Obesity and Arginine

Arginine has a positive effect on the arteries. It protects against arteriosclerosis (hardening of the arteries / coronary artery disease) and is the most important NO donor. NO or nitric oxide is a so-called vasodilator, in other words, NO is able to relax the vessels. Thus treating hypertension with arginine is considered to be very useful.

The development of arteriosclerosis with its serious consequences such as heart attack and stroke is a result of the so-called endothelial dysfunction. Continue reading

Turmeric (Curcuma longa) & Curcumin

Curcumin is extracted from the yellow turmeric root (Curcuma longa).

The Turmeric tuber belongs to the group of ginger plants.

The Indian turmeric spice gives food its characteristic yellow color. It is the main ingredient of curry spice. Turmeric has been a popular medicinal herb of Ayurveda medicine for millennia.

The list of possible applications is long. Inter alia, turmeric is attributed as having the properties of being anti-inflammatory, wound-healing, anti-microbial and hypoglycemic. Even in evidence-based western natural medicine, the quality and diversity of this ancient remedy is increasingly being recognized and integrated.

The effects in animal and human cell studies can be seen in areas such as the gastric/intestinal mucosa in gallbladder dysfunction, digestive weakness, chronic inflammatory diseases and cancer.

In many studies on sequelae of the industrialized world, the effects of turmeric have also been analyzed, in areas such as metabolic syndrome, diabetes, disorders of lipometabolism, arteriosclerosis and cardiovascular diseases.

Turmeric’s special quality lies in its ability to cross the blood-brain barrier which means curcumin does benefit the brain as well.
Numerous study findings on the subject of Alzheimer’s disease and neuroinflammation (inflammation of the nerves) in the central and peripheral nervous system make the use of turmeric even in these patients extremely valuable.

Curcuminoids are the active ingredients of turmeric. Curcuminoids are liposoluble. In order to be absorbed in the intestine as a dissolved substance, they should be consumed as possible with a fatty meal.

Turmeric spice powder contains approximately 5% curcuminoids. Curcuminoids in turn consist of approximately 80% curcumin, 18% of demethoxycurcumin and 2% of bisdemethoxycurcumin. Highly concentrated turmeric extracts may contain up to 95% curcuminoids. Various scientists and the media pointed out that commercial turmeric products may vary greatly regarding curcumin content (5-95%) and purity. Partially untested preparations with low drug concentration, high heavy metal and residual contaminants were found to be circulating. In order to achieve reproducible results in clinical studies, the uniform use of highly concentrated, high-purity curcumin preparations is necessary. [201]

The authenticity of a turmeric extract can be checked using the C14 isotope measurement.

Toxicity – Safety of Use

Curcumin is non-toxic. Studies have shown that even maximum doses of daily 8 g curcumin or more over a longer period of time (several months) are harmless to human health. Side effects are rare (see chapter on cancer). Symptoms such as gastrointestinal complaints, yellow stools and rashes may occur, especially if very high dosages are consumed. [1] [2] [3] [4]

For digestive problems, WHO recommends 3 g of the root or equivalent preparations daily.

Bioavailability

Curcumin has a relatively low bioavailability. Intestinal absorption rate is low while metabolism and elimination from the body is fast. [5]

Therefore, so-called “bio-enhancers” (bio-boosters) are incorporated into turmeric formulations. In clinical trials, turmeric was studied by itself and in combination with other bio-enhancing substances. Black pepper is often mixed with the yellow turmeric powder.
Piperine is the active ingredient in the black pepper extract. It inhibits glucuronidation in the liver and intestine, thus delaying the rapid degradation of turmeric. Piperine increases the bioavailability of turmeric in humans and animals 20-fold; this is equivalent to 2,000%. [6]

Other formulations are also available, for example turmeric with phospholipids (lecithin) or with ginger extract.
Curcumin is also available as a special biochemically modified phospholipid complex (phytosome complex) and as nanotechnologically produced micelle turmeric or as synthetic curcumin.

A human study concluded that liquid micelle turmeric with polysorbate 80 can increase the bioavailability of turmeric 185-fold. Polysorbate 80 is an emulsifier (E433) that can easily cross natural membranes and thus enter the cell.
However, the use of artificial emulsifiers such as polysorbate 80 should not be viewed entirely uncritically. In animals, disorders of cellular respiration, liver damage, disease of the intestinal mucosa, metabolic syndrome and other side effects have been described. [7] [8]

Natural bioavailability enhancers do not have the above side effects. However, piperine from black pepper extract may interfere with the metabolism of drugs. Co-administration of turmeric formulations with black pepper in combination with medicinal products should therefore be scrutinized.

Areas of Applications

Alcohol Intoxication

Test subjects who had taken a special turmeric formulation after alcohol intoxication showed a lower concentration of toxic acetaldehyde in their blood. This intermediate byproduct is formed in the body during the degradation of alcohol. It triggers the hangover headache. [9]

Alzheimer’s Disease

Curcumin is fat-soluble. Therefore it can cross the blood-brain barrier. It is neuroprotective (“nerve protective”) and relieves inflammation of the nervous tissue (neuroinflammation).

