Herbal Cascara Sagrada (Rhamnus purshiana) (2)

Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc., effect.

The Ingredients
The chemical constituents of Cascara Sagrada include Aloe-emodin, Anthrquinone glycosides (Barbaloin Cascarosides A, B, C and D ChrysaloinFrangul), Chrysophanol, Emodin, Heterodianthrones palmidin A, B, and C, dianthrones, Oxanthrone, Rhein, Tannins, etc.

1. Herbal Cascara Sagrada (Rhamnus purshiana) and Constipation
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc.,
Constipation is a condition of bowel movements that are infrequent or hard to pass. Statistic showed that constipation most often are women, adults ages 65 and older. Constipation is highly prevalent, with approximately 12 million general practitioner prescriptions for laxatives in England in 2001.

The Ingredients
The chemical constituents of Cascara Sagrada include Aloe-emodin, Anthrquinone glycosides (Barbaloin Cascarosides A, B, C and D ChrysaloinFrangul), Chrysophanol, Emodin, Heterodianthrones palmidin A, B, and C, dianthrones, Oxanthrone, Rhein, Tannins, etc.

The benefits
Constipation is highly prevalent, with approximately 12 million general practitioner prescriptions for laxatives in England in 2001. Cascara Sagrada, the herb used as laxative in herbal medicine may be a potential use to treat constipation. Other in the study of Effect of ear mushroom (Auricularia) on functional constipation, showed a positive result of Both ear mushrooms alone and ear mushrooms with additives (including Cascara Sagrada)  in significantly improved number of bowel movement, straining, sense of incomplete evacuation, stool consistency and satisfactory relief in patients with functional chronic constipation. 'Fiber 7' supplement used in oral diet has found to be effective to   allow discontinuation of laxatives in 63 of 92 nursing home residents

References
(1) Rhamnus purshiana (Cascara)
(2) Constipation in adults. by Mueller-Lissner SA, Wald A.(PubMed)
(3) [Effect of ear mushroom (Auricularia) on functional constipation].[Article in Korean] by Kim TI, Park SJ, Choi CH, Lee SK, Kim WH.(PubMed)

2. Herbal Cascara Sagrada (Rhamnus purshiana) and type 2 diabetes
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc.,
Diabetes is defined as a condition caused by insufficient insulin entering the bloodstream to regulate the glucose. It is either caused by cells in pancreas dying off or receptor sites clogged up by fat and cholesterol. In some cases, diabetes is also caused by allergic reactions of cells in the immune system.
The Ingredients
The chemical constituents of Cascara Sagrada include Aloe-emodin, Anthrquinone glycosides (Barbaloin Cascarosides A, B, C and D ChrysaloinFrangul), Chrysophanol, Emodin, Heterodianthrones palmidin A, B, and C, dianthrones, Oxanthrone, Rhein, Tannins, etc.

The benefits
Emodin, a natural component of Cascara Sagrada, beside stimulates  AMP-activated kinase (AMPK) activity in skeletal muscle and liver cells, it also is found effectively in treating insulin sensitivity by regulating the glucose homeostasis, through AMPK activation, representing a novel therapeutic principle in the treatment of type 2 diabetic models. The Tsinghua University and Shanghai Institute of Materia Medica in the study of emodin also support the use of emodin in treating diabetes and metabolic syndrome


References
(1) Emodin regulates glucose utilization by activating AMP-activated protein kinase by Song P, Kim JH, Ghim J, Yoon JH, Lee A, Kwon Y, Hyun H, Moon HY, Choi HS, Berggren PO, Suh PG, Ryu SH.(PubMed)
(2) Promotion of adiponectin multimerization by emodin: a novel AMPK activator with PPARγ-agonist activity by Chen Z, Zhang L, Yi J, Yang Z, Zhang Z, Li Z.(PubMed)
(3) Emodin, a natural product, selectively inhibits 11beta-hydroxysteroid dehydrogenase type 1 and ameliorates metabolic disorder in diet-induced obese mice by Feng Y, Huang SL, Dou W, Zhang S, Chen JH, Shen Y, Shen JH, Leng Y.(PubMed)

3. Herbal Cascara Sagrada (Rhamnus purshiana) and Pancreatic cancer
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc..
Cancer of pancreas or pancreatic cancer is defined as condition of a malignant neoplasm of the pancreas, as the cells have become cancerous and divided uncontrollably. Most pancreatic cancers start in the ducts (exocrine component of the pancreas) that carry pancreatic juices with cancer of an epithelium that originates in glandular tissue accounts for over 75 - 90% of all cases of exocrine cancers.

The Ingredients
The chemical constituents of Cascara Sagrada include Aloe-emodin, Anthrquinone glycosides (Barbaloin Cascarosides A, B, C and D ChrysaloinFrangul), Chrysophanol, Emodin, Heterodianthrones palmidin A, B, and C, dianthrones, Oxanthrone, Rhein, Tannins, etc.
The benefits
Emodin, found in Cascara Sagrada  have showed in some studies as a potential source in treating many types of cancer. In panceatic cancer, the chemical constutents exerted its anti-tumor effect on  via its dual role in the promotion of apoptosis and suppression of angiogenesisa. Other studies by the Second Affiliated Hospital of Wenzhou Medical College, Emodin and gemcitabine conbination potentiate the inhibition of pancreatic cancer growth induced by gemcitabine both in vitro and in vivo, which might be achieved by up-regulating the expression of Bax and down-regulating the expression of Bcl-2.

References
(1) Antitumor activity of emodin against pancreatic cancer depends on its dual role: promotion of apoptosis and suppression of angiogenesis by SZ, Wei WT, Chen H, Chen KJ, Tong HF, Wang ZH, Ni ZL, Liu HB, Guo HC, Liu DL.(PubMed)
(2) [Emodin combined gemcitabine inhibited the growth of pancreatic cancer in vitro and in vivo and its mechanisms study].[Article in Chinese] by u A, Luo J, Zhang JH. (PubMed)

4. Herbal Cascara Sagrada (Rhamnus purshiana) and Anti viral effects
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc.,
Diabetes is defined as a condition caused by insufficient insulin entering the bloodstream to regulate the glucose. It is either caused by cells in pancreas dying off or receptor sites clogged up by fat and cholesterol. In some cases, diabetes is also caused by allergic reactions of cells in the immune system.
The Ingredients
The chemical constituents of Cascara Sagrada include Aloe-emodin, Anthrquinone glycosides (Barbaloin Cascarosides A, B, C and D ChrysaloinFrangul), Chrysophanol, Emodin, Heterodianthrones palmidin A, B, and C, dianthrones, Oxanthrone, Rhein, Tannins, etc.

The benefits
Hot glycerin extracts were prepared from some herbal plants, including Cascara Sagrada is found to be effective in exerting their anti viral activities including herpes simplex virus type 1 and type 2. In the combined emodin plus Astragalus polysaccharide (APS) study, showed  a weak but persistent inhibitory effect on HBV replication in vivo, which may function as a supplementary modality in the treatment of hepatitis B infection. In SARS,  Isatis indigotica root extract, five major compounds of I. indigotica root, and seven plant-derived phenolic compounds were tested, only compounds aloe emodin and hesperetin dose-dependently inhibited cleavage activity of the 3CLpro,

References
(1) Inactivation of enveloped viruses by anthraquinones extracted from plants.Sydiskis RJ, Owen DG, Lohr JL, Rosler KH, Blomster RN.(PubMed)
(2) Inhibitory effect of emodin and Astragalus polysaccharide on the replication of HBV.  by Dang SS, Jia XL, Song P, Cheng YA, Zhang X, Sun MZ, Liu EQ.(PubMed)
(3) Anti-SARS coronavirus 3C-like protease effects of Isatis indigotica root and plant-derived phenolic compounds by Lin CW, Tsai FJ, Tsai CH, Lai CC, Wan L, Ho TY, Hsieh CC, Chao PD.(PubMed)


5. Herbal Cascara Sagrada (Rhamnus purshiana) and Anti bacterial effects
The immune system is the set of cells and their activity against antigens or infectious agents that comprises of the body's defense system against diseases. The immune system does a great job of keeping people healthy and preventing infections. Beside foods and nutritional supplements, herbs also play a important role in helping the immune system defend against viruses and bacteria attacks.

The Benefits
Methicillin-resistant Staphylococcus aureus (MRSA) is a substantial contributor to morbidity and mortality. emodin (EM), the major component found in Cascara Sagrada and many other plants conbined with ampicillin (AM) or oxacillin (OX) have a showed a positive effects against all strains resulted in a fractional inhibitory concentrations index (FICI) ranging from 0.37-0.5 and from 0.37-0.75, respectively. Other in the study of the effect of glycoside on the antibacterial activity of aloin, showed Aloe-emodin (inhibition diameter < 5.0 mm), changed the morphology of E. coli and damaged the outer cell structrue.

