Kunnumakkara Ajaikumar B, Bordoloi Devivasha, Padmavathi Ganesan, Monisha Javadi, Roy Nand Kishor, Prasad Sahdeo, Aggarwal Bharat B
Department of Biosciences and Bioengineering, Indian Institute of Technology Guwahati, Assam, India.
Department of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Br J Pharmacol. 2017 Jun;174(11):1325-1348. doi: 10.1111/bph.13621. Epub 2016 Oct 21.
Curcumin, a yellow pigment in the Indian spice Turmeric (Curcuma longa), which is chemically known as diferuloylmethane, was first isolated exactly two centuries ago in 1815 by two German Scientists, Vogel and Pelletier. However, according to the pubmed database, the first study on its biological activity as an antibacterial agent was published in 1949 in Nature and the first clinical trial was reported in The Lancet in 1937. Although the current database indicates almost 9000 publications on curcumin, until 1990 there were less than 100 papers published on this nutraceutical. At the molecular level, this multitargeted agent has been shown to exhibit anti-inflammatory activity through the suppression of numerous cell signalling pathways including NF-κB, STAT3, Nrf2, ROS and COX-2. Numerous studies have indicated that curcumin is a highly potent antimicrobial agent and has been shown to be active against various chronic diseases including various types of cancers, diabetes, obesity, cardiovascular, pulmonary, neurological and autoimmune diseases. Furthermore, this compound has also been shown to be synergistic with other nutraceuticals such as resveratrol, piperine, catechins, quercetin and genistein. To date, over 100 different clinical trials have been completed with curcumin, which clearly show its safety, tolerability and its effectiveness against various chronic diseases in humans. However, more clinical trials in different populations are necessary to prove its potential against different chronic diseases in humans. This review's primary focus is on lessons learnt about curcumin from clinical trials.
This article is part of a themed section on Principles of Pharmacological Research of Nutraceuticals. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v174.11/issuetoc.
姜黄素是印度香料姜黄(姜黄属植物)中的一种黄色色素,其化学名称为二阿魏酰甲烷,于两个世纪前的1815年由两位德国科学家沃格尔和佩莱蒂耶首次分离出来。然而,根据PubMed数据库,关于其作为抗菌剂的生物活性的第一项研究于1949年发表在《自然》杂志上,第一项临床试验于1937年在《柳叶刀》杂志上报道。尽管目前的数据库显示关于姜黄素的出版物近9000篇,但直到1990年,关于这种营养保健品的论文发表量还不到100篇。在分子水平上,这种多靶点药物已被证明通过抑制包括NF-κB、STAT3、Nrf2、ROS和COX-2在内的众多细胞信号通路来发挥抗炎活性。大量研究表明姜黄素是一种高效的抗菌剂,并已被证明对各种慢性疾病有效,包括各种类型的癌症、糖尿病、肥胖症、心血管疾病、肺部疾病、神经系统疾病和自身免疫性疾病。此外,这种化合物还被证明与其他营养保健品如白藜芦醇、胡椒碱、儿茶素、槲皮素和染料木黄酮具有协同作用。迄今为止,已经完成了100多项关于姜黄素的不同临床试验,这些试验清楚地表明了它在人类中的安全性、耐受性以及对各种慢性疾病的有效性。然而,需要在不同人群中进行更多的临床试验来证明其对人类不同慢性疾病的潜力。本综述的主要重点是从临床试验中吸取的关于姜黄素的经验教训。
本文是营养保健品药理学研究原理主题部分的一部分。要查看本部分的其他文章,请访问http://onlinelibrary.wiley.com/doi/10.1111/bph.v174.11/issuetoc。