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Articles on Health
Cynara scolymus
L.
1. CLASSIFICATION
Kingdom
: Plantae (Plants)
Subkingdom
: Tracheobionta (Vascular plants)
Superdivision
: Spermatophyta (Seed plants)
Division:
Magnoliophyta (Flowering plants)
Class:
Magnoliopsida (Dicotyledons)
Subclass
: Asteridae
Order:
Asterales
Family
: Compositae = Asteraceae (Sunflower Family)
Tribe
: Cardueae
Genus
: Cynara L.
Species
: Cynara scolymus L.
Synonyms
:
·
Cynara cardunculus (after some authors)
Related Species
:
·
Cynara cardunculus, “alcachofa silvestre”
·
Silybum marianum, “cardo mariano”
Common Names
: “artichoke”, “
globe artichoke”, “
artichoke plant”, “globe
thistle”.Castilian/Spanish: “alcachofa”, “alcachofero”,
“alcachofera”. Portuguese: “alcachofra”.
Italian: articiocco. Others: “artichaut”, “tyosen-azami”.
2. DESCRIPTION
Habit
: Herbaceous plant. Its stem can reach up to 2 m in height and divides in
branches that bear flowers at their apex. Lateral branches spread radially up
to 1 m.
Leaves
: Emerge from the stem base; they are large and somewhat thorny.
Flowers
: They are disposed in big globular terminal capitula (heads), violet-colored,
blue-colored, or white-colored. The flower heads can reach up to 15 cm. They
are very similar to those of some thistle. Involucre is dilated, imbricate,
and thorny. Numerous ovate scales enclose the floscula (flowers). These
floscula are inserted in a wide receptacle. The blossoms receive the name of
artichoke; they are edible.
Fruit
: Not described.
3. ORIGIN, DISTRIBUTION AND
ECOLOGY
Origin
: Cynara scolymus L. is considered a cultigen native to the
Mediterranean basin, probably a derivative of Cynara carduncellus, a
plant species also native to South Europe and North Africa.
Distribution
: Cynara scolymus L. grows in the wild in Southern Europe and is
cultivated in this continent and the United States, especially in California.
In Peru, Cynara scolymus L. is being successfully cultivated in the
Central Sierra. Cynara scolymus L. is widely cultivated for its
enormous edible flower-heads
Ecology
: Cynara scolymus L. withers in summer but revives in autumn. This
plant species flowers in spring.
4. HISTORY
Cynara scolymus
L. was already cultivated by ancient Egyptians, Greeks, and Romans. In Roma,
it was an important delicatessen, very estimated, especially during holidays,
due to its agreeable bitter flavor. In spite of that, its diffusion to the
rest of Europe delayed up to the 15th century. Since several
hundred years ago, Cynara scolymus L. has been used in traditional
medicine both, in Europe and in other parts of the world, in order to treat
gallbladder and liver diseases.
In England, where Cynara scolymus L. was
considered an aristocratic vegetable, it is being cultivated since, at least,
16th century. It is said that king Henry the 8th, who
had 6 wives and only 3 children, had a particular taste for Cynara scolymus
L., possibly due to the fact that this plant species was then considered
–erroneously—an aphrodisiac.
Some homemade snakebite antidotes of the Old
World also include Cynara scolymus L. among their ingredients (Ruppelt,
1991). Effectively, Cynara scolymus L. protects liver from venomous
effects of some toxins the same way silymarin, a compound obtained from the
Marian thistle, does. The antidote range for Cynara scolymus L. is
similar to that of the Marian thistle.
When Europeans arrived to the New World,
Cynara scolymus L. settled with them. Hence, in Brazilian Folk Medicine, a
preparation based on its leaves is used in order to treat liver and
gallbladder diseases, as well as diabetes, hypercholesterolemia, hypertension,
anemia, diarrhea, fever, ulcers and gout. Cynara scolymus L. is also
used in Dominican Republic, Haitian, and Mexican folk medicines in order to
treat very similar diseases.
In the 1970’s decade, European scientists
performed the very first serious experiments related to cynarin, the major
active ingredient in Cynara scolymus L. Hence, its capacity for
diminishing human blood cholesterol levels was documented for the first time.
More recent studies suggest that there are other phytochemical compounds,
apart from cynarin, that would be equally responsible for the diminishing of
blood cholesterol levels.
Today, several countries around the world
produce commercial prescription drugs based on Cynara scolymus L. These
drugs are used in order to combat high blood cholesterol levels and cure
digestive and hepatic diseases, as well as chronic albuminuria, dyspepsia, and
renal insufficiency.