References
(1) Synergistic effect of emodin in combination with ampicillin or oxacillin against methicillin-resistant Staphylococcus aureus.by Lee YS, Kang OH, Choi JG, Oh YC, Keum JH, Kim SB, Jeong GS, Kim YC, Shin DW, Kwon DY.(PubMed)
(2) [Relationship between antibacterial activity of aloe and its anthaquinone compounds].

[Article in Chinese] by Tian B, Hua YJ, Ma XQ, Wang GL.(PubMed)

6. Cascara Sagrada (Rhamnus purshiana) and breast cancer

6. Breast cancer (malignant breast neoplasm) is a cancer that starts in the tissues of the breast either from the inner lining of milk ducts (Ductal carcinoma) or the lobules (Lobular carcinoma) that supply the ducts with milk. there is also rare cases that breast cancer starts in other areas of the breast. In 2010, over 250,000 new cases of breast cancer were expected to be diagnosed in women in the U.S. alone and the risk of getting invasive breast cancer during life time of a women is 1/8.

The benefits

Emodin and Aloe-Emodin, the 2 major conponents found in Cascara Sagrada, is found to be effective in  inhibiting  breast cancer cell proliferation by downregulating ER α protein levels. Other in the conbined study of Curcumin and emodin on tumor cell growth not only provide insight into the mechanism of synergy between curcumin and emodin in breast cancer cells, but also suggest a new and potentially useful approach for breast cancer therapy. Also in the study by the University, Hong Kong, emodin is found to induce growth inhibition and apoptosis in MCF-7 cells through the modulation of the expression of apoptosis-related genes.

References

(1) Emodin and Aloe-Emodin Suppress Breast Cancer Cell Proliferation through ER α Inhibition, byHuang PH, Huang CY, Chen MC, Lee YT, Yue CH, Wang HY, Lin H.(PubMed)

(2) Synergistic effects of curcumin with emodin against the proliferation and invasion of breast cancer cells through upregulation of miR-34a. by Guo J, Li W, Shi H, Xie X, Li L, Tang H, Wu M, Kong Y, Yang L, Gao J, Liu P, Wei W, Xie X.(PubMed)

(3) Emodin induces cytotoxic effect in human breast carcinoma MCF-7 cell through modulating the expression of apoptosis-related genes by Li WY, Chan RY, Yu PH, Chan SW.(PubMed)

7. Herbal Cascara Sagrada (Rhamnus purshiana) and Prostate cancer

Prostate cancer is defined as a condition in which the cells of prostate has become cancerous, causing abnormal cell growth which spread to the distant parts of the body. Most prostate cancers are slow growing and enlarged prostate and prostate cancer may be detected during the Physical (rectum) exams

The benefits

Aloe-emodin, a chemical constituent found in Cascara Sagrada is found to inhibit both proliferation and anchorage-independent growth of PC3 cells by targeting mTORC2. Other major compound of emodin, Cascara Sagrada in the study of its effective on prostate and lung cancers, showed to inhibit proliferation, induce apoptosis, suppress angiogenesis, impede metastasis, and enhance chemotherapy as a novel blocker of CXCR4 expression

References

(1) Aloe-emodin suppresses prostate cancer by targeting the mTOR complex 2 by Liu K, Park C, Li S, Lee KW, Liu H, He L, Soung NK, Ahn JS, Bode AM, Dong Z, Kim BY, Dong Z.(PubMed)

(2) Emodin inhibits invasion and migration of prostate and lung cancer cells by downregulating the expression of chemokine receptor CXCR4 by Ok S, Kim SM, Kim C, Nam D, Shim BS, Kim SH, Ahn KS, Choi SH, Ahn KS.(PubMed)

 
8. Herbal Cascara Sagrada (Rhamnus purshiana) and Liver cancer
Liver cancer is defined as a condition of out of controlled growth of hepatocellular cells in the liver. Since the organ is a soft tissue with less nerve, most liver cancer patient are diagnosed in the later stage of the cancer. According to the statistic, liver cancer remains the fifth most common malignancy in men and the eighth in women worldwide.
Hepatocellular carcinoma (HCC) is a common form of primary liver cancer.

The health benefits
It is believe that the Gene CXC12 with diverted cellular functions and CXCR4, a protein in the cell surface chemical reactions may involve in the process of development of liver cancer. Down regulation of CXCR4 expression in these reaction may be considered in  prevention and treatment the spread of liver cancer. Emodin, a major chemical constituent found in Cascara Sagrada exerted its anti cancer activities by inhibiting the NF-κB activation (inflammation, immunity, cell proliferation and apoptosis) and suppression of CXCL12-induced the spread and invasion in HCC cell lines. In HepG2 cells, in doses depending manner, emodin increased the protein level of cellular tumor antigen (P53) and decreased the protein level of NF-κB/p65 (mutation of gene causes of cancers) in HepG2 cells, a liver cancer cell line. The search team at  Wuhan University, also found that emodin not only down regulated expression of (a protein in regulating and contributing to programmed cell death or apoptosis, but also inhibited the heterodimerization of Bcl-2 with Bax (pro-apoptotic Bax protein). Through these results, emodin suppression of CXCR4 signaling pathway as well as controlling the process of a multifaceted complex cascade of events in liver progression may be another choices in treating liver cancer. The other chemical constituent, Aloe-emodin, also is found to exert its anti cancer effect on the proliferation of hepatic hepatocellular carcinoma cells as it inhibited
the Huh-7 cells (an inherited disorder) in dose- and time-dependent manners and  anti proliferative effect via induction of DNA damage and apoptosis.

References
(1) Emodin suppresses migration and invasion through the modulation of CXCR4 expression in an orthotopic model of human hepatocellular carcinoma by Manu KA, Shanmugam MK, Ong TH, Subramaniam A, Siveen KS, Perumal E, Samy RP, Bist P, Lim LH, Kumar AP, Hui KM, Sethi G.(PubMed)
(2) Emodin regulates apoptotic pathway in human liver cancer cells by Yu JQ, Bao W, Lei JC.(PubMed)
(3) Apoptosis by aloe-emodin is mediated through down-regulation of calpain-2 and ubiquitin-protein ligase E3A in human hepatoma Huh-7 cells by Jeon W, Jeon YK, Nam MJ.(PubMed)

9. Cascara Sagrada (Rhamnus purshiana) and bladder cancer
The bladder is a hollow elastic organ in the center of the lower abdomen that collects urine from the kidneys and excreted them through the urethra.
Bladder cancer is most common type of cancer that effect men twice as frequently as it effects women. Usually it starts from the lining the bladder caused by several types of malignant growths of the urinary bladder cells.
The health benefits

Genetic markers may play an important role in prevention and treatment of cancers. Suggestion of deregulation of gene activity occur early may be the reason of cancers subsequently. Genetic study showed that patients with bladder cancer has a low genetic marker histone H3K27 trimethylation (important regulatory factors) and high histone H3S10 phosphorylation (elevated levels on the highly condensed, transcriptionally inactive mitotic chromosomes) in bladder tissues but opposite expression in normal people, Emodin, a chemical constituent, in study found to be effective in alternation of epigenetic modifications in suppression of pH3Ser10 and increased H3K27me3. There results showed the interaction of emodin in mediated epigenetic modulation of target genes and anti-neoplastic activity in bladder cancer cell. Aloe-emodin, another chemical compound is found to be effective in  causing apoptosis of T24 cells through the activation of p53 (the protein level of cellular tumor antigen), p21(a potent cyclin-dependent kinase inhibitor), Fas/APO-1(a cell-surface protein capable of inducing apoptosis), Bax (Gene) and caspase-3(a caspase protein).

References
(1) Emodin modulates epigenetic modifications and suppresses bladder carcinoma cell growth by Cha TL, Chuang MJ, Tang SH, Wu ST, Sun KH, Chen TT, Sun GH, Chang SY, Yu CP, Ho JY, Liu SY, Huang SM, Yu DS.(PubMed)
(2) Aloe-emodin induces apoptosis in T24 human bladder cancer cells through the p53 dependent apoptotic pathway by Lin JG, Chen GW, Li TM, Chouh ST, Tan TW, Chung JG.(PubMed)

10. Cascara Sagrada (Rhamnus purshiana) and Ovarian cancer
Ovarian cancer is defined as a condition of abnormal cells growth of ovarian cells as that have become cancerous. It is one of most common cancer in US, according to the statistics adapted from the American Cancer Society's publication, Cancer Facts & Figures 2010, an estimated 21,880 women in the United States will be diagnosed with ovarian cancer and 13,850 deaths

The health benefits
Study in combined treatment of emodin and survivin-targeted shRNA (a sequence of RNA) with
sur-shRNA plasmid constructed and transfected into the ovarian cancer cell lines SKOV3 and HO8910, showed positive effect of the shRNA specific for survivin effectively reduced the expression of survivin at the mRNA and protein levels in SKOV3 and HO8910 cells. Combination of emodin and shRNA-mediated knockdown of survivin significantly inhibited cell proliferation, induced apoptosis, and suppressed invasion in SKOV3 and HO8910 cells. Other treatment with concentration of emodin alone or combined with paclitaxel, indicated an effective of emodin induced apoptosis alone at a high concentration and increased paclitaxel-induced apoptosis at a low concentration. These results suggested the possibility of an innovative chemotherapeutic strategy in treating drug resistant ovarian tumor.

