S tu d y To D e te r... If Em u O i l ... A n t i - I n f la m... A n t i - A r th r i...
Transcription
S tu d y To D e te r... If Em u O i l ... A n t i - I n f la m... A n t i - A r th r i...
S tu d y To Dete rm ine If Em u O il Sh o wed A nt i -I nf la mma to ry, A nt i -A rth rit ic A ct ivit y I n L ab o ra to ry A n ima ls Dr. Peter Ghosh, Royal North Shore Hospital, Sydney, Australia Dr. Michael Whitehouse, University of Adelaide, Australia 1988 Study to determine if emu oil showed anti-inflammatory, anti-arthritic activity in laboratory animals. Reported results from their experiments indicated that "the most potent formulation was achieved when methyl salicylate(wintergreen oil), isopropanol and menthol were combined with emu oil" Apparently, a "synergistic effect was occurring between the emu oil and the methyl salicylate, for the anti-inflammatory activity of the combination was greater than the sum of either component when used alone (with isopropanol)." Mo istu rizin g an d Co sm et ic P rop e rt ie s Of Em u O il A Double Blind Study Presented at the AEA national convention in Nashville, Tennessee. August 1994 Alexander Zemtsov, M.D., M.S. Indiana University School of Medicine Monica Gaddis, Ph.D. Ball Memorial Hospital Victor Montalvo-Lugo, M.S. Ball Memorial Hospital Summary Cosmetic and moisturizing properties of emu oil were assessed in a double blind clinical study. Emu oil in comparison to mineral oil was found overall to be more cosmetically acceptable (p less than 0.05) Furthermore, it appears that emu oil in comparison to mineral oil has better moisturizing properties, superior texture, and lower incidence of comedogenicity, but probably because of the small sample size these differences, were not found to be statistically significant (p less than 0.05). Neither of the oils were found to be irritating to the skin. Finally, emu oil fatty acid composition was studied by gas chromatography and was found to have high concentration of nonpolar monounsaturated fatty acids which may explain emu oil’s ability to penetrate easily through the stratum corneum barrier. Introduction The emu, a large flightless bird, Dromaius novaehollandiae, is probably best known for being on Australia’s coat of arms opposite the kangaroo. In the past few years commercial emu breeding has become a multi-million dollar industry in the United States, Australia, and other countries. Emu oil derived from emu fat was being used by the Aborigines for healing and pain control long before British ships landed on the eastern shores of Australia. A number of Australian investigators (George Hobday, M.D., a dermatologist and Peter Ghosh, Ph.D., FRSC at the University of Sydney) claimed that emu oil has anti-inflammatory and skin penetrating properties. Recently the Australian Department of health classified emu oil as a pharmaceutical product1 and registered emu oil in the Therapeutic Goods Registry2. Finally an official Australian government publication stated “the oil (emu) will find uses in the pharmaceutical and cosmetic industries”. We performed an extensive literature search (Medline, Index Medicus) and could not find a single report in scientific peer reviewed literature dealing with either emu oil and its cosmetic pharmaceutical properties of its composition1. A pilot double blind study was conducted to assess cosmetic properties of emu oil – namely its moisturizing and skin penetrating properties, texture and odor, and irritancy and comedogenicity potential. The emu oil was compared in this study to mineral oil, a synthetic oil that is widely used in the United States as an emulsifier and lubricant in topical cosmetical and pharmaceutical preparations. Methods Human Subjects 11 subject were recruited and completed the study (9 women and 2 men). Mean age was 35 years (age range 25-52), 10 subjects were white Caucasian and one subject was Hispanic. All had Fitzpatrick skin type 2 or 3 based in history of response to UV radiation. All had healthy skin and people with eczema and acne were specifically excluded from this study. Since both emu and mineral oil can be purchased in the United States over the counter, no human subject research permit was required of issued by the Texas tech Human Subject Institutional Review Board. Oil: Emu oil for clinical study was imported from Australia (Emu Vertica, Thalgo Holdings Pty. Ltd.). Both Australian emu and mineral oil were placed in dark, numbered bottles by a pharmacist (Caprock Drugs, Lubbock, TX). Neither human subjects or principal investigator knew which oil each subject was using at what particular time. The code was not broken until all volunteers completed the study and returned the questionnaire to the principal investigators. Oil Composition: Fatty acid analysis by gas chromatograph was performed by Dr.. Margaret Craig-Schmidt’s laboratory of Auburn University and the results were reported in the AEA News September, 1994. Protocol: Prior to entering the study each subject was examined by a university based