
Induced Dissociation), selecting the quasi-molecular ion as precursor ion, and
finally, (iv) study the identity of the aglycone through ESI(+)-CID MS/MS
product ion spectra from the protonated aglycone, [Y0]+. In this work, a triple
quadrupole mass spectrometer was used, which is more indicated for the
quantification of known analytes. To overcome this limitation, Abad-García et
al. studied the elution time, UV spectra and fragmentation patterns of each
polyphenol before analyzing real samples.
The previously depicted strategy is highly useful when dealing with known
compounds, but for the study of previously undescribed compounds, other kind
of mass spectrometers must be used. For example, Fu et al. used LC-DAD
coupled to a timeof- flight mass spectrometer (ESI-TOF-MS) and an ion-trap
multiple mass spectrometer (ESI-IT-MSn) to characterize novel phenolic
compounds in extra virgin olive oils. Despite LC is the most used separation
220
technique to analyse phenolic compounds, some authors have used CE for this
purpose . For example, Orlandini et al. developed by chemometric optimization
a rapid and simple method based on capillary electrophoresis for the quality
control of nutraceuticals (effervescent tablets) containing resveratrol. This
compound is thought to be one of the compounds responsible for the
cardioprotective action of red wine and is promoted as an antioxidant for the
prevention of atherosclerosis. Resveratrol also has mixed agonist/antagonist
activity at oestrogen receptors and some anti-inflammatory and antiproliferative
activity . In order to set up the method for the quality control of the mentioned
nutraceuticals (effervescent tablets), amultivariate strategy based in response
surfaces was followed. In this study, the factors considered were buffer
concentration, percentage of acetonitrile and voltage. The factors were studied
in the following experimental range: X1, buffer concentration; X2, percentage
of acetonitrile; X3, voltage. The resulting method, found by Derringer
desirability function, made it possible to achieve good resolution and low
analysis time (7min) also in the presence of a complex sample matrix. The
optimization involved the separation of 11 effervescent tablet components
industry. Polymethoxylated flavones exhibit anticancer and ant inflammation
actions, as well as triglyceride and low-density lipoprotein cholesterol-lowering
properties. Although this analysis (FTIR) does not provide information on the
levels of individual PMFs, it provides a rapid, solvent-free measurement of the
total PMF content in orange oil residues. The ethanol extraction of the PMFs
from the bulk of the oil residue provides a rapid and easy enrichment and
recovery of the PMF from the oil residues. LH20 size exclusion
chromatography provides a means of isolating high percentage PMF material,
consisting of relative proportions of the individual PMFs similar to those in the
original oil residues. The near absence of other non-PMF constituents is evident
by the low intensity of the (C O) vibration at 1724cm−1. The intensities of the
FTIR vibrations of the phenyl ring (C C) stretch at 1515cm−1 of the PMFs can
be used, relative to the intensity of the carbonyl stretch at 1733cm−1 of the non-
PMF orange oil residue components, to measure PMF content. Excellent
correlations for the ratios of the intensities of these vibrations and the total PMF
content were observed irrespective of the source, viscosity, and presence of
particulate material.
References:
221
J. Lee, C. Rennaker, R.E. Wrolstad, Correlation of two anthocyanin
quantification methods: HPLC and spectrophotometric methods, Food Chem.
110 (2008) 782–786.
222
R.P. Feliciano, M.N. Bravo, M.M. Pires, A.T. Serra, C.M. Duarte, L.V.
Boas, M.R. Bronze, Phenolic content and antioxidant activity of moscatel
dessert wines from the setÃ◦bal region in portugal, Food Anal. Meth. 2 (2009)
149–161.
C.H.L. Ho, J.E. Cacace, G. Mazza, Mass transfer during pressurized low
polarity water extraction of lignans from flaxseed meal, J. Food Eng. 89 (2008)
64–71.
F.S. Hosseinian, G. Mazza, Triticale bran and straw: potential new sources of
phenolic acids, proanthocyanidins, and lignans, J. Funct. Foods 1 (2009) 57–64.
M.J. Jung, S.-I. Heo, M.-H. Wang, HPLC analysis and antioxidant activity of
Ulmus davidiana and some flavonoids, Food Chem. 120 (2010) 313–318.
J.-T. Lin, S.-C. Liu, G.J. Tsay, D.-J. Yang, Composition of flavonoids and
phenolic acids in Glycin tomentella Hayata cultivated in various soils, Food
Chem. 121 (2010) 659–665.
A.A. Memon, N. Memon, D.L. Luthria, M.I. Bhanger, A.A. Pitafi, Phenolic
acids profiling and antioxidant potential of mulberry (Morus laevigata W.,
Morus nigra L., Morus alba L.) Leaves and fruits grown in Pakistan, Pol. J.
Food Nutr. Sci. 60 (2010) 25–32.
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Y. Qiu, Q. Lin, T. Beta, Antioxidant activity of commercial wild rice and
identification of flavonoid compounds in active fractions, J. Agric. Food Chem.
57 (2009) 7543–7551.
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F. Shadkami, S. Estevez, R. Helleur, Analysis of catechins and condensed
tannins by thermally assisted hydrolysis/methylation-GC/MS and by a novel
two step methylation, J. Anal. Appl. Pyrolysis 85 (2009) 54–65.
