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Green Coffee Bean
Extract in Human Health
Green Coffee Bean
Extract in Human Health
Debasis Bagchi
Hiroyoshi Moriyama
Anand Swaroop
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Chapter 2 Chlorogenic Acids in Green Coffee Bean Extract Are the Key
Ingredients in Food with Health and Function Claims ...................... 19
Hiroyoshi Moriyama, Orie Yoshinari, and Debasis Bagchi
vii
viii Contents
Chapter 10 Caffeic Acid and Its Biological Effects on Brain Function .............. 153
Myra O. Villareal, Yuki Sato, and Hiroko Isoda
Chapter 13 Effect of Green Coffee Bean Extract on Nrf2/ARE Pathway .......... 191
Mirza Sarwar Baig and Raj K. Keservani
ix
x Preface
TABLE 0.1
Chlorogenic Acid Classes and Subclasses
Caffeoylquinic Acid (CQA)
3-Caffeoylquinic acid (also known as neochlorogenic acid)
4-Caffeoylquinic acid
5-Caffeoylquinic acid
REFERENCES
1. Kozuma K, Tsuchiya S, Kohori J, Hase T, Tokimitsu I. 2005. Antihypertensive effect of
green coffee bean extract on mildly hypertensive subjects. Hypertens. Res. 28(9): 711–8.
2. Olthof MR, Hollman PC, Katan MB. 2001. Chlorogenic acid and caffeic acid are
absorbed in humans. J. Nutr. 131(1): 66–71.
3. Pellegrini N, Serafini M, Colombi B, Del Rio D, Salvatore S, Bianchi M, Brighenti F.
2003. Total antioxidant capacity of plant foods, beverages and oils consumed in Italy
assessed by three different in vitro assays. J. Nutr. 133(9): 2812–9.
4. McCarty MF. 2005. Nutraceutical resources for diabetes prevention—An update. Med.
Hypotheses 64(1): 151–8.
Editors
Debasis Bagchi, PhD, MACN, CNS, MAIChE, received his
PhD in medicinal chemistry in 1982. He is an adjunct profes-
sor in the Department of Pharmacological and Pharmaceutical
Sciences at the University of Houston College of Pharmacy,
Houston, Texas, and the chief scientific officer of Cepham
Research Center, Piscataway, New Jersey. Dr. Bagchi is
an adjunct faculty member at Texas Southern University,
Houston, Texas. He served as the senior vice president of
research and development of InterHealth Nutraceuticals Inc.,
Benicia, California, from 1998 until February 2011, and then
as director of innovation and clinical affairs of Iovate Health Sciences, Oakville,
Ontario, until June 2013. Dr. Bagchi received the Master of American College of
Nutrition Award in October 2010. He is a past chairman of the International Society
of Nutraceuticals and Functional Foods (ISNFF), past president of the American
College of Nutrition, Clearwater, Florida, and past chair of the Nutraceuticals and
Functional Foods Division of the Institute of Food Technologists (IFT), Chicago,
Illinois. He is serving as a distinguished advisor to the Japanese Institute for Health
Food Standards (JIHFS), Tokyo, Japan. Dr. Bagchi is a member of the Study Section
and Peer Review Committee of the National Institutes of Health (NIH), Bethesda,
Maryland. He has 315 papers in peer-reviewed journals, 27 books, and 18 patents.
Dr. Bagchi is also a member of the Society of Toxicology, member of the New York
Academy of Sciences, fellow of the Nutrition Research Academy, and member of
the TCE Stakeholder Committee of the Wright Patterson Air Force Base, Ohio. Dr.
Bagchi is an associate editor of the Journal of Functional Foods, Journal of the
American College of Nutrition, and Archives of Medical and Biomedical Research,
and also serves as an editorial board member of numerous peer-reviewed journals,
including Antioxidants & Redox Signaling, Cancer Letters, Toxicology Mechanisms
and Methods, The Original Internist, and other peer-reviewed journals.
xi
xii Editors
been a member of the American Chemical Society (ACS) since 1982. He is also a
member of the Japanese Association for Food Immunology (JAFI). He is a fellow
of the American College of Nutrition (ACN). He was the special invited speaker
of the Ministry of Research and Technology of the Republic of Indonesia to lec-
ture on “Developing Market-Oriented Research Culture on Natural Medicines” at
laboratoia pengembangan teknologi industri agro dan biomedika (LAPTIAB) and
the Indonesia University in May 2009. He was on the International Advisory Board
of the International Society of Nutraceuticals and Functional Foods (ISNFF). His
wide array of research interests include Japanese traditional medicine, food immu-
nology, drug delivery systems, and regulatory systems surrounding pharmaceutical,
cosmetic, and functional food ingredients in Japan.
xiii
xiv Contributors
Masaru Tanokura
Natalia Pandjaitan
Department of Applied Biological
Haldin Pacific Semesta PT
Chemistry
Bekasi, Indonesia
University of Tokyo
Tokyo, Japan
Anh Hong Phan
Department of Applied Biological Ichiro Tokimitsu
Chemistry Kao Co., Ltd.
