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It seems that nearly every week a new
fad, health product or diet comes to our attention. Maybe we have become
disillusioned by the proliferation of articles and claims being made.
Do we label everything as fake and how can we sort the wood from the vines?
You will get that later! Hopefully my information will blend the scientific
with the natural aspects in a product that covers both areas. Much of
science started in nature. Would you be surprised if your doctor prescribed
12 grams of dried grape seed three times daily? Would it be more understandable
if he said 100mg Oligomeric Proanthocyanidin Complex three times daily,
or sound more like medicine? Was it natures grand ironic design
that the symbol of affluent lifestyles, grapes and wine, had the antidote
to decadence at its very heart, in the discarded pip?
Sixty years ago a scientist won a Nobel prize for work on vitamin
C, the substance used by Capt. Cook 200 years ago to stop scurvy. Cook knew that fresh
fruit was important to diet but it took a while for his anecdotal evidence to be accepted.
Now we hear of a substance science tells us is an antioxidant 20 times more powerful than
vitamin C and 50 times more powerful an antioxidant than vitamin E. Dr Clark Hansen N.D.,
claims it is the most significant discovered this century! We will also see that 400 years
ago this antioxidant was used by the North American Indians, but the actual properties
were only identified by the scientific community 40 years ago. Now this natural
antioxidant, used extensively for years in France where it is registered as a medication,
and becoming popular in other western countries, is gaining popularity here.
Is this information important? To decide we have to understand
what an antioxidant (against oxidation) is. Rust is an iron oxide (oxidation).
Hardening/drying of paint is a process of oxidation. Eventually aged paint becomes chalky
with oxidation. The brown on the cut piece of an apple is oxidised apple.
Citrus juice is an antioxidant, rub some lemon juice on the cut apple and it slows down
the oxidation (browning). Magic? Ageing (collagen deterioration) is a form of bodily
oxidation. Free radicals found widely in our environment, water, air, food, smoke, smog,
sunlight, chemicals, detergents, etc. are the nasty unstable oxygen molecules
which are responsible for attacking (oxidising) our bodies. As they are unstable, they are
looking to attack, and in our bodies they attack and destroy cell membranes, collagen and
other connective tissue, disrupt physiological processes and create mutations in the DNA
cells. Free radicals are blamed for many problems from ageing spots (oxidised fat in the
skin) to cancer. Nutritionist and chemist Dr Jeffrey Bland Ph.D. claims the
destructive effect of free radicals are responsible for more than 60 diseases including
Allergies, Arthritis, Attention Deficit Disorder, Cataracts, Cold fingers and toes from
circulatory problems, Diabetes, Edemas, Hardening or Narrowing of the Arteries and High
Blood Pressure (Oxidation of Cholesterol causing plaque in the vessel walls), Heart
Disease, Inflammation, Kidney and Liver disorders, Parkinsons Disease, Prostate
Enlargement, Rheumatism, Stroke, Ulcers, Varicose Veins and Wrinkles. Oxidation is very
important in the chain to break down waste minerals, dead plants and dead animals and for
regeneration. Antioxidants stop it starting before we actually die. Now back to where this
antioxidant all started for us. . . .
In the 1530s French explorer Jacques Cartier was leading an
expedition up the Saint Lawrence River in North America. When the crew were trapped in the
ice they were limited to eating rationed biscuits and salted meat and it wasnt long
before scurvy (a lack of vitamin C) became rife. However, native Indians introduced them
to a tea made from the bark and needles of the pine tree. They recovered and the story was
recorded but the healing event, how and why, did not progress scientifically until 400
years later when Professor Jacques Masquelier of the University of Bordeaux, France, read
about it and formed the conclusion that the tree contained Vitamin C. Later he isolated
and identified the substance as proanthocyanidins and called his product Pycnogenol. His
method of extraction from the pine tree was patented in the early 1951, and further
research showed the substance present in many plants such as, lemon tree bark, peanuts,
hazel nuts, cranberries, blue berries, cherries, citrus peel, purple, red and white grape
skins and seed purple grape seeds being the most concentrated source. This substance, a
bioflavonoid, is now usually referred to as OPCs (Oligomeric Proanthocyanidin Complexes)
or less frequently PCO (Proanthocyanidolic oligomers).