J.Y. Chung, J.H. Choo, M.H. Lee, J.K. Hwang, Anticariogenic activity of
macelignan isolated from Myristica fragrans (nutmeg) against Streptococcus
mutans, Phytomedicine 13 (2006) 261–266.
J.T. Jeong, J.-H. Moon, K.-H. Park, C.S. Shin, Isolation and characterization
of a new compound from Prunus mume fruit that inhibits cancer cells, J. Agric.
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J.A. Manthey, Fourier transform infrared spectroscopic analysis of the
polymethoxylated flavone content of orange oil residues, J. Agric. Food Chem.
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S.-R. Won, S.-K. Kim, Y.-M. Kim, P.-H. Lee, J.-H. Ryu, J.-W. Kim, H.-I.
Rhee, Licochalcone A: a lipase inhibitor from the roots of Glycyrrhiza
uralensis, Food Res. Int. 40 (2007) 1046–1050.
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Funct. Foods 1 (2009) 331–335.
226
Chapter 9
Selected Nutraceutical and health Glossary of Terms and
Concepts
Lactobacillus
acidophilus (A)
Lactobacillus casei (C)
Lactobacillus bulgaricus (L)
Bifidobacterium species (B)
Streptococcus thermophilus
Only L. acidophilus is the true acidophilus
species, but many producers use it as a more
generic name for mixtures of bacteria, one of
which is L. acidophilus.
227
(or immediate) hypersensitivity. It is
characterized by excessive activation of certain
white blood cells called mast cells and basophils
by a type of antibody known as IgE, resulting in
an extreme inflammatory response.
228
enzymes, causes oxidative stress and may damage
or kill cells.
229
fungi, mushrooms and bacteria. Some forms of
beta glucans are useful in human nutrition as
texturing agents and as soluble fibre supplements.
One of the most common sources of beta(1,3)D
glucan for supplement use is derived from the cell
wall of baker’s yeast (Saccharomyces cerevisiae).
Beta-glucans are known as “biological response
modifiers” because of their ability to activate the
immune system.
230
transfer carbon dioxide. Biotin is also helpful in
maintaining a steady blood sugar level. Biotin is
often recommended for strengthening hair and
nails. Consequently, it is found in many cosmetic
and health products for the hair and skin.
231
Carnitine: It is required for the transport of fatty acids from
the cytosol into the mitochondria during the
breakdown of lipids (or fats) for the generation of
metabolic energy.
232
activity, hormone production, cell regeneration
and other biological activities. In addition,
photoperiodism, the physiological reaction of
organisms to the length of day or night, is vital to
both plants and animals, and the circadian system
plays a role in the measurement and interpretation
of day length.
233
secreted onto other Type 1 mucosal surfaces.
Colostrum also contains a variety of growth
factors (IGfs)
234
dimer. Due to the ability of thiols to undergo
redox reactions, cysteine has antioxidant
properties. Cysteine’s antioxidant properties are
typically expressed in the tripeptide glutathione,
which occurs in humans as well as other
organisms. The systemic availability of oral
glutathione (GSH) is negligible; so it must be
biosynthesized from its constituent amino acids,
cysteine, glycine, and glutamic acid.
235
growing children. Essential amino acids
are so called not because they are more
important to life than the others, but
because the body does not synthesize
them, making it essential to include them
in one’s diet in order to obtain them. In
addition, the amino acids arginine,
cysteine, glycine, glutamine, histidine,
proline, serine and tyrosine are considered
conditionally essential, meaning they are
not normally required in the diet, but must
be supplied exogenously to specific
populations that do not synthesize it in
adequate amounts.
236
essential fatty acids, may be a factor in a
number of illnesses.
237
according to whether they provide
(predominantly) soluble or insoluble fibre.
To be precise, both types of fibre are
present in all plant foods, with varying
degrees of each according to a plant’s
characteristics.
238
division and growth. Both children and
adults require folic acid to produce healthy
red blood cells and prevent anemia.
239
have been related to the development of a
number of cardiovascular, renal,
respiratory and central nervous system
disorders. Ginkgo can be used for
intermittent claudication.
240
toxins from the system, which is
particularly helpful for good colon health,
because it speeds the removal of waste and
bacteria from the bowel and colon. In
addition, because it is soluble, it is also
able to absorb toxic substances (bacteria)
that cause infective diarrhoea.
241
roots. Kava is sedating and is primarily
consumed to relax without disrupting
mental clarity
242
Lutein was found to be concentrated in the
macula, a small area of the retina
responsible for central vision. The
hypothesis for the natural concentration is
that lutein helps protect from oxidative
stress and high-energy light. Various
research studies have shown that a direct
relationship exists between lutein intake
and pigmentation in the eye.
243
is known by its Japanese name “Maitake,”
which means “dancing mushroom.” The
underground tubers from which hen of the
woods arises have been used in traditional
Chinese and Japanese medicine to
enhance the immune system. Researchers
have also indicated that whole maitake has
the ability to regulate blood pressure,
glucose, insulin, and both serum and liver
lipids, such as cholesterol, triglycerides,
and phospholipids, and may also be useful
for weight loss. Maitake is rich in minerals
(such as potassium, calcium, and
magnesium), various vitamins (B2, D2 and
Niacin), fibres and amino acids. The
active constituent in maitake for
enhancing the immune activity has been
identified in the late 1980s to be the
protein-bound polysaccharide compound,
beta-glucan, an ingredient found
especially in the family of polyporaceae.
