Dietary Phytochemicals
and Human Health
Justyna Krzyzanowska,* Anna Czubacka and Wieslaw Oleszek
Abstract
T
his chapter is a comprehensive review of the health promoting phytochemicals commonly
found in our daily food. hese include carotenoids, phenolics, phytoestrogenes, polyun‑
saturated fatty acids, conjugated linoleic acids, tocols, allicin, glucosinolates, limonene
and capsaicinoids. he review encompasses the main food sources of these chemicals in the diet,
the possible mechanisms of their activity, evidence for potential health promoting activity and
possible harmful efects. he newly emerged interest in these phytochemicals in animal nutrition
as substitutes for synthetic antibiotic growth promoters has also been addressed.
Introduction
Living plants produce a great number of chemicals that are crucial for their function and devel‑
opment. Some of these chemicals are primary metabolites, which include proteins (aminoacids),
carbohydrates, fats, nucleic acids etc. However, besides these primary chemicals, the plants also
produce so‑called secondary metabolites, which are speciic to some taxonomic groups (families,
genera). heir physiological function was questioned already in earlier work, but recent research
has shown that they are important constituents of plants. hey are formed under environmental
pressure and play a crucial function in protecting plants against some environmental stresses.
his group includes classes of compounds such as phenolics, carotenoids, alkaloids, saponins,
glucosinolates, cyanogenic glycosides, terpenes etc. Each of these groups contains compounds
with diferent biological activities, which in traditional medicine and ethno‑pharmacology was
used for centuries to cure or to protect from diseases.
A correlation between diet and health has been known since Hippocrates (460‑377 BC), who
recognised that “diferences of diseases depends on the nutriment”.1
During the centuries, numerous epidemiological studies have been performed, conirming
Hippocrates statement, especially regarding the frequency of some diseases in relation to the intake
of particular nutrients. One example might be the study of amine‑based substances discovered
by Funk in rice bran and which for their importance were called “Vitamin” (Vita = life).2 Some
epidemiological studies, in fact, clearly correlate the frequency of some diseases with diet, espe‑
cially those with a low consumption of fruit, vegetables and whole grain, which are rich sources
of particular classes of phytochemicals.
Many natural products are thought to have health promoting activities. he most promising
and extensively studied compounds over recent years are listed in Table 1. his chapter provides
an overview of data available on health beneits of some classes of listed phytochemicals.
*Corresponding Author: Justyna Krzyzanowska—Institute of Soil Science and Plant Cultivation,
Pulawy, Poland. Email: jkrzyzanowska@iung.pulawy.pl
Bio‑Farms for Nutraceuticals: Functional Food and Safety Control by Biosensors
edited by Maria Teresa Giardi, Giuseppina Rea and Bruno Berra.
©2010 Landes Bioscience and Springer Science+Business Media.
©2010 Copyright Landes Bioscience. Not for Distribution.
Chapter 7
Active Compounds
Food Source
Potential Health Beneit
Possible Mechanism and Function
Carotenoids (‑carotene, lycopene, Tomatoes, carrots, yams,
lutein)
cantaloupe, spinach, sweet
potatoes, citrus fruits
Reduce coronary heart disease and
cancer
Antioxidants, singlet oxygen and free radical scav‑
engers, inhibit proliferation of acute myeloblastic
leukemia
Catechins (epigallo‑ and
epigallocatechin gallate)
Green tea, grapes/wine
Reduce cancer and heart disease
Inhibits initiation, promotion and progression of
cancer, antioxidant, reduces free radical/oxidative
damage
Phytoestrogens: Isolavones
(daidzein, genistein),
Coumestans, Lignans (enterodiol,
enterolactone)
Soybeans, soybeanfood Pea
(dried) Rapeseed, garlic,
wheat bran, lentils, brown
rice
Inhibit the growth of human breast cancer cell
Prevent menopausal symptoms,
prevents osteoporosis, reduce cancer lines, decrease cholesterol, LDL cholesterol and
triglicerides, stimulate calcium absorption and
(breast, prostate)
bone deposition
Favones, lavonols and lavanols
(quercetin, kaempferol, rutin,
myricetin, anthocyanidin),
procyanidins
Apples, onion, tea, grapefruit
and orange juice, broccoli,
kale
Reduce coronary heart disease and
cancer
Scavengers of reactive oxygen and nitrogen
species, antioxidants, transition metal chelation
Stilbenes (resveratrol)
Red wine, yucca bark
Reduce coronary heart disease and
cancer, stimulate apoptosis, prevent
blood clustering
Antioxidants and free radical scavengers
Tocopherols, tocotrienols
Vegetable oils
Antioxidant, lowers serum
cholesterol, inhibits cancer,
decreases heart diseases
Inhibits cancer cell poliferation, inhibits HMG‑CoA
reductase
PUFA (omega‑3 fatty acids)
Fish oil, algae, laxseed
Reduce serum cholesterol and
triacylglicerol, reduce heart diseases,
immunosuppresants
Lower the total and LDL/HDL ratios, increase
serum HDL, inhibit arachadonic acid‑derived
products such as PGE and leukotrienes
©2010 Copyright Landes Bioscience. Not for Distribution.
75
continued on next page
Dietary Phytochemicals and Human Health
Table 1. Bioactive food constituents that may prevent diseases (data modiied from ref. 3)
76
Table 1. Continued
Food Source
Potential Health Beneit
Possible Mechanism and Function
Conjugated linoleic acids
Dairy products, processed
vegetable oils
Anticancer, antiatherosclerosis
Inhibit cancer cell growth by interfering with the
hormone regulated mitogenic pathway, reduce
LDL/HDL ratio and total/HDL cholesterol in
rabbits
Diallyl disulide and allicin
Garlic, onions
Anticancers, stimulate immune func‑
tion, free radical scavengers, reduce
serum cholesterol and triacylglyc‑
erols
Inhibit the proliferation of human tumor cells
in culture, inhibit metabolic activation of the
toxicants and carcinogens, inhibit cholesterol
biosynthesis
Nitrogen and sulphur‑containing
amino acid derivaties (glucosino‑
lates, alkaloids, capsaicinoids)
Cruciferous vegetables,
Green and red pepper
Chemoprevention
Chemopreventive activity, modulation of drug
metabolizing enzymes, neuroactivity
Limonene
Citrus fruits
Anticancer
Regulator of malignant cell proliferation,
inhibit posttranslational isoprenylation of cell
growth‑regulatory proteins
Lipoic acid (lipoyllysine)
Spinach, broccoli, tomato,
green pea, Brussel sprouts,
rice bran
Plays fundamental role in energy
metabolism
Antioxidant and redox regulatory activity,
potentiates metabolism serving as cofactor in
enzyme complexes
Coumarins
Vegetables, citrus fruits
Prevent blood clotting, anticarcino‑
genic activity
Anticoagulants, inhibitors and inactivators of
carcinogen and mutagen, scavengers of superoxide
anion radicals
Nondigestable fermentable oligo‑
saccharides, fructans
Garlic, asparagus, chicory
Prebiotics‑effective substrates for biidobacteria,
Intestinal fortiication, stimulate im‑
mune function, inhibit tumorigenesis, modulate lipid metabolism
reduce serum cholesterol
©2010 Copyright Landes Bioscience. Not for Distribution.
Bio‑Farms for Nutraceuticals
Active Compounds
77
Some natural products found in plants have recently also found application in animal
nutrition. For some time, a number of antibiotics have been used as growth promoting factors
in animal production, especially in poultry and pigs. However, this practice has had serious
consequences in increasing the resistance of some microorganisms dangerous to human health.
hus, some countries have introduced regulations prohibiting the use of antibiotics in animal
production. In addition, starting from 2006, the European Community has banned using
antibiotics as growth promoters. hese new regulations may cause loses in income for some
companies. Natural products seem to be good substitutes to replace synthetic antibiotics in
animal production. Natural plant remedies are being developed and classes of active natural
principles are being identiied.