In many studies curcumin has been suggested for the treatment of Alzheimer’s disease. Reasons for this are amongst others are the inhibition of amyloid beta formation and deposition (senile plaques), anti-inflammatory effects, delayed degeneration of neurons and chelation of copper and iron. Unphysiological copper and iron accumulations in the brain are associated with Alzheimer’s plaques and oxidative nerve damage. Curcumin reduces disorders of memory and mental performance. Oxidative damage in the brain and damage to the synapses are reduced. In cranial nerve cells curcumin balances the release of inflammatory messengers (cytokine levels). It inhibits the transcription factor NF-kappaB which regulates inflammatory activity and the production of cytokines (messenger substances) on a genetic level. In laboratory studies, curcumin was more successful in inhibiting amyloid accumulations than the NSAIDs ibuprofen and naproxen. [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] [21]

Antifungal, Antibacterial, Antiviral

[161]

Arteriosclerosis

In animals, turmeric improved advanced arteriosclerosis and foam cell formation in the macrophages. It positively influenced the genes responsible for vasculitis, blood lipid levels, and plaque stability. [22] [23] [24]

Arthritis

In cell experiments curcumin has shown to reduce inflammation of synovia (synovial fluid). Curcumin blocks the activation of synovial neutrophils granulocytes. Neutrophils are white blood cells that are significantly involved in cartilage destruction in chronic arthritis. Curcumin protects human cartilage cells from inflammatory degradation processes. It inhibits the factors interleukin 1 beta (Il1b), NF-kappaB, AP-1 (activator protein), caspase-3 and the cartilage-degrading enzymes collagenase and stromelysin (MMP3). In addition, it promotes cartilage regeneration in vivo. [25] [26] [27] [28] [29] [198] [199] [200]

Arthrosis

Turmeric is a potential alternative to NSAIDs and may provide a useful supplement to conventional medications used in osteoarthritis. (osteoarthrosis) [30]

Turmeric is anti-inflammatory. It reduces the release of inflammatory chemical messengers. (see arthritis). [31]

Turmeric is suitable for long-term use in osteoarthritis. [32] [33]

Arrhythmias, Cardiac Rhythm Disorders

Turmeric may have a preventative effect on heart rhythm disorders (cardiac arrhythmia) in humans by restoring cellular calcium balance. [34]

Asthma

In animal models, hypersensitivity (hyper-reactivity) of the bronchi could be reduced. Turmeric had an anti-inflammatory effect. The activation of the inflammatory factor NF-kappaB was inhibited and the leukocytes in the lung secretion were reduced by turmeric. [35]

Turmeric is a suitable adjunct therapy for asthmatics. In a human study with 77 patients, it improved airway obstruction and the ability to exhale. This was measured by the one-second forced expiratory volume (FEV1). [36]

Brain Tumour

[102] [103] [104]

Glioblastoma

[105] [106] [107]

Glioma

[108]

Bronchia / Lungs

Acute and chronic lung diseases are associated with increased inflammatory activity of the respiratory mucous membranes. Increased exposure to air pollutants or mineral dust, cigarette smoke and radiation / chemotherapy may be causes of such inflammation.

Curcumin, as an inhibitor of NF-kappaB, is anti-inflammatory. NF-kappaB acts as a so-called “transcription factor” which binds at the DNA level and among others things controls the transcription of inflammatory genes and thus the inflammatory activity.
Curcumin inhibited inflammatory processes in the lung tissue, caused by infection or chemical pollutants in laboratory and animal studies. [37] [38] [39]

Cancer

How does Turmeric Affect Cancer Cells?

Turmeric is chemo-protective, that is, it can inhibit carcinogenesis.

Cell experiments have shown that curcumin can inhibit the growth of cancer stem cells. [120]

Turmeric is growth-inhibiting (anti-proliferative) for uncontrolled tissue growth. It is an antioxidant and boosts the body’s defense against cancer. Curcumin inactivates cancer-causing substances (carcinogens) and blocks their harmful influence. This includes, for example, the damage to the body’s own DNA by radicals. [121]

In cancer, hundreds of genes have mutated and cell signaling pathways are disrupted. Curcumin has the ability to prevent tumour growth signals from cells that “feed” on the formation of new blood vessels (angiogenesis) into degenerated tissue. Curcumin inhibits bFGF (basic fibroblast growth factor), which is a powerful growth signal for tumours and neovascularization (angiogenesis) in diseased cells. Studies in animals and in test tubes have shown that turmeric can inhibit malignant cell growth in this way [122] [123] [124]

Curcumin has a strong inhibiting effect on the EGF receptor. [125]

This receptor is over-expressed by many tumors on their surface, or becomes mutated. This can lead to uncontrolled growth and proliferation of the tumour cells. Also, a dulling effect on chemo and radiation therapy is favored by this EGFR change. Turmeric would counteract this in a chemo sensitizing way. Recent cancer therapies aim to achieve inhibition of tumour growth through the EGFR blockade.

Turmeric is an anti-inflammatory and antioxidant. It suppresses important enzymes that are increasingly formed in chronic inflammation and tumours (lipoxygenase, COX-2, and the inducible NO synthase, iNOS). [126]

Curcumin has an antioxidant effect by inhibiting lipid peroxidation. This is an oxidative process that can destroy biological membranes, DNA and proteins. The oxidative destruction of endogenous structures is associated with the development of cancer, arteriosclerosis and neurodegenerative diseases. [127] [128] [129]

In addition, turmeric has a major impact on the inflammatory process via the inhibition of the transcription factor NF-kappaB. Cancer occurrence is often accompanied by tumour-induced tissue inflammation or genetic changes with increased NF-kappaB activity. NF-kappaB promotes tissue growth (proliferation), neovascularization (angiogenesis) for tumour nutrition. It suppresses the controlled cell death (adipose) of diseased cells and promotes the passage to new tissues with distant metastasis. [130]
Turmeric was able to directly neutralize the very aggressive radicals peroxynitrite and superoxide in test tube experiments (scavengers). [131] [132] [133]

