Pot Marigold - Natural Know How
Transcription
Pot Marigold - Natural Know How
The Garden Pharmacy Pot Marigold An Herbal Florin for Health James A. (“Jim”) Duke, Ph.D. The International Herb of the Year for 2008 in the United States—and the sole subject of the 2008 yearbook of the International Herb Association—pot marigold1 may truly offer a “pot of gold” to patients because of the lycopene this plant contains. Known scientifically as Calendula officinalis L., pot marigold belongs to the large botanical family Asteraceae—whose members also include Cichorium intybus (chicory), Taraxacum officinalis (dandelion), Echinacea spp. (echinacea), and Tanacetum parthenium (feverfew), among other herbs. Throughout the remainder of this column—save for exceptions that appear in quote marks—this herb is called calendula. This is the standardized common name by which herbalists should refer to the plant and is the preferred name that the American Herbal Products Association (AHPA)2 uses to avoid confusion with the genus Tagetes, another member of the Asteraceae family that also bears the name “marigold.” At my last count, I had more than 150 other common names for calendula, which are useful to traveling botanists who would like to know the local name of the plant abroad, but I will not belabor the readers with all of these names. However, among French common names for calendula are “fleur feminel,” “gauche-fer,” “souci,” “souci cultivee,” “souci des jardins,” and “souci officinal.” My English listings show 30 names for it. Spices and culinary herbs may represent the best medicinal plants. They contain the antioxidant and antiseptic compounds that prevented foods from putrefaction in the days before refrigeration, and which are also the anti-inflammato*Duke JA. 1982–2008. Agricultural Research Service of the U.S. Department of Agriculture (USDA). Phytochemical Database. Online site at: ars.usda.gov Recently accessed on February 18, 2008. This decades-old database is occasionally updated, although Dr. Duke has been retired from the USDA since 1995. ry and antioxidant phytochemicals that seem to prevent many chronic human diseases.3 Although not everyone considers calendula a spice, that is the way I use it. I intentionally add the dried petals to my soups as a source of much-needed carotenoids or to herbal liqueurs to impart a golden color to them.4 Facciola notes that the fresh flowers are chopped into salads, and dried petals of calendula are used in teas and to flavor cakes, cookies, puddings, and soups, and (like saffron) to color butters and cheeses and season seafoods, chowders, soups, stews, roast meats, and chickens.5 My updated U.S. Department of Agriculture and spice database* notes that the flower heads of calendula are used in cookery. In the Middle Ages they were used as a soup starters, and the leaves can be cooked and eaten like spinach.1 Many herbalists justifiably praise calendula; in the title of my contribution to the Herb of the Year book, I called this praise, “Calenduladulation.”1 Calendula justly deserves its praise; the plant’s golden flowers seem to be one of the richest sources of carotenoids, including lutein as well as lycopene, although Kishimoto et al. say that lycopene is present only in orange or gold petals of calendula and is not detectable in yellow petals.6 And as far as being an herbal “pot of gold,” I think lycopene is good for preventing cancer. Although the U.S. Food and Drug Administration (FDA), in a surprising turnaround, now says “no” to this effect of lycopene,7 I still say “yes.” The sudden change in the FDA’s position may stem from one of the many recent media “flip-flops” in which the press, perhaps pressured by pharmaceutical sponsors, has questioned the safety or efficacy of certain fairly well-respected nutritional supplements. When I asked herbal author and chef Susan Belsinger, editor-in-chief of Calendula—Herb of the Year1 for an opinion, she said that she would exclude this plant from a spice book but would, however, include it in a book of culinary herbs. When I questioned her about including it in my spice database, she replied that “calendula is most definitely an herb and not a spice DOI: 10.1089/act.2008.14303 • MARY ANN LIEBERT, INC. • VOL. 