Carotenoids
Carotenoids are natural fat‑soluble yellow, orange, or red pigments that are synthesised in plants,
algae, fungi, yeasts and bacteria. In addition, the characteristic yellowish colours of many birds,
insects, ish and crustaceans are due to the presence of carotenoids in their bodies; however, animals
and humans cannot synthesise carotenoids de novo and are dependent on the dietary sources.4,5 In
nature, the total production of carotenoids has been estimated at 108 ton per year, moreover this
mass is concentrated mainly in four carotenoids: lutein, violaxanthin and neoxanthin in green leaves
and fucoxanthin, which predominates in marine algae. Over 600 of these compounds have been
identiied in nature; however, only about 40 are present in a typical human diet. Human plasma
and tissues contain only 20 carotenoids, which are represented mainly by β‑carotene, lycopene,
lutein, β‑cryptoxanthin and α‑carotene.6,7
Carotenoids belong to the tetraterpenes family and these are characterised by a polyisoprenoid
structure with a long conjugated chain of double bond and a near bilateral symmetry around the
central double bond. According to their chemical composition, they are classiied in two classes:
carotenes, which contain only carbon and hydrogen atoms and xanthophylls (oxycarotenoids)
that have carbon, hydrogen and at least one oxygen atom. Due to the presence of the conjugated
double bonds, carotenoids can undergo cis‑trans isomerisation.7,8 Carotenoids usually occur in their
all‑trans coniguration, which make them the thermodynamically more stable isomer. However,
there is some evidence for the presence of cis‑isomers in plants (e.g., palm oil fruit, algae), espe‑
cially in chlorophyll‑containing tissues but also in a number of fruit. Cis‑isomers may also arise
as a result of processing.9,10
hey are present in various types of food, but the major sources of dietary carotenoids include
orange and yellow fruits and vegetables as well as green leafy vegetables. Smaller amounts can be
extracted from milk and foods containing dairy fat, egg yolks, sea ish and carotenoids added as
colorants to foods during processing.11 Table 2 presents some of the richest dietary sources of these
compounds in a human diet.
he intake of carotenoids in the human diet is more variable than the intake of many other
dietary constituents. However, the total carotenoid intake by humans is estimated to be between
6‑11 mg per day (based on ive major carotenoids consumed in US). he dietary intake of ly‑
copene is about 2‑5 mg per day, whereas the intakes of β‑carotene and lutein are slightly lower,
approximately 3 and 2‑3 mg per day respectively, with the remainder from β‑cryptoxanthin and
α‑ carotene.11,12
Carotenoids are important components of the human diet because they have been linked to a
multitude of health beneits. hey play an important role in the cell communication and protection
against photooxidative processes by acting as singlet molecular oxygen, as well as, peroxyl radical
scavengers and can interact synergistically with other antioxidants.14 In mammals, some of them
can be metabolised to retinol and function as vitamin A precursors. Positive efects between high
dietary consumption and tissue concentration of carotenoids and reduced risk of chronic diseases
such as age‑related macular degeneration were also observed. here is also strong evidence showing
that a rich diet in carotenoids prevents cardiovascular diseases and certain cancers like lung, colon,
breast and prostate cancer.7,14,15
©2010 Copyright Landes Bioscience. Not for Distribution.
Dietary Phytochemicals and Human Health
Bio‑Farms for Nutraceuticals
Carotenoids have been shown to possess antioxidant activity and their antioxidant properties
are thought to be the main mechanism by which they exert their beneicial efects. Recent studies
have also shown that they may mediate their efects via other mechanisms such as gap junction
communication, cell growth regulation, modulating gene expression and immune response and
as modulators of Phase I and II drug metabolising enzymes.7,16
A considerable pool of data shows a relationship between the risk of cancer and dietary
carotenoid intake. Some studies conirmed their protective role, whereas others found no cor‑
relation or even describe an adverse activity. A case‑control study (2.706 cases of cancer of the
oral cavity, pharynx, oesophagus, stomach, colon and rectum vs 2.879 controls) indicated that
a high intake of tomatoes and tomato‑based food, both of which are rich sources of lycopene,
was strongly associated with reduced risk of digestive tract cancers, especially stomach, colon
and rectal.17 Another study reported that a diet supplemented with β‑carotene at a dose of
50 mg per day over ive years showed no efect on the occurrence of new basal‑ or squamous‑cell
carcinoma in well‑nourished patients who previously had skin cancer. On the other hand, it
was also shown that administration of 25 mg of β‑carotene per day with or without vitamin C
(1 g per day) and α‑tocopherol (400 mg per day) for 5‑8 years did not reduce the occurrence
of colorectal adenoma in patients who had a prior history of adenomas.11 A large‑scale study—
he Alpha‑Tocopherol, Beta‑Carotene (ATBC) study suggested that β‑carotene, under certain
circumstances, enhances carcinogenesis. his research involved 29.133 male smokers from
Finland, whose diet was supplemented with β‑carotene (20 mg per day) or α‑tocopherol (50 mg
per day), or both, or placebo for 5‑8 years. Surprisingly, the subjects who received β‑carotene
alone or in a combination with α‑tocopherol showed 18% increased incidence of lung cancer
and 8% increased in total mortality.16,18
here are several reports that lycopene intake is correlated with a decreased risk of prostate
cancer. An important study monitored dietary habits and the incidence rate of prostate cancer
in approximately 48.000 men for four years. Researchers observed that subjects who ate ten
or more servings of tomato products per week (tomatoes, tomato sauce and pizza sauce) were
up to 34% less likely to develop prostate cancer. Men, whose intake was 4‑7 servings per week,
were 20% less likely to develop the cancer. Tomato sauce was the strongest dietary predictor of
reduced prostate cancer risk (66%) and the major predictor of serum lycopene levels. On the
other hand, other studies found no protective efect of serum level and dietary lycopene intakes
on prostate cancer risk.17
Some of the epidemiological studies, which considered the role of carotenoids in the devel‑
opment of Cardiovascular Disease (CVD) supported the hypothesis that these compounds had
preventive activity. here is evidence that the consumption of processed tomato products causes a
reduction in lipoprotein sensitivity to oxidative damage.4 A study that compared Lithuanian and
Swedish populations showed that low lycopene levels were connected with an increased risk and
mortality from Coronary Heart Disease (CHD). Another study also conirmed the positive role of
lycopene. his substance caused a reduction of total serum cholesterol levels and thereby decreased
the risk of CVD7. However, there are also studies that found no association between carotenoid
dietary intake, their plasma concentration and the risk of CVD as well as CHD.12
Vitamin A is an essential nutrient for human health and is responsible for the promotion of
growth, cellular diferentiation, morphogenesis, embryonic development and visual function.
Some carotenoids can be converted into active forms of this vitamin and, in doing so, may prevent
vitamin A deiciency. hey are termed provitamin A compounds. β‑carotene, α‑carotene and
similarly β‑cryptoxanthin as well as nearly 50 other carotenoids with β‑ring end groups belong to
this family, whereas lycopene is not a provitamin A compound. It has been estimated that carote‑
noids from fruits and vegetables provide more that 70% of the vitamin A intake in hird World
countries, whereas in Western societies, the contribution is much lower.4,5,11
he macula of the eye contains only two carotenoids: lutein and zeaxanthin. hese molecules
are thought to protect the eye by acting as ilters for damaging blue light and quenching reactive
oxygen species (ROS). here is some evidence that dietary carotenoids afect the human eye and
©2010 Copyright Landes Bioscience. Not for Distribution.
78
79
Dietary Phytochemicals and Human Health
Table 2. Concentrations of selected carotenoids in fruit, vegetables and food products
(data modiied from refs. 4,7,12,13)
Food Source
α‑Carotene
β ‑Carotene
Lycopene
Lutein
Zeaxanthin
Pepper
16.7
‑
‑
50.30
160.80
Green bean
7.0
‑
‑
49.4
‑
Sweet corn
6.0
5.9
‑
52.20
43.7
Banana
5.0
‑
‑
3.3
0.40
Apricot
3.7
2.6
‑
10.1
3.10
Carrots, cooked
3.7
‑
‑
‑
‑
Carrots, raw
‑
18.3
‑
‑
‑
Apricot, dried
‑
17.6
‑
‑
‑
Mangos, canned
‑
13.1
‑
‑
‑
Sweet patato, cooked
‑
9.5
‑
‑
‑
Carrots, cooked
‑
8.0
‑
‑
‑
Pumpkin, canned
‑
6.9
‑
‑
‑
Kale, cooked
‑
6.2
‑
‑
‑
Spinach, raw
‑
5.6
‑
586.90
‑
Spinach, cooked
‑
5.2
‑
12.47
‑
Winter butternut squash
‑
4.6
‑
‑
‑
Swiss chard, raw
‑
3.9
‑
‑
‑
Pepper, red, raw
‑
2.4
‑
‑
‑
Pepper, red, cooked
‑
2.2
‑
‑
‑
Cantaloupe, raw
‑
1.6
‑
‑
‑
Broccoli, cooked
‑
1.3
‑
‑
‑
Tomato paste
‑
1.2
‑
‑
‑
Tomato powder, drum or
spray dried
‑
‑
112.63‑126.49
‑
‑
Sun‑dried tomato in oil
‑
‑
46.50
Pizza sauce, canned
‑
‑
12.71
‑
‑
Ketchup
‑
‑
9.90‑13.44
‑
‑
Tomato soup, condensed
‑
‑
7.99
‑
‑
Tomato sauce
‑
‑
6.20
‑
‑
Tomato paste
‑
‑
5.40‑150.00
‑
‑
Guawa, fresh
‑
‑
5.40
‑
‑
Tomato juice
‑
‑
5.00‑11.60
‑
‑
Tomatoes, cooked
‑
‑
3.70
‑
‑
Guawa, juice
‑
‑
3.34
‑
‑
‑
continued on next page
©2010 Copyright Landes Bioscience. Not for Distribution.
