Cissus Quadrangularis - NutraPedia

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Cissus Quadrangularis: An Overview

1) Conditions Studied

Cissus Quadrangularis, a plant that is part of the grape family, has been traditionally used for various health conditions. It has been studied for:

  • Bone fractures and osteoporosis
  • Weight loss and obesity
  • Joint health and arthritis
  • Diabetes and related metabolic disorders
  • Gastric ulcers and digestive health
  • Pain relief
  • Athletic performance enhancement

2) Efficacy in Treating Conditions

The effectiveness of Cissus Quadrangularis in treating these conditions varies:

  • Some studies suggest that it may accelerate fracture healing and improve bone health.
  • Its role in weight loss and obesity management has shown positive outcomes in some research, but more studies are needed.
  • It may offer benefits for joint health, reducing pain and improving mobility in individuals with joint conditions.
  • There is limited evidence for its effectiveness in treating diabetes and metabolic disorders.
  • Its impact on gastric ulcers and digestive health shows potential but requires further research to confirm efficacy.
  • While some athletes use it for performance enhancement, scientific support for this use is not robust.

3) Health Benefits

Health benefits associated with Cissus Quadrangularis include:

  • Potential to support bone health and healing
  • May aid in weight management
  • Anti-inflammatory properties that could benefit joint health
  • Antioxidant effects which may protect against certain diseases
  • Can promote digestive health
  • May have analgesic effects, reducing pain

4) Downsides

While Cissus Quadrangularis is generally considered safe, there can be downsides:

  • Some individuals may experience side effects such as dry mouth, diarrhea, and headaches.
  • There is a lack of long-term safety data.
  • It may interact with certain medications, such as blood sugar-lowering drugs.
  • Women who are pregnant or breastfeeding should avoid its use due to insufficient safety data.

5) Genetic Variations and Effects

Currently, there is limited research on the interactions between Cissus Quadrangularis and specific genetic variations. However, as with many supplements, genetic factors could influence how individuals metabolize and respond to the plant. It is important to consult with a healthcare provider before starting any new supplement regimen, especially for those with known genetic conditions or variations.

Research Summary on Cissus Quadrangularis

Cissus Quadrangularis, known as Asthi Shrinkhala in Ayurvedic medicine, has been traditionally used to strengthen bones and treat osteoporosis. A clinical trial involving 12 patients showed that a combination of Majja Basti (therapeutic enema) and orally administered Cissus Quadrangularis pulp capsules effectively managed symptoms of osteoporosis.

Toxicity and Genotoxicity Studies

In toxicity studies, Cissus Quadrangularis extract (CQR-300) showed no signs of toxicity or mortality in Sprague Dawley rats over 90 days, even at high doses. Mutagenicity tests including Ames assay, in vitro chromosomal aberration test, and in vivo micronucleus assay indicated no genotoxic effects.

Central Nervous System Effects

An aqueous extract of Cissus Quadrangularis roots showed antiepileptic, analgesic, and muscle relaxant properties in vivo using Swiss mice, suggesting therapeutic potential for related conditions.

Nutrient Content and Menopausal Symptom Management

Research indicated that the root of Cissus Quadrangularis contains high amounts of ash, carbohydrates, and protein. A friedelin-rich fraction from the plant showed estrogenic activity and potential for alleviating menopausal symptoms and improving sexual function in ovariectomized female Wistar rats.

Chemical Compounds and Bone Formation Effects

Two new iridoid compounds were identified in Cissus Quadrangularis, which also contains stilbenes, flavonoids, and beta-sitosterol. Compounds from the plant promoted osteoblast differentiation and mineralization in vitro, supporting its traditional use for treating osteoporosis.

Antiosteoporotic Activity

A phytoestrogen-rich fraction (IND-HE) from Cissus Quadrangularis exhibited strong antiosteoporotic activity in ovariectomized female Wistar rats, suggesting its potential use for maintaining bone health.

Endothelial Cell Protection

Cissus Quadrangularis extracts, including components like quercetin and resveratrol, protected human umbilical vein endothelial ECV304 cells from oxidative stress, demonstrating a molecular mechanism for its traditional use in treating conditions like hemorrhoids.

Insulin Sensitivity and Liver Health

A stem extract of Cissus Quadrangularis improved insulin sensitivity, reduced liver damage, and mitigated oxidative stress in rats on a high-fat, high-fructose diet. The extract showed similar benefits to the diabetes drug metformin.

Antioxidant and Antimicrobial Properties

Cissus Quadrangularis plant extracts demonstrated significant antioxidant activity and were effective against Gram-positive bacteria, suggesting potential use as an antibacterial and antioxidant agent.

Proton Pump Inhibition and Drug Delivery

A methanolic extract from Cissus Quadrangularis Linn inhibited the H(+)-K(+) ATPase enzyme, which is involved in stomach acid production, and natural gums including Cissus gum were explored for controlled drug release in microbeads.

Weight Loss and Metabolic Syndrome

Studies on overweight and obese individuals showed that Cissus Quadrangularis alone or in combination with Irvingia gabonensis significantly reduced body weight, body fat, waist size, and improved metabolic health markers.