244
pinealocytes in the pineal gland (located in
the brain, but outside of the blood-brain
barrier) and also by the retina, lens, GI
tract and other tissues. The largest organ
in humans to biosynthesize melatonin is
the skin. All machinery for melatonin
synthesis has been identified in skin cells
and both melatonin and its by-product,
AFMK, have been found. Both of these
molecules are naturally synthesized from
the amino acid tryptophan (via synthesis
of serotonin). Serotonin is converted to
melatonin by the enzymes N-
acetyltransferase and 5-hydroxyindole-O-
methyltransferase. Besides its function as
synchronizer of the biological clock,
melatonin also exerts a powerful
antioxidant activity.
245
Molybdenum: Human body contains about 0.07 mg of
molybdenum per kilogram of weight. It
occurs in higher concentrations in the liver
and kidneys and in lower concentrations in
the vertebrae. Molybdenum is also present
within human tooth enamel and may help
preventing its decay. Pork, lamb and beef
liver each have approximately 1.5 parts
per million of molybdenum. Other
significant dietary sources include green
beans, eggs, sunflower seeds, wheat flour,
lentils and cereal grain.
Olive leaf extract: While olive oil is well known for its
flavour and health benefits, the leaf has
been used medicinally in various times
and places. Natural olive leaf and olive
leaf extracts (OLE), are now marketed as
anti-aging, immunostimulators, and even
antibiotics. The primary medical
246
constituents contained in unprocessed
olive leaf is believed to be the antioxidant
oleuropein and hydroxytyrosol, as well as
several other polyphenols and flavonoid
including Oleocanthal.
247
vitamin C and vitamin E; however,
studies show that proanthocyanidins
antioxidant capabilities are 20 times more
powerful than vitamin C and 50 times
more potent than vitamin E.
Proanthocyanidins found in pine bark and
grape seed extract work directly to help
strengthen all the blood vessels and
improve the delivery of oxygen to the
cells. Proanthocyanidins also have an
affinity for cell membranes, providing
nutritional support to reduce capillary
permeability and fragility. Although
flavonoids are widespread in nature, the
powerful proanthocyanidin compound is
most abundant and available from the bark
of the maritime pine and in grape seeds, or
pips.
248
Phytosterols: Are a group of steroid alcohols,
phytochemicals naturally occurring in
plants. Plants contain a range of
phytosterols. They act as a structural
component in the cell membrane, a role
which in mammalian cells is played by
cholesterol. The FDA has approved the
following claim for phytosterols: “Foods
containing at least 0.4 gram per serving of
plant sterols, eaten twice a day with meals
for a daily total intake of at least 0.8 gram,
as part of a diet low in saturated fat and
cholesterol, may reduce the risk of heart
disease.” To date, more than 20 clinical
studies on the effects of phytosterols on
cholesterol have been conducted. One
study published in Food Technology
indicated that consuming two grams of
phytosterols daily could slash the risk of
heart disease by 25% (Hicks 2001).
Another study published in the American
Journal of Clinical Nutrition revealed that
phytosterols interfered with cholesterol
absorption by 33% to 42%
249
environmental stresses such as cigarette
smoking and pollution, as well as
supporting normal body metabolic
processes. The effects may include
depressing blood fat, emolliating blood
vessels, lowering blood pressure,
preventing blood vessel scleroses,
dropping blood viscidity and preventing
thrombus formation. OPCs are available
from fresh grapes, grape juice, and red
wine. Although in milligrams per ounce
red wine may contain more OPCs than red
grape juice, red grape juice contains more
OPCs per average serving size. An 8
ounce serving of grape juice averages 124
milligrams OPCs, while a 5 ounce serving
of red wine averages 91 milligrams. Many
other foods and beverages also contain
high amounts of OPCs, but very few come
close to the levels found in red grape seeds
and skins (which readily disperse into
grape juice when crushed
250
Pygeum: Is a herbal remedy containing extracts
from the bark of Prunus africana. It is used
to alleviate some of the discomfort caused
by inflammation in patients suffering from
benign prostatic hyperplasia(enlarged
prostate).
251
disease, and the pain of
osteoarthritis. Multiple
clinical trials indicate
benefits for depression,
some liver conditions and
osteoarthritis.
252
gall bladder problems. A recent study
suggested that silymarin may help patients
with type II diabetes by assisting in blood
sugar control.
253
Taurine: Is an organic acid. It is also a major
constituent of bile and can be found in the
lower intestine and in small amounts in the
tissues.
254
Chapter 10
Current Status of the Global Nutraceuticals and Vitamins
Industry – 2011 Review
255
in Houston and chief science officer of Neogenis Labs Inc., believes that the
industry is prepared to meet the needs of a rising demand for health foods and
products. As more companies enter the space, science will be the driver and
factor that distinguishes successful companies from the pretenders, he says.