References
(1) The combined effect of survivin-targeted shRNA and emodin on the proliferation and invasion of ovarian cancer cells by Xue H, Chen Y, Cai X, Zhao L, He A, Guo K, Zheng X.(PubMed)
(2) Emodin sensitizes paclitaxel-resistant human ovarian cancer cells to paclitaxel-induced apoptosis in vitro by Li J, Liu P, Mao H, Wanga A, Zhang X.(PubMed)

11. Cascara Sagrada (Rhamnus purshiana) and primary glioblastoma
Bone Cancer

A bone cancer is an abnormal growth of cells within the bone that have became cancerous. Bone cancer may be classified as primary cancer originated in the bone, and secondary cancer originated from elsewhere.

The health benefits Aloe emodin have been found to effective in induced cell anti proliferation and apoptosis in some cancer cell line. In U87 human malignant glioma cells, the chemical constituent found in Cascara Sagrada,

arrested the cell cycle in the synthesis phase of the cell cycle and promoted the loss of mitochondrial membrane potential in U87 cells, leading to early event of mitochondria-induced apoptotic pathway. In other study of dimethylsulfoxide (DMSO; control) or aloe-emodin (40 microM) showed the effective of Aloe-emodin in inducing apoptosis in U-373MG glioma cells by suppressed PKC(a family of protein) activity and reduced the protein content of most of the PKC isozymes. These results support the positive effect of aloe-emodin and may be considered as a potential agent in treating human malignant glioma cells.

References
(1) Enhanced induction of cell cycle arrest and apoptosis via the mitochondrial membrane potential disruption in human U87 malignant glioma cells by aloe emodin by Ismail S, Haris K, Abdul Ghani AR, Abdullah JM, Johan MF, Mohamed Yusoff AA.(PubMed)
(2) Aloe-emodin modulates PKC isozymes, inhibits proliferation, and induces apoptosis in U-373MG glioma cells by Acevedo-Duncan M, Russell C, Patel S, Patel R.(PubMed)

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

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Food therapy - papaya and Hypertension

Papaya is a species of Carica Papaya, belongs to the family Caricaceae and native to the tropics of the Americas, and was first cultivated in Mexico and several centuries

Nutrients
1. Carbohydrates
2. Sugars
3. Fiber
4. Protein
5. Vitamin A
6. Thiamine (Vitamin B1)
7. Riboflavin (Vitamin B2)
8. Niacin (Vitamin B3)
9. Vitamin B6
10. Vitamin C
11. Vitamin E
12. Vitamin K
13. Calcium
14. Iron
15. Magnesium
16. Phosphorus
17. Potassium
18. Sodium
19. Etc.

Chemical constituents
Alkaloids, Cardenolides, Anthraquinones, Saponins, Tannin, phenol, flavonoid, anthocyanin, Benzyl glucosinolate, benzylisothiocyanate, 5-(Hydroxymethyl)-2-furancarboxaldehyde, 2,3-dihydro-3,5-dihydroxy-6-methyl-4H-pyran-4-one and 1,3-dihydroxy-2-propanone, etc.(a)
Papaya and hypertension
Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps out blood. High blood pressure means raising pressure in your heart.If it stays high over time it can damage the body in many ways.
Carica papaya, according to the Faculty of Medicine and Health Sciences Universiti Putra Malaysia, in alpha-amylase inhibition assay, may consist a nutraceutical potential ofor hyperglycemia and hypertension prevention associated with type 2 diabetes(1). Fruit juice of Carica papaya (L.) study, in the testing of Male albino Wistar rats, exhibited anti hypertensive effective through activation of alpha-adrenoceptor(2). According to University of Naples "Federico II", papaya might interact with Warfarin, the most common cardiovascular drug(3).

Ovarian Cysts And PCOS Elimination
Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months 
 

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References
(a) Chemical composition and bioactivity of dried fruits and honey of Ficus carica cultivars Dottato, San Francesco and Citrullara by Loizzo MR¹, Bonesi M, Pugliese A, Menichini F, Tundis R.(PubMed)
(1) In vitro inhibitory potential of selected Malaysian plants against key enzymes involved in hyperglycemia and hypertension by Loh SP¹, Hadira O.(PubMed)
(2) Blood pressure depression by the fruit juice of Carica papaya (L.) in renal and DOCA-induced hypertension in the rat by Eno AE¹, Owo OI, Itam EH, Konya RS.(PubMed)
(3) Cardiovascular pharmacotherapy and herbal medicines: the risk of drug interaction by Izzo AA¹, Di Carlo G, Borrelli F, Ernst E.(PubMed)
 

Cheesy Potato Skins

Recipe contributed by Quick and easy family favorites (by Vickie and JoAnn)
Make a meal out of this by adding your favorite meat.... barbecue pork, ham and chicken are all good choices.
4 Potatoes, bake and halved
1/2 cup shredded Cheddar cheese
1/2 cup shredded mozzarella cheese
2 green onions, chopped
4 t. bacon bites
Place potatoes on an ungreased baking sheet, sprinkle with cheeses. Top with onion and bacon; heat until cheese melts
Serve 4 to 8.
Dolores Brock
Wellton, AZ


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Holistic System In Existence That Will Show You How To
Permanently Eliminate All Types of Ovarian Cysts Within 2 Months

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Herbal Cascara Sagrada (Rhamnus purshiana)(1)

Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and is thought to have laxative and natural cleansing, etc., effects.

The ingredients
Beside the main compound of anthraquinones, it also contains anthraquinone glycosides, (emodin, frangulin, iso-emodin, aloe-emodin, and chrysophanol), rhein, aloin, malic acid, tannic acid, cascarosides A, B, C, and D, and hydroxy anthracene derivatives (HAD), etc.

1. Cascara Sagrada and Metabolic syndrome
Metabolic syndrome
According to the American Academy of Family Physicians, insulin resistance often goes along with other health problems, such as diabetes, high cholesterol and high blood pressure. These problems are all risk factors for heart disease. When a person has many of these problems at the same time, doctors commonly call it “metabolic syndrome.” It is sometimes called “insulin resistance syndrome” or “syndrome X.” Many people who have type 2 diabetes also have metabolic syndrome
Other defined it as a disorder of energy utilization and storage, diagnosed by a co-occurrence of 3 out of five of the following medical conditions: abdominal (central) obesity, elevated blood pressure, elevated fasting plasma glucose, high serum triglycerides, and low high-density cholesterol (HDL) levels. The metabolic syndrome increases the risk of developing cardiovascular disease, particularly heart failure, and diabetes.
Diabetes is defined as a condition caused by insufficient insulin entering the bloodstream to regulate the glucose. It is either caused by cells in pancreas dying off or receptor sites clogged up by fat and cholesterol. In some cases, diabetes is also caused by allergic reactions of cells in the immune system.

The Benefits
Emodin, a chemical compound found in Cascara Sagrada may process the potential to treat metabolic syndrome by inhibiting 11beta-HSD1 activity of liver and fat significantly and reversing prednisone-induced insulin resistance in mice. Scientific evidence supported the above, including Dr. Wang and the research team in the study in ob/ob mice indicated that emodin (30 μmol/L) suppressed 11-dehydrocorticosterone-induced adipogenesis without affecting corticosterone-induced adipogenesis; emodin (3 μmol/L) reduced 11-dehydrocorticosterone-stimulated lipolysis, but had no effect on corticosterone-induced lipolysis. Moreover, emodin (3 μmol/L) partly reversed the impaired insulin-stimulated glucose uptake and adiponectin secretion induced by 11-dehydrocorticosterone but not those induced by corticosterone. In ob/ob mice, long-term emodin administration decreased 11β-HSD1 activity in mesenteric adipose tissues, lowered non-fasting and fasting blood glucose levels, and improved glucose tolerance. Other in the study of  Glucocorticoid excess (Cushing's syndrome)  causes metabolic syndrome showed that a selective 11β-HSD1 inhibitor, KR-67183, may provide a new therapeutic window in the prevention and treatment without toxicity in type 2 diabetes with obesity as KR-67183 concentration-dependently inhibited 11β-HSD1 activity in human and mouse 11β-HSD1 over-expressed cells and in the ex vivo assay of C57BL/6 mice and he administration of KR-67183 (20 and 50mg/kg/day, orally for 28 days) improved the glucose tolerance and insulin sensitivity with suppressed 11β-HSD1 activity in the liver and fat.