A common use attributed to Cynara scolymus
L. around the world is against liver and gallbladder diseases. This plant
species is considered cholagogue, choleretic, and choliokinetic. Cynara
scolymus L. is also used in order to mobilize fats stored in the liver and
hence detoxifies the liver, and as a natural help for reducing cholesterol
blood levels. Cynara scolymus L. is currently marketed as tincture,
although it is also sold as capsules, tablets, and water dilution.
Nowadays, we can affirm that some of the
curative properties that folk knowledge empirically attributed to Cynara
scolymus L. have been confirmed. What still remains for scientific study
is simply discover which is or which are the chemical compounds responsible of
this or that property. The ability of Cynara scolymus L. in order to
reduce cholesterol blood levels, as well as for treating liver, gallbladder
and stomach diseases is being confirmed.
In Europe, concentrated extract of Cynara
scolymus L. are sold by medical prescription, although in the United
States they are sold freely in healthy food stores. Due to the tendency in the
world of today for electing natural and healthier solutions for human
diseases, as well as the not so much healthy modern diet, Cynara scolymus
L. extracts are very probable to begin to gain popularity.
5. UTILITY
Parts Used
: Tender inflorescence and leaves.
·Inflorescence
: The fleshy base of bracts or immature scales and flower receptacle, but not
the floscules or florets, are used from the inflorescence. The blossom of
Cynara scolymus L. is eaten as a vegetable delicatessen and is called
‘artichoke’. Artichoke can be pickled, baked, fried, boiled, or stewed. When
tender, they can be eaten raw. They have a high content of iron, so that they
are eaten in order to invigorate blood.
·Leaves
: Although the most important active compound of Cynara scolymus L.,
cynarin, is present in the whole plant, the major concentration is found in
the leaves. For this reason, most of the natural medicines obtained from this
plant are prepared from leaves.
Properties
:
Cynara scolymus
L. is used as/for/against:
acne, anemia, arteriosclerosis, bronchitis,
cystitis, dropsy, gallbladder disorders & stones, gout, hemorrhoids,
hypertension, obesity, prostatitis, seborrheasis, ulcers, urethritis, urinary
diseases, arthritic, asthmatic, anti dandruff, anti diabetic, anti diarrheic,
anti emetic, anti flatulent, anti hemorrhagic, anti nephritic, anti rheumatic,
anti uremic, anticancerous, antihypertensive, antioxidante, astringent,
capillary tonic, cardiotonic, cholagogue (increases bile production in the
liver), choleretic (increases bile flux from the gallbladder), choliokinetic
(increases contractions of the biliary conduct), depurative, detoxifier,
diuretic, dyspepsia, febrifuge, Food (its tender inflorescence is a much
appreciated delicatessen with a high content of iron), haemostatic, hepatic,
hepatoprotector, hypocholesterolemic (cholesterol blood level reducer),
hypoglycemic, hypotensive, inflammation, jaundice, stimulant, vasoconstrictor
The first experiment demonstrating in rats
protective and detoxifier properties of Cynara scolymus L. in liver was
conducted in 1966. Adzet (1987) determined that cynarin –and in less degree,
caffeic acid—obtained from Cynara scolymus L. protected rat
hepatocytes against toxicity produced by carbon tetrachloride (CCl4
). In other treatments, caffeic acid resulted as effective as pure cynarin.
More recently (2002), a leaf extract obtained
from Cynara scolymus L. was demonstrated to be able to revert damage
caused by noxious chemicals on cell membranes in rat liver cells, by which
bile production was increased. Some studies have shown that an extract
obtained from Cynara scolymus L. can increase bile volume by four times
its normal value within 12 hours. It is also known that leaf extract has the
ability to stimulate liver cell regeneration, the same way as silymarin does,
a compound obtained from the Marian thistle.
In a study carried out with men, Woyke (1981)
showed that a commercial extract of Cynara scolymus L., called
Cynarex, had the property to reduce platelet aggregation when taken during
two years.
In Brazil, Cynara scolymus L. is used as
diuretic due to its property to eliminate uric acid from the system. Cynara
scolymus L. is also used in order to cure liver diseases, especially those
associated with malaria and alcoholism. In general, Brazilian herbal medicine
attributes Cynara scolymus L. the property of cleansing and purify both
liver and gallbladder.