Carotenoid Content mg/100 g Wet Weight
80
Bio‑Farms for Nutraceuticals
Table 2. Continued
Food Source
α‑Carotene
β ‑Carotene
Lycopene
Lutein
Zeaxanthin
Grapefruit, raw pink
‑
‑
3.36
‑
‑
Watermelon, fresh
‑
‑
2.30‑7.20
‑
‑
Papaya, fresh
‑
‑
2.00‑5.30
‑
‑
Tomatoes, fresh
‑
‑
0.88‑4.20
‑
‑
Apricot, dried
‑
‑
0.86
‑
‑
Apricot, canned
‑
‑
0.06
‑
‑
Brussel sprout
‑
‑
‑
61.0
‑
Green collard
‑
‑
‑
16.30
‑
Beet, green
‑
‑
‑
7.70
‑
Green peas, cooked
‑
‑
‑
1.69
‑
Broad bean
‑
‑
‑
50.6
‑
Broccoli
‑
‑
‑
161.40
‑
Green cabbage
‑
‑
‑
8.00
‑
Lettuce
‑
‑
‑
11.00
‑
Parsley
‑
‑
‑
581.20
‑
Pea
‑
‑
‑
163.30
‑
Watercress
‑
‑
‑
1.07
‑
Orange
‑
‑
‑
6.40
5.00
Peach
‑
‑
‑
7.80
4.20
Tomato
‑
‑
‑
7.80
‑
cause modiication of macular pigments. For example, supplementation with lutein (30 mg per
day over 140 days) resulted in increased serum level of lutein and corresponding increase in the
concentration of lutein in the macula on the human eye.5,12
Carotenoids appear to be responsible for the potential health beneits such as reduction of
the incidence of age‑related diseases of the eye, like cataract and age‑related macular degenera‑
tion disease (AMD), probably by their ability to quench active oxygen species. A study on men
consuming high levels of lutein and zeaxanthin in a diet over eight years showed that those
carotenoids lowered the risk of cataract by 19%. However, research with β‑carotene and cataract
by US physicians over 12 years showed no beneit in healthy men, but the excess risk of cataract
in smokers was attenuated by about one quarter.4 Another study showed that women with the
highest intake of lutein and zeaxanthin had a 22% decreased risk of cataract compared to those
in the lowest quintile.12
In a case‑control study, AMD patients and matched control subjects (who had eye prob‑
lems) were divided into ive groups and given various nutrients from foods. Carotenoids turned
out to be the nutrient class with the strongest protective efect against AMD. People with the
highest carotenoid intake showed a 43% lower risk of developing AMD compared to those
with the lowest administration. It was found that lutein and zeaxanthin were responsible for
this beneicial efect.12
©2010 Copyright Landes Bioscience. Not for Distribution.
Carotenoid Content mg/100 g Wet Weight
81
Dietary Phytochemicals and Human Health
he healthful properties of plants might in part be due to their content of polyphenols. Plants
produce phenolic compounds as secondary metabolites to interact with their environment. To
be more precise, these compounds are responsible both for plant organoleptic qualities such as
the colouring of leaves and fruits and for other physiological processes, including vasodilatatory,
anti‑inlammatory, anti‑bacterial, anti‑viral, anti‑proliferative as well as attracting and repelling
insects and protecting plants from herbivores.
Fresh fruits, vegetables, leaves, nuts, seeds, lowers and barks are rich sources of these compounds
which possess antioxidant activity via their ability to scavenge free radicals or bind pro‑oxidant metal
ions by means of their OH groups. Also soya sprouts are a good source of phenolic compounds.
hey have been used for centuries in many dishes in the Orient, but recently have also become
popular in Western countries.19,20
Flavonoids
Flavonoids represent the largest group of phenolic compounds and the most abundant species
in the human diet. Over 6.000 diferent lavonoids have been identiied but, only a small number
of them are important from a dietary point of view.21 According to their structure, lavonoids can
be divided into six major subclasses: lavones, lavonols, lavanones, lavanols (catechins), antho‑
cyanidins and isolavones.8,22 Various studies have shown that the consumption of lavonoid‑rich
foods may have positive efects on human health, even if their bioavailability is only partial. he
absorbed portion of the amount which is ingested ranges from 0.2% to 0.9% for tea catechins
to 20% for quercetin and isolavones. Moreover, the bioavailability of certain lavonoids difers
markedly, depending on the food source. For instance, the absorption of quercetin from onions
has been shown to be four‑fold higher than absorption from apples or tea.23,24
Comparing with other dietary antioxidant compounds such as tocopherols and vitamin C, the
lavonoid concentration in blood plasma is very low. he concentration of lavonols, lavanols and
lavanones ranges between 0.06‑0.07 µM. In the case of anthocyanidins it is lower than 0.15 µM.
For α‑tocopherol and vitamin C the plasma concentration values are much higher and range
between 30‑150 or 15‑40 µM, respectively.25
Although lavonoids are widespread in nature, their total daily intake is changeable. heir
consumption mainly depends on food composition, food content as well as on dietary habits and
preferences.26 Table 3 shows the dietary lavonoids intake resulting from various studies on lavones
consumption in Europe, Asia and US.
he estimated daily intake of lavonoids ranges from 3 mg in Finland, through 20 mg in
Holland and USA up to 68 mg in Japan. Tea drinkers have a greater lavonoid intake estimated
as 430 mg per day.23
Table 3. Flavones: apigenin, luteolin content in various products (data from ref. 26)
Country
Dietary Intake
of Flavonoids* (mg/day)
Major Dietary Sources
of Flavonoids
Danmark
Finland
Greece
Italy
Japan
Netrerlands
United States
26
3‑10; 0‑41
15
23‑34; 35
60‑68; 17
23; 33
20
Tea, onions, apples
Fruit and vegetables; apples, onions
Fruit and vegetables
Red wine; fruit and vegetables
Green tea
Tea, onions, apples
Onions, black tea
*not total lavonoid intake, this values refer mostly to three lavonols (quercetin, myricetin and kae‑
mpferol) and two lavones (apigenin and luteolin).
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Phenolic Compounds
82
Bio‑Farms for Nutraceuticals
Table 4. Flavonols: quercetin, myricetin, kaempferol content in various products
(data from ref. 25)
Product
Vegetables
Capers
Dock leaves
Fennel
Hartwort leaves
Red onions
Kale
Sweet potato leaves
Chives
Hot peppers
Onions
Broccoli raw
Spinach
Celery
Broccoli cooked
Cherry tomatoes
Lettuce
Fruits
elderberries
cranberries
currants
apples
bilberries
blueberries
apricots
grapes
cherries
plums
blackberries
Cereal
Buckwheat
Spices and herbs
Dill weed
Others
Cocoa powder
Green tea
Black tea
Red wine
Flavonols Content
(mg/100 g or mg/100 ml)
316
120
84,4
38,9
38,8
34,5
30,2
21,7
16,0–50,0
15,4
9,37
4,86
3,50
2,44
2,30–20,3
1,20–9,40
42,0
18,4
13,5
4,42
4,13
3,93
2,55
2,54
1,25
1,20
1,10
23,1
55,0
20,3
2,69
2,07
1,50
©2010 Copyright Landes Bioscience. Not for Distribution.
he most common lavonol in human diet is quercetin, which is present in various fruits and veg‑
etables, but the highest concentration of this molecule has been found in onion (284‑486 mg/kg).
Onion is usually consumed in low quantities, but, on the other hand, tea and wine which contain
lower amounts of quercetin, are consumed in high quantities in some countries.21 he richest
dietary sources of lavonols in a human diet are shown in Table 4.
Flavonoids possess a wide range of biological activities on humans. Most of those beneicial
health efects are attributed to their antioxidant, free radical scavenging properties as well as metal
83
chelating abilities.27 he antioxidant properties of lavonoids depend on their chemical structure
and on the number and arrangement of functional groups. he carbonyl group at C‑4 and the
double bond between C‑2 and C‑3 are particularly important in this sense. Moreover, the presence
of a catechol moiety controls the eiciency of the physical quenching of singlet oxygen (1O2) by
lavonoids and the presence of a 3‑hydroxyl largely determines the eiciency in the reaction with 1O2.
he antioxidant activity of lavonoids24 usually increases with the number of hydroxyl groups.24,28
he ability of lavonoids to inhibit low‑density lipoprotein (LDL) oxidation is thought to play
an important role in the prevention of cardiovascular diseases. For example, high lavonoid intake
has been related to a decreased incidence of myocardial infarction and a reduced risk of coronary
heart disease (CHD).27 Several studies have shown that lavonoids might act as antiproliferative
and anticarcinogenic agents. he inhibition of carcinogenesis, both in ‘in vitro’ and ‘in vivo’ experi‑
ments takes place by afecting the molecular events in the initiation, promotion and progression
cellular phases.22 Moreover, some lavonoids have been reported to have anti‑inlammatory activi‑
ties, mainly related to their ability to inhibit the production of inlammatory mediators such as
prostaglandins, leukotrienes and nitric oxide. Flavonoids also possess antiallergic, antidiabetic,
antineoplastic, antiviral, antibacterial, hepato‑ and gastro‑protective activities.24,29
Phenolic Acids
Most plant phenolic acids such as gallic acid, vanillic acid, procatechuic acid and syringic acid
are derived from hydroxybenzoic acid. Others, such as p‑coumaric acid, cafeic acid and ferulic
acid, are derived from hydroxycinnamic acids.19 Cafeic and chlorogenic acids occur in fruits,
soybeans and cofee beans. Ferulic acid is present in fruits, soybean and rice. Gallic acid occurs in
big amounts in guava and Geraniaceae species.30
Various studies suggest the anticancer properties of phenolic acids. According to these studies
the carcinogenesis is avoided through several mechanisms: the inhibition of carcinogen uptake,
the inhibition of carcinogen activation, the deactivation or organism detoxiication in presence of
carcinogenic species. Phenolic acids also afect apoptosis in tumour cells, prevent the carcinogen
binding to DNA and enhance the level or idelity of DNA repair. Besides, phenolic acids have
good antioxidant properties due to their chemical structure.19
Catechins
Catechins are a class of compounds derived from the di‑ or tri‑hydroxyl group substitution
and the meta‑5,7‑dihydroxy group substitution in the B and A rings of lavanols, respectively.
hey are responsible for the bitterness and the astringency of food. Substantial quantities of these
compounds are present in diferent blends of tea. he (−)‑epigallocatechin‑3‑gallate (EGCG),
(−)‑epigallocatechin (EGC), (−)‑epicatechin‑3‑gallate (ECG), (−)‑epicatechin (EC), (+)‑gal‑
locatechin (GC) and (+)‑catechin (C) are the major catechins present in green tea. Besides their
presence in green and black teas, catechins are present in large quantities in fruits such as berries,
grapes, spotted knapweed, shea, cocoa, carob and grape seeds.31 Table 5 shows some of the richest
sources of catechins in the human diet.