Bioflavonoids, of which there are approximately 4000, are some of
the most important and interesting biological compounds. As shown they are present in a
wide variety of edible plants, fruit and vegetables with a typical Western diet providing
about 1g of them per day. They were originally identified as the flavin (yellowish
colouring) in plants. Remember carrots and seeing in the dark or doctors suggesting
drinking a glass of wine daily for health? Bioflavonoids have a low molecular weight and
occur naturally as aglycons, glycosides and methylated derivatives.1
In the early 1980s bioflavonoids were reviewed for a wide range
of biological activities focusing on their potential therapeutic use as anti-inflammatory,
anti-allergenic, antiviral, anticancer and immunostimulant drugs.2,3
Since 1984, in an attempt to give an account for bioflavonoids
wide pharmacological potential many papers have been published dealing with the
interaction between flavonoids and such key enzymes as cyclo-oxygenase, lipoxygenase,
phospholipase A2, cyclic nucleotide phosphodiesterases, protein-kinase C, hyaluronidase,
reverse transcriptase, mitochondrial succinoxidase, NADH-oxidase and glutathione
reductase. This led to the big question of how do bioflavonoids work?
In the light of Middletons3 hypothesis it
appeared the key steps in producing the biological effect could be the interaction with
the protein phosphorylation as well as its antioxidant activity. This combined with the
increasing evidence that toxic oxygen species were involved in a number of pathological
conditions, including inflammatory processes, ageing and cancer.4,5,6
Leucoanthocyanins (proanthocyanidins or OPCs, pycnogenols) are
natural polyphenols belonging to the class of bioflavonoids.7,8 The
Leucoanthocyanins are constituted by a variable number of flavin units and they yield an
anthrocide after heating in acid medium. From grape seeds an oligomeric fraction partially
esterified with gallic acid and containing only little amounts of momomeric polyphenols
(catechin and epicatechin) has been isolated.9
Leucoanthocyanins have been reported to improve biological
properties of blood vessels10 leading to their use in the therapy of such
different types of vascular disorders as capillary fragility, peripheral chronic venous
insufficiency and micro-angiopathy of the retina.11-15
Until recently pharmacological properties of Leucoanthocyanins
were attributed to their ability to increase tonicity and the resistance to the
degradative action of elastase and collagenase.16,17 More recently increasing
evidence supports the hypothesis of the anti-oxidant properties and possible
chemoprevention on free radicals already mentioned in association with cancer, ageing etc.
| |
Leucoanthocyanins
(mg/ml) |
Frequency
of Mutation |
T/C |
| Mitochondrial |
0(Control)
0.25
0.50 |
1.7 x 10 -2
0.9 x 10 -2
0.6 x 10 -2 |
1
0.50
0.35 |
| Nuclear |
0(Control)
0.25
0.50 |
1.95 x 10 -8
0.25 x 10 -8
0.15 x 10 -8 |
1
0.12
0.08 |
| Symptom |
Leucoanthocyanins |
Placebo |
p |
| Pain |
44.0% |
24.0% |
0.045 |
| Paresthesies |
22.0% |
03.4% |
0.030 |
| Cutaneous Tension |
37.5% |
10.3% |
0.014 |
| Pliability |
59.0% |
16.0% |
0.0001 |
Antioxidant Effect
The antioxidant effect of Leucoanthocyanins has been studied
in vitro in phosphatidylcholine liposomes using 1/ Iron-promoted
lipid peroxidation and 2/ Ultrasound-induced lipid peroxidation. Both
showed Leucoanthocyanins markedly more effective than alpha-tocopherol.
Anti-enzyme Effect
In vitro activity of Leucoanthocyanins was tested by
conventional techniques on several enzymes such as Xanthine oxidase [2.4], Elastase [4.2],
Collagenase [38.0], Hyaluronidase [80.0] (-Glucuronidase [1.1]. Note the individual
results in brackets [IC50 (mol/l)].