References
1. Metabolic syndrome (Wikipedia)
2.  Metabolic syndrome, (American Academy of Family Physicians)
3. Cascara sagrada (Rhamnus purshiana)(Sigma Aldrich)
4. "Emodin, a natural product, selectively inhibits 11beta-hydroxysteroid dehydrogenase type 1 and ameliorates metabolic disorder in diet-induced obese mice" by Feng Y, Huang SL, Dou W, Zhang S, Chen JH, Shen Y, Shen JH, Leng Y.(PubMed)
5. Emodin, an 11β-hydroxysteroid dehydrogenase type 1 inhibitor, regulates adipocyte function in vitro and exerts anti-diabetic effect in ob/ob mice. by Wang YJ, Huang SL, Feng Y, Ning MM, Leng Y.
6. Anti-diabetic and anti-adipogenic effects of a novel selective 11β-hydroxysteroid dehydrogenase type 1 inhibitor in the diet-induced obese mice. by Park JS, Rhee SD, Jung WH, Kang NS, Kim HY, Kang SK, Ahn JH, Kim KY.(PubMed)
7. [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].[Article in Danish]" by Jacobsen C, Semb S, Kromann-Andersen H(PubMed)
8. "Cascara sagrada-induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity" by Nadir A, Reddy D, Van Thiel DH.(PubMed)
9. "Occupational respiratory allergic disease induced by Passiflora alata and Rhamnus purshiana" by Giavina-Bianchi PF Jr, Castro FF, Machado ML, Duarte AJ.(PubMed)

2. Cascara Sagrada and pancreatic cancer
Cancer of pancreas or pancreatic cancer is defined as condition of a malignant neoplasm of the pancreas, as the cells have become cancerous and divided uncontrollably. Most pancreatic cancers start in the ducts (exocrine component of the pancreas) that carry pancreatic juices with cancer of an epithelium that originates in glandular tissue accounts for over 75 - 90% of all cases of exocrine cancers.

The benefits
Emodin, the major components of Cascara Sagrada (Rhamnus purshiana), has been found to be effective on inducing the apoptosis of pancreatic cancer cells and inhibiting tumor growth through in cellular responses to stimuli (nuclear factor kappa-light-chain-enhancer of activated B cells) and the results suggested that it may contain potential anti-tumor effect on pancreatic cancer as its promotion of apoptosis and suppression of angiogenesis and be considered as potential agent for prevention and treatment of pancreatic cancer. Others in the study of  emodin in the inhibition of XIAP and NF-κB, showed emodin enhances the antitumor effect of gemcitabine in SW1990 pancreatic cancer may be via the downregulation of NF-κB expression, thus inhibiting the expression of XIAP.

References
1. Antitumor activity of emodin against pancreatic cancer depends on its dual role: promotion of apoptosis and suppression of angiogenesis by Lin SZ, Wei WT, Chen H, Chen KJ, Tong HF, Wang ZH, Ni ZL, Liu HB, Guo HC, Liu DL.(PubMed)
2. Enhanced antitumor efficacy by the combination of emodin and gemcitabine against human pancreatic cancer cells via downregulation of the expression of XIAP in vitro and in vivo by Wang ZH, Chen H, Guo HC, Tong HF, Liu JX, Wei WT, Tan W, Ni ZL, Liu HB, Lin SZ.(PubMed)
3. [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].[Article in Danish]" by Jacobsen C, Semb S, Kromann-Andersen H(PubMed)
4. "Cascara sagrada-induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity" by Nadir A, Reddy D, Van Thiel DH.(PubMed)
5. "Occupational respiratory allergic disease induced by Passiflora alata and Rhamnus purshiana" by Giavina-Bianchi PF Jr, Castro FF, Machado ML, Duarte AJ.(PubMed)


3. Cascara Sagrada and cancer
Cancer is a class of diseases in which a group of cells growing and multiplying disordered and uncontrollable way in our body, have become progressively worse and damaged other healthy tissues, sometimes spreads to other organs in the body via lymph or blood and results may be in death.

The benefits
Emodin (1,3,8-trihydroxy-6-methylanthraquinone) is an anthraquinone derivative originally isolated from Rheum officinale Baill known in research community for decades to possess anticancer properties. In the study to examine the effects of emodin on P2X7R(The adenosine 5'-triphosphate (ATP)-gated Ca(2+)-permeable channel P2X7 receptor )-dependent Ca(2+) signaling, extracellular matrix degradation, showed that emodin inhibits human cancer cell invasiveness by specifically antagonizing the P2X7R. Others in the evaluation of natural anthracene-derived compounds as antimitotic agents, showed that  anthraquinones possess promising anti-mitotic activity and may have the potential to be lead compounds for the development of a new class of multifaceted natural anticancer/antimitotic agents.

References
1. Anthraquinone emodin inhibits human cancer cell invasiveness by antagonizing P2X7 receptors.

Jelassi B, Anchelin M, Chamouton J, Cayuela ML, Clarysse L, Li J, Goré J, Jiang LH, Roger S.(PubMed)

2. Evaluation of natural anthracene-derived compounds as antimitotic agents by Badria FA, Ibrahim AS.(PubMed)
3. [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].[Article in Danish]" by Jacobsen C, Semb S, Kromann-Andersen H(PubMed)
4. "Cascara sagrada-induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity" by Nadir A, Reddy D, Van Thiel DH.(PubMed)
5. "Occupational respiratory allergic disease induced by Passiflora alata and Rhamnus purshiana" by Giavina-Bianchi PF Jr, Castro FF, Machado ML, Duarte AJ.(PubMed)

4. Cascara Sagrada and Breast cancer
Breast cancer (malignant breast neoplasm) is a cancer that starts in the tissues of the breast either from the inner lining of milk ducts (Ductal carcinoma) or the lobules (Lobular carcinoma) that supply the ducts with milk. there is also rare cases that breast cancer starts in other areas of the breast. In 2010, over 250,000 new cases of breast cancer were expected to be diagnosed in women in the U.S. alone and the risk of getting invasive breast cancer during life time of a women is 1/8.

The benefits
Emodin, a chemical component found in Cascara Sagrada, an anthraquinone derivative has been found to possess anti cancer activity by induced cell apoptosis. in the study of the effects of emodin on Multi-drug resistance to chemotherapeutic agents is a major cause of treatment failure in breast cancer. In the study to evaluate the effects of emodin on reversing the multi-drug resistance, through the ERCC1 protein expression in breast cancer cell line, Emodin may effectively reverse the multi-drug resistance in MCF-7/Adr cells and down-regulate ERCC1 protein expression.

References
1. Emodin enhances cisplatin-induced cytotoxicity via down-regulation of ERCC1 and inactivation of ERK1/2. by Ko JC, Su YJ, Lin ST, Jhan JY, Ciou SC, Cheng CM, Chiu YF, Kuo YH, Tsai MS, Lin YW.(PubMed)
2. [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].[Article in Danish]" by Jacobsen C, Semb S, Kromann-Andersen H(PubMed)
3. "Cascara sagrada-induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity" by Nadir A, Reddy D, Van Thiel DH.(PubMed)
4. "Occupational respiratory allergic disease induced by Passiflora alata and Rhamnus purshiana" by Giavina-Bianchi PF Jr, Castro FF, Machado ML, Duarte AJ.(PubMed)


5. Cascara Sagrada and non-small cell lung cancer (NSCLC)
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc., effect.

Lung cancer is defined as a condition of the abnormal growth of the cells in the lung's tissue. Most common form of primary lung cancers are derived from epithelial cells. In Us, Lung cancer is the leading cause of cancer deaths, causing 158,683 people deaths, including 88,329 men and 70,354 women, according to 2007 statistic. Non-small cell lung cancer is the most common type of lung cancer. It usually grows and spreads methodically and predictably.Most common types of lung cancers include
a. Squamous-cell carcinoma often found in an outer area of the lung,
b. Large-cell carcinoma found in the center of the lung by an air tube
c. Adenocarcinoma found in any part of the lung.


The benefits
In last article, we have shown that Emodin, an anthraquinone derivative, may effectively reverse the multi-drug resistance in MCF-7/Adr cells and down-regulate ERCC1 protein expression. In the study of  the cytotoxic effect of combined emodin and cisplatin on NSCLC cell lines, emodin alone or combined with cisplatin significantly decreased expression of ERCC1 mRNA levels, may lead to novel therapy in the future for NSCLC. Other in study of the same also support the effects of emodin  suppressed by emodin to induce cytotoxicity in NSCLC cells by activation of the MKK1/2-ERK1/2 pathway.