Predicted to generate a compound annual growth rate of roughly 8% through
2015, the U.S. nutraceutical market is among the largest and fastest-growing
sectors in the world. Nutraceutical market growth in the United States has been
spurred mainly by consumers’ desire to improve their health. The high
prevalence of obesity and cardiovascular and chronic diseases in America has
created significant business opportunities for the leading companies. U.S.
healthcare expenditure in 2010 totalled $2.6 trillion and is expected to rise to
$3.4 trillion by 2015. Due to their preventive nature, nutraceuticals are being
targeted by public and private entities as a potential means to contain some of
these costs. According to Dr. Bryan, there is a significant difference between
developing and marketing pharmaceutical and nutraceutical products,
particularly when considering cost of development and time to market.
“Whereas pharmaceuticals take an average of 10 years and $800 million,
nutraceuticals are less expensive, have fewer regulatory hurdles to overcome
and can be just as efficacious,” he says. Consolidation activity is common in the
nutraceutical marketplace. The Swiss company Nestlé Health Science S.A.
acquired Prometheus Laboratories Inc. in May 2011. San Diego-based
Prometheus’ gastrointestinal diagnostic capabilities were one of the primary
reasons Nestle made the acquisition. Additional major acquisitions in the
nutraceutical market during the past year have included Pfizer Inc.’s acquisition
of Ferrosan Consumer Health from Altor 2003 Fund GP Ltd. in February 2011;
PepsiCo Inc.’s 66% acquisition of Wimm-Bill- Dann Foods OJSC during
February 2011; BASF SE’s acquisition of Cognis Holding Luxembourg S.à r.l.
in December 2010; and The Carlyle Group’s acquisition of NBTY Inc. during
October 2010. Another important trend in the nutraceutical market is major
licensing deals. Significant license transactions in 2010 included Danone and
Chiquita Brands International Inc. as well as Ajinomoto Co. and Kellogg Co.
There is often an overlap between the food and pharmaceutical industries. For
example, long-time pharma leader Abbott Laboratories developed a
nutraceutical and nutrition division as part of its business strategy. Similarly,
Nestlé SA’s Nestlé Health Science business unit started operations in January
2011 to pioneer personalized nutritional solutions to address chronic medical
conditions including gastrointestinal disorders, metabolic conditions, and
cognitive decline.
Vital Foods announced on July 14, 2011, that Nestlé Health Science has
become a strategic investor and taken a minority stake in the company. Nestlé
Health Science is interested in Vital Foods’ portfolio of dietary supplements for
digestive health, particularly constipation. The dietary supplements – Kiwi
Crush and Phloe – are widely used and recommended in New Zealand, and are
supported by clinical trials. Nestlé announced the creation of Nestlé Health
Science and the Nestlé Institute of Health Sciences on Sept. 27, 2010. These
two separate organizations enable Nestlé to develop the innovative area of
personalized health science nutrition to prevent and treat health conditions such
256
as diabetes, obesity, cardiovascular disease and Alzheimer’s disease. These
health conditions place an unsustainable burden on the world’s healthcare
systems. Personalized medicine is an area of healthcare that is becoming more
widely used to focus on how an individual’s molecular makeup can affect one’s
ability to respond to medications. This allows physicians better precision in
selection or dosing of a drug, thereby improving drug safety and efficacy.
According to the Centers for Disease Control and Prevention (CDC), in the
United States chronic illness affects nearly half of all adults and contributes to
seven out of 10 deaths. Even more alarming, chronic illness costs Americans
more than $1.5 trillion annually in direct medical costs. Researchers and others
in the medical profession believe that re-focusing medical practice treatments
on the provision of lifestyle therapy will not only significantly improve the
health status of most Americans, but will reduce costs. Two-thirds of adults
with high cholesterol and half with high blood pressure are not being treated
effectively for these conditions, according to an announcement by the CDC.
These findings spotlight the crucial need for new solutions to reduce the risk
factors that are behind the current epidemic of chronic illness in the United
States. “Changing our lifestyles is the only way to overcome our nation’s
chronic disease epidemic,” says Jeff Bland, Ph.D., chief science officer of
Metagenics Inc. “Doctors must be provided with the tools and training to
practice lifestyle medicine, so that they can help their patients become healthier
and reduce the incidence of chronic illnesses such as heart disease and
diabetes.” According to Jeremy A. Holt, health services manager for Ajinomoto
USA Inc., “Very often, the use of nutraceuticals depends heavily on the nature
of the health care professional’s practice.
Medical practitioners are less likely to use nutraceuticals than those healthcare
providers that practice complementary and alternative medicine.” In the 10
years he has worked within the nutraceutical industry, Mr. Holt has developed a
specific focus on teaching physicians and other healthcare providers how to
implement nutraceuticals and other lifestyle therapies in clinical practice. Mr.