Green tea catechins are natural chemopreventive agents recognized as potent inhibitors of
the nuclear transcription factor kappa‑light‑chain‑enhancer of activated B‑cells (NF‑κB) which
plays an important role in regulating the immune response to infection. he incorrect regulation
of NF‑κB has been linked to cancer, inlammatory and autoimmune diseases, septic shock, viral
infection and improper immune development. Catechins may block one or more steps in the NF‑κB
signalling pathway such as the activation of NF‑κB signalling cascade, the translocation of NF‑κB
into the nucleus, the DNA binding of the dimers, or the interactions with the basal transcriptional
machinery. Moreover, they suppress the enzyme Cyclooxygenase‑2 (COX‑2) which is responsible
for the formation of prostanoids, engaged in inlammation. he epigallocatechin‑3‑gallate, epigal‑
locatechin, epicatechin‑3‑gallate and thealavins from black tea, also inhibited COX‑dependent
arachidonic acid metabolism in human colon mucosa and colon tumours. In addition, catechins
inhibit DNA methylation, which is observed in a wide variety of cancers.31 Catechin and epi‑
catechin have also been shown to be prooxidants as they induced oxidative damage to DNA in
©2010 Copyright Landes Bioscience. Not for Distribution.
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Table 5. Catechins: (‑)‑epicatechin, (‑)‑epigallocatechin gallate content in various
products (data from ref. 25)
Fruits
Blackberries
Grapes
Cherries
Apricots
Raspberries
Apples
Plums
Cranberries
Raisins
Pears
Nectarines
Peaches
Blueberries
Others
Green tea
Dark chocolate
Black tea
Milk chocolate
Red wine
Catechins Content
(mg/100 g or mg/100 ml)
18.7
17.6
11.7
11.0
9.23
9,0
6.19
4.20
3.68
3.43
2.75
2.30
1.11
132
53,5
33,0
13,4
12,0
a human leukemia cell line by generating H2O2 during redox reactions. Epigallocatechin, the
major form of catechins, besides antioxidant activity also exerts an immunomodulatory function
and antimicrobial activity against some pathogens as well. Epigallocatechin gallate and epigal‑
locatechin have been reported to inhibit cell‑mediated oxidation of low‑density lipoprotein in a
concentration of 0‑400 µM.19
Green tea extracts, gallocatechin gallate, gallocatechin, (−)‑epigallocatechin‑3‑gallate, cat‑
echin‑3 gallate and catechin at 100 µM concentration have been shown to inhibit antiapoptotic
Bcl‑2 proteins. Polyphenols present in green tea were also reported to induce apoptosis through
accumulation of Apoptotic Protease Activating Factor 1 protein which is a precursor of apoptosis.
Efects of catechins on DNA and gene expression may also contribute to their anticarcinogenic
properties.19
Catechins are poorly absorbed from the human body and undergo a substantial biotransforma‑
tion to species that include glucuronides, sulfates and methylated compounds.30 In blood serum,
the concentration of catechin ingested in the form of tea, ranges between 0.2% and 2% with
maximum concentrations achieved 1.4‑2.4 h ater consumption. A study performed on humans
has shown that the consumption of eight cups of black tea a day caused a rise of catechins in serum
from 0.08 to 0.2 µM.19
Some epidemiological experiments have demonstrated that green tea can be efective for the
chemoprevention of prostate cancer since the incidence of prostate cancer is lower in Japanese
and Chinese populations32—the major consumers of green tea. Moreover, green tea ointment
and capsules have been shown to be efective for treating cervical lesions, suggesting that green
tea extracts can be a potential therapy regimen for patients with HPV (Human Papilloma Virus).
Epigallocatechin gallate is also interesting because of its sunscreen protective activity against UVB
signal transduction.30
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Dietary Phytochemicals and Human Health
85
Stilbenes are organic compounds containing the functional group 1,2‑diphenylethylene.19
Stilbene itself exists as two possible isomers. he irst is trans‑1,2‑diphenylethylene, called
(E)‑stilbene or trans‑stilbene. he second is cis‑1,2‑diphenylethylene, called (Z)‑stilbene or
cis‑stilbene. Many stilbene derivatives, such as the hydroxylated compounds, are present naturally
in plants. he most representative of the latter is resveratrol (3,5,4‑trihydroxystilbene), that exists
in the form of cis‑ and trans‑ isomers. In fruits it is present in several complex and substituted
forms. Trans‑resveratrol is a natural component of grapes Vitis vinifera L. Especially grapes’ skin
and the leaf epidermis are rich sources of this compound. Resveratrol is not unique to Vitis species
but is also present in at least 72 other plant species, distributed in 12 families and 31 genera, e.g.,
Veratrum, Arachis, Morus, Vaccinium and Trifolium—some which for instance, mulberries and
peanuts are constituents of the human diet.32
Resveratrol was irst found by Michio Takaoka in 1940 as a component of the roots of white
hellebore (Veratrum grandilorum (Maxim. ex Baker) Loes. (Liliaceae)) and identiied by Nonomura
et al later (in 1963) in the dried roots of Japanese knotweed Polygonum cuspidatum Sieb. et Zucc.
(Polygonaceae). In Japanese and Chinese traditional medicine, it is used for the treatment of
dermatitis, gonorrhea favus, hyperlipemia, favus, athlete’s foot and arteriosclerosis, as well as in
allergic and inlammatory diseases and other pathologies. In 1976, trans‑resveratrol was detected
in grapevines by Langcake and Pryce. It is synthesised by leaf tissues in response to fungal infection
by Botrytis cinerea, or ater exposure to ultraviolet light. In 1992, the presence of resveratrol was
reported in red wines. A number of epidemiological studies suggested that the moderate consump‑
tion of red wine by French and other Mediterranean populations was connected with the reduced
incidence of cardiovascular diseases, despite high‑fat diet, little exercise and widespread smoking.
Resveratrol may protect against coronary heart disease by way of its signiicant antioxidant activ‑
ity, modulation of lipoprotein metabolism, vasodilatory and platelet antiaggregatory properties.32
In its antioxidant activity a key role is played by the number and position of the hydroxyl groups
in the molecule.33
Resveratrol is absorbed and transferred across the small intestine as a glucuronide, probably
cleaved back to the bioactive aglycone form—resveratrol—by the β‑glucuronidases found in a
variety of organs and body luids, such as macrophages, blood cells, liver, lung and serum.19 A bio‑
availability study conducted on human healthy subjects, consuming 25 mg of pure trans‑resveratrol
in three diferent matrices (white wine with 11.5% ethanol, grape juice and vegetable juice/
homogenate), showed that the concentration of free (1.7 to 1.9% of total polyphenol levels) and
conjugated polyphenols in serum were similar for all three sources and reached a maximum con‑
centration ater 30 minutes from the ingestion decreasing to the base level within 4 hours. Also
urinary 24‑h excretion ater oral consumption did not show any matrix efect and accounted for
16.5% of the dose administered.33
So far, little is known about pharmacological activity of the cis‑ form. he cis isomer has not
been detected in grapes but is present in wines, being probably produced from trans‑resveratrol by
yeast isomerases during fermentation, or released from viniferins, or from resveratrol glucosides.32
Resveratrol glycosides, present in grape juice have shown lower bioavailability than the aglycone
form, the cumulative excretion of resveratrol being only 5 vs 50% of the administered dose.33
he anti‑initiation activity of resveratrol might be related to its antioxidant and anti‑mutagenic
efects.19 Both cis‑ and trans‑isomers exhibit typical antioxidant activity, i.e., they block extra‑ and
intracellular production of reactive oxygen species, through the inhibition of both NAD(P)H oxi‑
dase activity and nitric oxide production. In addition, resveratrol inhibits lipid peroxidation.32
Resveratrol and its dimer vineferin, have been reported to inhibit the activities of cytochromes
involved in bioactivation or deactivation of numerous carcinogens. he ability to induce apoptosis
might also contribute to anticancer efects ascribed to resveratrol. Another possible explanation
for the anticancer efects of resveratrol is the regulation of production or activation of speciic
enzymes. Moreover, resveratrol has been shown also to have estrogenic activity and immunosup‑
pressive and immunoenhancing properties.19
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Curcumin (diferuloylmethane) is a yellow pigment of the rhizome of turmeric (Curcuma longa
L.) widely used as a spice in food. his phenolic compound shows antioxidant, anti‑inlammatory
and chemopreventive activity. he anticancer potential comes from its ability to suppress prolifera‑
tion of a wide variety of tumour cells, to regulate transcription factors, chemokines, cell surface
adhesion molecules, growth factor receptors and kinases. he daily oral dose of 3.6 g is recom‑
mended in the prevention or treatment of cancer.30
Curcumin as well as various other curcuminoids mediate their therapeutic efects by
regulating the transcription factor NF‑κB and NF‑κB regulated gene products COX‑2, cy‑
clin D1 gene, adhesion molecules, matrix metalloproteinase endopeptidases, inducible nitric
oxide synthase, B‑cell lymphoma 2, B‑cell lymphoma‑extra large and tumour necrosis factors.