References
1. Emodin enhances cisplatin-induced cytotoxicity via down-regulation of ERCC1 and inactivation of ERK1/2 by Ko JC, Su YJ, Lin ST, Jhan JY, Ciou SC, Cheng CM, Chiu YF, Kuo YH, Tsai MS, Lin YW.(PubMed)
2. Suppression of ERCC1 and Rad51 expression through ERK1/2 inactivation is essential in emodin-mediated cytotoxicity in human non-small cell lung cancer cells by Ko JC, Su YJ, Lin ST, Jhan JY, Ciou SC, Cheng CM, Lin YW.(PubMed)
3. [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].[Article in Danish]" by Jacobsen C, Semb S, Kromann-Andersen H(PubMed)
4. "Cascara sagrada-induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity" by Nadir A, Reddy D, Van Thiel DH.(PubMed)
5. "Occupational respiratory allergic disease induced by Passiflora alata and Rhamnus purshiana" by Giavina-Bianchi PF Jr, Castro FF, Machado ML, Duarte AJ.(PubMed)

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6. Cascara Sagrada and Herpes simplex virus
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc., effect.
Herpes is defined as a viral disease caused by both Herpes simplex virus type 1 (HSV-1), type 2 (HSV-2).

The Benefits
Anthraquinone derivatives such as emodin have recently been found to protect against deposit of  amyloid plaques and tau aggregation-induced cell death. In the study to evaluate the anti viral effects of emodin against HSV infection, emodin showed a positive result in inhibiting the replication of HSV-1 and HSV-2 in cell culture at the concentration of 50 μg/ml with antiviral index of 2.07 and 3.53, respectively as well as enhancing the survival rate of HSV-infected mice and may be considered as a promising agent in the clinical therapy of HSV infection. Other in the study of the same indicated that emodin also inhibits the yields of HSV-1 but via the suppression of a novel target, UL12.


References
(1) The effect of emodin, an anthraquinone derivative extracted from the roots of Rheum tanguticum, against herpes simplex virus in vitro and in vivo by Xiong HR, Luo J, Hou W, Xiao H, Yang ZQ.(PubMed)
(2) Emodin is a novel alkaline nuclease inhibitor that suppresses herpes simplex virus type 1 yields in cell cultures by Hsiang CY, Ho TY.(PubMed)
3. [Toxic hepatitis following consumption of the herbal medicinal product Cascara Sagrada].[Article in Danish]" by Jacobsen C, Semb S, Kromann-Andersen H(PubMed)
4. "Cascara sagrada-induced intrahepatic cholestasis causing portal hypertension: case report and review of herbal hepatotoxicity" by Nadir A, Reddy D, Van Thiel DH.(PubMed)
5. "Occupational respiratory allergic disease induced by Passiflora alata and Rhamnus purshiana" by Giavina-Bianchi PF Jr, Castro FF, Machado ML, Duarte AJ.(PubMed)

7. Cascara Sagrada and RV-induced asthma
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc., effect.
Rhinoviruses are viral infective agents in humans, associated to the cause of the common cold

The effects
Mitoxantrone, a anthraquinone derivative found in Cascara Sagrada may be the next potential agent in treating severe asthma caused the Rhinoviruses. It is known that severe asthma is associated the immune response to infection and inflammation and a family of enzymes involved in cellular functions (PI3K). In the study of the effects of Mitoxantrone allergic mice  infected with RV1B, showed an effective potential in RV-induced asthma by blocking pro-inflammatory pathways regulated by multiple cellular processes of PI3K. The effect of the herb may be more profound as the chemical constituent of emodin showed a significantly anti inflammatory activity with capable of interacting with several major inflammatory molecular targets. The result re-emphasizes its potential therapeutic role in the treatment of inflammatory diseases.


References
(1) Targeted abrogation of diverse signal transduction cascades by emodin for the treatment of inflammatory disorders and cancer by Shrimali D, Shanmugam MK, Kumar AP, Zhang J, Tan BK, Ahn KS, Sethi G.(PubMed)
(2) Inhibiting AKT Phosphorylation Employing Non-Cytotoxic Anthraquinones Ameliorates TH2 Mediated Allergic Airways Disease and Rhinovirus Exacerbation by Cesar de Souza Alves C, Collison A, Hatchwell L, Plank M, Morten M, Foster PS, Johnston SL, França da Costa C, Vieira de Almeida M, Couto Teixeira H, Paula Ferreira A, Mattes J.(PubMed)

8. Cascara Sagrada and (Mastitis) inflammation of breast tissue
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc., effect.
Mastitis is the  inflammation of breast tissue, mostly caused by Staphylococcus aureus

The effects
Nanosilver particles (AAgNPs), a derivative of chemical constituent of aloin found in Cascara Sagrada may be the protential target used as antibiotics for treatment of infectious and inflammatory diseases, including mastitis. In the Staphylococcus aureus induced murine mastitis study of a total of 40 female mice were divided into five groups of eight animals each, Nanosilver particles (AAgNPs), the chemical compound is found to be effective (concentration of 21.8) than antibiotic as it exerted the anti inflammatory activity in reducing white blood cell (poly-morpho nuclear cell) infiltration. Other chemical compound emodin found in the herb, in a study of of the same but with  lipopolysaccharide (LPS)-induced mastitis also found to significantly reduced infiltration of neutrophilic granulocyte. These result may be given the green light for the chemical compounds of Cascara Sagrada used as a novel treatment strategy for mastitis.


References
(1) Emodin ameliorates lipopolysaccharide-induced mastitis in mice by inhibiting activation of NF-κB and MAPKs signal pathways by Li D, Zhang N, Cao Y, Zhang W, Su G, Sun Y, Liu Z, Li F, Liang D, Liu B, Guo M, Fu Y, Zhang X, Yang Z.(PubMed)
(2) Evaluation of therapeutic potential of nanosilver particles synthesised using aloin in experimental murine mastitis model by Chaitanya Kumar TV, Muralidhar Y, Prasad PE, Prasad TN, Alpha Raj M.(PubMed)


The Side effects
1. Cascara Sagrada can be liver toxic.
2. It may cause Postal hypertension
Cascara sagrada (CS) has been associated with the development of cholestatic hepatitis, complicated by portal hypertension.
3. Fresh cut, dried bark may cause vomiting and diarrhea.
4. It may allergic effect.
5. Etc.


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Healthy food papaya and cholesterol

Papaya is a species of Carica Papaya, belongs to the family Caricaceae and native to the tropics of the Americas, and was first cultivated in Mexico and several centuries

Nutrients
1. Carbohydrates
2. Sugars
3. Fiber
4. Protein
5. Vitamin A
6. Thiamine (Vitamin B1)
7. Riboflavin (Vitamin B2)
8. Niacin (Vitamin B3)
9. Vitamin B6
10. Vitamin C
11. Vitamin E
12. Vitamin K
13. Calcium
14. Iron
15. Magnesium
16. Phosphorus
17. Potassium
18. Sodium
19. Etc.

Chemical constituents
Alkaloids, Cardenolides, Anthraquinones, Saponins, Tannin, phenol, flavonoid, anthocyanin, Benzyl glucosinolate, benzylisothiocyanate, 5-(Hydroxymethyl)-2-furancarboxaldehyde, 2,3-dihydro-3,5-dihydroxy-6-methyl-4H-pyran-4-one and 1,3-dihydroxy-2-propanone, etc.(a)

Carica papaya and cholesterol
Cholesterol is needed for our body to build cell walls, make hormones and vitamin D, and create bile salts that help you digest fat. However too much of it can be dangerous because cholesterol cannot dissolve in your blood
Ficus carica leaf extract modulates, on hyperlipidemia in high fat diet (HFD)-induced obese male rats, showed to improve the lipid profile and decreased adipogenic risk factors, most likely mediated through an increase in HDL-C levels(1) and streptozotocin-induced diabetic rats, it also exerted hypoglycemic and antioxidant effect;, through improved the lipid profile and affected integrity and function of both liver and pancreas(2). Ether- and water-soluble fractions of Carica papaya ethanol extract, on the other hand, in dose-dependent manner inhibited the total cholesterol (TC), triglycerides (TG), low-density lipoproteins (LDL) level, and significantly increased high-density lipoprotein (HDL) level(3). Unfortunately, according to the Institute for Medical Research, C. papaya leaf extract at a dose over fourteen times the levels employed in practical use in traditional medicine may induce toxicity(4).