14 NO. 3 JUNE 2008 109 ALTERNATIVE AND COMPLEMENTARY THERAPIES • JUNE 2008 Table 1. Components of Calendula of Potential Benefit in Arthritis Effects Analgesic Antiarthritic Antiedemic Anti-inflammatory Antiprostaglandin Antirheumatic Antispasmodic Cox-2 inhibitor Elastase inhibitor Lipoxygenase inhibitor Myorelaxant Components Alpha-amyrin, beta-amyrin, caffeic-acid, caryophyllene, chlorogenic-acid, gentisic-acid, quercetin, salicylic-acid Quercetin, salicylic-acid Alpha-amyrin, beta-amyrin, caffeic-acid, caryophyllene, faradiol, lupeol, oleanolic-acid, rutin, taraxasterol Alpha-amyrin, beta-amyrin, caffeic-acid, caryophyllene, chlorogenic-acid, faradiol, gentisic-acid, kaempferol, lupeol, oleanolic-acid, quercetin, rutin, salicylic-acid, taraxasterol, vanillic-acid Caffeic-acid, lupeol Gentisic-acid, lupeol, salicylicacid Caffeic-acid, caryophyllene, kaempferol, p-coumaric-acid, quercetin, rutin COX-2 inhibitor Caffeic-acid, kaempferol, lycopene, oleanolic-acid, quercetin, salicylic-acid Caffeic-acid, kaempferol, p-coumaric-acid, quercetin, rutin Oleanolic-acid Caffeic-acid, chlorogenic-acid, kaempferol, p-coumaric-acid, quercetin, rutin Rutin Source: Duke JA. 1982–2008. Agricultural Research Service of the U.S. Department of Agriculture (USDA). Phytochemical Database. Online site at: ars.usda.gov Accessed on February 18, 2008. COX = cyclo-oxygenase. in my mind,” and that she had not seen calendula products for sale in conventional supermarkets, but had seen many of them in whole foods and health-food stores, among other locations. Ms. Belsinger told me that calendula petals are readily available in bulk at many health-food stores and can be kept in a jar and tossed easily into a soup or rice pot. On a shopping trip last year for calendula products, as part of her calendula program for the Herb Society of America, Ms. Belsinger was amazed at all of the calendula products avail†EDITOR’S NOTE: Vioxx is no longer on the market because it has been shown to increase risk of cardiovascular problems. See: Berenson A, Harris G, Meier B, Pollack A. Despite Warnings, Drug Giant Took Long Path to Vioxx Recall. New York Times, November 14, 2004. Online document at: www.nytimes.com/2004/11/14/ business/14merck.html?ex=1258088400&en=b4e8719919f4ce1b&ei =5090&partner=rssuserland Accessed April 25, 2008. 110 MARY ANN LIEBERT, INC. • VOL. 14 NO. 3 able for babies—including diaper-rash creams and/or gels, cornstarch powders, shampoos, and body washes. She also saw calendula listed in many products for nursing mothers, especially nipple creams and products for treating stretch marks. This created a perception that calendula is a relatively safe and nontoxic herb. Among skin-care products, she found calendula listed in the ingredients of at least 4 or 5 soaps; several herbal salves, lip glosses, lotions, and toners; a toothpaste; and an Arnica montana (arnica) gel product made for treating skin rashes. Her own favorite calendula-containing product is calendula oil, which I use directly and also to make salves and lotions. She also makes a great facial scrub with calendula. Arthritis I heard of calendula’s inhibitory effects on cyclo-oxygenase-2 (COX-2), a key enzyme in the body’s synthesis of substances that mediate inflammation, before I heard of the herb’s inhibitory effects on arthritis, cancer, or Alzheimer’s disease (AD). I also heard about this before the FDA approved the pharmaceuticals celecoxib (Celebrex) and rofecoxib (Vioxx)† as COX-2 inhibitors—both once heavily advertised as the best drugs for arthritis. Almost immediately, the news media backed the pharmaceutical firms in pushing off-label uses of COX-2 inhibitors for AD and colon cancer. I watched all of this closely because I am genetically targeted for colon cancer, and I felt that, if pharmaceutical COX-2 inhibitors could prevent colon cancer, I would look for and use herbal COX-2 inhibitors for this purpose. Calendula contains several of these inhibitors, in contrast with Celebrex and Vioxx, each of which apparently consists only of a single, synthetic COX-2 inhibitor. And that has been another inducement for me to add calendula to my recipe for curried celery, which, besides celery, contains Curcuma spp. (turmeric), Zingiber