In animal studies and research on cell lines turmeric promoted the controlled cell death (apoptosis) of abnormally altered cells via the increased formation of tumour suppressor genes p53. [134] [135]

Curcumin activates the Nrf2 signaling pathway. Nrf2 is a very important cell protection factor. Nrf2 activation is important for cancer prevention. Nrf2 controls the genes of detoxification in the body and improves the defense against free radicals in the cell. [136] [137]

Curcumin promotes the formation of TGF-beta (transforming growth factor beta). Curcumin inhibits protein tyrosine kinases (PTK) and protein kinase C (PKC). Both are important signaling molecules involved in carcinogenesis and its spread. Messenger substances are needed for cancer growth (proliferation), migration (implantation), metastasis (spreading), and formation of new blood vessels (angiogenesis), blockade of controlled cell death (apoptosis) and destruction of tissue integrity (differentiation).

The signal molecule AP-1 (activator protein-1) is also inhibited by curcumin. Elevated levels of AP-1 are considered carcinogenic.
Study results suggest that at least 3.6 g of curcumin should be taken as part of a cancer therapy to achieve positive effects. [138] [139]

Breast Cancer

See Chemotherapy and Turmeric

A study in 2017 showed that curcumin reduces the resistance of breast cancer stem cells to mitomycin by promoting controlled cell death (Bcl-2 inhibition). Curcumin could thus be a promising new therapeutic for non-response to chemotherapy. [202]

A study with breast cancer stem cells showed that a combination of curcumin and piperine, as well as the single substance, inhibited regeneration of stem cells. However, the healthy cells remained unharmed. [203]

In a clinical study (phase I), the effects of turmeric in combination with the chemotherapeutic docetaxel have been examined in patients with advanced metastatic breast cancer. The two combined substances showed an anti-tumour effect. Curcumin can potentially improve the bioavailability of docetaxel and prevent resistance to the chemotherapeutic agent. The so-called “p-glycoprotein” is an efflux transport molecule in the intestine, which is responsible for the chemo-resistance of docetaxel.

Activity of the transport protein is inhibited by curcumin, and thus the response to chemotherapy would be improved. This effect was also seen in resistant ovarian cancer cells and paclitaxel. [204]

However, the limited bioavailability of curcumin should also be noted. Targeted use of bio-enhancers (see chapter on bioavailability) and the development of new intravenous formulations could help remedy this issue.
In the above mentioned breast cancer study, a daily dosage of 6 gram curcumin in combination with the standard docetaxel dose was recommended for a period of 7 days. [205] [206]

A major problem in the clinical therapy of the estrogen receptor-positive (ER +) breast tumours is the resistance to the hormone receptor blocker tamoxifen. Curcumin could inhibit a mechanism of resistance development by, inter alia, inhibiting the transcription factor NF-kappaB. NF-kappaB may show elevated levels in breast cancer cells in response to tamoxifen therapy. Curcumin might be a non-toxic way to improve tamoxifen response and prevent resistance. [207]

Curcumin probably enhances the bioavailability of tamoxifen in two ways. These are the above mentioned blocking of the efflux transporter by the p-glycoprotein and / or the inhibition of the liver enzyme CYP3A4. [208]

Piperine from black pepper extract also inhibits the drug transport molecule p-glycoprotein in intestinal cells and the enzyme CYP3A4 in liver cells. Thus, like curcumin, it could also improve the response effectiveness of docetaxel, paclitaxel or tamoxifen. Additionally, the response of other drugs that are substrates of p-glycoprotein and CYP3A4, could potentially be improved, especially if taken orally.

Application of turmeric preparations with piperine in combination with chemotherapeutic agents, however, would have to be considered on a case-by-case basis by the attending oncologist. [40] [41] [42] [43] [44]

Colon Cancer

[75] [76] [77] [78] [79]

Liver Cancer (Hepatic Cancer)

[140] [141] [142] [143]

Lung Cancer

[144] [145] [146]

Leukemia

[148] [149] [150] [186]

Lymphoma

[151] [152] [153] [154]

Pancreatic Cancer

[155] [156] [157] [158] [159] [160]

Chemotherapy and Turmeric

Turmeric is one of the most popular natural substances in the context of holistic cancer therapy and is increasingly being combined with conventional chemotherapy. Based on study results, a high-dose use of at least 3.6 g of curcumin, when connected with cancer therapy, would be necessary to achieve therapeutic effects. [45]

The exact absorption rate in the intestines is, up to the present, still unclear but the intestines absorb relatively small amounts. Bioavailability enhancers are therefore often given in combination. It should also be noted that the commonly added bio-enhancer piperine from black pepper extract can affect the metabolism of drugs. Therefore, it should be avoided during chemotherapy, or only be used judiciously. [46]

Curcumin is nontoxic to humans. In human studies maximum doses of 8 g over a longer time period were well tolerated. [47]
Side effects are rare. Skin rashes, gastrointestinal complaints, and yellow stools can occur at higher doses. Turmeric stimulates bile flow and should not be used if bile ducts are constricted in order to prevent reflux.

The use of turmeric during chemotherapy should be scientifically justified and should be accompanied by a naturopathic experienced physician. According to the general recommendations, the chemotherapy protocol should be followed.

Some studies suggest that turmeric may improve the response and efficacy of chemotherapeutic agents and mitigate the toxic side effects of the therapy in humans.