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References
(a) Chemical composition and bioactivity of dried fruits and honey of Ficus carica cultivars Dottato, San Francesco and Citrullara by Loizzo MR¹, Bonesi M, Pugliese A, Menichini F, Tundis R.(PubMed)
(1) Ficus carica leaf extract modulates the lipid profile of rats fed with a high-fat diet through an increase of HDL-C by Joerin L¹, Kauschka M, Bonnländer B, Pischel I, Benedek B, Butterweck V.(PubMed)
(2) Hypoglycemic effect of Carica papaya leaves in streptozotocin-induced diabetic rats by Juárez-Rojop IE¹, Díaz-Zagoya JC, Ble-Castillo JL, Miranda-Osorio PH, Castell-Rodríguez AE, Tovilla-Zárate CA, Rodríguez-Hernández A, Aguilar-Mariscal H, Ramón-Frías T, Bermúdez-Ocaña DY.(PubMed)
(3) Effect of ether- and water-soluble fractions of Carica papaya ethanol extract in experimentally induced hyperlipidemia in rats by Iyer D¹, Sharma BK, Patil UK.(PubMed)
(4) Repeated dose 28-days oral toxicity study of Carica papaya L. leaf extract in Sprague Dawley rats by Afzan A¹, Abdullah NR, Halim SZ, Rashid BA, Semail RH, Abdullah N, Jantan I, Muhammad H, Ismail Z.(PubMed)

Italian eggplant Sticks

Recipe by Quick and easy family favorites (by Vickie and JoAnn)
Served with marinara sauce or even salsa, this Italian-season veggies will get a big thumbs up from family and friends

3 eggplant peeled
1. cup Italian favored dry bread crumbs
1 tsp. salt
1 tsp. pepper
3 eggs
1/4 cup milk
oil for deep frying
Cue eggplant into3''x1/2' stick; place in ice water for 30 minutes. drain and set aside.
Combined bread crumbs, salt and pepper; set a side. Blend together eggs and milk in a shallow bowl, dip eggplant sticks into egg mixture and dredge in bread crumbs mixture. Arrange eggplant on an ungreased baking sheet. Cover and chill for 20 minutes.
Pour oil to a depth of one inch in a deep skillet; heat oil to 275 degrees. Add eggplant and cook 2 minutes on each side or until golden. Drain on paper towels. Serve 6

Karen Pitcher
Burleson, TX

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Food therapy - Celery

Celery is a species of Apium graveolens, belonging to the family Apiaceae, cultivated all around the globe as a vegetable. Celery can grow to 1/2 m tall with stalks (leaf on the top) arranging in a conical shape joined at a common base.
Nutrients
1. Carbohydrates
2. Sugars
3. Fiber
4. Fat
5. Protein
6. Water
7. Vitamin A
8. Vitamin B1
9. Vitamin B2
10. Vitamin B6
11. Vitamin C
12. Vitamin K
13. Folate
14. Calcium
15. Manganese
16. Magnesium
17. Phosphorus
18. Potassium
19. Iron
20. Sodium
21. Etc.
Phytochemicals
1. 3-n-butyl-phthalide
2. Acetylenics,
3. Coumarins 
4. Phenolic acids
5. Limonene, coumarin,
6. Phthalides
7. Apigenin
and falcariondiol (1), (9Z) 1,9-heptadecadiene-4,6-diyne-3,8,11-triol (2), oplopandiol (3), bergapten (4), 5,8-dimethoxy psoralen (5), isofraxidin (6), eugenic acid (7), trans-ferulic acid (8), trans-cinnamic acid (9), p-hydroxyphenylethanol ferulate (10), caffeoylquinic acid (11), 5-p-trans-coumaroylquinic acid (12), sedanolide (13), lunularin (14), lunularic acid (15), 2-(3-methoxy-4-hydroxyphenol)-propane-1,3-diol (16), D-allitol (17), beta-sitosterol (18), benzolic acid (19), succinic acid (20), according to Shenyang Pharmaceutical University(a).
 
1. Celery and atrophic gastritis and gastric cancer progression
Stomach cancer/gastric cancer is defined as condition of abnormal growth of the mucus-producing cells of the inside lining of the stomach. Adenocarcinoma is the most common type of stomach cancer.
atrophic gastritis is a process of chronic inflammation of the stomach mucosa.

Apigenin, one of the most common flavonoids, found abundantly in celery, in a joint study from institution in Taiwan, including the Kaohsiung Medical University Hospital, showed effectively decreased atrophic gastritis (atrophic gastritis group) and dysplasia/gastric cancer (gastric cancer group) rates in Mongolian gerbils induced by Helicobacter pylori colonization and Helicobacter pylori(b). Celery seed extract (CSE), in in a dose- and time-dependent manner, exhibited anti-proliferation effect on human gastric cancer BGC-823 cells, through Cell cycle arrest and apoptosis related proteins, such as cyclin A, CDK2, down regulated bcl-2 and up -regulated Bax pathways(c).
Celery seed oil, in benzo[a]pyrene- (BP) induced forestomach cancer in mice, the chemical constituents. 3-n-butyl phthalide and sedanolide showed to reduce tumor incidence from 68% to 30% and 11%,  and  67% and 83% in tumor multiplicity, respectively(d). In fact, according to the State University of New York,  dietary intake of celery, substantial reductions in risk gastric cancer is associated to its phytochemical such as carotene(e).


References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Apigenin has anti-atrophic gastritis and anti-gastric cancer progression effects in Helicobacter pylori-infected Mongolian gerbils by Kuo CH¹, Weng BC², Wu CC³, Yang SF⁴, Wu DC⁵, Wang YC(PubMed)
(c) Molecular mechanisms of celery seed extract induced apoptosis via s phase cell cycle arrest in the BGC-823 human stomach cancer cell line by Gao LL¹, Feng L, Yao ST, Jiao P, Qin SC, Zhang W, Zhang YB, Li FR(PubMed)
(d) Chemoprevention of benzo[a]pyrene-induced forestomach cancer in mice by natural phthalides from celery seed oil by Zheng GQ¹, Kenney PM, Zhang J, Lam LK(PubMed)
(e) Diet in the epidemiology of gastric cancer by Graham S¹, Haughey B, Marshall J, Brasure J, Zielezny M, Freudenheim J, West D, Nolan J, Wilkinson G.(PubMed)


2. Celery and liver cancer
Liver cancer is defined as a condition of abnormal cell growth in the liver. Commonly, proliferation starts at bile ducts, blood vessels or connective tissue of the liver.
According to the study at Shanghai Jiaotong University School of Medicine, dietary intake high amounts of celery was associated with reduced liver cancer risk(b). Methanolic extract of celery seeds, in Wistar rats study, showed to protect against diethylnitrosoamine (DEN)+2-acetylaminofluorine (AAF)+partial hepatectomy (PH) induced hepatocarcinogenesis in dose dependent manner, through modulation of cell proliferation, metabolism and altered hepatic foci development(c). Perillyl alcohol(d), its essential oils(e) and chemical compound phthalides(f) found in celery seed may be potent in treating liver tumors, with Perillyl alcohol also acting as a chemopreventative agent for other cancers, such as colon, skin, and lung cancer.


References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Vegetable-based dietary pattern and liver cancer risk: results from the Shanghai women's and men's health studies by Zhang W¹, Xiang YB, Li HL, Yang G, Cai H, Ji BT, Gao YT, Zheng W, Shu XO(PubMed)
(c) Inhibitory effect of celery seeds extract on chemically induced hepatocarcinogenesis: modulation of cell proliferation, metabolism and altered hepatic foci development by Sultana S¹, Ahmed S, Jahangir T, Sharma S(PubMed)
(d) Perillyl alcohol: applications in oncology by Belanger JT.(PubMed)
(e) Influence of certain essential oils on carcinogen-metabolizing enzymes and acid-soluble sulfhydryls in mouse liver by Banerjee S¹, Sharma R, Kale RK, Rao AR.(PubMed)
(f) Chemoprevention of benzo[a]pyrene-induced forestomach cancer in mice by natural phthalides from celery seed oil by Zheng GQ¹, Kenney PM, Zhang J, Lam LK.(PubMed)

3. Celery and Alzheimer's disease
Alzheimer's disease is a brain disorder named after German physician Alois Alzheimer. Alzheimer's destroys brain cells, causing problems with memory, thinking and behavior severe enough to affect language communication, memory, lifelong hobbies or social life. Alzheimer's gets worse over time, and it is fatal.
L-3-n-butylphthalide (L-NBP), containing in the extract from seeds of Apium graveolens Linn (Chinese celery) on cerebral ischemic, vascular dementia and amyloid-β (Aβ)-induced animal models, showed to inhibit oxidative injury, neuronal apoptosis and glial activation, regulating amyloid-β protein precursor (AβPP) processing and reducing Aβ generation(b), improved cognitive impairment such as learning and memory and reduces amyloid-beta in a transgenic model of Alzheimer's disease, through regulating APP(soluble amyloid precursor protein secretion) processing, and reducing glial activation and oxidative stress(c) and protected neurons against Abeta-induced neurotoxicity via inhibiting tau protein hyperphosphorylation(d).