Moreover, they could suppress the activator protein 1 transcription factor activation process
and the activation of Antiapoptotic Kinase protein which plays an important role in various
mammalian cancers.31
Curcumin and resveratrol are also known to modulate the activity of the tumor protein 53
which is a tumour‑suppressor and transcription factor. Tumor protein 53 is a critical regulator
in many cellular processes including cell signal transduction, cellular response to DNA‑damage,
genomic stability, cell cycle control and apoptosis. he protein activates the transcription of
genes, which induce the apoptotic process, inhibiting the growth of cells with damaged DNA
or cancer cells.
Curcumin, resveratrol, quercetin and green tea polyphenols also target the chemokines which
are directly involved in the migration of leukocytes activating the inlammatory responses and
participate in the regulation of tumour growth.31
Finally curcumin is able to modulate the mitogen‑activated protein kinases signalling pathway
contributing, in this way, to the inhibition of inlammation and has a direct action on liver injury
and liver detoxiication enzyme system.31,33
Phytoestrogens
Phytoestrogens are natural estrogen‑like substances found in numerous plants especially of
the Leguminosae family, but also in some vegetables, fruits and berries. Four diferent families
of phenolic compounds are considered as phytoestrogens and include isolavonoids, stilbenes,
lignans and coumestans. hese compounds are structurally similar to estradiol and thanks to this
similarity they exhibit estrogenic activity due to the presence of two hydroxyl groups that provide
the correct geometry to bind estrogen receptors.16,34
Human cells have two types of estrogen receptors: ERα and ERβ. Phytoestrogens bind mainly
to the ERβ, whereas mammalian estradiol has a higher binding ainity for ERα.16
he estrogenic activity of these compounds was irst discovered in the 1940s, when they were
seen as the cause of infertility and miscarriage problems of Australian sheep feeding on clover
leaves. Clover leaves contain large amounts of the two isolavones biochanin A and formononetin
that afect the estrogen‑mediated response by activating the aryl hydrocarbon receptor involved
in the reproductive physiology in multiple ways (AhR).35
Moreover, dietary phytoestrogens could play an important role in the prevention of breast
cancer and prostate cancer. hey may also afect bone density, cardiovascular health, cognitive
ability and diminish the symptoms of the menopause.23,35
Isolavones
Isolavones are diphenolic secondary metabolites synthesised from the products of the shikimic
acid and malonyl pathways by the fusion of a phenylpropanoid with three malonyl coenzyme A
residues. In nature as well as in processed food, only a small fraction appears as glucoside‑free
(aglycones). Most compounds exist primarily as glycosides with 1‑4 sugar substitutions, which may
occur also in acetylated or malonylated form. However, the glycosides are readily hydrolysed in the
intestine to their aglycones, which are easily transported across intestinal epithelial cells.36,37
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Table 6. Isolavones content in selected vegetable and food (data from ref. 40)
Food
Daidzein
Genistein
Glycetin
Isolavones Total
Roasted soybeans
Textured vegetable protein
Green soybean
Soylour
Tempeh
Tofu
Tofu yoghurt
Soynoodle (dry)
56,3
47,3
54,6
22,6
27,3
14,6
5,7
0,9
86,9
70,7
72,9
81,0
32,0
16,2
9,4
3,7
19,3
20,2
7,9
8,8
3,2
2,9
1,2
3,9
162,5
138,2
135,4
112,4
62,5
33,7
16,4
8,5
Isolavones are found in a variety of vegetables and fruits. Table 6 shows some of the richest
dietary sources of selected isolavones. hese compounds are found at high amounts in some plants
of the subfamily Papilionoideae of the Leguminosae, which includes soybean. heir content in
soybean ranges from 0.14 to 1.53 mg/g and in soy lour from 1.3 to 1.98 mg/g.36,38 Some Trifolium
species may contain even up to 10 mg/g of isolavones in aerial parts.39
Unlike string beans or snap peas, soybeans cannot be eaten as raw plant material, because
they contain trypsin inhibitors, which can disrupt digestion activities in the stomach, leading
to cramping and associated discomfort. For this reason, soybean seeds are usually consumed as
fermented products.36,38
Numerous epidemiological studies have demonstrated an association between the consumption
of soybean and the reduction of risk for breast and prostate cancers, cardiovascular diseases and
atherosclerosis probably connected with the availability of isolavonoids.36,37 Isolavones possess
numerous biological activities. hey play an important role in the prevention of endometrial,
breast and prostate cancer, reduce risk for cardiovascular disease and afect the health problems
associated with menopause and osteoporosis. Some studies also report that isolavones might
support cognitive functions.35,36
In Western diets, the consumption of these compounds is very low, while it is very high in
Asian diets. Asian people have a daily intake of lavonoids ranging from 20 to 100 times more
than the European intake.36,37
Several studies demonstrate that isolavones also exhibit hormonal activity as they stimulate
the synthesis of the sex hormone binding globulin.41
here are correlations between high isolavone consumption diet and the reduced incidence
of breast and prostate cancer in humans. In Asian countries, these types of cancer are considerably
lower, while an increased risk appears for Asian immigrants living in the US probably due to the
change in their dietary habits.35,42
Some studies have also revealed that Japanese women in their homeland have a high number
of in situ tumours but with fewer nodal metastases. Tumors presenting metastases have less nodal
spread than women with breast cancer in the US or Great Britain.41
Several studies have covered the relation between soy and isolavones intake and prostate cancer
risk, the incidence of which is lower in Asians, Africans and native Americans with compareed to
western countries. A study performed on Japanese men living in Hawaii has shown a decreased
risk of prostate cancer in those consuming rice and tofu. A similar efect has been reported for a
group of Seventh Day Adventist men consuming beans, lentils and peas, tomatoes, as well as dried
fruits. In a similar vein, Japanese immigrating to North America at a younger age have reported an
increase in the incidence of prostate cancer.41
©2010 Copyright Landes Bioscience. Not for Distribution.
Concentration (mg/100 g)
Bio‑Farms for Nutraceuticals
here are been also some studies investigating the inluence of an isolavone supplemented diet
on other types of cancer such as gastric, colon and endometrial.
Soy consumption seems signiicantly protective against stomach cancer, but there is also some
evidence that fermented soy foods can increase the risk of this cancer. his efect has been explained
by hypothesizing the presence of a high concentration of N‑nitroso salts and other unidentiied
compounds in fermented foods. Moreover, studies assessing the relationship between soy intake
and the risk of colon and rectal cancers, have generally not been supportive of a protective efect:
while, on the one hand, it has been reported that a rich‑soy diet efectively reduces the risk of en‑
dometrial cancer in the multiethnic population of Hawaii and in Chinese women,43 on the other
hand it has been reported that miso, a traditional food made with soy, signiicantly increases the
risk of rectal cancer.44,45
Isolavones also possess estrogenic activity, thus, they deeply inluence women’s emotional state
and health. In particular they play an important role in maintaining bone density,37 lipoprotein
metabolism and regulate serum cholesterol level which is one of the main risk factors for the
development of cardiovascular diseases.42 Menopausal disorders such as osteoporosis, hot lushes
and mood swings caused by the lowering of estrogenic hormones are usually treated with synthetic
estrogens (hormone replacement therapy).