These include 5-fluorouracil, cisplatin, carboplatin, oxaliplatin, paclitaxel and gemcitabine [48] [49] [50] [51] [52] [53] [54]

However, there are also contradictory studies on cell lines that speak of a weakening effect of chemotherapy by turmeric. Camptothecin, mechlorethamine, doxorubicin and cyclophosphamide were investigated.

Another study, in turn, partially invalidated this statement or lead to a very broad spectrum of activity in relation to various cell lines and chemotherapeutic agents. It is mentioned here that curcumin improved the response to various chemotherapeutic agents.
These included: mitomycin, 5-fluorouracil, cisplatin, carboplatin, oxaliplatin, paclitaxel and gemcitabine.

The cell lines studied were from diseased tissue of the breast, intestine, pancreas, liver, blood, lung, prostate, bladder, cervix, ovary, throat, neck, brain, multiple myeloma, leukemia cells and lymphoma. Also an improved response to radiation therapy has been reported in various tumour cells, such as in the cells from the prostate, brain, cervix, skin and intestines. [55] [56]

In order to see to what extent these results are transferable to the cells in the human living organism, further clinical human studies are needed.

Cholesterol / CHD

In animals curcumin regulated cholesterol levels by positively influencing the formation and activity of cholesterol-regulating receptors and enzymes. These included the LDL receptor, HMG-CoA reductase, CYP7A1 and others. [57]

Cell experiments suggest that turmeric is vascular-protective. The reasons for this are the reduction of oxidative stress, inflammation and inhibition of the proliferation (growth) of smooth muscle cells and monocytes. [58]

Smaller human studies showed inhibition of lipid peroxidation and plasma fibrinogen. Both factors fauvour the progression of arteriosclerosis. [59] [60] [61] [62]

Curcumin appears to be able to increase production of the LDL cholesterol receptor and thus lower serum cholesterol. [63] [64]

In a human study with 10 healthy volunteers, a significant decrease in lipid oxidation (-33%) and total cholesterol (-12%) with a concomitant increase in HDL cholesterol (29%) was demonstrated when administering a daily dose of 500 mg curcumin during a period of 7 days. [65]

In two subsequent studies, a low dose of curcumin in patients with acute coronary syndrome did not indicate significant cholesterol reduction, while very high doses (1-4g / daily) even caused a slight increase in total cholesterol, LDL and HDL. [66] [67]

Colitis Ulcerosa, Crohn’s Disease

In a clinical study with 89 patients, the effects of curcumin as an adjunctive therapy with mesalazine (5-ASA) and sulfasalazine were investigated. Curcumin was classified as a safe and effective adjunctive therapy for remission maintenance (treatment after cessation of symptoms) in ulcerative colitis. [68]

A previous study compared the clinical data of 99 patients with inflammatory bowel disease (colitis ulcerosa, Crohn’s disease).
It was found that curcumin in combination with the standard therapy mesalazine (5-ASA), sulfasalazine and cortisone improved the symptoms. The dose of standard medication could be reduced, and in a small study with 10 patients, cortisone and 5-ASA could be completely eliminated.

A human study was conducted with 50 patients with an active-mild to moderate form of ulcerative colitis (SCCAI index).
The combination of mesalazine and curcumin (3g / day) was superior to mesalazine and placebo. In the curcumin / mesalazine group, 53.8% achieved a clinical remission (disappearance of symptoms) after 4 weeks. In comparison, no test subject in the placebo group showed remission. Clinical response was noted in 65.3% of the patients in the turmeric group, while in the placebo group, 12.5% of the test subjects showed improvement. 22 patients of the curcumin group showed remission after evaluation by endoscopy (endoscopic remission), while in the placebo group none of the examined test subjects showed an endoscopic reduction. [209]

In this study, 3g of pure curcumin was administered. Researchers have warned that turmeric preparations of varying concentration and purity are in circulation. In order to produce consistent results in clinical studies, the standard use of highly concentrated, high-purity curcumin preparations is necessary.

The commercially available turmeric preparations vary considerably in terms of the curcumine content. It may range between 5 and 95%. Furthermore, unchecked products with high heavy metal contamination and residues can circulate on the market. [210] [69] [70] [71] [72]

Coxsackie Viruses

[73]

Cushing Syndrome

The most common cause is ACTH-producing pituitary tumours. In an animal model, turmeric suppressed the ACTH secretion and lead to apoptosis of cells. [74]

Depression

In a review study that included six clinical trials involving a total of 377 patients, it could be observed that curcumin had a significant antidepressant effect, as opposed to that of a placebo. Also three of the studies examined showed relevant anxiolytic effects. [183]

Animal studies have shown that curcumin inhibits the enzymes MAO-A and MAO-B, thus prolonging the neurotransmitters serotonin dopamine and norepinephrine in the synaptic cleft. In animals, curcumin improved the effects of the antidepressants fluoxetine (serotonin reuptake inhibitor), bupropion (dopamine reuptake inhibitor) and venlafaxine (serotonin / norepinephrine reuptake inhibitor).[184]

Curcumin is neuroprotective and an antidepressant. It reduces neuroinflammation (inflammation in the brain). Neuroinflammation leads to neurodegeneration (destruction of the nerves) which is closely associated with the development of depression, or is a frequent comorbidity. Also in other neurodegenerative diseases of the brain, such as Parkinson’s and Alzheimer’s, this anti-inflammatory and neuroprotective effect is of importance. [194] [195] [196] [197]

Fatty Liver – Hepatitis

[85]