officinale (ginger), Capsiaum frutescens (hot pepper), and Origanum vulgare (oregano), providing more than a dozen natural COX-2 inhibitors that have been encountered by the human body for thousands of years (Table 1). Cancer I had not planned to discuss calendula in the context of cancer in this column until the FDA said there was no conclusive evidence that lycopene—a key constituent of calendula and tomatoes—could prevent cancer. A PubMed abstract expressing this stated: The FDA found no credible evidence to support an association between lycopene intake and a reduced risk of prostate, lung, colorectal, gastric, breast, ovarian, endometrial, or pancreatic cancer. The FDA also found no credible evidence for an association between tomato consumption and a reduced risk of lung, colorectal, breast, cervical, or endometrial cancer.7 ALTERNATIVE AND COMPLEMENTARY THERAPIES • JUNE 2008 But the same abstract also noted: “The FDA found very limited evidence to support an association between tomato consumption and reduced risks of prostate, ovarian, gastric, and pancreatic cancers”7—which might indicate some question about the FDA’s assertions as opposed to potentially conflicting views. Given that orange calendula flowers can contain up to 6000 ppm lycopene—as much as or more lycopene than unprocessed tomatoes—I am assuming that calendula can help prevent these same cancers, even if the FDA does not agree. In the title of its lycopene/tomato study, the FDA proudly used the adjective “evidence-based,”7 and went on to say that there was no evidence for lycopene—and only limited evidence Evidence-based pharmaceuticals taken as prescribed appear likely to kill some 100,000 Americans a year. for tomato—in preventing cancer. But Canadian statisticians and mathematicians have, contrary to the FDA abstract, reported that tomato intake shows a significant inverse association of lycopene intake and prostate cancer risk.8 Evidence-based pharmaceuticals taken as prescribed appear likely to kill some 100,000 Americans a year,9 whereas a story in The New York Times reported fewer than 30 fatalities that could be blamed on herbs and supplements in the year 2005.10 In reaching a reversed conclusion, the FDA may have been impressed by a Finnish National Institute meta-analysis11 covering 11 cohort studies and with 25 authors, all based on dietary recall, a technique that can have questionable accuracy. The Finnish researchers concluded that, although dietary carotenoids have been hypothesized to protect against epithelial cancers, the 11 studies “did not suggest that carotenoids play an important role in the etiology of colorectal cancer.”11 More positive conclusions were drawn in an Indian study of medicinal foods for colorectal cancer. These researchers found a significant reduction in the incidences of aberrant crypt foci of 43.65% for diallylsulfide in garlic, 57.39% for lycopene, and 66.08% for theaflavins in Camellia sinensis (tea), probably owing to inhibition of COX-2 and inducible nitric oxide synthase (iNOS).12 Addressing lycopene itself, a team of scientists from Michigan and Jamaica found that some natural-food colors (consisting of the water-soluble anthocyanins and beta-cyanins, and water-insoluble bixin, beta-carotene, chlorophyll, and lycopene), ‡All Plant Choices—Phytochemeco Databases. Online document at: www.ars-grin.gov/duke/dev/all.html Last accessed on February 18, 2008. At this page one can ask which chemicals in a plant contribute which of several activities that might be useful in the alleviation or prevention of more than 100 diseases. Calendula officinalis L. (pot marigold). Drawing ©by Peggy Ann Duke. Used with permission. inhibited COX-2 and the development of colon tumors, and all of the pigments inhibited lipid peroxidation and tumor-cell proliferation as well as COX.13 Lycopene inhibited cell lines of breast (IC50 = 22 µg/mL), colon (IC50 = 9 µg/mL), and stomach cancers (IC50 = 30 µg/mL), and a combination of lycopene and chlorophyll inhibited all of the tumor-cell lines studied.13 All herbs contain many common phytochemicals, shared with all plant species, and probably all herbal species contain some unique phytochemicals not shared with other species. My multiple activities menus (MAMs) for phytochemicals are based on activities scientifically reported in the U.S. Department of Agriculture (USDA) phytochemical database* and list substances that may prevent or may be beneficial in treating specific diseases. The MAM for calendula lists many activities that might contribute to the prevention, alleviation, or cure of cancer.