University of Tokyo Tokyo, Japan
Tokyo, Japan
Myra O. Villareal
Yuki Sato Faculty of Life and Environmental
Graduate School of Life and Sciences
Environmental Sciences Alliance for Research on North Africa
University of Tsukuba (ARENA)
Tsukuba, Japan University of Tsukuba
Tsukuba, Japan
Andrew Scholey
Swinburne Centre for Human Orie Yoshinari
Psychopharmacology The Japanese Institute for Health Food
Swinburne University Standards
Melbourne, Australia Tokyo, Japan
1 Green Coffee
Bean Extract and
Chlorogenic Acids
Chemistry and Novel
Antioxidant Benefits
Rajesh K. Kesharwani, Prabhakar
Singh, and Raj K. Keservani
CONTENTS
1.1 Introduction ...................................................................................................... 2
1.2 Antioxidant Potential of Green Coffee Bean Extracts (GCBE) .......................3
1.3 Composition of Green Coffee Bean Extracts (GCBE) ..................................... 6
1.4 Chlorogenic Acids ............................................................................................6
1.4.1 Chemistry ............................................................................................. 6
1.4.2 Chemistry of Bioavailability ................................................................ 6
1.4.3 Antioxidant Potential and Biological Activities of Chlorogenic Acid ...7
1.5 Health Benefit Effects of Green Coffee Bean Extract and Chlorogenic Acid... 9
1.5.1 Obesity .................................................................................................. 9
1.5.2 Diabetes .............................................................................................. 10
1.5.3 Cardiovascular Disorders ................................................................... 10
1.5.4 Anticancer Effects .............................................................................. 10
1.5.5 Multifocal Electroretinography .......................................................... 11
1.5.6 Brain Health........................................................................................ 11
1.6 Conclusion ...................................................................................................... 12
References ................................................................................................................ 12
ABSTRACT
Coffee is the most widely consumed beverage in the world. Green coffee bean
extract (GCBE) is derived from the coffee before it is roasted. It has potential
to induce weight loss, stimulate the liver cells to increase fat metabolism, and
reduce fat accumulation in the body without causing caloric restriction. The ben-
eficial health effects of green coffee bean extract are attributed to its high anti-
oxidant activity detected in chlorogenic, ferulic, caffeic, and n-coumaric acids.
Chlorogenic acid (CGA) ((1S,3R,4R,5R)-3-{[(2E)-3-(3,4-dihydroxyphenyl)
1
2 Green Coffee Bean Extract in Human Health
1.1 INTRODUCTION
Antioxidants are molecules that inhibit the oxidation of biomolecules. Oxidation is
a chemical process that involves the loss of electrons, which leads to an increase of
oxidation, resulting in the production of free radicals. The presence of free radicals
in the biological system starts a vicious chain reaction of oxidation of biomolecules.
Oxidative chain reactions in cells induce the conformation changes in biomolecules,
reflecting cellular damage that leads to cell death. Antioxidants mitigate free radical–
mediated oxidative damage of biomolecules by directly neutralizing the free radicals
or breaking the chain reaction. Antioxidants do this by being oxidized themselves.
Antioxidants are often reducing agents such as thiols, ascorbic acid (vitamin C), or
polyphenols (Sies 1997).
Plants and their extracts have been used as medicine since ancient times to
cure various diseases. Bioactive compounds present in plants and their products
have been documented to possess different biological activities that implicate their
use as therapeutic agents against several chronic human diseases (Rizvi and Pandey
2009b). Coffee is one of the most popular beverages due to its pleasant flavor and
pharmacological properties. Beneficial health effects of GCBE have been attributed
to chlorogenic acid (CGA) and other strong antioxidant molecules (Moreira et al.
2005). Green coffee bean extract is derived from the coffee bean before roasting.