The anti-oxidant and anti-enzyme effect provide a strong
molecular basis for the capillary protective action of Leucoantho- cyanins, demonstrated
in several in vitro experimental models of altered capillary permeability.10,18,19
This protective effect of Leucoanthocyanins is therefore a pluricentric mechanism based on
radical scavenging and antioxidant effects and the inhibitions of some key enzymes. The
integrated action hypothesis is also supported by data which clearly indicate a marked
tropism of Leucoanthocyanins for vessel walls, skin and other tissues, characterised by
the elevated presence of glycosaminoglycans.20-26
Antimutagenic Effect
Saccharomyces cerevisiae strain S288C were tested
1 Mitochondrial Antimutagenesis tested the
production of respiratory deficient mutants as phenotypic manifestation of mitochondrial
mutation.27
2 Nuclear Antimutagenesis activity was studied
and the effect established using the forward mutation system from L-canavanine sensitivity
to L-canavanine resistance.28,29
The results clearly suggest a possibility to employ natural
antioxidant/antimutagen principles such as Leucoanthocyanins in a preventative diet-based
strategy against major pathologies. In fact we are now proving scientifically what many
believed for a long time, the assumption of antioxidant/antimutagenic substances contained
in food is correlated with a lower incidence of some types of cancer and cardiovascular
disease.30-32
Tolerability
The prime factor for management of long term preventative
treatments is safety.
Leucoanthocyanins are practically devoid of oral toxicity
(LD50>4000 mg/kg in rats and mice) and any other toxic effects even at high dosages, in
oral chronic toxicity tests (60 mg/kg/day for 12 months in dogs and 6 months in rats).
Note: That equates to a 100 kg man taking 60 capsules 100mg strength daily.
Leucoanthocyanins are also devoid of any mutagenic and teratogenic effects and are safe as
far as fertility, peri- and post-natal toxicity are concerned.
Efficacy
Leucoanthocyanins have been investigated in the treatment of
venous-lymphatic insufficiency, and post-surgical lympho-oedema of the breast, at a dosage
of 150mg twice daily.
The table above summarises a double blind placebo study in which Leucoanthocyanins were
administered 30mg daily for 3 months to patients suffering from venous-lymphatic disease.12
In a double blind test for peripheral disease of lower limbs
improvement was seen in 87% of the cases using Leucoantho- cyanins compared with 45% with
the placebo.
Clinical Sight Indications
1 Controlled double blind testing was carried
out on resistance to night glare and night vision by means of Combergs nyctometer
and ergovision on 100 subjects treated for 5 weeks with twice daily doses of 100mg of
Leucoanthocyanins.33 Results showed a marked improvement in visual performance
compared to the control group. This was attributed to a faster regeneration of the retinal
structures from Leucoanthocyanins.
2 A study on 75 patients suffering from ocular
stress caused by their working at a computer screen were treated with Leucoanthocyanins
(300 mg/day) for 2 months. Graphs of the results show considerable improvement.34
3 Two further tests on 200 patients with myopic
chorioretinosis were conducted for two months with Leucoanthocyanins (150 mg daily).
Computerised examination at the start and end of the trials demonstrated a marked global
increase on visual functions.35,36
Grape Seed and Pine Bark
There are some important differences.
1 Antioxidant advantage.
In the words of Professor Masquelier, developer and patentee of both OPC products
announced: . . . I underline that in 1986 I discovered that grape seed has an
intense free radical scavenging effect (FRSE) on radical oxygen species. These discoveries
were laid down in my U.S. Patent (no 4,698,360) of Oct. 6 1987, Radical Scavenging
Effect of Proanthocyanidins . . . The tests showed that in this respect OPC from
Grape seed has an advantage over OPC from Pine bark. OPC from grape seed contains the
gallic esters of proanthocyanidins (in particular: Proanthocyanidin
B2-3-O-gallate). These proanthocyanidins esters have
been recently described as the most active substances in the battle against free
radicals. October 1991 Martiliac, France (Procyanidines de France).
Independent research by Dr Ricardo Da Silva showed
Proanthocyanidin B2-3-O-gallate available only in grape seed was found
the most effective compound in trapping free radicals.38
2 Strength.
Pycnogenol (Pine tree) has an OPC strength ranging from 80-85% compared with Grapeseed
normally marketed at 90-95%. Be careful that the Grapeseed is 95%. A slight difference in
favour of grapeseed. Research points toward the fact that proanthocyanidin 100% purity is
non-mutagenic.37 Thus the range 90-95% for maximum benefit.
3 Price. Both are
sold in capsule form. You will find that whilst both products are not cheap, per
milligramme of OPCs as Pycnogenol cost 6-8 times OPCs in grape seed extract.
Breast Cancer
Dr Jacques Masquelier, points out breast cancer is caused for a
large part by the destruction of our DNA by free radicals. By protecting our DNA with OPCs
we are also protecting ourselves indirectly against this risk.
Note: Readers interested in more detailed and/or
scientific information please send a stamped self addressed A4 envelope to Max Costello,
c/o P.O. Box 18, Abbots Langley, Herts WD5 OSY.