Cynara scolymus
L. is also a good food. Its high iron content invigorates blood. In Spain,
Cynara scolymus L. is among the 9 major vegetables as source of
carotenoids (Granado, 1996). Gibson (1998) has shown that Cynara scolymus
L. is among the probiotic foods; this means that Cynara scolymus L.
promotes the development of the colonic flora (bifidobacteria, lactobacilli,
etc.).
The employment of extracts obtained from
Cynara scolymus L. in order to treat digestive diseases is very well
documented. Its curative power extends to all the digestive tract, from
esophagus to colon, including its annexed organs, such as liver and
gallbladder. In 1999 a clinic study focused on the function of gallbladder was
conducted. This study showed the efficacy and safety of extracts from
Cynara scolymus L. for the treatment of hepato-biliary and digestive
dysfunctions, such as heaviness, lack of hunger, nausea, and abdominal pain.
In 2000, other study focused on the irritable
colon syndrome. This syndrome’s symptoms are very similar to dyspepsia, a
digestive disorder which involves esophagus, duodenum, and the upper
gastrointestinal tract. Although the extract of Cynara scolymus L. was
known to be useful in order to treat dyspepsia, researchers wanted to find out
if this treatment was also valuable against this syndrome. Hence, a leaf
extract from Cynara scolymus L. was administered to a group of patients
with this syndrome; these patients where then observed for six months. The
results indicated that 96% of the patients with the syndrome of irritable
colon considered the extract better or at least equal than the therapies they
were receiving in order to treat their disease.
Some homemade antidotes against poisonous
snakebites with anti-inflammatory or analgesic properties in mice include
Cynara scolymus L. among their ingredients (Ruppelt, 1991).
Dehydrated Cynara scolymus L. is known to
produce an increase in flavor of foods. So treated Cynara scolymus L.
is also known to produce a sweet tasting when mixed in water.
According to Brown (1998), the extract of
Cynara scolymus L., rich in luteolin, inhibits peroxydation of lipids.
Gebhardt (1998) determined that a water extract
of Cynara scolymus L. leaves inhibited proportionally cholesterol
biosynthesis at concentration of 0.007 mg/mL to 0.1 mg/mL. Moreover, this
water leaf-extract inhibits HMG CoA-reductase activity in hepatocytes.
From Cynara scolymus L. an antioxidant
flavonoid has been isolated. This antioxidant flavonoid, when applied to mice
at concentrations of 0.5 mg to 18 mg per each mouse, inhibited ornitin
decarboxilase activity induced by TPA (Agarwal, 1994).
Although during medieval times in Europe
Cynara scolymus L. was thought to have the capacity to increase sexual
potency, researches performed in male rats determined that there was no
significant change in their seminal structure when they were treated with 35.7
mg/kg and 150 mg/kg of a Cynara scolymus L. extract, 5 times a week,
during 75 days (Ilieva, 1994).
The use of polyphenols present in Cynara
scolymus L. has also been proposed as a preventive chemical against cancer
(Agarwal, 1996). Likewise, a flavonoid obtained from Cynara scolymus L.
has been proposed as dietetic supplement in order to prevent cancer (Mukhtar,
1996).
Akihisa (1996) points out that triterpenic
alcohols from Cynara scolymus L. reduce inflammation induced by TPA.
Yasukawa has shown that at a concentration of 2 micromoles per mouse,
taraxasterol (taraxastan-type hydroxitriterpene) obtained from flowers of
Cynara scolymus L. inhibited fomation of TPA- or DMBA-induced tumors.
According to Khalkova (1995), catecholamines
increased by carbon bisulphur return to their normal levels in rats when an
extract of Cynara scolymus L. is administered at concentration of 200
mg/kg of body weight.
In a study carried out in 2000 in order to
inquire for properties of cynarin obtained from a leaf extract of Cynara
scolymus L., following the methodology known as ‘double blinded’, this
extract or a placebo was randomly administered during 6 weeks to 143
individuals with high blood levels of cholesterol. The results showed a
diminishing of between 10% and 15% of total cholesterol, LDL cholesterol (bad
cholesterol), and LDL-cholesterol/HDL-cholesterol ratio, at the end of the
experiment.
Today we know that the reducing effect on
cholesterol blood level is not exclusive of cynarin. This effect is shared by
other chemical compounds also present in Cynara scolymus L., including
some recently discovered. These effects could be due to the capacity of the
leaf extract to protect liver from toxins such as alcohol, which increases
cholesterol blood level. Moreover, leaf extract reduces cholinesterase levels.
