Department of Food Safety, Former employee of the German Federal Institute for Risk Assessment (BfR), Berlin, Germany.
Department of Food Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.
Mol Nutr Food Res. 2018 Jan;62(1). doi: 10.1002/mnfr.201700447. Epub 2017 Dec 19.
The flavonoid quercetin is frequently found in low amounts as a secondary plant metabolite in fruits and vegetables. Isolated quercetin is also marketed as a dietary supplement, mostly as the free quercetin aglycone, and frequently in daily doses of up to 1000 mg d exceeding usual dietary intake levels. The present review is dedicated to safety aspects of isolated quercetin used as single compound in dietary supplements. Among the numerous published human intervention studies, adverse effects following supplemental quercetin intake have been rarely reported and any such effects were mild in nature. Published adequate scientific data for safety assessment in regard to the long-term use (>12 weeks) of high supplemental quercetin doses (≥1000 mg) are currently not available. Based on animal studies involving oral quercetin application some possible critical safety aspects could be identified such as the potential of quercetin to enhance nephrotoxic effects in the predamaged kidney or to promote tumor development especially in estrogen-dependent cancer. Furthermore, animal and human studies with single time or short-term supplemental quercetin application revealed interactions between quercetin and certain drugs leading to altered drug bioavailability. Based on these results, some potential risk groups are discussed in the present review.
类黄酮槲皮素在水果和蔬菜中作为次级植物代谢物含量较低,但经常存在。分离出的槲皮素也作为膳食补充剂出售,主要是游离槲皮素苷元,并且通常每日剂量高达 1000mg,超过了通常的饮食摄入量。本综述专门讨论了作为膳食补充剂单一化合物使用的分离槲皮素的安全性方面。在已发表的许多人类干预研究中,很少有报道补充槲皮素摄入后出现不良反应,任何此类影响均为轻度。目前尚无关于长期(>12 周)高剂量补充槲皮素(≥1000mg)使用的安全性评估的充分科学数据。基于涉及口服槲皮素应用的动物研究,可能确定了一些潜在的关键安全方面,例如槲皮素增强预先受损肾脏的肾毒性作用或促进肿瘤发展的潜力,特别是在雌激素依赖性癌症中。此外,单次或短期补充槲皮素应用的动物和人体研究表明,槲皮素与某些药物之间存在相互作用,导致药物生物利用度改变。基于这些结果,本综述讨论了一些潜在的风险群体。
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