The two species of coffee plants that have the greatest commercial importance are
Coffea arabica and Coffea robusta. These two species differ in chemical composi-
tion and antioxidant potential. C. robusta coffee beans exhibited higher antioxidant
potential than C. arabica coffee. However, after roasting, there was no signifi-
cant antioxidant potential differences (Ginz et al. 2000). The effects of GCBE and
Green Coffee Bean Extract and Chlorogenic Acids 3
CGA are multifaceted. An intake of GCBE has been reported to reduce the risk of
cardiovascular disease, type 2 diabetes, Alzheimer’s disease, and Parkinson’s dis-
ease (Lindsay et al. 2002, Ascherio et al. 2004, Vinson et al. 2009, Salazar-Martinez
et al. 2004), and exhibits antibacterial and anti-inflammatory properties (Almeida
et al. 2006; Daglia et al. 2007; Bonita et al. 2007). GCBE extract can reduce blood
pressure and prevent the onset of high blood pressure (Watanabe et al. 2006; Kozuma
et al. 2005). GCBE is proven to be effective in reducing excess weight and tackling
obesity (Vinson et al. 2009). Consuming coffee is reported to reduce fatigue and
increase the activity of the nervous system.
The beneficial health effects of GCBE have been attributed to both the antioxidant
potential enhanced by various polyphenol constituents as well as a major contribu-
tion of CGA. Roasting of coffee has been associated with changes in the antioxidant
potential depending on the roasting temperature. Here, we will discuss the antioxi-
dant potential, chemistry and bioavailability, and various health benefits due to the
antioxidant potential of GCBE and CGA. Oxidative stress in animal cells is often
associated with an overproduction of O2 or H2O2. It causes damage to the biologi-
cal molecules. The accumulation of this damage is the cause of various diseases.
The body has several defenses against oxidative stress, including: enzymes, proteins
chelating, and transition metals (Perez-Matute et al. 2012). There are other ways to
fight against oxidative stress such as biological antioxidants. These are exogenous
biological substances that protect biological systems against the deleterious effects
of oxidative stress (Perez-Matute et al. 2012).
Coffee is one of the most widely consumed beverages in the world, and therefore
the potential health consequences of coffee consumption are of great public inter-
est. Heavy coffee drinking may result in sleep disorders, hypokalemia, and cardiac
arrhythmias (Smith 2002; Appel and Myles 2001; Curatolo and Robertson 1983;
Cornelis 2012). At the same time, several epidemiologic studies have reported that
the risk of Parkinson’s disease, Alzheimer’s disease, and certain types of cancer is
reduced in regular coffee consumers (Rosso et al. 2008).
the GSH level (Ahmed et al. 2013). The GSH level was found to decrease in the
erythrocytes as well as plasma with increasing oxidative stress or decreasing total
antioxidant potential in both rats and humans (Rizvi and Pandey 2009a). Regular
and decaffeinated coffee intake has been reported to reduce the serum and uric acid
concentrations, a product of the catabolism of purines, which increases during oxida-
tive stress, mutagenesis, and probably cancer (Aucamp et al. 1997; Choi and Cyrhan
2007; Kiyohara et al. 1999). Despite inducing the antioxidant molecule level in cell
or extracellular fluid, GCBE supplementation also has been reported to modulate the
activity of antioxidant enzymes.
The antioxidant potential of caffeine (1,3,7-trimethylxanthine) exhibits levels
similar to that of reduced glutathione, which is reported to be significantly higher
than ascorbic acid. The antioxidant activity of caffeine was evaluated in a study of
oxidative damage in rat liver microsomes. The damage was induced by three reac-
tive oxygen species (ROS) that caused membrane damage in vivo, namely: hydroxyl
radical (OH), peroxyl radical (ROO), and singlet oxygen (1O2). Caffeine was found
to be an effective inhibitor of lipid peroxidation at milimolar concentrations against
all three reactive species (Devasagayam et al. 1996).
Raw coffee beans are rich in CGA and caffeine, which significantly decrease dur-
ing the roasting and decaffeination processes (Moon et al. 2009) (Figure 1.2a). The
GCBE used in the present study is prepared from decaffeinated and unroasted coffee
beans, making it a novel source of CGA and eliminating the possible side effects of
caffeine (Smith 2002; Appel and Myles 2001; Curatolo and Robertson 1983). There
have been no reports of toxicological studies on GCBE. In a clinical trial, decaffein-
ated GCBE induced weight loss in overweight volunteers who were administered
400 mg/day for 60 days (Dellalibera et al. 2006). Concurrent with the rise in obesity
is the rise in nutraceuticals that may aid weight loss. GCBE is a nutraceutical that
has recently received both media and research attention as a weight loss supplement.