It seems like the net effect of Cynara
scolymus L. extract is the result of both the activation and the
interference of cholesterol metabolism. In conclusion, the extract mobilizes
spare fat from liver and other tissues, such as white adipose tissue, towards
blood, and from there this fat is subsequently excreted out of the body.
Cynarin diminishes the rate of cholesterol
synthesis in the liver, powers biliary excretion of cholesterol and increases
its conversion toward biliary acids. In that sense, it not only reduces
cholesterol levels, but also reduces levels of other lipids in blood, such as
triglycerides.
Some beneficial properties of Cynara scolymus
L. are attributable to its proved antioxidant quality. Effectively, a 2000
study performed on human blood leukocytes of individuals subjected to a series
of oxidative stresses, determined that the leaf extract had antioxidant
properties. In other similar study conducted in 2002 and focused on the
antioxidant power of this extract on endothelial cells of blood vessels
cultured in vitro , the extract was reported to have remarkable
protective properties against oxidative stress induced by inflammatory
substances.
Plant Chemicals
:
acid linoleic, acid miristic, acid oleic,
apigenin, caffeic acid, caffeoilquinic acids, cariophyllene, carotenoids,
clorogenic acid, cosmosid, cyanidolic glycosides, cynaragenin, cynarapicrin,
cynaratriol, cynarin (1, 5-dicaphenil ester of quinic acid), cynarolide,
cynarosids, decanal, escolimosid, escopoletin, esculetin, eugenol, ferulic
acid, flavonoids, folacin, glyceric acid, glycolic acid, hesperidosid,
hesperitine, heterosid B, inulin, isoamerboin, isochlorogenic acid, lauric
acid, linolenic acid, luteolin (and its 4'-glycosid & 7-gentiobiosid),
luteolinic glycosides, maritimein, neochlorogenic acid, palmitic acid,
phenylacetaldehid, polyphenols, pseudotaraxasterol, quercetin, rutin,
sesquiterpenic, lactones, silymarin, sitosterol, stearic, acid, stigmasterol,
taraxasterol, triterpenic alcohols
Cynarin is believed to be the chemical compound
that gives Cynara scolymus L. its agreeable tasting. Cynarin is found
in the whole plant and besides is considered one of the main active chemical
compounds. Technically, cynarin is a caffeolquinic acid and concentrates in
major degree in the leaves. This is the reason why most of the Cynara
scolymus L.-based medicines are obtained from leaf extracts.
6. DOSES AND CONTRAINDICATIONS
Doses
:
- Khalkova (1996) has shown that
between 1 mg/kg to 3 mg/kg of a Cynara scolymus L. extract administered
for 21 days do not produce any toxicity in rats.
- In humans, between 1 to 3 cups per
day of a standard infusion after meals are recommended.
- 3 mL to 4 mL of a liquid extract
concentrated in a proportion of 4:1 can also be administered.
- 3 g to 5 g per day of dehydrated
leaves, as capsules or tablets, can also be administered.
- If you are taking prescription
products with Cynara scolymus L., follow your physician’s directions or
the indications printed in the label by the manufacturer.
Contraindications
: Consider the following:
- According to Quirce (1996)
Cynara scolymus L. can cause the syndrome of urticaria by occupational
contact.
- Meding (1983) has discovered an
allergic dermatitis by contact caused by Cynara scolymus L.
- Individuals taking medicines in order
to reduce cholesterol blood level should ask for the advice of their physician
before taking an extract of Cynara scolymus L. The action of such
medicines could be powered by this extract.
-
Cynara scolymus L. is believed to be able to reduce milk production in
women. Avoid using it if you are breast-feeding.
- Although traditionally
Cynara scolymus L. has been used in order to reduce sugar blood level, no
one research has never confirmed this belief. If you are diabetic and decide
to use Cynara scolymus L. to treat your illness, be careful and ask
your physician so that your physician can minutely check your sugar blood
levels and thus avoid any difficulty.
Drug Interactions:
- The cholesterol reducing property of
Cynara scolymus L. could potentiate the effect of cholesterol reducing
medicines, such as statin. Ask your doctor.
7. AGRONOMIC PRACTICES
Cultivation
: Cynara scolymus L. does not tolerates frost. This plant species needs
a regular flux of water during the growing season (autumn and winter). After
rooting, seedlings grow pretty tall, and then they have to be pruned. In the
summer, the plant dries and withers. This moment is appropriate in order to
cut the main stem up to 10 cm to 15 cm from the ground so that the plant can
shoot again in autumn. Of the multiple shoots emerged during winter, only 1 or
2 have to be left.