Phytoestrogen compounds used to treat women with climacteric syndrome should contain 40
to 100 mg of isolavones consisting of variable combinations of diferent aglycons (i.e., genistein,
daidzein, glycitein, formononetin and biochanin A): this daily dose is toxicologically safe and
consistent with the dietary content of isolavones in Asian countries.42 Since it is commonly known
that Asian women have considerably fewer menopausal symptoms than Western women, it has
been hypothesised that this diference is due to their high intake of phytoestrogen, particularly
isolavones. his medical study relates to the eicacy of isolavone‑rich soy or isolavone supple‑
ments as a possible dietary alternative to hormone replacement therapy.44,46
he beneicial efects of isolavones on cholesterol level and bone density have been reported
in various studies demonstrating their inluence on the improvement of vascular reactivity,37 the
reduction of platelet activation and aggregation as well as on the induction of vasodilation through
the stimulation of the endothelial enzyme nitric oxide synthase 3.42 With regard to the beneicial
efects in the prevention of osteoporosis, studies demonstrate that isolavones increase the synthesis
of vitamin D in a number of nonrenal cell types thus contributing to bone mineral density.35‑37
However, contrary or uncertain efects have also been reported.37
A few studies have also examined the efect of phytoestrogens on the improvement of cognitive
function, even if there is no clear evidence to support this thesis. In this study, a group of male and
female students were assigned both a high (100 mg per day) and low (0.5 mg per day) isolavones
diet. he results showed that students on the high isolavone diet group showed signiicant im‑
provement in short and long‑term memory and mental lexibility.35
Finally, isolavones may have a protective efect on skin health, improving skin elasticity by
increasing local blood low. In addition, the antioxidant and anti‑inlammatory properties of
phytoestrogens may alleviate the carcinogenic efect of various exogenous noxious agents such as
ionizing radiation or chemical compounds.42
Lignans
Lignans constitute a class of phytoestrogens derived from phenylalanine by dimerization of
substituted cinnamic alcohols to a dibenzylbutane skeleton. he cyclisation or modiication of
dimers results in a large variety of chemical structures in which diferent sub‑groups can be identi‑
ied such as furofuran, furan, dibenzylbutane, dibenzylbutyrolactone, aryltetralin, arylnaphthalene,
dibenzocyclooctadiene and dibenzylbutyrolactol.43,47
Lignans are widespread in many plant families: in particular, they are synthesised and ac‑
cumulated in the heartwood region of trees as a metabolic event in its formation and protection
against fungi causing rotting.43,47
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In mammals, lignans are metabolized by the gut lora producing the so‑called ‘mammalian
lignans’: enterodiol and enterolactone. hese compounds difer from their precursors by the pres‑
ence of some hydroxyl groups replacing methyl groups on the aromatic rings.35,48 Enterodiol and
enterolactone exert estrogenic and/or anti‑estrogenic activity by regulating the unconjugated/
conjugated sex hormones levels, high values of which are considered a risk factor for breast and
prostate cancers.35
Lignans exhibit also antioxidant activity and prevent colon and thyroid cancers.49 In the treat‑
ment of cancer an important role is played by the semisynthetic derivatives of podophyllotoxin
(PTOX) which is a non‑alkaloid toxin in the lignan family. his molecule is an active antiwart
agent as well as the pharmacological precursor for the important anti‑cancer drug etoposide.43
he chemical synthesis of PTOX is not a cheap process and thus it is highly desirable to develop
alternative sources for this compound. One solution is the extraction from plant roots and rhizomes
such as Podophyllum peltatum propagated under in vitro conditions, cell suspension cultures of
Linum album or other species within the Linum genus.43
Polyunsatured Fatty Acids
Polyunsaturated fatty acids (PUFAs) are carboxylic acids of 20 and 22‑carbon chains having
various double bonds. he most important for human diet are Omega‑3 and Omega‑6 in which
the irst double bond is located at the positions 3 and 6, respectively. he most well‑known among
the Omega‑6 PUFAs are the linoleic and arachidonic acids. he most well‑known Omega‑3’s are
α‑linolenic (ALA), eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids. he human body
cannot synthesize PUFAs but can convert linoleic acid to arachidonic acid and ALA to EPA.50
hus, only the precursors need be provided in the diet. Good sources of omega‑3 PUFAs are dark
leshed ishes such as herrings, mackerels, sardines and salmons, marine foods and ish oil supple‑
ments;50‑53 α‑linolenic acid is present also in leafy green vegetables, purslane, walnuts and perilla
seed, pumpkin seed, laxseed and rapeseed oils, soybean and canola oils.50,51,54 However, excessive
consumption of ish should be avoided especially by women of childbearing‑age since they contain
a high amount of mercury, causing an improper foetus development.55
Omega‑6 PUFAs, rather, are contained in most vegetable oils,54 cereals, eggs, animal fat, whole
grain breads, sunlower and corn oils.50,52,54
he conversion of ALA to EPA and EPA to DHA by a human organism is low, ranging from
0.2% to 15%. his applies to ALA even when is fed at a high level. However, high intakes of ALA
have been reported to result in signiicant increases in very long chain omega‑3 fatty acids in vari‑
ous body compartments.51
An optimal balance between Omega‑3 and Omega‑6 fatty acids is extremely important
for human body, since they contribute to the maintenance of the whole hormone balance.50
Moreover, EPA and DHA consumption has also been connected with reduction of the risk of
cardiovascular diseases.52,53 he cardioprotective efect includes anti‑arhythmic, anti‑thrombotic
and anti‑inlammatory activities, lowering blood pressure, endothelial function improvement and
the slowing down of atherosclerotic plaque growth.51
PUFAs afect also cell membranes luidity and the behavior of enzymes and receptors bound
to membranes. Furthermore, they have antibiotic‑like properties. α‑linolenic acid, for example,
rapidly kills Staphylococcus aureus and suppresses proinlammatory cytokines such as interleukins
and tumour necrosis factor.50
An important role is played by Omega‑3 also in the development and activity of the central
nervous system and the improvement of cognitive development and memory‑related learning.54,56
Docosahexaenoic acid, especially, is involved in the growth and function of nervous tissue afect‑
ing both the neurogenesis and the neurotransmission. his accounts for considering DHA as
an essential supplement in the diet of preschool and young infants: their organism is not able to
produce DHA at the rate required by the rapid growth of their brain, thus, it must provided by
appropriate dietary supplements.53
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In Western diets, the ratio of omega‑6 to omega‑3 PUFAs ranges from 15‑16:1 while recent
dietary data suggests the healthy range of 1‑4:1.50
he recommended daily amount of EPA and DHA for adults is at least 220 mg. Two or three
servings of fatty ish per week (about 1250 mg EPA and DHA per day) are regarded as protection
from psychiatric and neurological disorders. he same amount of EPA and DHA is provided in
form of 3000 to 4000 mg standardised ish oils ingested per day. In the case of ALA, the adequate
daily intake for adults should be roughly 2220 mg per day. Regarding laxseed oil, doses up to
3000 mg per day are recommended to prevent neurodegenerative disorders and doses up to 6000 mg
per day may be recommended to treat these conditions. If it is taken in the form of laxseeds, the
recommended dose is 1 tablespoon two to three times per day or 2 to 4 tablespoons once per day
and seeds should be ground before eating and taken with lots of water. Decoction of laxseeds can
be ingested too. 100 g of raw laxseed provides 22800 mg of ALA.54
Conjugated Linoleic Acids
Conjugated Linoleic Acids (CLA) are a mixture of positional and geometrical isomers of
linoleic acid discovered accidentally in grilled beef.16,57 At least 28 structures are known for these
compounds mainly contained in ruminant meats (beef, lamb) and dairy products and in lower
amounts in nonruminant meat.57‑59 Table 7 present some of the richest dietary sources of CLA.