Gallbladder Dyskinesia

[86]

Haemochromatosis

Turmeric reduces oxidative damage of DNA caused by iron overload.
[87]
Liver damage due to iron-associated lipid peroxidation.
[88]

Helicobacter Pylori

[89] [90] [91] [92] [93] [94]

Hepatitis B

Turmeric reduces the viral replication rate and expression of HBV genes in human liver cells via inhibition of PGC1A and decreased histone acetylation
[95] [96] [97]

Hepatitis C

[98] [99] [100]

Herpes/HSV1

[101]

HIV

[117] [118]

Influenza

[119]

Iron Overload

[80] [81] [82] [83] [84]

Kidney Function

[164]

Chronic Renal Failure

[165] [166] [167]

Diabetic Nephropathy

[168]

Kidney Damage due to Chemotherapy

[169]

Lupus

[162] [163]

Medulloblastoma

[115] [116]

Multiple Sclerosis

Curcumin has anti-inflammatory and antioxidant effects in brain nerve cells.
Curcumin reduces interleukin 17 levels. IL-17 is an inflammatory messenger (cytokine), which is believed to play a key role in the progression of MS disease. The TH-17 cells (T-helper 17) produce the IL-17. TH-17 cells pass through the blood-brain barrier. They then trigger an excessive inflammation in the CNS (neuroinflammation) via different signaling pathways. Ultimately, this inflammatory reaction promotes the attack on the endogenous tissue in the brain and the destruction of the medullary substance of the nerves (demyelination).

In animal models, curcumin reduced the severity of the disease and the duration of MS attacks. [170] [171] [172] [173]

Muscle Regeneration

In cell studies, curcumin has contributed to the inhibition of NF-kappaB for the repair of muscle tissue. [220]

Neuropathy

[174] [175]

Organ Transplantation

[176] [177]

Osteoarthritis

Turmeric is a potential alternative to NSAIDs and may provide a useful supplement to conventional medications used in osteoarthritis. [30]

Turmeric is anti-inflammatory. It impedes the release of inflammatory messengers. In studies on cell lines, curcumin has been shown to inhibit cartilage degeneration and to promote cartilage regeneration (see arthritis). [31]

Curcuma is suitable for long-term use in osteoarthritis. [32] [33]

Osteoporosis

Curcumin promotes bone preservation and inhibits bone-degrading osteoclasts in bone marrow cells.
It has shown positive effects on bone mineral density and mineralization in female animals with postmenopausal osteoporosis.

Pain with Osteoporosis

Curcumin reduces the inflammatory mediators TNF-alpha, IL-1 beta and IL-6. These mediators contribute to the sensitization of the pain receptors. [178] [179] [180] [181]

Parkinson

[226] [227]

Pituitary Tumour

[109] [110] [111] [112] [113] [114]

Rheumatoid Arthritis

See Arthritis

Methotrexate is used in low doses for the treatment of rheumatoid arthritis. The disadvantage of the therapy is that liver damage can occur.

In animals, the latent effect of methotrexate was supplemented by curcumin. Thus, despite a lower dosage strong therapeutic effects were achieved.
In addition, the liver damaging effect of MTX (methotrexate) was minimized. [211]

In a small 2-week human study, an improvement in morning stiffness and joint swelling was noted as a result of the daily administration of 1,200 mg curcumin. [212]

A human study with 45 patients investigated the effect of curcumin and diclofenac in active rheumatoid arthritis. Three groups were formed: 1. curcumin (500 mg), 2. diclofenac sodium (50 mg) and 3. curcumin combined with diclofenac sodium. All three groups showed significant improvements as measured by DAS (Disease Activity Score).
Patients treated with curcumin alone showed the greatest improvement in DAS as well as ACR (American College of Rheumatology) scores.
This group had significantly better results than the diclofenac group. [213]

A clinical study with 24 patients over a period of 3 months showed significant improvements with administration of 250 mg turmeric twice daily.
The rheumatoid arthritis response was assessed using various scores. The following scores were included:
ACR (American College of Rheumatology), VAS (Visual Analog Scale), CRP (C-Reactive Protein), DAS28 (Disease Activity Score), ESR (Erythrocyte Sedimentation Rate) and RF (Rheumatoid Factor). [214]

Pain

[187] [188] [189] [190]

Thyroid Function

[221] [222]

Thrombosis

Inhibition of platelet aggregation by suppression of P-selectin in animals. [223]

Inhibition of platelet aggregation in human whole blood [224]

Lowering of abnormally high levels of human fibrinogen [225]

Thalassemia

[191] [192]

Wound Healing / Postoperative Application

[215]

Improved wound healing with topical (local) application on the skin [216]

Optimized wound healing of radiation damage in animals [217]
 
Protection against oxidative stress in skin cells in cell experiments [218]
 
Curcumin improved wound healing in diabetic animals (oral and local application). It stimulated new skin formation by migration of immune cells and connective tissue cells into the wound bed. [219]

Turmeric and VDR

[193]