References
Harborne J.B.: Plant Falvonoids in Biology and Medicine
ll, New York,1988 pp17-27.
Havsten B.: Biochem. Pharmacol. 32 1141 (1983)
Middleton E. Jr: Trends Pharmacol Sci 5 335
(1994)
Tate R.M., Repine J.E., in Free Radicals in Biology, W.A. Pryor
Ed; Academic, New York, 1984, Vol 6 pp 199-212
McCord J.M.; New Engl. J. Med 312,3, 159 (1985)
Harman D; in :Free Radacals, Aging and Degenerative Diseases,
Johnston J.E., Walford R, Harman D., J. Miquel Eds; Alan R liss, New York,
1986, pp 3-49
Haslam E., Plant Polyphenols, pp 14-15, 1989, Cambridge University
Press.
Masquelier J., Michaud J., Laparra J., Dumon M.C., Internat. J. Vit.
Res 49, 307, 1979
Bambardelli E., GB-1, 541, 459
Robert L., Godeau G.M, Gavignet-Jeannin G., Groult N., Six C., Robert
A.M., Path. Biol. 38, 608,1990
Dartenuc J.Y., Marache P., Choussat H., Bordeaux Med. 13, 903, 1980.
Thebaut J.F., Thebaut P., Vin F., Gazette Medicale 92,
96, 1985
Corbe C., Boissin J.P., Siou A., J Fr. Ophtamol. 11,453.1988
Lagrue G., Olivier-Martin F., Grillot A., Sem. Hop. Paris 57, 1399, 1981
Delacroix P., La Revue de Medicine n27-28, 1793,1981
Wegrowski J., Robert A.M., Moczar M., Biochem. Pharmacol. 33,
3491, 1984
Tixier J.M., Godeau G., Robert A.M., Hornebeck W., Biochem. Pharmacol.
33, 3933, 1984
Barbier A., Maffrand J.P., Savi P., in Endotelon et unite circulatoire,
John Libbey (Ed), Paris-London 1988 pp 39-41
Doutremepuich J.D., Barbier A., Lacheretz F., Lymphology 24,
135, 1991
Laparra J., Michaud J., Masquelier J., Plantes Medicinales et phytotherapie
Xl, 133, 1977
Laparra J., Michaud J., Lesco M.F., Blanquet P., Masquelier J., Acta
Therapeutica 4, 233, 1978
Masquelier J., Michaud J., Laparra J., Dumon M.C., Bull Soc. Pharm.
Bordeaux 118, 95, 1979
Harmand M.F., Blanquet P., Eur. J. Drug Metab. Pharmacokin. 1,
15. 1978
Gavignet C., Groult N., Godeau G.M, Robert L., Robert A.M., Path. Biol.
37, 746, 1989
Robert A.M., Groult N., Six C., Robert L., Path. Biol. 38,
601,1990
Groult N., Gavignet-Jeannin G., Jouis V., Robert L., Robert A.M., Path.
Biol. 39, 277, 1991
Marmiroli A., Restivo F.M., Donnini C., Bianchi L., Puglisi P.P., Molec.
Gen. Genet. 177,581, 1980
Magni G.E., von Borstel R.C., Genetics 47, 1097,
1962
Puglisi P.P., Molec. Gen Genet 103, 248, 1968
Sporn M.B., The Lancet 342, 1211, 1993
Ross R., Nature, 362, 801, 1993
Laeke D.S. Br Heart J. 69, 476,1993
Boissin J.P., Corbe Ch., Siou A., Bull. Soc. Opth. France
LXXXVIII, 173, 1988
Fusi L., Czimeg F., Pesce F., Germolgli R., Boero A., Vanzetti M., Gandiglio
G., Ann. Ott. Clin. Ocul 116, 575, 1990
Moriconi S., Bellezza P.G., Ann Ott. Clin. Ocul. 114,
585, 1988
Proto F., Carloni C., Meucci B., Fenicia V., Rispoli E., Bozzo Costa E.,
Germolgi R., Ann. Ott. Clin. Ocul. 114,85,1988
Yu C.L., Swaminathan B. Mutagenicity of Proanthocyanidins. Food Chem
Toxicol 25(2), 135-139, 1987
Ricardo Da Silva, J.M. Free Radicals in Biotechnology and Medicine,
Royal Society of Chemistry, pp 79-80 1990.
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