he diferent content of CLA in foods is mainly due to the type of feeding and the quality of
feedstuf chosen for animals. For instance, it has been proven that modern agricultural feeding
practice limits CLA content in animal tissues and their products.61
In the laboratory, CLA can be produced from pure linoleic acid, sunlower oil or corn oil
heated in the presence of alkali. As an alternative, the isomerisation of linoleic acid induced by
the bacteria Lactobacillus plantarum can be used.58,59
Conjugated Linoleic Acids have been linked to a multitude of health beneits which range from
anticarcinogenic, antitherogenic, antiadipogenic and antidiabetogenic activity to the prevention
of heart diseases, improvement of the immune system, treatment of obesity and the increase of
lean body mass.57,59 Mostly, these results have been obtained from studies using mixtures of CLA
isomers. Indeed, the diferent isomers show diferent activities and mechanism of action on speciic
tissues and organs and the major efects can be attributed to the two species cis‑9, trans‑11 and
trans‑10, cis‑12 conjugated linoleic acid.57,62,63
he evidence of CLA efects on the balance of lean and fat body mass has been obtained by
studies performed on diferent rodents (mice, rats) and pigs and on overweighed humans fed with
various isomers of CLA in variable dosages. In the former, a lowering of fat body mass together with
an increase of lean body mass has been observed in CLA‑treated animals compared to nontreated
ones.62‑64 In the latter, contrasting results have been obtained: some sustaining a reduction in body
fat mass, during the irst 6 months of treatment, others reporting no efect on fat mass, fat‑free
mass, percent body fat, body weight or blood lipids.63,64
he antiatherogenic efect has been shown, studying the inluence on thromboxane production,
platelet aggregation and cholesterol level in the blood plasma of rabbits and hamsters. In the irst
case, the results have suggested that a diet with 0,5 g of CLA per day causes a reduction of 12% in
the atherosclerotic lesions of the aortic surface. In the second case, hamsters fed with 20% butterfat
for 12 weeks, have shown a signiicant lowering in the aortic lipid deposition.57‑59
Similar studies performed on humans with a 0.7% CLA supplementation per day, have dem‑
onstrated a decrease in the level of total cholesterol, triglycerides as well as HDL cholesterol in
serum. However, opposite results have been also obtained reporting no changes in plasma lipid
and lipoprotein concentrations ater the consumption of 3.9 g of CLA per day.57
Among the beneicial efects of CLA is also the action on the immune system: researchers have
observed that these compounds in addition to decreasing the production of inlammatory media‑
tors like prostaglandins, show an inhibitor efect on proinlammatory cytokines in animal and
human cell lines, decrease the regulation of hypersensitivity reactions caused by the body immune
response to allergens and inhibit hepatoma, colorectal, breast, prostate and lung carcinogenesis at
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Dietary Phytochemicals and Human Health
Table 7. The concentration of conjugated linoleic acids (CLA) in various products
(data modiied from refs. 60,62,64)
Dairy products
Condensed milk
Butter fat
Homogenized milk
Cultured buttermilk
Plain yoghurt
Butter
Sour cream
Low‑fat yogurt
2% milk
Ice cream
Cheeses
Ricotta
Swiss
Edamer
Mozzarella
Cottage
Brie
Cheddar sharp
Cheddar medium
Parmesan
Meat
Lamb
Fresh ground beef
Veal
Fresh ground turkey
Pork
Chicken
Egg yolk
Salmon
Vegetable oils
Saflower oil
Sunlower oil
Peanut
Olive
CLA (mg/g fat)
7,0
6,1
5,5
5,4
4,8
4,7
4,6
4,4
4,1
3,6
5,6
5,4
5,3
4,9
4,8
4,7
4,5
4,0
4,0
5,8
4,3
2,7
2,6
0,6
0,9
0,6
0,3
0,7
0,4
0,2
0,0
various levels: initiation, promotion and progression. In addition, the intake of cis‑9, trans‑11 and
trans‑10, cis‑12 isomers should inluence the immune function decreasing the T‑cell lymphocyte
activation. However, no efects on immune system ater inluenza vaccination have been displayed
in some young healthy women and no alteration in prostaglandin production and lymphocyte
proliferation have been noticed in stimulated peripheral blood mononuclear cells.57,63
Finally, CLA might afect bone metabolism as some studies demonstrate that: (1) human
intestinal cells treated with CLA are able to mobilise higher amounts of Calcium;57 (2) supple‑
mented‑CLA chicks show a higher dry and fat‑free bone ash comparing to control fed chicks;61 (3)
male Wistar rats on CLA diet, show an enhancement in Calcium absorption even if measurable
efects on bone mass cannot be observed.57
©2010 Copyright Landes Bioscience. Not for Distribution.
Product
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Tocopherols and Tocotrienols
Tocopherols and tocotrienols belong to the family of vitamin E which was discovered in 1922
by Evans and Bishop as an essential factor for the reproduction in rats. he family consists of eight
lipid‑soluble molecules composed of a chromonal ring with a side chain. In tocopherols, the ring
has a 15‑carbon side chain at the C‑2 position; tocotrienols are structurally similar except for the
presence of three trans double bonds in the hydrocarbon tail.65,66
Tocopherols are generally present in nuts (almonds) and common vegetable oils (wheat germ,
sunlower). Tocotrienols are present in cereal grains (oat, barley and rye) and some vegetable oils
(palm oil and rice bran oil)66‑68 (Table 8).
Both tocopherols and tocotrienols are synthesised in photosynthetic organisms including bac‑
teria, algae, plants and fungi. Vitamin E was chemically synthesised for the irst time in 1938.67
he overall intake of vitamin E derivatives largely depends on the dietary preferences in difer‑
ent countries. For instance, the daily intake in European and US countries ranges from 6.4 mg to
12.6 mg. he daily recommended dose according to diferent Medicine and Nutrition institutes
should vary from 12 to 15 mg per day to the upper limit of 1000 mg per day. his amount has been
raised to 1073 mg in some clinical trials, with no negative efects observed on the patients.10,66,70
Most of the scientiic literature on vitamin E and its derivatives concerns the tocopherols.
Vitamin E as well as tocotrienol and tocopherol homologues possess antioxidant activity, protect
against cardiovascular disease, atherosclerosis and certain types of cancer. Moreover, they reveal
Table 8. Composition and amounts of vitamin E in dietary vegetable oils (data from
ref. 69)
Vegetable Oil
Tocopherols (%)
Vitamin E
Total (mg/Tb) α
β
γ
δ
α
Tocotrienols (%)
β
γ
Wheat germ
33
45
27
10
10
1
7
0
Palm
12
21
0
32
0
15
3
29
Soybean
11
8
0
64
28
0
0
0
Cottonseed
10
53
0
47
0
0
0
0
Corn
10
20
6
74
0
0
0
0
Canola
8
38
0
60
2
0
0
0
Saflower
7
69
0
31
0
0
0
0
Sunlower
7
89
0
9
2
0
0
0
Peanut
5
45
0
50
5
0
0
0
Olive oil
1
100
0
0
0
0
0
0
Coconut
0,5
26
0
0
14
12
3
45
Kilocalorie consideration: Tablespoon oil = 126 kilocalories (1 Tablespoon oil = 14 g; fat has 9
kilocalories/g).
©2010 Copyright Landes Bioscience. Not for Distribution.
Positive efects have also been noticed in postmenopausal women consuming higher amounts
of CLA in their diet; an improvement of bone mineral density was observed.57
Some studies also indicate that CLA might possess an antidiabetic efect. A lowering of
glucose level, plasma insulin and free fatty acids was observed in obese and diabetic rats ater the
supplementation of their diet with 1.5% of CLA isomers.58,59 Increased insulin sensitivity ater
administering trans‑10, cis‑12 isomer was also noted.63 However, caution is of the utmost since
another study reports no changes in plasma glucose or insulin levels in cows fed with 10 g per day
of CLA isomers.64
93
beneicial efects in neurodegenerative diseases such as Alzheimer’s or Parkinson’s. Vitamin E
also shows beneicial efects as anti‑tumourigenic, photoprotective and skin barrier stabilizer that
accounts for its wide use in cosmetic and skin care products.65,66,70,71
α‑tocopherol exerts its antioxidant activity by both scavenging those radicals which are re‑
sponsible for the propagation of lipid peroxidation chain reaction and decreasing the assembly of
active Nicotinamide Adenine Dinucleotide Phosphate‑oxidase responsible for the reactive oxygen
species production, which is involved in lipid peroxidation.72
Some epidemiological studies support also the health beneits of tocopherols and tocotrienols
in cardiovascular disease prevention and cholesterol lowering. In particular, an inverse association
between vitamin E intake and the risk of cardiovascular disease has been demonstrated and the
inhibition of the hepatic enzyme 3‑hydroxy‑3‑methylglutaryl‑coenzyme A, responsible for choles‑
terol synthesis, has been observed even in presence of micromolar amounts of tocotrienol.65,68
With regard to tocopherols’ anti‑tumourigenic activity, some studies report a protective ef‑
fect of α‑tocopherol and γ ‑tocopherol against prostate cancer and of γ ‑tocopherol against colon
cancer. In the irst case, the therapeutic efect seems to pertain to the γ‑tocopherol form, while no
protective efects are ascribed to α‑tocopherol.73
Limonene
Limonene is a hydrocarbon classiied as a cyclic monoterpene. he molecular skeleton of
monoterpenes consists of two isoprene units but oxygen‑containing compounds such as alco‑
hols, aldehydes or ketones (terpenoids) are also found. hese compounds are very widespread in
the essential oils of many plants and show chemoattractant or chemorepellent activity as well as
providing plants with their distinctive fragrance.20
Limonene is particularly abundant in citrus fruits such as lemon, sweet orange, grapefruit and
the mandarin C. clementina.31,74‑76
Some analyses on the volatile components emitted by citrus have shown that the highest level
of limonene condenses in the gynaecium (62.5%), stamens (22.9%) and petals (3.1%), while
no production of limonene has been found in the pollen. Moreover, young leaves contain more
limonene (65.3%) than the old ones (30.1%).77,78 A considerable amount is present also in celery
(Apium graveolen), cardamom, caraway, dill, peppermint and mopanes;31,74 in the latter, limonene
and α‑pinene are presumably responsible for the strong turpentine odor of the pods.79
On the basis of its properties, limonene is applied as a lavouring agent for fruit juices, sot
drinks, baked goods and dairy products as well as for cosmetics and cleaning products.74
However, limonene is also known to medicine for its chemotherapeutic activity and minimal
toxicity in preclinical studies: the D‑limonene isomer signiicantly increases tumour latency and
reduces tumour multiplicity by regulating the signal transduction and cell growth;74,75 moreover
it improves bile low, the immune system, the metabolism of cholesterol and can help to dissolve
gallstones.80
Allicin and Diallyl Disulide
Allicin belong to the group of thiosulinate compounds, appearing in high amounts in garlic
extracts. he species γ‑glutamylcysteine present in raw garlic and onion is the precursor of various
sulfur‑containing sulfoxides which are responsible for the characteristic odor and lavor of garlic
and onion.81
hiosulinates‑ including allicin‑ are volatile, unstable compounds which rapidly transform into
other types of organosulfur compounds.82 For instance, allicin is easily converted to allin by the
enzyme alliinase released from vacuoles when garlic tissues are destroyed by cutting, crushing or
chewing; ater keeping allicin at 20˚C for 20 h, it rapidly decomposes to diallyl disulide, diallyl
sulide, diallyl trisulide and sulfur dioxide.81‑83 Moreover, it can be easily denatured by boiling.84
he stable forms of allicin and of other highly reactive thiosulinates are responsible for most
of the health beneits attributed to onion and garlic. For many years garlic has been used as a spice
and as a medicinal plant against headache, bites, intestinal worms, tumours and antiseptic remedy
©2010 Copyright Landes Bioscience. Not for Distribution.