Holt believes that there has been a shift during the past decade that has led to an
increase in the use of nutraceuticals within the medical community, the majority
of which has been in conjunction with traditional drug therapy. “This has
allowed patients to get the best of both worlds while increasing the exposure of
nutraceuticals and other complementary therapies,” he says. Industry analysts
observe that physicians have become accustomed to prescribing drugs for
people with lifestylerelated conditions when the first-line recommended course
of treatment is lifestyle therapy. Currently, one-third of American adults suffer
(most, unknowingly) from metabolic syndrome, the presence of three or more
of five metabolic abnormalities: high cholesterol, hypertension, central obesity,
elevated blood sugar, or high triglycerides. People with metabolic syndrome
have more than double the risk for diabetes, heart attack, and stroke. Top health
authorities recommend initially treating metabolic syndrome with lifestyle
changes, such as diet and exercise. However, most physicians do not have the
know-how or resources to actually implement lifestyle medicine. An increasing
amount of physicians are using Metagenics’ unique lifestyle therapy program,
called FirstLine Therapy, to address patients’ needs for lifestyle change. A key
257
component of FirstLine Therapy is the use of a lifestyle educator to coach
patients and help them adopt long-term, healthy habits. This allows the doctor
to practice lifestyle medicine while actually increasing his or her patient load. In
addition to continuing professional supervision, the program features a
scientifically validated combination of medical foods, diet, and exercise and
bioelectrical impedance technology to measure body composition and other
health-status indicators. Results of a recently completed multicentre clinical
trial conducted by the University of Connecticut, University of Florida, and the
University of California at Irvine indicate that FirstLine Therapy significantly
outperformed diet alone in reducing several risk factors for cardiovascular
disease. “We’ve known that certain food components are more healthful than
others, and that diet and exercise play a role in keeping us healthy,” Dr. Bland
notes. “Now, the science is there to tell us how to harness the therapeutic
properties of certain nutrients to actually turn back the progression of chronic
disease. We can measure these effects at the cellular level, showing how the
body’s chemistry is actually changing. “Not only do patient outcomes improve,
but as a preventive tactic, lifestyle medicine is far less expensive than treating
chronic diseases after they develop. And, physicians are inspired by being able
to see patients get well, instead of treating just their symptoms.”
According to Dr. Bryan, the nutraceutical segment consists of natural products
that confer some type of health benefit. Dr. Bryan believes that in the vitamins
sector, Vitamins D and C lead market; in the mineral category, calcium is the
clear leader; under the herbals group, ginseng paces the marketplace; whereas in
the functional foods category, there is no clear front-runner. Nutraceuticals are
typically safer than standard therapeutics provided they are manufactured under
“good manufacturing practice GMP” and tested for heavy metals and
microbiology, according to Dr. Bryan. “Nutraceuticals generally have fewer
side effects since they are naturally occurring compounds and not synthetic
compounds our bodies have never seen,” he says. Nutraceuticals are most
efficacious when they restore some type of nutrient deficiency, Dr. Bryan notes.
Chronic statin use, for example, can deplete Co-enzyme Q10 and cause a
deficiency in this mitochondrial component. Supplementing with CoQ10 can
alleviate many side effects of statin therapy Dr. Bryan believes that while many
companies have entered this arena, including big pharma, there is no stand out
leader. “Metagenics stands out because the company was one of the first to
enter and create this market, although their market share and sales have
dwindled during the last decade,” he shares. Metagenics is a nutrigenomics and
lifestyle medicine company dedicated to reducing chronic illness and improving
health. In 1983, the company began to focus on the premise that the right
nutrition could help people realize their best health possible by positively
influencing what makes them unique: their genes. The science of
nutrigenomics, as its now called, is the study of food as one of the most
important environmental modifiers of gene expression in determining health
and disease patterns. Through its substantial and continuing commitment to
nutrigenomic research, the company has been able to identify natural
compounds with powerful therapeutic applications. These are to be used in
Metagenics’ science-based TLC programs, medical foods, and nutraceuticals.
258
Metagenics’ U.S. medical foods products include Bariatrix Essentials, Estrium,
UltraCare for Kids, UltraClear, UltraGlycemX, UltraInflamX, and Ultra- Meal.
The company has at least 43 patents and roughly 230 more pending. “Consistent
growth in the nutraceuticals sector is fueled by mistrust and adverse side effects
from standard pharmaceuticals and consumers looking for a natural approach to
health and wellness,”
Dr. Bryan states. “Education and the emergence of rigorous quality control of
nutraceuticals will ensure continued growth.” The aging baby-boomer
population will cause this sector to explode, Dr. Bryan observes. “This
particular demographic is the largest in the history of our nation and they
control a majority of the expendable income,” he says. “This is an educated and
empowered population who are actively seeking natural solutions to better
living and optimal health.” Although there is no universally recognized
definition of the term nutraceutical, the widely used definitions of nutraceutical
appear to have several things in common, says Cynthia M. Bouchez, Ph.D., of
Sterne, Kessler, Goldstein & Fox P.L.L.C.
Most industry experts define a nutraceutical as a natural product, or one that is
derived from a natural product and has a positive effect on health.
Nutraceuticals are mostly perceived to be effective in preventing disease or
supporting a healthy lifestyle, rather than treating disease. “The government
views nutraceuticals as a different class of compounds than pharmaceuticals,
and therefore, nutraceuticals and pharmaceuticals are subject to different
regulations,” Dr. Bouchez observes. Multivitamins remain the most popular
nutraceutical supplement, followed by calcium, omega-3, vitamin C and
vitamin D, according to Dr. Bouchez. The popularity of supplements such as
multivitamins relates to the perception that the daily diet does not contain
enough essential nutrients, and therefore supplements are necessary to make up
for this nutrient deficit. Calcium and vitamin D are often taken by older adults
because physicians advise taking these supplements to ward off diseases such as
osteoporosis. Likewise, omega- 3 fatty acids are known to be useful in aiding
cardiovascular health, but are lacking in the daily diet of most Americans. “The
deficit of omega-3 fatty acids in American diets, combined with the aging
population, contribute to the popularity of this supplement,” Dr. Bouchez
shares. In the functional food category, beverages topped the sales list in 2010,
followed by snacks, prepared or packaged foods, dairy and bread/grains.