‡ My MAM list‡of phytochemical evidence for the value of calendula in cancer recently had 29 citations for lycopene and colon cancer. The more important ones, some of which are negative and some of which are more positive, are based on the abstracts of relevant reports. Although the data were inconclusive, the most recent abstract said: “High intakes of carotenoid-rich fruits and vegetables are associated with a reduced risk of various cancers including colon cancer.”14 Israeli scientists suggested that “lycopene extract has a role in the prevention of colon and possibly other types MARY ANN LIEBERT, INC. • VOL. 14 NO. 3 111 ALTERNATIVE AND COMPLEMENTARY THERAPIES • JUNE 2008 of cancer.”15 Another Israeli group reported that lycopene from tomatoes dose-dependently reduced human colon carcinoma, B-cell chronic lymphocytic leukemia, human erythroleukemia, ¶NAPRALERTsm (Natural Products Alert at: www.napralert.org/) is a relational database of all natural products that provides ethnomedical and pharmacologic/biochemical information about extracts of organisms in vitro, in situ, in vivo, in humans. The database includes case reports (nonclinical trials) and clinical studies. Similar information is available for secondary metabolites from natural sources. and a prototype of Burkitt’s lymphoma cell lines.16 In addition, Italian scientists stated that tomato “digestate,” rich in lycopene, can “inhibit the growth of colon cancer cells by modulating the expression of regulators of the cell cycle and apoptosis.”17 In initiating my inquiries about the best sources of lycopene, I contacted Norman R. Farnsworth, Ph.D., a research professor of pharmacognosy, at the University of Chicago, Illinois, who created the NAPRALERT database¶ at the University. Dr. Farnsworth noted that many reports on lycopene lacked quantitation, but that calendula had its highest concentration Table 2. Components of Calendula of Potential Benefit in Cancer Effects Antiadenomic Antiangiogenic Anticancer Antifibrosarcomic Anti-inflammatory Antileukemic Antilymphomic Anti–multiple drug resistant (MDR) Antimelanomic Antimetastatic Antimutagenic Antinitrosaminic Antioxidant Antiproliferant Antisarcomic Antitumor Antiviral Apoptotic Cancer-preventive COX-2 inhibitor Immunostimulant Interferonogenic Leucocytogenic Lipoxygenase inhibitor Ornithine decarboxylase inhibitor Protein tyrosine kinase inhibitor Protein kinase-C inhibitor Topoisomerase II inhibitor Tyrosine kinase inhibitor Components Lycopene Lupeol, quercetin Alpha-amyrin, caffeic-acid, caryophyllene, chlorogenic acid, p-coumaric-acid, kaempferol, lupeol, lutein, lycopene, malic-acid, oleanolic-acid, quercetin, rutin, salicylic-acid, vanillic-acid Quercetin Alpha-amyrin, beta-amyrin, caffeic-acid, calendulaglycoside-A-6’-O-methyl ester, calendulaglyco side-A-6’-O-n-butyl ester, calendulaglycoside-B-6’-O-n-butyl ester, calendulaglycoside-C-6’-O-nbutyl ester, caryophyllene, chlorogenic-acid, faradiol, gentisic-acid, kaempferol, lupeol, oleanolicacid, quercetin, rutin, salicylic-acid, taraxasterol, vanillic-acid Caffeic-acid, kaempferol, lycopene, oleanolic-acid, p-coumaric-acid, quercetin, vanillic-acid Lutein, lycopene Lutein, lycopene Quercetin, rutin Vupeol, quercetin, rutin Caffeic acid, chlorogenic acid, kaempferol, p-hydroxybenzoic-acid, quercetin, rutin Caffeic acid, chlorogenic-acid, p-coumaric-acid, quercetin Caffeic-acid, campesterol, chlorogenic-acid, gamma-tocopherol, gentisic-acid, kaempferol, lupeol, lutein, lycopene, oleanolic-acid, p-coumaric-acid, p-hydroxybenzoic-acid, pentadecanoic-acid, quercetin, rutin, salicylic-acid, ubiquinone, vanillic-acid Caffeic-acid, lutein, lycopene, quercetin, rutin Oleanolic-acid Alpha-amyrin, caffeic-acid, beta-carotene, caryophyllene, chlorogenic-acid, kaempferol, lupeol, lutein, lycopene, malic-acid, oleanolic-acid, p-coumaric-acid, quercetin, rutin, salicylic-acid, vanillic-acid