GCBE is present in green or raw coffee beans. GCBE contains large amounts of
CGA, a polyphenol that has antioxidant properties and influences glucose, fat, and
brain energy metabolism (Henry-Vitrac et al. 2010; Ho et al. 2012).
Given the high moisture content and fast decomposition of the coffee pulp, one
way to preserve it is by ensiling it with molasses (Ulloa Rojas et al. 2003). On the
other hand, coffee based drinks are proven to have a great antioxidant activity
(Richelle et al. 2001). This activity is due to the great amount of phenolic compounds
present in the coffee grain (Farah et al. 2006), which decreases depending on the
type of roasting and also might decrease polyphenol concentrations (Castillo et al.
O CH3 HO CO2H
H3C N
N O
O N N HO O
OH
CH3 OH
(a) (b) OH
2002, Duarte et al. 2005). Like the grain, coffee pulp has been attributed with a
few antioxidant properties (Arellano-Gonzalez et al. 2011), and it is possible that
some handling practices alter its antioxidant capacity. Recently, the discovery of a
new dietary supplement has attracted attention in Western countries, especially the
GCBE from C. arabica. This was found to contain large amounts of the crucial sub-
stance, CGA, which is an antioxidant (Bisht and Sisodia 2010). This can be used as
a supplement for weight loss and lead to a reduction of BMI (Onakpoya et al. 2011;
Vinson et al. 2012).
also identified in the plasma after green coffee extract consumption. A higher mean
molar ratio of 5-CQA:4-CQA and 3-CQA in the plasma explains the preferential
absorption of 5-CQA as well as rapid metabolization and uptake of 3-CQA by organs
such as liver (Farah et al. 2005; Olthof et al. 2003) and adipose tissue. Similarly,
molar ratio in plasma of 3,4-diCQA:4,5diCQA and 3,5diCQA explain the mecha-
nisms favoring plasma levels.
CGA compounds present in the green coffee matrix are highly bioavailable in
humans (Figure 1.2b). CQA and diCQA, the major CGA compounds in coffee, are
differentially absorbed and/or metabolized throughout the whole gastrointestinal
tract. CGA is absorbed in the small intestine as well as in the colon. CGA is absorbed
in the small intestine and appears in the circulatory system as glucuronide, sulfate,
and methylated metabolites (Farah et al. 2008). After ingestion of coffee, both free
and sulfated conjugates of dihydroferulic acid and dihydrocaffeic acid were detected
in highest concentrations in human plasma. Most CGA metabolites are rapidly
removed from the circulatory system with a half-life of 0.3–1.9 h. However, dihy-
droferulic acid-4-O-sulfate, dihydroferulic acid-3-O-sulfate, and ferulic acid-4-O-
sulfate are reported to have an extended half-life and to present an unusual biphasic
plasma profile with dual Tmax values at 0.6 and 4.3 h.
It was found that the small intestine is the cleavage site of quinic acid, which
in turn releases caffeic acid and ferulic acid, metabolizes caffeic acid to its 3- and
4-O-sulfates, and ferulic acid to ferulic acid-4-O-sulfate, and the methylation of
caffeic acid to form isoferulic acid and its subsequent 3-O-sulfation and glucuronida-
tion. In addition, the colon is the site for the conversion of ferulic acid to feruloylgly-
cine and dihydroferulic acid, and caffeic acid to dihydrocaffeic acid.
Urine may not be the preferential excretion route for intact CGA and metabolites
(Farah 2004; Farah et al. 2006; Choudhury et al. 1999; Gugler et al. 1975). Sinapic,
gallic, p-hydroxybenzoic, and dihydrocaffeic acids have been reported as the four
major urinary phenolic compounds excreted after green coffee consumption, and are
thought to be preferential metabolic products of the cinnamates identified in plasma.
Rechner has reported that after ingestion of two cups of coffee at 4 h intervals, free
metabolites ferulic acid, isoferulic acid, dihydroferulic acid, 3-methoxy-4-hydroxy-
benzoic acid, hippuric acid, and 3-hydroxyhippuric acid were found in human urine
(Rechner et al. 2001).