“Antioxidants top the list of beverage ingredients, as the anti-aging benefits of
these compounds have become publicized,” Dr. Bouchez explains. Consumers
generally use nutraceuticals in the prevention of disease and the promotion of
health, rather than in the treatment of disease, according to Dr. Bouchez. “As
consumers age, maintaining health and reducing risk of disease is at the
forefront of their minds,” she says. Studies show that aging consumers often
consume functional foods for their preventative health benefits, looking to fruits
and vegetables, fish or oils containing omega-3 fatty acids, whole grains and
herbs and spices to maintain health. Aside from food, consumers of course use
supplements such as multivitamins to maintain balanced nutrition. FDA
regulations at least partially account for the fact that nutraceuticals are used
more for preventing, rather than treating, disease. FDA regulates dietary
259
supplement products and dietary ingredients under a different set of regulations
than those covering pharmaceuticals, including prescription and over-the-
counter drugs. “Under FDA rules regulating the labelling of dietary
supplements, it is illegal to market a dietary supplement product as a treatment
or cure for a specific disease or condition,” Dr. Bouchez explains. “In fact, if a
label of a supplement makes a structure/function claim on a dietary supplement,
the label must also state that the product is not intended to ‘diagnose, treat, cure
or prevent any disease.’ Legally, only a pharmaceutical product can make a
claim of treating or curing a particular disease.” According to Mr. Holt,
nutraceuticals can best be defined as a segment of the overall dietary
supplement market where the products are intended for a specific therapeutic
outcome. According to Mr. Holt, the market leaders within the heath-care
provider niche are well-researched, evidence-based therapies where the
mechanisms of action are clearly understood and where there are demonstrable
benefits to the patient. In the nutraceutical space, examples include omega-3
supplements, Vitamin D and probiotics.
The nutraceutical sector is growing at a rapid pace and the industry is prepared
to meet the rising demand for health foods and products, says Michael Shahani,
director of operations for Nebraska Cultures Inc. He points out that continuing
scientific research is essential to the success of the industry. “Consumers must
look for products backed by quality scientific research,” Mr. Shahani says. “A
few case studies or testimonials are not enough; manufactures should be able to
show consumers the real, peer-reviewed scientific research that stands behind
their products.” The largest driver of growth is consumer interest and education,
according to Mr. Holt. “Consumers are ever becoming more informed and
aware of their options when it comes to their health,” he says. “According to
many of the doctors we work with, a growing percentage of patients are drug
adverse. When a doctor explains to a patient that he has hypertension, for
instance, the patient wants to be involved in the treatment decisions and have a
clear understanding of his options. No longer does a doctor simply hand a
patient a script without discussion. Because of their increased role in education,
patients are concerned about side effects, drug interactions and effectiveness,
Mr. Holt shares. “The old idea that drug therapy is the only therapy no longer
holds true,” he says. Patients are asking their doctors for alternatives to drug
therapy with greater regularity that creates a need for physicians to be
nutraceutical experts and to have access to high-quality, effective therapies,
according to Mr. Holt. Ajinomoto USA provides doctors with side-effect free,
well-researched alternatives. If a patient is “drug hesitant,” then the provider
can present him with additional treatment options. “Physicians are starting to
recognize that they need to have more tools in the tool bag, above and beyond
prescription drugs,” Mr. Holt observes. Patients generally have specific criteria
when evaluating nutraceuticals, Mr. Holt shares. “They look for published
human randomized controlled trials, colleague experience and most importantly
patient outcomes.” The enormous growth of the nutraceuticals sector
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throughout the last decade is due in large part to increased purchasing by
mainstream consumers, as opposed to traditional ‘health food’ consumers,
according to Dr. Bouchez. “Factors for the growth in this segment include
increased access to medical information on the Internet, the proliferation of
functional foods that taste good at lower prices, the rise in health-care costs and
an aging population,” she says. The increased level of information regarding the
preventative effects of supplements has driven consumers to purchase foods
with nutritional benefits, Dr. Bouchez says.
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for their preventative effects, the segment is well positioned to address the
concerns associated with escalating health care,” Dr. Bouchez observes. Aging
Baby Boomers, for example, are generally well educated regarding healthy
living, which includes consuming foods having health benefits.” On May 19,
2011, researchers at the University of Florida and Metagenics announced that a
program consisting of a breakthrough medical food combined with a low-
glycemic, Mediterranean-style diet is almost twice as effective as one of the
best diets alone for lowering risk factors for cardiovascular disease, the leading
cause of death in the United States. In addition, the medical food Ultra- Meal
PLUS 360° is 40% more likely to resolve metabolic syndrome, a condition
affecting one-third of all American adults that increases the risk for heart
disease and diabetes. Researchers believe that patients who incorporate the
medical food into their diets as well as make necessary lifestyle changes can
improve their health faster than by using a Mediterranean diet alone. The results
of the multicenter clinical trial were published in the May/June issue of the
Journal of Clinical Lipidology, a publication of the National Lipid Association.