IGF System Regulation in Osteoblasts

Cissus Quadrangularis ethanolic extract upregulated components of the IGF system in human osteoblast-like SaOS-2 cells, which could contribute to its effects on bone health.

Conclusion

Overall, the research suggests that Cissus Quadrangularis has a broad range of beneficial properties spanning from bone health support, CNS effects, and metabolic regulation to antioxidant and antimicrobial activities, supporting its use in traditional medicine and potential for therapeutic applications.

References:


  1. Effect of Majja Basti (therapeutic enema) and Asthi Shrinkhala (Cissus quadrangularis) in the management of Osteoporosis (Asthi-Majjakshaya)
  2. Effect of Majja Basti (therapeutic enema) and Asthi Shrinkhala (Cissus quadrangularis) in the management of Osteoporosis (Asthi-Majjakshaya)
  3. Safety assessment of Cissus quadrangularis extract (CQR-300): subchronic toxicity and mutagenicity studies
  4. CNS activity of aqueous extract of root of Cissus quadrangularis Linn. (Vitaceae)
  5. Mineral and biochemical analysis of various parts of cissus quadrangularis linn
  6. Estrogenic activity of friedelin rich fraction (IND-HE) separated from Cissus quadrangularis and its effect on female sexual function
  7. Constituents of Cissus quadrangularis
  8. Anti-osteoporotic constituents from Indian medicinal plants
  9. Antiosteoporotic activity of phytoestrogen-rich fraction separated from ethanol extract of aerial parts of Cissus quadrangularis in ovariectomized rats
  10. Determination of marker constituents from Cissus quadrangularis Linn. and their quantitation by HPTLC and HPLC
  11. Cissus quadrangularis ethanol extract upregulates superoxide dismutase, glutathione peroxidase and endothelial nitric oxide synthase expression in hydrogen peroxide-injured human ECV304 cells
  12. Cissus quadrangularis stem alleviates insulin resistance, oxidative injury and fatty liver disease in rats fed high fat plus fructose diet
  13. Development and Validation of a Simple Isocratic HPLC Method for Simultaneous Estimation of Phytosterols in Cissus quadrangularis
  14. Antioxidant and antimicrobial activity of Cissus quadrangularis L
  15. In vitro H(+) -K(+) ATPase inhibitory potential of methanolic extract of Cissus quadrangularis Linn
  16. Microbead design for sustained drug release using four natural gums
  17. Evaluation of khaya gum as a directly compressible matrix system for controlled release
  18. The use of a Cissus quadrangularis/Irvingia gabonensis combination in the management of weight loss: a double-blind placebo-controlled study
  19. The use of a Cissus quadrangularis formulation in the management of weight loss and metabolic syndrome
  20. Antiplasmodial and GABA(A)-benzodiazepine receptor binding activities of five plants used in traditional medicine in Mali, West Africa
  21. Analgesic, anti-inflammatory and venotonic effects of Cissus quadrangularis Linn
  22. Cissus quadrangularis reduces joint pain in exercise-trained men: a pilot study
  23. The effect of Cissus quadrangularis (CQR-300) and a Cissus formulation (CORE) on obesity and obesity-induced oxidative stress
  24. Cissus quadrangularis augments IGF system components in human osteoblast like SaOS-2 cells
  25. Effects of estriol on proliferative activity and expression of insulin-like growth factor-I (IGF-I) and IGF-I receptor mRNA in cultured human osteoblast-like osteosarcoma cells
  26. Effects of Cissus quadrangularis on the proliferation, differentiation and matrix mineralization of human osteoblast like SaOS-2 cells
  27. Petroleum ether extract of Cissus quadrangularis (Linn.) enhances bone marrow mesenchymal stem cell proliferation and facilitates osteoblastogenesis
  28. Cissus quadrangularis extract enhances biomineralization through up-regulation of MAPK-dependent alkaline phosphatase activity in osteoblasts
  29. Ethnomedicinal plants used to treat bone fracture from North-Central Western Ghats of India
  30. Studies of Cissus quadrangularis in experimental fracture repair : a histopathological study
  31. Studies on Cissus quadrangularis in experimental fracture repair: effect on chemical parameters in blood
  32. FURTHER STUDIES ON THE EFFECT OF CISSUS QUADRANGULARIS IN ACCELERATING FRACTURE HEALING
  33. EFFECT OF CISSUS QUADRANGULARIS ON THE HEALING OF CORTISONE TREATED FRACTURES
  34. Cissus quadrangularis in healing of fractures. A clinical study
  35. Clinical evaluation of cissus quadrangularis and moringa oleifera and osteoseal as osteogenic agents in mandibular fracture
  36. Anti-osteoporotic activity of the petroleum ether extract of Cissus quadrangularis Linn. in ovariectomized Wistar rats
  37. Evidence-based assessment of antiosteoporotic activity of petroleum-ether extract of Cissus quadrangularis Linn. on ovariectomy-induced osteoporosis
  38. Effect of Cissus quadrangularis Linn on the development of osteopenia induced by ovariectomy in rats