CGA reduces oxidative stress via neutralizing the free radicals and hydroxyl
radicals. Lipid peroxidation is the primary marker of oxidative stress for lipid mol-
ecules (Singh and Rizvi 2012). Oxidative stress damages all types of cellular mol-
ecules including lipid and proteins, which in turn induces pathological conditions
such as cancers, cardiovascular diseases, osteoporosis, and aging (Rizvi and Pandey
2009a). Polyphenols limit the development of cancers, cardiovascular diseases, neu-
rodegenerative diseases, diabetes, and osteoporosis due to their strong antioxidant
potential. CGA was also reported to reduce the lipid peroxidation in kidney cells
of diabetic rats by modulating the activities of antioxidant enzymes such as super-
oxide dismutase (SOD) and catalase, indicating its antioxidant potential (Nishi and
Kumar 2013). Pharmacologically, CGA has also been reported to inhibit glucose-
6-phosphate translocase in the intestine and hence delay glucose absorption. CGA
also selectively inhibits glucose-6-phosphatase in the liver, the rate-limiting enzyme
involved in gluconeogenesis (Arion et al. 1997). CGAs have health benefits by reduc-
ing weight through modulating glucose and fat metabolism while simultaneously
contributing to antihyperlipidemic activity (Shimoda et al. 2006).
CGA is an antioxidant, and an ester of caffeic acid and (−)-quinic acid. It is an
important biosynthetic intermediate in lignin biosynthesis (Boerjan et al. 2003).
CGA has been reported to slow the release rate of glucose into the bloodstream after
a meal (Johnston et al. 2003). The term CGA refers to a related family of esters of
hydroxycinnamic acids (caffeic acid, ferulic acid, and p-coumaric acid) with quinic
acid (Clifford et al. 2003).
Tea (Camellia sinensis L., family Theaceae) is a great source of phenolic com-
pounds such as flavonoids (Keservani and Sharma 2014) and phenolic acids, which
are responsible for the total antioxidant activity of tea infusion (Kim et al. 2011).
Hibiscus sabdariffa leaves from different countries have different chemical com-
positions and different antioxidant potential. The five major antioxidant compounds
identified from H. sabdariffa leaves are neochlorogenic acid, chlorogenic acid, cryp-
tochlorogenic acid, rutin, and isoquercitrin (Ochani and D’Mello 2009; Essa and
Subramanian 2007; Mohd-Esa et al. 2010).
CGA is a well-known antioxidant and has more isomers according to the dif-
ference in binding location and number of caffeic or quinic acid. Mullen (2011)
studied the antioxidant and CGA profiles of whole coffee fruits that are influenced
by extraction procedures and reported that the antioxidant activity in whole coffee
fruit extracts was up to 25 times higher than in powders dependent on the radical.
Total antioxidant activity of samples displayed a strong correlation to CGA content
(Mullen et al. 2011).
Budryn and colleagues studied the correlation between the stability of CGA,
antioxidant activity, and acrylamide content in coffee beans roasted in different
conditions and demonstrated that the increase of humidity in roasting air reduces
acrylamide formation only at the highest used roasting temperature. However,
the modification of roasting conditions to achieve a drop in acrylamide concen-
tration resulted in increased degradation of polyphenols and/or deterioration of
antioxidant activity. It was found that a temperature of 203°C of dry air, with low
velocity of roasting air, reduced the levels of acrylamide and also moderately
Green Coffee Bean Extract and Chlorogenic Acids 9
degraded the polyphenols (Budryn et al. 2015). The optimal roasting parameters
were a temperature of 203°C, dry air, and a low velocity of roasting air. Under
these conditions, the roasted beans were characterized by a relatively low level of
acrylamide and moderate degradation of polyphenols (Budryn et al. 2015). The
total antioxidant activity of food snacks has been attributed to the total phenolic
content. Ultra performance liquid chromatography (UPLC)-mediated profiling
of polyphenols led to the detection of three common biomolecules in all kale
foods but with different levels of gallic acid, CGA, and catechin. The amount
of CGA in the snacks ranges from 431 µg/g (Yellow Kale) to 1706 µg/g (Happy
Kale), whereas gallic acid ranges from 94.7 µg/g (Yellow Kale) to 448 µg/g
(Inspiral Kale).
CGAs have been reported to reduce the risk of type 2 diabetes. CGA present in
the circulatory system have positive effects on the cardiovascular system (Johnston
et al. 2003). In vivo studies have proved the antioxidant and the anticarcinogenic
properties of CGA. The bioavailability of CGA is lower due to poor absorption in the
small intestine, but it is conversely capable of providing higher yields of microbial
metabolites and various active compounds responsible for the biological properties
attributed to dietary polyphenols (Gonthier et al. 2003).