Caffeic-acid, chlorogenic-acid, gentisic-acid, kaempferol, lupeol, oleanolic-acid, quercetin, rutin Kaempferol, quercetin, rutin Caffeic-acid, beta-carotene, chlorogenic-acid, kaempferol, lutein, lycopene, mucilage, oleanolic-acid, p-coumaric-acid, p-hydroxy-benzoic-acid, quercetin, rutin, salicylic-acid, vanillic-acid Caffeic-acid, beta-carotene, kaempferol, lycopene, lutein, oleanolic-acid, quercetin, salicylic-acid Caffeic-acid, chlorogenic-acid, inulin, lutein, lycopene, ubiquinone Chlorogenic-acid Oleanolic-acid Caffeic-acid, chlorogenic-acid, kaempferol, p-coumaric-acid, quercetin, rutin Caffeic-acid, chlorogenic-acid, quercetin Quercetin Quercetin Kaempferol, quercetin, rutin Quercetin Source: All Plant Choices—Phytochemeco Databases. Online document at: www.ars-grin.gov/duke/dev/all.html Accessed February 18, 2008. COX = cyclo-oxygenase. 112 MARY ANN LIEBERT, INC. • VOL. 14 NO. 3 ALTERNATIVE AND COMPLEMENTARY THERAPIES • JUNE 2008 of this carotenoid in its petals, at 0.336% (Dr. Farnsworth, personal communication; Thai J Pharm Sci 2001;5; [suppl58] on NAPRALERT). Although a higher range of 0.83–2.5% is found in freeze-dried tomato fruit, this corroborates my placement of calendula flowers as a rich source of lycopene. • Persea americana (avocado)—16 ppm • Ribes uva-crispa (gooseberry)—9 ppm • Actinidia spp. (kiwi)—9 ppm • Pyrus communis (pear)—9 ppm • Vitis vinifera (grape)—7 ppm. In addition darker green leafy vegetables contain the following amounts of lutein: The Aztec Marigold Although it may not be on the main track of a discussion on calendula, Tagetes erecta, the Aztec marigold, turns out to be one of the best sources of another chemopreventive carotenoid, lutein, with a lutein content ranging from 1610 to 6110 ppm ZMB [Zero Moisture Basis]. Dr. Farnsworth, citing NAPRALERT entries for lutein, told me that it had been found in more than 150 species of food plants, in most of which its yields were 0.001% (10 ppm) or less. My USDA Phytochemical Database* (as of February 18, 2008) listed as the top 9 herbal sources of lutein (all ZMB values): • Rheum spp. (rhubarb)—34 ppm • Vaccinium myrtillus (bilberry)—26 ppm • Prunus domestica (prune)—24 ppm • Collard—81 ppm • Kale—158–395 ppm • Spinach—70–119 ppm • Turnip greens—84 ppm; • Broccoli— 8–24 ppm; • Brussels’ sprouts—12–15 ppm (less after cooking) • Cabbage—3 ppm These all leave Aztec marigold as my richest listed source of plain lutein. A Polish food scientist, reporting on triterpene aglycones of saponins isolated from Calendula and Silphium species, identified oleanolic acid and ursolic acid. He elevated Calendula officinalis petals to the rank of an excellent source of oleanolic Table 3. Additional Uses for Calendula Abrasions • Skin Edema Inflammation Plague Syphilis Abscesses • Stomach Enterosis Influenza Pneumonia Tetanus Acne • Uterus Epilepsy Insect bites Proctosis Adenopathy Thrombophlebitis Candidiasis Epistaxis Jaundice Rashes Chicken pox Eruptions Rhinosis Cholera Escherichia spp.– related fever Klebsiella spp.– related infections Ague Amenorrhea Anemia Angina Anorexia Arthrosis Atheromata Athlete’s foot bacteria Circulosis Condylomata Congestion Conjunctivosis Constipation Convulsions Bee stings Coughs Bleeding Cramps Boils Decubitis Bruises Dermatosis Burns Diabetes Callus Duodenosis Cancers Leukemia Frostbite Leukorrhea Fungus Lymphadenomic condition Furunculosis Gallstones Gangrene Gastrosis Gingirrhagia Gingivosis Hemorrhoids Hepatosis Herpes Scrofula Smallpox Sores Sore throat Tonsilosis Toothaches Trichomonas Tuberculosis Typhoid Mastalgia Sprains Typhus Measles Ulcers Melanoma Staphylococcus spp.–related infections Menstrual distress Steatoma • Internal Mucososis Stings Vaginosis Mycosis Stomach aches Nausea Varicosis Stomatosis Viruses Stones Warts Nephrosis Nipple inflammation Strep throat • Ulcus cruris Dysmenorrhea High blood pressure Otosis • Breast Dyspepsia Impetigo Pain Streptococcus spp.