Dietary Phytochemicals and Human Health
Bio‑Farms for Nutraceuticals
for wounds and ulcers. In China, onion and garlic tea have been recommended at length for fever,
cholera and dysentery.81
Other properties of garlic and onion include antimicrobial, antioxidant, antimutagenic, antia‑
sthmatic, immunomodulatory and prebiotic.81,84,85 Garlic inhibits the growth of both gram‑positive
and gram‑negative bacteria; onion is efective against gram‑positive ones.81 In ‘in vitro’ conditions,
fresh garlic extract (even applied at 128 times dilution) inhibits the growth of a broad spectrum
of bacteria such as Staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli, Pseudomonas,
Proteus, Salmonella, Micrococcus, Bacillus subtilis, Mycobacterium and Clostridium.84
Organo‑sulfur compounds are protective agents in cardiovascular diseases, as they reduce serum
cholesterol and triacylglycerol levels, show hypolipidemic, anti‑hypertensive, anti‑diabetic and
antithrombotic activity as well as antioxidant properties preventing atherosclerosis.81,84,85
Diallyl sulide and diallyl disulide protect the stomach against Helicobacter pylori infection,
causing dyspepsia, gastric and duodenal ulcer and probably gastric cancer.84 Furthermore, an
antiviral efect (against herpes simplex types 1 and 2 viruses, inluenza A virus, inluenza B virus,
human cytomegalovirus, vesicular stomatitis virus, rhinovirus, human immunodeiciency virus,
pneumonia virus and rotavirus81) has been observed, as well as insecticide and protective efects
against parasites, fungi and yeasts. Protozoan parasites include: Opalina ranarum, Opalina dimid‑
icita, Balantidium entozoon, Entamoeba histolytica, Tripanosoma brucei, Leishmania, Leptomonas
colosoma, Crithidia fasciculata, Giardia lamblia, Giardia intestinalis, Cryptosporidium baileyi,
Tetratrichomonas gallinarum and Trichomonas vaginalis.81,86 Fungi and yeasts include: Candida,
Trichophyton, Torulopsis, Rhodotorula, Cryptococcus, Aspergillus and Trichosporon.81
Anticarcinogenic beneits are mainly concerned with oesophagus, stomach, colon, bladder,
prostate, liver, lungs, mammas, brain and skin sarcomas and carcinomas, as sulfur compounds
inluence DNA repair, acting as antimutagenic agents, stimulate T‑cell proliferation and mac‑
rophages cytotoxicities on tumour cell lines and stimulate the activity of detoxifying enzymes.81,83,85
Sometimes, the supplementation of raw‑garlic extracts leads to allergic reactions such as contact
dermatitis, bronchial asthma and chemical burns on the skin. hese drawbacks can be overcome
using diferent pharmaceutical products retaining garlic’s health beneits. An example is given
by aged garlic extracts, for which additional therapeutic efects have been found: they possess
hepatoprotective, neuroprotective and antioxidative activities probably linked to the formation
of new compounds during the long‑term extraction. Additionally, no severe toxic side efects were
observed even in cases of high ingestion dosages.81,82
Glucosinolates
Glucosinolates are nitrogen‑sulfur containing compounds87 occurring in high concentration
in all cruciferous vegetables such as cabbages, broccoli, caulilowers, Brussels sprouts, radishes,
turnips, cress and in some relishes and oilseeds.10 At least 120 compounds are known, sharing a
common chemical structure made of a sulfonated moiety, a β‑D‑thioglucose group and a variable
side chain derived from one amino acid. Depending on the type of amino acid precursor, glu‑
cosinolates can be classiied into three chemical groups: aliphatic (those derived from Ala, Leu, Ile,
Met, or Val), aromatic (those derived from Phe or Tyr) and indolic (those derived from Trp).87,88
Upon plant damage, (e.g., by cutting, crushing, or chewing) glucosinolates are hydrolysed by the
enzyme thioglucoside glucohydrolase and degraded into a variety of products. Some of them, like
isothiocyanates and indolic compounds seem to be responsible for the majority of glucosinolates’
beneicial efects.16,87
he decrease of risk of lung, stomach, colon and rectum carcinomas are some of the proper‑
ties ascribed to these molecules.16,88 Some compounds are identiied as potent cancer prevention
agents due both to their ability to improve the activity of detoxiication enzymes, such as quinone
reductase, glutathione‑S‑transferase and glucuronosyl transferases and due to their property of
preventing tumour growth by blocking cell cycle and promoting apoptosis. Moreover, some
compounds exhibit potential for treating gastritis and stomach cancer caused by Helicobacter
pylori by reducing the number of precancerous lesions.87 Despite this, no absolute certainty exists
©2010 Copyright Landes Bioscience. Not for Distribution.
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Dietary Phytochemicals and Human Health
95
about the healthy properties of glucosinolates since an inverse relation has been found between
the concentration of isothiocyanate metabolites in the urine of a group of Chinese men and the
incidence of lung cancer.88
Capsaicinoids are nitrogen‑containing plant secondary metabolites homologous with
branched‑ or straight‑chain alkylvanillylamides. hey are found mainly in the Capsicum fam‑
ily, with the highest concentration present in chilli peppers. Capsacinoids are responsible for
peppers’ typical pungency which depends on the type of pepper and its geographical origin.
his family of molecules include various compounds such as capsaicin, nordihydrocapsaicin,
homocapsaicin, nonivamide and homodihydrocapsaicin.16,89,90
In addition to their lavouring property which makes them particularly useful as food addi‑
tives, capsaicinoids reveal interesting pharmacological actions. For instance, capsaicin acts on the
peripheral part of the sensory nervous system reducing the painful states caused by rheumatoid
arthritis, postherpetic neuralgia, postmastectomy pain syndrome and diabetic neuropathy.90,91
Moreover, it demonstrates a chemoprotective efect due to the modulation of the metabolism of
carcinogens and/or mutagens interacting with DNA: the action mechanism shown by capsaicin
is the suppression of the carcinogen binding to DNA that has been observed in the case of many
polycyclic aromatic hydrocarbons.16,90,91 However, opposite results have also been reported dem‑
onstrating that capsaicin induces gastric cancer in rats and could increase the risk factor for gastric
cancer also in people consuming chilli.16,90
Conclusion
Living plants produce a series of secondary metabolites which appear to be important in
numerous ields: toxicology, environment, pharmacology, cosmetics, medicine, food chemistry,
etc. An important role played by these compounds is their beneicial efect on human health and
their ability to prevent diseases.
In Western Europe, the aging of population has been and currently is a driving force for the
study of new phytochemical products, able to ight age‑related conditions and prevent dseases such
as high blood cholesterol level, high blood pressure, arthritis, obesity and cancer. In fact, only a
few plants have been the subject of detailed investigations but more than 1000 species have been
claimed to ofer special beneits.92
In 2002 the market for functional food in Europe exceeded 2 billion US$ (33 billion US$ in
USA), representing less than 1% of the European food market,93 but it is expected to reach 5%
in the near future.
However, in many cases no certainty exists about the real efects of dietary phytochemicals and
more epidemiological surveys and clinical studies should be performed. Moreover, in various cases
contrary efects are reported. Probably the main reason for this discrepancy is that many clinically
tested “products” are, in fact, multicomponent mixtures since it is frequently very diicult to isolate
only one component to study its biological efect.
For this reason, standardised analytical procedures are needed and ‘in vitro’ and ‘in vivo’
models for fast screening of biological activity of minute amounts of phytochemicals need to be
developed. Furthermore, the bioavailability and the concentration of diferent phytochemicals
at the action sites needs to be better understood to ofer improved methods to design functional
foods: this could become particularly important when combining phytochemicals to avoid
improper combinations that might cause lower absorbance or even nullify the efect of one or
all the supplements.92
Finally, advances in biotechnology should be better exploited, even though genetically
modiied organisms are hardly accepted in European markets. he reason is that, indeed, biotech‑
nology ofers massive opportunities to produce the desired metabolites, modifying the genoma
in such a way that their biosynthesis is improved and the processes of extraction and isolation
become easier.
©2010 Copyright Landes Bioscience. Not for Distribution.
Capsacinoids
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Bio‑Farms for Nutraceuticals
Acknowledgements
We are grateful to European Community for support (EU N. FOOD‑CT‑2005‑023044).
Fai‑MoMa was inanced by ASI for Nutraceuticals in support to astronauts in space.
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