1.5.2 diaBetes
Polyphenol-rich plant extracts are reported to control diabetes and its associated
complications (Rizvi and Srivastva 2007). The use of natural extracts or plant prod-
ucts are common among diabetic patients due to less, or no, side effects of these
medications. There is repeated evidence that coffee components, especially CGA,
reduce the risk of type 2 diabetes. A study of Asian men and women in Singapore
concluded that regular intake of coffee significantly reduced the risk of type 2 diabe-
tes (Odegaard et al. 2008). CGA value decreased during the roasting process, hence,
GCBE consumption might have potential against type 2 diabetes.
Antidiabetic effects of GCBE were found due to the inhibition potential of CGA
for glucose-6-phosphatase hydrolysis, and hence led to a downregulation of glucose-
producing pathways such as gluconeogenesis and glycogenolysis in the liver (Arion
et al. 1997). CGA, caffeoylquinic acids, and dicaffeoylquinic acids competitively inhib-
ited the glucose-6-phosphatase hydrolysis in the microsomes of human liver. Henry-
Vitrac (2010) reported these glucose-lowering effects by reducing the hepatic glucose
production and making it a potential antidiabetic molecule (Henry-Vitrac et al. 2010).
a putative mechanism, explained the antiliver cancer effects of coffee. Despite this,
antioxidant molecules in coffee maintain a relatively lower iron status and therefore
reduce the risk of liver injury (Mascitelli et al. 2008). It also prevents cirrhosis of the
liver, which is a major risk factor for the development of hepatocellular carcinoma
(La Vecchia et al. 1998). Coffee modulates the transaminases activity which reduces
the risk or mortality from liver cirrhosis (Klatsky et al. 2006; Tverdal and Skurtveit
2003). Coffee consumption also reduces the risk of kidney cancer by improving the
insulin sensitivity. The prevention of obesity is also associated with a reduction in
renal cancer.
Coffee consumption is also associated with a reduction in breast cancer. A
Norwegian grouping of 14,593 women who drank >5 cups of coffee per day expe-
rienced a statistically significant decrease in breast cancer risk (Vatten et al. 1990).
In addition, premenopausal women with the BRCA1 or BRCA2 gene mutation who
drank 6 or more cups of coffee per day experienced a significant reduction (70%
statistically) in breast cancer risk (Nkondjock et al. 2006).
Consumption of GCBE is associated with a reduction in obesity by increasing
the antioxidant potential in the plasma. Mitigating effects of GCBE are still under
process, but the preclinical data about the anticancer effects of coffee explain the
potential green coffee been extracts has as an anticancer agent. Oxidative stress is
reported to contribute to the pathogenesis of Alzheimer’s disease, Parkinson’s dis-
ease, atherosclerosis, amyotrophic lateral sclerosis, ischemia/reperfusion neuronal
injuries, cataract formation, degenerative disease of the human temporomandibular-
joint, macular degeneration, degenerative retinal damage, rheumatoid arthritis, mul-
tiple sclerosis, muscular dystrophy, human cancers, as well as the aging process.
A poor diet containing lower amounts of antioxidant may also indirectly result in
oxidative stress, which impairs the cellular defense mechanisms. The strong anti-
oxidant potential of GCBE and CGA, the compound found in GCBE, may explain
the beneficial health effects based on the scientific evidence. Polysaccharides from
coffee decrease the cholesterol levels in blood, control the blood glucose and insulin
response, and act as agents against infectious and tumor diseases (Gniechwitz et al.
2007; Simoes et al. 2009).
1.6 CONCLUSION
Numerous studies have produced evidence that the polyphenols isolated from natural
resources, in particular herbal plants, are key factors for improving health. The
health protective role of natural polyphenols as an antioxidant against degenerative
diseases is supported by several studies carried out in vitro as well as in vivo. These
studies outline a current understanding of the chemistry, antioxidant, bioavailability,
and pleiotropic effects of GCBE and CGA. GCBE and CGA provide significant pro-
tection against the development and progression of obesity, diabetes, and associated
cardiovascular problems. Epidemiological studies explained the biological effects of
GCBE and CGA in relevance to human health, yet some mechanisms of the action
are still unknown and not fully understood. The role of GCBE in human health is
a fertile area of research and offers great hope for the prevention of various chronic
diseases.
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Green Coffee Bean Extract and Chlorogenic Acids 15
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