  39. Inhibition of Bone Loss by Cissus quadrangularis in Mice: A Preliminary Report
  40. Anti-inflammatory effect of ethyl acetate extract from Cissus quadrangularis Linn may be involved with induction of heme oxygenase-1 and suppression of NF-κB activation
  41. Evaluation of Cissus quadrangularis extracts as an inhibitor of COX, 5-LOX, and proinflammatory mediators
  42. Anti histaminic activity of cissus quadragularis
  43. In-vitro screening of cissus quadrangularis L. Variant ii against helicobacter pylori
  44. Gastroprotective effect of Cissus quadrangularis extract in rats with experimentally induced ulcer
  45. Gastroprotective action of Cissus quadrangularis extract against NSAID induced gastric ulcer: role of proinflammatory cytokines and oxidative damage
  46. Protective effect of Cissus quadrangularis on neutrophil mediated tissue injury induced by aspirin in rats
  47. Cissus quadrangularis L. extract attenuates chronic ulcer by possible involvement of polyamines and proliferating cell nuclear antigen
  48. Cigarette smoke extracts delay wound healing in the stomach: involvement of polyamine synthesis
  49. The healing effect of TGF-alpha on gastric ulcer induced by acetylsalicylic acid in rats
  50. Attenuation of neutrophil infiltration and proinflammatory cytokines by Cissus quadrangularis: a possible prevention against gastric ulcerogenesis
  51. Evaluation of hepatoprotective activity of Cissus quadrangularis stem extract against isoniazid-induced liver damage in rats
  52. Hepatoprotective Effect of Cissus quadrangularis Stem Extract Against Rifampicin-induced Hepatotoxicity in Rats
  53. Experimental comparative study of the efficacy and side effects of Cissus quadrangularis L. (Vitaceae) to Daflon (Servier) and placebo in the treatment of acute hemorrhoids
  54. Petroleum ether extract of Cissus quadrangularis (LINN) stimulates the growth of fetal bone during intra uterine developmental period: a morphometric analysis
  55. Mutagenic activity of south Indian food items
  56. Role of Cissus quadrangularis in the Management of Osteoporosis: An Overview
  57. Cissus quadrangularis L: A comprehensive multidisciplinary review
  58. Cissus quadrangularis reduces joint pain in exercise-trained men: a pilot study
  59. A review and evaluation of the efficacy and safety of Cissus quadrangularis extracts
  60. Genotoxic effects of some foods & food components in Swiss mice
  61. Cissus quadrangularis extract mitigates diabetic cardiomyopathy by inhibiting RAAS activation, inflammation and oxidative stress
  62. In vitro biomineralization and osteogenesis of Cissus quadrangularis stem extracts: An osteogenic regulator for bone tissue engineering
  63. Mutagenic activity of south Indian food items
  64. Cissus quadrangularis extract enhances biomineralization through up-regulation of MAPK-dependent alkaline phosphatase activity in osteoblasts
  65. Cissus quadrangularis (Hadjod) Inhibits RANKL-Induced Osteoclastogenesis and Augments Bone Health in an Estrogen-Deficient Preclinical Model of Osteoporosis Via Modulating the Host Osteoimmune System
  66. Cissus quadrangularis L. extract attenuates chronic ulcer by possible involvement of polyamines and proliferating cell nuclear antigen
  67. Efficacy and Safety of Cissus quadrangularis L. in Clinical Use: A Systematic Review and Meta-analysis of Randomized Controlled Trials
  68. Gastroprotective effect of Cissus quadrangularis extract in rats with experimentally induced ulcer
  69. Evaluation of mutagenic, cytotoxic, mitochondrial dysfunction, apoptotic activity, and acute toxicity of ethanolic extract of Cissus quadrangularis
  70. Antifungal and cytotoxic activities of selected medicinal plants from Malaysia
  71. Anxiolytic and Antiepileptic Properties of the Aqueous Extract of Cissus quadrangularis (Vitaceae) in Mice Pilocarpine Model of Epilepsy
  72. A short review on pharmacological activity of Cissus quadrangularis
  73. Cissus quadrangularis stem alleviates insulin resistance, oxidative injury and fatty liver disease in rats fed high fat plus fructose diet
  74. The Use of Cissus quadrangularis (CQR-300) in the Management of Components of Metabolic Syndrome in Overweight and Obese Participants
  75. Cissus quadrangularis attenuates the adjuvant induced arthritis by down regulating pro-inflammatory cytokine and inhibiting angiogenesis
  76. Cissus quadrangularis ethanol extract upregulates superoxide dismutase, glutathione peroxidase and endothelial nitric oxide synthase expression in hydrogen peroxide-injured human ECV304 cells
  77. Analgesic, anti-inflammatory and venotonic effects of Cissus quadrangularis Linn
  78. Hepatoprotective Effect of Cissus quadrangularis Stem Extract Against Rifampicin-induced Hepatotoxicity in Rats
  79. Potential Curative Effects of Aqueous Extracts of Cissus quadrangularis (Vitaceae) and Jatropha gossypiifolia (Euphorbiaceae) on Acetaminophen-Induced Liver Injury in Mice


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