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[143] Du Q, Hu B, An HM, Shen KP, Xu L, Deng S, Wei MM.
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[144] Mehta HJ, Patel V, Sadikot RT.
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[145] Polasa K, Raghuram TC, Krishna TP, Krishnaswamy K.
Effect of turmeric on urinary mutagens in smokers.
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[146] S.J. Moghaddam, P. Barta, S.G. Mirabolfathinejad, Z. Ammar-Aouchiche, N. Torres Garza, T.T. Vo, Robert A. Newman, Bharat B. Aggarwal, Christopher M. Evans, Michael J. Tuvim, Reuben Lotan, and Burton F. Dickey
Curcumin inhibits COPD-like airway inflammation and lung cancer progression in mice
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[148] Vagish Kumar Laxman Shanbhag
Curcumin in chronic lymphocytic leukemia – A review
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[149] Laura S. Angelo, Razelle Kurzrock
Turmeric and green tea: a recipe for B-Chronic Lymphocytic Leukemia
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[150] Taverna S, Giallombardo M, Pucci M, Flugy A, Manno M, Raccosta S, Rolfo C, De Leo G, Alessandro R
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[151] Han SS, Chung ST, Robertson DA, Ranjan D, Bondada S.
Curcumin causes the growth arrest and apoptosis of B cell lymphoma by downregulation of egr-1, c-myc, bcl-XL, NF-kappa B, and p53.
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[152] Ranjan D, Johnston TD, Reddy KS, Wu G, Bondada S, Chen C.
Enhanced apoptosis mediates inhibition of EBV-transformed lymphoblastoid cell line proliferation by curcumin.
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[153] Wu Y, Chen Y, Xu J, Lu L.
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[154] Stefanie Kewitz, Ines Volkmer, Martin S. Staege
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[155] Wang Z, Zhang Y, Banerjee S, Li Y, Sarkar FH.
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[156] Li L, Aggarwal BB, Shishodia S, Abbruzzese J, Kurzrock R.
Nuclear factor-kappaB and IkappaB kinase are constitutively active in human pancreatic cells, and their down-regulation by curcumin (diferuloylmethane) is associated with the suppression of proliferation and the induction of apoptosis.
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[157] Shehzad A, Wahid F, Lee YS.
Curcumin in cancer chemoprevention: molecular targets, pharmacokinetics, bioavailability, and clinical trials.
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[158] Dhillon N, Aggarwal BB, Newman RA, Wolff RA, Kunnumakkara AB, Abbruzzese JL, Ng CS, Badmaev V, Kurzrock R.
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[159] Kanai M, Yoshimura K, Asada M, Imaizumi A, Suzuki C, Matsumoto S, Nishimura T, Mori Y, Masui T, Kawaguchi Y, Yanagihara K, Yazumi S, Chiba T, Guha S, Aggarwal BB.
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[160] Chendil D, Ranga RS, Meigooni D, Sathishkumar S, Ahmed MM.
Curcumin confers radiosensitizing effect in prostate cancer cell line PC-3.
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[161] Soheil Zorofchian Moghadamtousi, Habsah Abdul Kadir, Pouya Hassandarvish, Hassan Tajik, Sazaly Abubakar, Keivan Zandi
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[162] Momtazi-Borojeni AA, Haftcheshmeh SM, Esmaeili SA, Johnston TP, Abdollahi E, Sahebkar A
Curcumin: A natural modulator of immune cells in systemic lupus erythematosus.
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[163] Lee H, Kim H, Lee G, Chung HS, Bae H.
Curcumin attenuates lupus nephritis upon interaction with regulatory T cells in New Zealand Black/White mice.
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[164] Joyce Trujillo, Yolanda Irasema Chirino, Eduardo Molina-Jijón, Ana Cristina Andérica-Romero, Edilia Tapia, José Pedraza-Chaverría
Renoprotective effect of the antioxidant curcumin: Recent findings
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[165] Ghosh SS, Gehr TW, Ghosh S
Curcumin and chronic kidney disease (CKD): major mode of action through stimulating endogenous intestinal alkaline phosphatase.
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[167] Zhong F, Chen H, Han L, Jin Y, Wang W
Curcumin attenuates lipopolysaccharide-induced renal inflammation.
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[168] Suresh Babu P, Srinivasan K
Amelioration of renal lesions associated with diabetes by dietary curcumin in streptozotocin diabetic rats.
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[169] Narayanan Venkatesan, Durairaj Punithavathi, Venkatesan Arumugam
Curcumin prevents adriamycin nephrotoxicity in rats
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[170] Xie L, Li XK, Takahara S
Curcumin has bright prospects for the treatment of multiple sclerosis.
International Immunopharmacology, March 2011

[171] Qureshi M, Al-Suhaimi EA, Wahid F, Shehzad O, Shehzad A
Therapeutic potential of curcumin for multiple sclerosis.
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[172] Xie L, Li XK, Funeshima-Fuji N, Kimura H, Matsumoto Y, Isaka Y, Takahara S
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International Immunopharmacology, May 2009

[173] Natarajan C, Bright JJ
Curcumin inhibits experimental allergic encephalomyelitis by blocking IL-12 signaling through Janus kinase-STAT pathway in T lymphocytes.
Journal of Immunology, June 2002

[174] Khajavi M, Inoue K, Wiszniewski W, Ohyama T, Snipes GJ, Lupski JR
Curcumin treatment abrogates endoplasmic reticulum retention and aggregation-induced apoptosis associated with neuropathy-causing myelin protein zero-truncating mutants.
The American Journal of Human Genetics, November 2005

[175] S. K. Kulkarni, A. Dhir
An Overview of Curcumin in Neurological Disorders
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[176] S.-C. J Chueh, M.-K Lai, I.-S Liu, F.-C Teng, J Chen
Curcumin enhances the immunosuppressive activity of cyclosporine in rat cardiac allografts and in mixed lymphocyte reactions
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[177] Ranjan D, Chen C, Johnston TD, Jeon H, Nagabhushan M.
Curcumin inhibits mitogen stimulated lymphocyte proliferation, NFkappaB activation, and IL-2 signaling.
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[178] Oh S, Kyung TW, Choi HS
Curcumin inhibits osteoclastogenesis by decreasing receptor activator of nuclear factor-kappaB ligand (RANKL) in bone marrow stromal cells.
Molecules & Cells, November 2008