References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) L-3-n-butylphthalide reduces tau phosphorylation and improves cognitive deficits in AβPP/PS1-Alzheimer's transgenic mice by Peng Y¹, Hu Y, Xu S, Li P, Li J, Lu L, Yang H, Feng N, Wang L, Wang X.(PubMed)
(c) L-3-n-butylphthalide improves cognitive impairment and reduces amyloid-beta in a transgenic model of Alzheimer's disease by Peng Y¹, Sun J, Hon S, Nylander AN, Xia W, Feng Y, Wang X, Lemere CA(PubMed)
(d) l-3-n-Butylphthalide ameliorates beta-amyloid-induced neuronal toxicity in cultured neuronal cells by Peng Y¹, Xing C, Lemere CA, Chen G, Wang L, Feng Y, Wang X.(PubMed)


4. Celery and lung cancer
Lung cancer is defined as a condition of the abnormal growth of the cells in the lung's tissue. Most common form of primary lung cancers are derived from epithelial cells. In Us, Lung cancer is the leading cause of cancer deaths, causing 158,683 people deaths, including 88,329 men and 70,354 women, according to 2007 statistic.
The study of dietary intake of vegetables and fruit and lung cancer risk in Harbin, Heilongjiang province, northeast China(b) and Tin Corporation (YTC) miners in Yunnan(c), showed a positive effect of intake of celery daily in reduced risk of lung cancer. According to Dr. Belanger JT. research, Perillyl alcohol is a monoterpene isolated from the essential oils of celery seeds, exhibited the effect of inducing apoptosis in tumor cells without affecting normal cells and reverting tumor cells back to a differentiated state in very cancer cells, including lung cancer, through increased mannose-6-phosphate/insulin-like growth factor II receptors,  tissue growth factor beta receptors, Bak and decreased ras protein prenylation, ubiquinone synthesis, and induce Phase I and Phase II detoxification systems(d).

References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Dietary intake of fruit and vegetable and lung cancer risk: a case-control study in Harbin, northeast China by Galeone C¹, Negri E, Pelucchi C, La Vecchia C, Bosetti C, Hu J.(PubMed)
(c) [A cohort study on the relationship between vegetable intake and risks of lung cancer in the Tin Corporation (YTC) miners in Yunnan].[Article in Chinese] by Lu Q¹, Yao S, Huang C, Lan Y, Cang S, Qiao Y, Wang R.(PubMed)
(d) Perillyl alcohol: applications in oncology by Belanger JT.(PubMed)

5. Celery and Conlon Cancer
Colon cancer is relatively very common and slowly growing and progress cancer and in predictable way and is the third most commonly diagnosed cancer in developed countries, including US and Canada.
Luteolin is 3',4',5,7-tetrahydroxyflavone found abundantly in celery showed in regulation of cell cycle progression and apoptosis in the HT-29 human colon cancer cell line, through inhibited CDK2, decreased levels of Cyclin D1 levels and promoted G2/M arrest via certain mechanisms(b)(c). In the study of a total of 336 incident cases of histologically confirmed colorectal cancer (111 colon cancer and 225 rectal cancer in Harbin city, the Harbin Medical College found that increased consumption of green vegetables, including celery, have a strong protective effect against colorectal cancer(d).
According to Dr. Belanger JT, Perillyl alcohol,a monoterpene isolated from the essential oils of  celery seeds was active in inducing apoptosis in tumor cells without affecting normal cells and can revert tumor cells back to a differentiated state, including colon cancer cells(e).

References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Induction of cell cycle arrest and apoptosis in HT-29 human colon cancer cells by the dietary compound luteolin by Lim do Y¹, Jeong Y, Tyner AL, Park JH.(PubMed)
(c) Carotenoids and colon cancer by Slattery ML¹, Benson J, Curtin K, Ma KN, Schaeffer D, Potter JD.(PubMed)
(d) Diet and cancer of the colon and rectum: a case-control study in China by Hu JF¹, Liu YY, Yu YK, Zhao TZ, Liu SD, Wang QQ.(PubMed)
(e) Perillyl alcohol: applications in oncology by Belanger JT.(PubMed)


6. Celery and hypertension
Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps out blood. High blood pressure means raising pressure in your heart.If it stays high over time it can damage the body in many ways.
In take of overall vegetable was found to have an Inverse associations to blood pressure (BP), including celery(b). Celery (Apium graveolens) seed extracts, in hypertensive rat study, showed to decreased BP and increased the HR, through its active hydrophobic constitutes(c)

References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Relations of raw and cooked vegetable consumption to blood pressure: the INTERMAP Study by Chan Q¹, Stamler J, Brown IJ, Daviglus ML, Van Horn L, Dyer AR, Oude Griep LM, Miura K, Ueshima H, Zhao L, Nicholson JK, Holmes E, Elliott P(PubMed)
(c) Antihypertensive effect of celery seed on rat blood pressure in chronic administration by Moghadam MH¹, Imenshahidi M, Mohajeri SA.(PubMed)

7. Celery and Oxidative stress
Oxidative stress is the damage caused by imbalance between Reactive oxygen species and the abilities of the body to inhibit them.
Increased consumption of fruits and vegetables containing high levels of phytochemicals showed to be effective in preventing chronic diseases related to oxidative stress in the human body, including celery(b).Flavonoid extracts from celery, according to the Harbin Medical University, in the rat study sreduced the  activities of superoxide dismutase (SOD), catalase (CAT), glutathione-S-transferase (GST) and increased content of malondialdehyde (MDA) and activity of glutathione peroxidase (GPx)(c). According to University of Novi Sad, roots and leaves extract of celery also, exhibited its scavenging property of OH* and DPPH* radicals and reduction of LPx intensity in liposomes, through their protective (antioxidant) activity(d). Limonene, a major compound found in celery seed oil, process anti free radical activity, and may be used as natural antioxidants in food applications(e).


References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Antioxidant and antiproliferative activities of common vegetables by Chu YF¹, Sun J, Wu X, Liu RH.(PubMed)
(c) Influence of flavonoid extracts from celery on oxidative stress induced by dichlorvos in rats.

Cao J¹, Zhang X, Wang Q, Jia L, Zhang Y, Zhao X.(PubMed)

(d) Effect of celery (Apium graveolens) extracts on some biochemical parameters of oxidative stress in mice treated with carbon tetrachloride by Popović M¹, Kaurinović B, Trivić S, Mimica-Dukić N, Bursać M.(PubMed)
(e) Essential oil composition and antiradical activity of the oil of Iraq plants by Kiralan M¹, Bayrak A, Abdulaziz OF, Ozbucak T.(PubMed)

8. Celery and Hepatoprotective effect
Hepatoprotective effect is defined of a protection against harmful of the Liver.
In acetaminophen-fed freshwater fish (Pangasius sutchi) induced liver damage, celery (Apium graveolens) leaves, showed to reverse the severity of liver damage, hepatic lipid, glycogen, ions status and histological alterations through its rich flavonoids(b). According to the Panjab University, in testing of Apium graveolens L. (Apiaceae) and Hygrophila auriculata (K. Schum.) Heine (Syn. Astercantha auriculata Nees, Acanthaceae) used in Indian systems of medicine for the treatment of liver ailments, showed a significant hepatoprotective activity of the methanolic extract of the seeds against paracetamol and thioacetamide intoxication in rats(c). Other, in the study of the composition of Celery, chicory leaves, and barley grains, showed a positive effects in decreasing the elevation of liver enzymes (aspartate aminotransferase, alanine aminotransferase, and alkaline phosphatase) and blood lipids(d).

References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Hepatoprotective action of celery (Apium graveolens) leaves in acetaminophen-fed freshwater fish (Pangasius sutchi) by Shivashri C¹, Rajarajeshwari T, Rajasekar P.(PubMed)
(c) Hepatoprotective activity of Apium graveolens and Hygrophila auriculata against paracetamol and thioacetamide intoxication in rats by Singh A¹, Handa SS.(PubMed)
(d) Hepatoprotective effect of feeding celery leaves mixed with chicory leaves and barley grains to hypercholesterolemic rats by Abd El-Mageed NM.(PubMed)

9. Celery and cholesterol
Cholesterol is needed for our body to build cell walls, make hormones and vitamin D, and create bile salts that help you digest fat. However too much of it can be dangerous because cholesterol cannot dissolve in your blood. The special particle called lipoprotein moves this waxy, soft substance from place to place. If you have too much low density lipoprotein LDL that is known as bad cholesterol, overtime cholesterol can build up in your arterial walls causing blockage and leading to heart attack and stroke.
The study of the composition of ethanolic extract of seeds of Apium graveolens L. and its chloroform and aqueous basic fraction in olive oil on induced hyperlipidemic rats inhibited the total cholesterol (TC) triglycerides (TG),  low density lipoproteins (LDL) level, and significantly increased high density lipoprotein (HDL) in does depended manner(b). Mountain celery seed essential oils (MC-E)' ether fractionate and 1,1-diphenyl-2-picrylhydrazyl exhibited strong hypolipidemic and  free radical scanvenging activities, repectively, according to the Da-Yeh University(c). Other study in the genetically hypercholesterolaemic (RICO) rat model, aqueous celery extract, oral admisnistion for 8 weeks induced a significant reduction in serum total cholesterol (TC) level(d)(e)(f).