– related infections • Colon Earaches Induration Pharyngosis Sunburn Xeroderma • Intestine Eczema Infection Phlebitis Swelling Yeast infections Worms Wound care Source: Duke JA. 1982–2008. Agricultural Research Service of the U.S. Department of Agriculture (USDA). Phytochemical Database. Online site at: ars.usda.gov Accessed on February 18, 2008. MARY ANN LIEBERT, INC. • VOL. 14 NO. 3 113 ALTERNATIVE AND COMPLEMENTARY THERAPIES • JUNE 2008 acid—yet another COX-2 inhibitor—with 20,050 ppm ZMB, a value lower than the ZMB value for Silphium trifoliatum, at 22,050 ppm, but slightly above the values for clove 20,000 and Silphium integrifolium at 17,950, and much higher than rosemary at 10,500 and thyme at 6300 ppm.18 Brazilian scientists found high antibacterial activity for triterpene acids against oral pathogens including Enterococcus faecalis and several Streptococcus species that can cause dental caries, with ursolic To my mind, lycopene is more likely to help me than the FDA. and oleanolic acids displaying the most intense antibacterial effect, at minimum inhibitory concentration (MIC) values of 30–80 µg/mL.19 That would rationalize the use of calendula in mouthwashes and toothpastes. Table 3 names some of the other indications reported for calendula, based on clinical as well as folkloric, animal, phytochemical, epidemiologic, and in vitro evidence, approval by the German Commission E, or approval by the TRAMIL Commission.|| Conclusions Since I question the FDA’s sudden changes in viewpoint and know that “evidence-based” pharmaceuticals kill thousands of people a year, the agency’s pronouncement about lycopene made me think that, in fact, it had valuable properties for cancer prevention. I do not think calendula, Elaeagnus spp. (elaeagnus), Psidium guavaja (guava), Lycopersicon esculentum (pink tomato), or Citrullus lanatus (watermelon), which are other good sources of lycopene, have killed anyone. But with a nod to prudence, and because moderation is important in all things, I want to mention two studies20,21 showing that, while relatively low doses of calendula may be beneficial in several respects, higher doses may be detrimental. Yet, it would take an unreasonable dose of calendula to cause serious side-effects, and reasonable doses can provide several useful carotenoids in addition to the common chemopreventives, lutein and lycopene, and a few that are unique to calendula. For now, unlike the FDA, I conclude that ingestion of modest doses of calendula and other wholesome lycopene-rich foods can lessen one’s chances of developing cancer. By boost|| TRAMIL [in English the Research Programme of Applied Science and Common Use of Medical Herbs in the Caribbean; visit: http:// funredes.org/endacaribe/traducciones/tramil.html] is involved in applied research for traditional popular medicine in the Caribbean. The goal is to rationalize health practices based on the use of medicinal plants. This ethnopharmacologic research now extends to almost all of the territories that are related to the Caribbean sea, using uniform survey methodology. 114 MARY ANN LIEBERT, INC. • VOL. 14 NO. 3 ing the immune system, they may also prevent a lot of chronic and septic diseases, from anthrax to bird flu, and possibly even infection with methicillin-resistant Staphylococcus aureus. The pharmaceutical industry wants us to use expensive pharmaceuticals in preference to often far less costly alternative medicines, and the FDA too often parrots this message. We need the best medicines we can get for ourselves and our families, whether in the form of foods, as Hippocrates long ago recommended, or pharmaceuticals when they are needed. When given the choice, I will try food first, and recommend that all thinking Americans read Critser’s Generation Rx—How Prescription Drugs are Altering American Lives, Minds and Bodies.22 And in the context of food-as-medicine, I believe that orange calendula flowers may be one of, if not, the richest sources of food-grade lycopene. You can bet that petals of calendula flowers will be in my vegetarian summer soups and on my “potof-gold” vegetarian pizzas, helping prevent the cancer caused by the meats too often used to flavor such foods. To my mind, lycopene is more likely to help me than the FDA. I conclude that FDA-approved “evidence-based” pharmaceuticals kill orders of magnitude more Americans than non–evidence-based and evidence-based herbs in the United States. n References 1. Belsinger S, ed. Calendula—Herb of the Year [prepared by the Horticulture Committee of the International Herb Association]. Jacksonville FL: International Herb Association, 2008. 