[179] Yang MW, Wang TH, Yan PP, Chu LW, Yu J, Gao ZD, Li YZ, Guo BL
Curcumin improves bone microarchitecture and enhances mineral density in APP/PS1 transgenic mice.
Phytomedicine, January 2011

[180] French DL, Muir JM, Webber CE
The ovariectomized, mature rat model of postmenopausal osteoporosis: an assessment of the bone sparing effects of curcumin.
Phytomedicine, December 2008

[181] Cho JW, Lee KS, Kim CW
Curcumin attenuates the expression of IL-1beta, IL-6, and TNF-alpha as well as cyclin E in TNF-alpha-treated HaCaT cells; NF-kappaB and MAPKs as potential upstream targets.
International Journal of Molecular Medicine, March 2007

[182] Qian-Mei Zhou, Yang Sun, Yi-Yu Lu, Hui Zhang, Qi-Long Chen, and Shi-Bing Su
Curcumin reduces mitomycin C resistance in breast cancer stem cells by regulating Bcl-2 family-mediated apoptosis.
Cancer Cell Int., 2017

[183] Ng QX, Koh SSH, Chan HW, Ho CYX
Clinical Use of Curcumin in Depression: A Meta-Analysis
J Am Med Dir Assoc., June 2017

[184] S. K. Kulkarni, A. Dhir
An Overview of Curcumin in Neurological Disorders
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Curcumin in chronic lymphocytic leukemia – A review
Asian Pacific Journal of Tropical Biomedicine, June 2017

[187] Yeon KY, Kim SA, Kim YH, Lee MK, Ahn DK, Kim HJ, Kim JS, Jung SJ, Oh SB
Curcumin produces an antihyperalgesic effect via antagonism of TRPV1.
Journal of Dental Research, Februar 2010

[188] James W. Daily, Mini Yang, Sunmin Park
Efficacy of Turmeric Extracts and Curcumin for Alleviating the Symptoms of Joint Arthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
Journal of Medicinal Food, August 2016

[189] Agarwal KA, Tripathi CD, Agarwal BB, Saluja S
Efficacy of turmeric (curcumin) in pain and postoperative fatigue after laparoscopic cholecystectomy: a double-blind, randomized placebo-controlled study.
Surgical Endoscopy, December 2011

[190] Yeon KY, Kim SA, Kim YH, Lee MK, Ahn DK, Kim HJ, Kim JS, Jung SJ, Oh SB
Curcumin produces an antihyperalgesic effect via antagonism of TRPV1.
Journal of Dental Research, Februar 2010

[191] Thephinlap C, Phisalaphong C, Lailerd N, Chattipakorn N, Winichagoon P, Vadolas J, Fucharoen S, Porter JB, Srichairatanakool S.
Reversal of cardiac iron loading and dysfunction in thalassemic mice by curcuminoids.
Medicinal Chemistry, January 2011

[192] Srichairatanakool S, Thephinlap C, Phisalaphong C, Porter JB, Fucharoen S
Curcumin contributes to in vitro removal of non-transferrin bound iron by deferiprone and desferrioxamine in thalassemic plasma.
Medicinal Chemistry, September 2007

[193] Mizwicki MT, Menegaz D, Zhang J, Barrientos-Durán A, Tse S, Cashman JR, Griffin PR, Fiala M
Genomic and nongenomic signaling induced by 1α,25(OH)2-vitamin D3 promotes the recovery of amyloid-β phagocytosis by Alzheimer’s disease macrophages.
Journal of Alzheimer’s Disease, 2012

[194] Hurley LL, Tizabi Y.
Neuroinflammation, neurodegeneration, and depression.
Neurotoxicity Research, February 2013

[195] Madhuri Venigalla, Erika Gyengesi, Gerald Münch
Curcumin and Apigenin – novel and promising therapeutics against chronic neuroinflammation in Alzheimer’s disease
Neural Regen Res., August 2015

[196] Sundaram JR, Poore CP, Sulaimee NHB, Pareek T, Cheong WF, Wenk MR, Pant HC, Frautschy SA, Low CM, Kesavapany S
Curcumin Ameliorates Neuroinflammation, Neurodegeneration, and Memory Deficits in p25 Transgenic Mouse Model that Bears Hallmarks of Alzheimer’s Disease.
Journal of Alzheimer’s Disease, August 2017

[197] Tizabi Y, Hurley LL, Qualls Z, Akinfiresoye L
Relevance of the anti-inflammatory properties of curcumin in neurodegenerative diseases and depression.
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[198] Jackson JK1, Higo T, Hunter WL, Burt HM
The antioxidants curcumin and quercetin inhibit inflammatory processes associated with arthritis.
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[199] Y. Henrotin, A.L. Clutterbuck, D. Allaway, E.M. Lodwig, P. Harris, M. Mathy-Hartert, M. Shakibaei, A. Mobasheria
Biological actions of curcumin on articular chondrocytes
Osteoarthritis and Cartil, Fwbruar 2010

[200] Constanze Buhrmann, Ali Mobasheri, Ulrike Matis, Mehdi Shakibaei
Curcumin mediated suppression of nuclear factor-κB promotes chondrogenic differentiation of mesenchymal stem cells in a high-density co-culture microenvironment
Arthritis Research & Therapy, 2010