Propagation
: During autumn, around the withered main stem shoots or plantlets begin to
emerge. These can be removed and used to propagate the crop. Although this
plant species has been selectively cultivated in order to exclude thorns at
its bracts (which are edible), plants obtained from seeds usually present a
variability with respect to the presence of thorns.
Problems
: Cynara scolymus L. is susceptible to the fungus Puccinia carduorum
. This fungus is being considered in order to biologically control wild
thistles.
8. LITERATURE
REVISED
Adzet, T., et al. “Hepatoprotective activity of
polyphenolic compounds from Cynara scolymus against CCl4 toxicity in isolated
rat hepatocytes.” J. Nat. Prod. 1987; 50(4): 612–17.
Bobnis, W., et al. “Case of
primary hyperlipemia treated with cynarin.” Wiad. Lek. 1973; 26(13): 1267–70.
Brown, J. E. and C. A.
Rice-Evans. “Luteolin-rich artichoke extract protects low density lipoprotein
from oxidation in vitro.” Free Radic. Res. 1990; 29(3): 247–55.
Englisch, W., et al. “Efficacy
of artichoke dry extract in patients with hyperlipoproteinemia.”
Arzneimittelforschung 2000; 40(3): 260–65.
Gebhardt, R. “Anticholestatic
activity of flavonoids from artichoke (Cynara scolymus L.) and of their
metabolites.” Med. Sci. Monit. 2001; (7) Suppl. 1: 316–20.
Gebhardt, R. “Inhibition of
cholesterol biosynthesis in HepG2 cells by artichoke extracts is reinforced by
glucosidase pretreatment.” Phytother. Res. 2002; 16(4): 368–72.
Gebhardt, R. “Inhibition of
cholesterol biosynthesis in primary cultured rat hepatocytes by artichoke
(Cynara scolymus L.) extracts.” J. Pharmacol. Exp. Ther. 1998; 286(3): 1122–28.
Gebhardt, R. “Prevention of
taurolithate-induced hepatic bile canalicular distortions by
HPLC-characterized extracts of artichoke (Cynara scolymus) leaves.” Planta
Med. 2002; 68(9): 776–79.
Gebhardt, R., et al.
“Antioxidative and protective properties of extracts from leaves of the
artichoke (Cynara scolymus L.) against hydroperoxide-induced oxidative stress
in cultured rat hepatocytes.” Toxicol. Appl. Pharmacol. 1997; 144(2): 279–86.
Grogan, J. L., et al.
“Potential hypocholesterolemic agents: dicinnamoyl esters as analogs of
cynarin.” J. Pharm. Sci. 1972; 61(5): 802–3.
Maros, T., et al. “Effects of
Cynara scolymus extracts on the regeneration of rat liver. 1.”
Arzneimittelforschung 1966; 16(2): 127–29.
Montini, M., et al. “Controlled
application of cynarin in the treatment of hyperlipemic syndrome. Observations
in 60 cases.” Arzneimittelforschung 1975; 25(8): 1311–14.
Perez-Garcia, F., et al.
“Activity of artichoke leaf extract on reactive oxygen in human leukocytes.”
Free Rad. Res. 2000; 33(5): 661–65.
Phillips, R. & Rix, M. 1993.
Vegetables. Pan Books, London
Pristautz, H., et al. “Cynarin
in the modern management of hyperlipemia.” Wien Med. Wochenschr. 1975;
125(49): 705–9.
Shimoda, H., et al.
“Anti-hyperlipidemic sesquiterpenes and new sesquiterpene glycosides from the
leaves of artichoke (Cynara scolymus L.): structure requirement and mode of
action.” Bioorg. Med. Chem. Lett. 2003; 13(2): 223–28.
Walker, A. F., et al.
“Artichoke leaf extract reduces symptoms of irritable bowel syndrome in a
post-marketing surveillance study.” Phytother. Res. 2001; 15(1): 58–61.
Wegener, T., et al.
“Pharmacological properties and therapeutic profile of artichoke (Cynara
scolymus L.).” Wien Med. Wochenschr. 1999; 149 (8–10): 241–47.
Zapolska-Downar, D., et al.
“Protective properties of artichoke (Cynara scolymus) against oxidative stress
induced in cultured endothelial cells and monocytes.” Life Sci. 2002; 71(24):
2897.
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