2. McGuffin M, Kartesz JT, Leung AY, Tucker, AO. American Herbal Products Association’s Herbs of Commerce. Washington, DC: American Herbal Products Association, 2000. 3. Duke JA, Bogenschutz-Godwin MJ, DuCellier J, Duke PA. CRC Handbook of Medicinal Spices. Boca Raton, FL: CRC Press, 2002. 4. Duke JA, Duke PK. Living Liqueurs. Lincoln, MA: Quarterman Publications, 1987. 5. Facciola S. Cornucopia—a Source Book of Edible Plants. Vista, CA: Kampong Publications, 1998. 6. Kishimoto S, Maoka T, Sumitomo K, Ohmiya A. Analysis of carotenoid composition in petals of calendula (Calendula officinalis L.). Biosci Biotechnol Biochem 2005;69:2122–2128. 7. Kavanaugh CJ, Trumbo PR, Ellwood KC. The U.S. Food and Drug Administration’s evidence-based review for qualified health claims: Tomatoes, lycopene, and cancer. J Nat Cancer Inst 2007:99:1074–1084. 8. Darlington GA, Kreiger N, Lightfoot N, et al. Prostate cancer risk and diet, recreational physical activity and cigarette smoking. Chronic Dis Can 2007;27:145–153. 9. Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients: Excess length of stay, extra costs, and attributable mortality. JAMA 1997;277:301–306. 10. Hurley D. Diet Supplements and Safety: Some Disquieting Data. New York Times, January 16, 2007. Online document at: http://query.nytimes.com/ gst/fullpage.html?sec=health&res=950DE1DB1030F935A25752C0A9619C 8B63 Accessed April 24, 2008. 11. Männistö S, Yaun SS, Hunter DJ, et al. Dietary carotenoids and risk of colorectal cancer in a pooled analysis of 11 cohort studies. Am J Epidemiol 2007;165:246–255. 12. Sengupta A, Ghosh S, Das RK, et al. Chemopreventive potential of diallylsulfide, lycopene and theaflavin during chemically induced colon carcinogen- ALTERNATIVE AND COMPLEMENTARY THERAPIES • JUNE 2008 esis in rat colon through modulation of cyclooxygenase-2 and inducible nitric oxide synthase pathways. Eur J Cancer Prev 2006;15:301–305. 13. Alexander Reddy MK, Lindo RL, Nair MG. Relative inhibition of lipid peroxidation, cyclooxygenase enzymes, and human tumor cell proliferation by natural food colors. J Agric Food Chem 2005;53:9268–9273. 14. Schnäbele K, Briviba K, Bub A, et al. Effects of carrot and tomato juice consumption on faecal markers relevant to colon carcinogenesis in humans. Br J Nutr 2008;99:606–613. 15. Walfisch S, Walfisch Y, Kirilov E, et al. Tomato lycopene extract supplementation decreases insulin-like growth factor-I levels in colon cancer patients. Eur J Cancer Prev 2007;16:298–303. 16. Salman H, Bergman M, Djaldetti M, Bessler H. Lycopene affects proliferation and apoptosis of four malignant cell lines. Biomed Pharmacother 2007;61:366–369. 17. Palozza P, Serini S, Boninsegna A, et al. The growth-inhibitory effects of tomatoes digested in vitro in colon adenocarcinoma cells occur through downregulation of cyclin D1, Bcl-2 and Bcl-xL. Br J Nutr 2007;98:789–795. 18. Kowalski R. Studies of selected plant raw materials as alternative sources of triterpenes of oleanolic and ursolic acid types. J Agric Food Chem 2007;55:656–662. 19. Scalon Cunha LC, Andrade e Silva ML, Cardoso Furtado NA, et al. Antibacterial activity of triterpene acids and semi-synthetic derivatives against oral pathogens. Z Naturforsch [C]. 2007;62(9–10):668–672. 20. Barajas-Farias LM, Pérez-Carreón JI, Arce-Popoca E, et al. A dual and opposite effect of Calendula officinalis flower extract: Chemoprotector and promoter in a rat hepatocarcinogenesis model. Planta Med 2006;72:217–221. 21. Matysik G, Wójciak-Kosior M, Paduch R. The influence of Calendulae officinalis flos extracts on cell cultures, and the chromatographic analysis of extracts. J Pharm Biomed Anal 2005;38:285–292. 22. Critser G. Generation Rx—How Prescription Drugs are Altering American Lives, Minds and Bodies. Philadelphia: Houghton Mifflin, 2005. James A. (“Jim”) Duke, Ph.D., a former ecologist with the U.S. Department of Agriculture, is currently the owner, founder, and executive director of the Green Farmacy Garden, in Fulton, Maryland. To order reprints of this article, e-mail Karen Ballen at: Kballen@liebertpub.com or call at (914) 740-2100. MARY ANN LIEBERT, INC. • VOL. 14 NO. 3 115