[201] Peter R. Holt
Curcumin for Inflammatory Bowel Disease: A Caution
Clinical Gastroenterology and Hepatology, January 2016

[202] Qian-Mei Zhou, Yang Sun, Yi-Yu Lu, Hui Zhang, Qi-Long Chen, Shi-Bing
Curcumin reduces mitomycin C resistance in breast cancer stem cells by regulating Bcl-2 family-mediated apoptosis
Cancer Cell Int., September 2017

[203] Madhuri Kakarala, PhD, Dean E. Brenner, Hasan Khorkaya, Connie Cheng, Karim Tazi, Christophe Ginestier, Suling Liu, Gabriela Dontu, Max S. Wicha
Targeting Breast Stem Cells with the Cancer Preventive Compounds Curcumin and Piperine
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[204] Srinivas Ganta, Mansoor Amiji
Coadministration of Paclitaxel and Curcumin in Nanoemulsion Formulations To Overcome Multidrug Resistance in Tumor Cells
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[205] Mathilde Bayet-Robert, Fabrice Kwiatowski, Marianne Leheurteur, Françoise Gachon, Eloïse Planchat, Catherine Abrial, Marie-Ange Mouret-Reynier, Xavier Durando, Chantal Barthomeuf, Philippe Chollet
Phase I dose escalation trial of docetaxel plus curcumin in patients with advanced and metastatic breast cancer
Cancer Biology & Therapy, January 2010

[206] Charlotta D Mock, Brian C Jordan, Chelliah Selvam
Recent Advances of Curcumin and its Analogues in Breast Cancer Prevention and Treatment
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[207] M. De Gasperi, D. Cavazos, L. deGraffenried
Curcumin Modulates Tamoxifen Response in Resistant Breast Cancer Cells.
Cancer Research, December 2009

[208] Cho, Y. A., Lee W., Choi J. S.
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Die Pharmazie – An International Journal of Pharmaceutical Sciences, February 2012

[209] Alon Lang, Nir Salomon, Justin C.Y. Wu, Uri Kopylov, Adi Lahat, Ofir Har-Noy, Jessica Y.L. Ching, Pui Kuan Cheong, Benjamin Avidan, Dorit Gamus, Ioannis Kaimakliotis, Rami Eliakim, Siew C. Ng, Shomron Ben-Horin
Curcumin in Combination With Mesalamine Induces Remission in Patients With Mild-to-Moderate Ulcerative Colitis in a Randomized Controlled Trial
Clinical Gastroenterology and Hepatology, August 2015

[210] Peter R. Holt
Curcumin for Inflammatory Bowel Disease: A Caution
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[211] David Banji, Jyothi Pinnapureddy, Otilia J. F. Banji, A.Saidulu, Md. Sikinder Hayath
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[212] Deodhar SD, Sethi R, Srimal RC.
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The Truth About Vitamin D – The Vitamin D Receptor

Vitamin D is basically a hormone. Vitamin D is produced in the skin when exposed to sunlight. This is also the reason why we speak of the sun hormone. Its chemical name is cholecalciferol.

Metaphorically speaking, vitamin D brings light into the cells. For vitamin D to work, it needs to be activated in two more steps.
The first activation step takes place in the liver. From vitamin D, the 25-hydroxy vitamin D is created. Continue reading

How Vitamin D Helps to Prevent Breast Cancer

Modern science has extensive insights into biochemical processes in the human body.
But in my opinion, the findings are often not sufficiently and quickly enough recognized. Doctors only receive treatment guidelines after many years, if not even decades later. Teaching content at the universities usually lag behind many years of current research.
The fact that a certain receptor is more frequently found in more than 50% of breast cancer patients is long known. Continue reading

Vitamin D and Breast Tumors

Vitamin D has extensive effects. Widespread assumption that vitamin D is a pure “bone vitamin” is still existent. This is far from true. Vitamin D is transformed into a bioactive form in the skin only after exposure to UV radiation. Bioactive vitamin D, which then again is Continue reading

All Vitamin E Products are not the same

Which Vitamin E Provides the Best Protection for Blood Vessels?

The best-known and most frequently researched vitamin E form is alpha-tocopherol. Inexpensive vitamin preparations bought in the supermarket usually contain alpha-tocopherol.
However, there are additional, important vitamin E forms with significant biological activity. According to latest research findings, these include mainly alpha and beta tocotrienols.
Unfortunately, to date only alpha-tocopherol is offered as vitamin E. Continue reading

Graviola in Prostate Carcinoma

Prostate carcinoma is one of the most common (leading) tumors in men. Often it is diagnosed at an early stage. The present study shows that in mice NADPH oxidase expression (that is that genes encoding this enzyme are particularly active) is associated with progressive prostate carcinoma.
It is possible to inhale NADPH oxidase from graviola pulp extract. Graviola contains acetogenin which has a strong anticancer effect. Acetogenin inhibits the activity of NADPH oxidase in prostate carcinoma cells. Expression of NADPH oxidase components is also reduced. Continue reading

Rhodiola

Rhodiola

Rhodiola rosea is an extraordingary plant of outstanding importance for human health. Rhodiola can be used for many of the health problems of modern times. The most popular use of Rhodiola is for mental and physical stress. However, Rhodiola has a whole range of other applications. For example, it has an effect on the little-known aging process of our immune system. You will find out more below. First, here is some general information about the Rhodiola plant. Continue reading