“Chronic illness is draining our healthcare resources and keeping millions of
people from enjoying healthy, vibrant lives,” says Robert H. Lerman, M.D.,
Ph.D., director of medicine and extramural clinical research for Metagenics.
“Many of these illnesses are the result of long-term lifestyle and behavior
choices.
This study is important because it shows how effective UltraMeal PLUS 360° is
in resolving metabolic syndrome and cardiovascular risk factors in affected
individuals, and identifies a powerful new approach to combating chronic
illness.” Metabolic syndrome is a cluster of conditions that increase an
individual’s risk for developing heart disease, diabetes, and other chronic
illnesses. As more countries adopt Western dietary habits and sedentary
lifestyles, the number of chronic illnesses such as type II diabetes, obesity, heart
disease, arthritis and autoimmune diseases has increased. “Preventing chronic
illness is far more effective from both a cost and treatment perspective than
treating the illness once it develops,” Dr. Lerman said. “Physicians have
evidence-based research that now enables them to actually use lifestyle therapy
in their patients to help them avoid chronic illness by treating the cause, not just
the symptoms of these conditions.” Inter-Continental Oils & Fats (ICOF)
introduced its new product line Vitrenol to the nutraceuticals market on Sept. 6,
2011. Vitrenol is a complete Vitamin E that delivers all the natural benefits of
Vitamin E Tocopherol plus the life-enhancing functions of palm Tocotrienols.
The company’s solvent-free manufacturing process gives the unique assurance
of no trace residues of solvent in the ingredient. Palm Vitamin E was
acknowledged as GRAS (Generally Recognized As Safe) by FDA in 2010.
ICOF uses sophisticated extraction technology to purify natural palm oil
without the use of chemicals such as solvents. This preserves every natural
property of palm oil Tocotrienols and ensures that there are no solvent residues
in the final products. Vitrenol is solvent-free, and there is absolutely no trace
residue as solvent is not used at all in ICOF’s extraction process. Fully natural,
safe and with the power to care for health and heart, a combination of Vitamin
E Tocotrienols and Tocopherols has the potential to enhance quality of life by
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promoting healthy cholesterol levels, supporting cardiovascular health and even
battling cancer cells. Improved immune responses and better skin and hair are
other benefits of consuming Tocotrienols. Vitrenol contains other beneficial
phytonutrients including phytosterols and squalene. Vitrenol is available as a
liquid and powder, and there are concentrations for specific needs and
applications.
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share and is estimated to be around Rs 4,400 crore in size, according to a 2009
report by Ernst & Young. Mumbai-based Universal Medicare manufactures,
markets and distributes branded nutraceutical formulations. The business had a
turnover of Rs 110 crore for fiscal year 2011. Universal Medicare’s portfolio of
more than 40 brands includes nutraceutical products in categories such as
antioxidants, vitamins and mineral supplements, anti-arthritics, anti-
osteoporotics, liver tonics and other nutrients.
Around 750 employees of Universal Medicare will transition to Aventis Pharma
as a part of this accord. Universal Medicare, which primarily markets
formulations, will continue to manufacture the products acquired by Aventis.
With this deal, Aventis Pharma will advance its sustainable growth strategy in
India and facilitate the creation of a consumer healthcare and wellness platform,
according to a company statement. “This strategic acquisition will allow
Aventis Pharma and Sanofi Group to reach out to large sections of India’s
population through a broad offering comprising of pharmaceuticals, vaccines
and now nutraceuticals,” reports Dr. Shailesh Ayyangar, managing director of
Aventis Pharma and VP (South Asia) of Sanofi. In 2009, Sanofi picked up a
controlling stake in Hyderabad-based vaccine maker Shantha Biotechnics,
valuing the Indian company at Rs 3,770 crore. Universal Medicare has two lines
of business – marketing its own formulations and contract manufacturing for
other pharmaceutical companies. The group started operations by marketing the
United Kingdom-based Seven Seas’ cod liver oil in India and over time has
built its own product portfolio focused on the nutraceutical and lifestyle
segments. The company has two manufacturing facilities – one at Sarigam
(Gujarat) and the other located in Bengaluru (Karnataka). On Feb. 7, 2011,
Pfizer entered into a definitive agreement to buy Ferrosan’s consumer
healthcare business, which includes dietary supplements and lifestyle products,
from Altor 2003 Fund. Based in Copenhagen, Ferrosan is an innovative and
long-established consumer healthcare company in the Nordic region with a
portfolio of leading brands. Since 1920, Ferrosan has grown to serve a broader
market including Russia, the Ukraine, Poland, Turkey and many countries
throughout Central and Eastern Europe. “Ferrosan is an excellent strategic fit
that strengthens our presence in dietary supplements with a new set of
compelling brands and product pipeline,” says Paul Sturman, president of Pfizer
Consumer Healthcare. “The transaction will mark an important step towards
expanding Ferrosan’s brands through Pfizer’s global footprint. As an immediate
result of this acquisition, we will gain greater distribution and scale for Pfizer’s
well-known brands such as Centrum and Caltrate in Ferrosan’s regions.”