References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)
(b) Effect of chloroform and aqueous basic fraction of ethanolic extract from Apium graveolens L. in experimentally-induced hyperlipidemia in ratsm by Iyer D¹, Patil UK(PubMed)
(c) Hypolipidemic and antioxidant activity of mountain celery (Cryptotaenia japonica Hassk) seed essential oils by Cheng MC¹, Lin LY, Yu TH, Peng RY.(PubMed)
(d) The mechanism underlying the hypocholesterolaemic activity of aqueous celery extract, its butanol and aqueous fractions in genetically hypercholesterolaemic RICO rats by Tsi D¹, Tan BK.(PubMed)
(e) Effects of celery extract and 3-N-butylphthalide on lipid levels in genetically hypercholesterolaemic (RICO) rats by Tsi D¹, Tan BK.(PubMed)
(f) Effects of aqueous celery (Apium graveolens) extract on lipid parameters of rats fed a high fat diet by Tsi D¹, Das NP, Tan BK.(PubMed)

10. Celery and stroke
Besides cancer and heart diseases, stroke is the third leading cause of death. Approximate 1/4 of all stroke victims die as a direct result of the stroke or it's complications.
Celery may consist a potential in improve outcome of after stroke. According to Chinese Academy of Medical Science & Peking Union Medical College , Dl-3-n-butylphthalide (NBP), isolated from the seeds of celery, used as an anti-hypertensive herbal medicine for treating stroke patients(b) in the randomized, double-blind, double-dummy trial enrolled 573 patients within 48 hours of onset of ischemic stroke in China, indicated a positive outcome at the third month after stroke through both NBP  intravenous and oral treatment(c). Other in the study of DL-3-n-Butylphthalide (NBP), a synthetic compound based on L-3-n-Butylphthalide given to  after the onset of ischemic stroke in spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto rats (WKY) induced by the middle cerebral artery occlusion (MCAO, found that pre- and post-treatment significantly lowered neurological deficit scores, reduced infarct volume, and minimized pathological changes in the penumbra area(d).


References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)(b) Effects of DL-3-n-butylphthalide on vascular dementia and angiogenesis by Zhang L¹, Lü L, Chan WM, Huang Y, Wai MS, Yew DT.(PubMed)
(b) Ninety-day administration of dl-3-n-butylphthalide for acute ischemic stroke: a randomized, double-blind trial and Cui LY¹, Zhu YC, Gao S, Wang JM, Peng B, Ni J, Zhou LX, He J, Ma XQ.(PubMed)

(c) DL-3-n-Butylphthalide, an anti-oxidant agent, prevents neurological deficits and cerebral injury following stroke per functional analysis, magnetic resonance imaging and histological assessment by Zhang L¹, Yu WH, Wang YX, Wang C, Zhao F, Qi W, Chan WM, Huang Y, Wai MS, Dong J, Yew DT.(PubMed)


11. Celery and Dementia
Dementia is defined as a condition of gradually serious loss of global cognitive ability, including memory, thinking, language, judgment, behavior, etc. According to statistic, over 24 million people living with some form of dementia worldwide.
3-n-Butylphthalide (NBP), a chemical compound extracted from Chinese celery showed an improvement in spatial learning and memory in the ischemic-rat(b). According to Brigham and Women's Hospital, Harvard Medical School, the extract not only consisted neuroprotective effects on ischemic, vascular dementia, and amyloid-beta (Abeta)-infused animal models, but also reduced total cerebral Abeta plaque deposition and lowered Abeta levels in brain homogenates through enhanced soluble amyloid precursor protein secretion (alphaAPPs), alpha-secretase, and PKCalpha expression in Alzheimer's patients(c) and tau phosphorylation and improves cognitive deficits in AβPP/PS1-Alzheimer's transgenic mice(d).


References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)(b) Effects of DL-3-n-butylphthalide on vascular dementia and angiogenesis by Zhang L¹, Lü L, Chan WM, Huang Y, Wai MS, Yew DT.(PubMed)
(b) Effects of DL-3-n-butylphthalide on vascular dementia and angiogenesis by Zhang L¹, Lü L, Chan WM, Huang Y, Wai MS, Yew DT.(PubMed)
(c) L-3-n-butylphthalide improves cognitive impairment and reduces amyloid-beta in a transgenic model of Alzheimer's disease by Peng Y¹, Sun J, Hon S, Nylander AN, Xia W, Feng Y, Wang X, Lemere CA(PubMed)(d) L-3-n-butylphthalide reduces tau phosphorylation and improves cognitive deficits in AβPP/PS1-Alzheimer's transgenic mice by Peng Y¹, Hu Y, Xu S, Li P, Li J, Lu L, Yang H, Feng N, Wang L, Wang X.(PubMed)

12. Celery and anti microbial effects
According to the Iowa State University, celery juice concentrate (CJ) showed to reduce the pH of CJ before addition to the ham had greater impact on L. monocytogenes growth on does depending manner(b). Its wide version, Apium graveolens L. (wild celery), chemical constistuents sedanenolide, neocnidilide and neophytadiene showed to exhibited antifungal activity against Candida albicans, Candida tropicalis, Candida krusei, Candida guilliermondii, Candida parapsilosis, Cryptococcus neoformans, Trichophyton rubrum, Trichophyton mentagrophytes, T. mentagrophytes var. interdigitale, Trichophyton verrucosum, Microsporum canis, Microsporum gypseum, Epidermophyton floccosum, Aspergillus niger, Aspergillus fumigatus and Aspergillus flavus.(c).
In the testing of the effects of Apium graveolens essential oil' antiulcerogenic and antibacterial activities, researchers at the University of Monastir, found that the essential oil of A. graveolens are strongly inhibitory against Escherichia coli and moderately inhibitory against Pseudomonas aeruginosa and Staphylococcus aureus(d)


References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)(b) Effects of DL-3-n-butylphthalide on vascular dementia and angiogenesis by Zhang L¹, Lü L, Chan WM, Huang Y, Wai MS, Yew DT.(PubMed)(b) The effect of pH and nitrite concentration on the antimicrobial impact of celery juice concentrate compared with conventional sodium nitrite on Listeria monocytogenes by Horsch AM¹, Sebranek JG, Dickson JS, Niebuhr SE, Larson EM, Lavieri NA, Ruther BL, Wilson LA.(PubMed)
(c) Isolation of the volatile fraction from Apium graveolens L. (Apiaceae) by supercritical carbon dioxide extraction and hydrodistillation: chemical composition and antifungal activity by Marongiu B¹, Piras A, Porcedda S, Falconieri D, Maxia A, Frau MA, Gonçalves MJ, Cavaleiro C, Salgueiro L.(PubMed)
(d) Antiulcerogenic and antibacterial activities of Apium graveolens essential oil and extract by Baananou S¹, Bouftira I, Mahmoud A, Boukef K, Marongiu B, Boughattas NA(PubMed)

14. Celery and anti inflammatory activities
Flavone aglycones and others rich in flavone glycosides found Celery extract, according to the study by the The Ohio State University, Columbus, modulated inflammation by reducing TNF-α and NF-κB(b). The  extract of the seed from celery (Apium graviolens) (CSE), in mice study, found to found to possess anti-inflammatory activity, gastro-protective activity, and anti-Helicobacter pylori activity(c). Apiin, a major chemical constituents found in celery, showed to exert its anti-inflammatory activity in-vivo, probably through reduction of iNOS enzyme expression(d), the extracts from extracts from Indian celery seed  also exhibited anti inflammatory against osteoarthritis caused by microcrystalline hydroxyapatite (BCP) and pseudo-gout(e)

References
(a) [Chemical constituents of fresh celery].[Article in Chinese] by Zhou K¹, Wu B, Zhuang Y, Ding L, Liu Z, Qiu F(PubMed)(b) Effects of DL-3-n-butylphthalide on vascular dementia and angiogenesis by Zhang L¹, Lü L, Chan WM, Huang Y, Wai MS, Yew DT.(PubMed)
(b) Flavone deglycosylation increases their anti-inflammatory activity and absorption by Hostetler G¹, Riedl K, Cardenas H, Diosa-Toro M, Arango D, Schwartz S, Doseff AI.(PubMed)(c) A toxicological investigation of a celery seed extract having anti-inflammatory activity by Powanda MC¹, Rainsford KD.(PubMed)
(d) An extract of Apium graveolens var. dulce leaves: structure of the major constituent, apiin, and its anti-inflammatory properties by Mencherini T¹, Cau A, Bianco G, Della Loggia R, Aquino RP, Autore G.(PubMed).
(e) Combination anti-inflammatory therapy: synergism in rats of NSAIDs/corticosteroids with some herbal/animal products by Whitehouse MW¹, Butters DE.(PubMed)

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