Ferrosan Consumer Health offers a concentrated product portfolio of
wellestablished brands. The portfolio includes Multi-tabs, which is a popular
multivitamin brand and the reference product in the multivitamin segment in the
Nordic region; Bifiform, which is a market-leading fast-growing probiotics
product range; Fri Flyt/Active Omega, a premium product range addressing the
omega-3 market for heart and joint health; and Imedeen, which is a worldwide
oral skin-care leader. These Ferrosan brands are among the top-selling products
in their respective categories. “We are very pleased that Ferrosan’s innovative
portfolio of leading brands will be joining Pfizer,” shares Ola Erici, president of
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Ferrosan. “We expect that, as part of the Pfizer portfolio, our products will build
on their industry-leading positions and become available in more countries
around the world. And, at the same time, Pfizer will be able to leverage its
footprint in key Ferrosan markets with new Pfizer products.”
On May 17, 2011, PepsiCo announced the completion of its tender offer in the
United States for all outstanding American Depositary Shares (ADSs) of
Wimm- Bill-Dann Foods OJSC for 970.925 Russian rubles per ADS. A total of
about 23,758,556 ADSs, representing about 13.5% of Wimm- Bill-Dann’s
shares, were validly tendered at expiration. PepsiCo accepted for payment all
ADSs validly tendered pursuant to the U.S. offer.
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On June 23, 2010, BASF reached a pact with Cognis Holding Luxembourg –
controlled by Permira Funds, GS Capital Partners and SV Life Sciences – to
acquire the specialty chemicals company Cognis for an equity purchase price of
E700 million. Including net financial debt and pension obligations, the
enterprise value of the transaction is E3.1 billion. BASF completed the
acquisition of Cognis effective Dec. 9, 2010. “With the acquisition of Cognis,
we are strengthening our portfolio with cyclically robust and profitable
businesses and further expanding our position as the world’s leading chemical
company,” reports Dr. Jürgen Hambrecht, chairman of the board of executive
directors of BASF SE. Cognis is a worldwide supplier of innovative solutions
and products based on renewable raw materials for the health and nutrition
market as well as the cosmetics, detergents and cleaners industries. Another
main focus is on products for a number of other industries, such as mining,
lubricants, coatings as well as agriculture. The company employs about 5,500
people, and operates production sites and service centers in 30 countries. In
2009, Cognis had sales of about E2.6 billion and an EBITDA (earnings before
interest, taxes, depreciation and amortization) of E322 million. “With the
support of our owners Permira Funds and CS Capital Partners, we have become
a leading innovative supplier of specialty chemicals,” stated Dr. Antonio Trius,
CEO of Cognis. “In particular, our focus on wellness and sustainability and our
expertise in renewable raw-material based products have been our main success
factors. We are convinced that there are excellent opportunities through
combining the strengths of Cognis and BASF.”
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paper, vitamins for food supplements, UV filters for sunscreen, plastic additives
and products for water treatment, mining applications and for the oil,
automotive and coatings industries. “The acquisition of Cognis is an important
step in our segment strategy of growth, value and sustainability,” Dr. Feldmann
explains.
Attune Foods, maker of the world’s first Probiotic Chocolate Bar, acquired the
Uncle Sam and Erewhon cereal brands from US Mills LLC on Dec. 14, 2009.
This transaction expands Attune Foods’ portfolio of great tasting food products
that deliver digestive health benefits. Uncle Sam cereal, introduced in 1908, is
an all-natural high-fibre cereal that contains a unique blend of toasted whole
grain wheat flakes and flaxseed. In addition to providing an excellent source of
naturally occurring dietary fibre, the product is low in sodium and sugar.
Erewhon is a leading all-natural gluten- free cereal brand that is available in
more than a dozen delicious varieties. Many varieties are wheat free, low in
sodium, low in fat and have long been a staple in gluten free diets. In addition to
the purchase of Uncle Sam and Erewhon, Attune Foods acquired Skinner’s
Raisin Bran and New Morning cereal and graham cracker brands. “We are
thrilled to add Uncle Sam and Erewhon cereals, two brands firmly rooted in the
digestive health space, to the Attune Foods line-up of innovative products,” says
Rob Hurlbut, CEO of Attune Foods. “With the addition of these great cereals
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along with our existing probiotic chocolate and granola bars, Attune Foods has
cemented its status as a leading natural digestive health company. The
American Gastroenterological Association found that nearly half of Americans
(46 percent) say that digestive problems affect their day-to-day lives. Attune is
committed to delivering a full set of all natural digestive health products to help
consumers better address these needs.” According to Ilya Nykin, managing
director of Prolog Ventures and chairman of Attune Board, “Attune has
dramatically changed the way consumers access probiotics and is clearly
committed to offering natural digestive health products to help people feel their
best every day. With this acquisition, Attune is expanding its footprint to a
bigger and broader platform, providing a tremendous growth opportunity with
our customers and consumers when it comes to digestive health.” Attune
Chocolate and Granola Probiotic Bars contain probiotics clinically proven to
support a healthy digestive system and boost immunity. Each bar includes 6.1
billion CFUs (colony forming units) of the most clinically tested probiotic
strains, is an excellent source of calcium and consists of less sugar than most
yogurts.
References:
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