dermatologist to make sure that none of the volunteers had eczema or acne. The volunteers were instructed to use the first oil on their face and trunk twice a day for 2 weeks. The human subjects were told to discontinue use of any other lubricants. After 2 weeks of oil use the human subjects were briefly examined by the principal investigator for signs of skin irritation or acne and at that time were given a second oil. The pharmacist made sure that each subject received both emu oil and mineral oil. At the end on the study each subject completed the questionnaire and ranked on a 0 to 5 scale (5 excellent; 0 poor) how much they liked each oil. There were also asked to rank its penetration/permeability, moisturizing properties, texture, and any side effects (comedogenicity, odor, irritancy, etc.) Statistical Analysis: The data generated was in a created ranking scale format [0 (poor); 5 (excellent)] and was analyzed by a biostatistician utilizing the Wilcoxan Signed ranking test. Results As shown in Table I, the emu oil overall ranking and permeability was found to be clearly superior to mineral oil. These differences in skin penetration/permeability and overall ranking were statistically significant (p less than 0.05). It also appears that emu oil texture and moisturizing properties as judged by the participants in the study were also superior to mineral oil, but the differences cannot be considered statistically significant (p greater than 0.05). The sample size was small (n=11) and it is very possible that if more people participated in the study the clear cut statistical differences in the oils texture and moisturizing properties would have been found. When the participants in this study were asked which of the two oils they liked better, all 11 subjects (100%) stated that they liked emu oil better (Table II). Neither emu oil or mineral oil was found to be irritating to the skin (0%, Table II). Finally, when the oils were applied to the face, 6 people (55%) and 2 people (18%)reported the mineral and emu oil respectively caused “pimples”, (Table II). Discussion This pilot, a double blind crossover study, clearly indicated that emu oil may become widely used in cosmetic and pharmaceutical industries. We found emu oil to be totally non-irritating, having excellent moisturizing properties, cosmetically pleasing texture, and low incidence of comedoginicity. The most intriguing properties of emu oil as far as cosmetic and pharmaceutical industries are concerned is its apparent ability to penetrate the stratum corneum barrier. The study of penetration of various substances through the skin is an area of an active research and is obviously important from the therapeutical and toxicological viewpoints. Iontophorisis3 , and liposome preparations4,5 are actively studied as a means to increase cutaneous bioavailability. Since most topical vehicles have an absorption rate of only a few percent6 the drugs and other active ingredients combine with more efficient drug carrier systems are of major interest to cosmetic and pharmaceutical industries. As a matter of fact, liposome preparations containing the anti-fungal agent econzole (econazole 1%; pevarly; cilag; Schafflausen, Switzerland) and cosmetics with liposene base are now available in the United States and Western Europe4,5. Unfortunately, because of high cost and other technical problems neither liposome or iontophorisis are now widely used in either cosmetic or dermatological topical preparations3,4 . If indeed, as we report in this paper, emu oil has superb skin penetrating properties, as judged subjectively by participants in this study, and because of relatively low cost, emu oil should be of major interest to dermatologists and cosmetic scientists as a transcutaneous carier system. It would not be unreasonable to try to combine emu oil with topical antifungals, steroids, retinoids, antihistamines, anesthetics, antiangrogen, and immunosuppressive drugs to see if emu oil improves cutaneous bioavailability. Even prior to completion of this study a number of investigators became aware of apparent penetrating properties emu oil. As was noted in the methods section of this article, the composition of emu oil was studied by Dr. Craig-Schmidt utilizing gas chromatography. The findings were that emu oil is predominately composed of short chain monounsaturated fatty acids slowing it to easily penetrate the stratum corneum. Another investigator utilizing thin layer chromatography (TLC) found that emu oil is essentially free of phospholipids thus enabling it to penetrate readily through skin (Allen Strickland, personal communication). We believe that this apparently first scientifically conducted study addressing cosmetic and pharmaceutical properties of emu oil is very promising. We are in the process of organizing in the United States a much larger multicenter similar double blind study to confirm our findings. Furthermore, Dr. CraigSchmidt’s research group is in the process of conducting in-vitro transmembraneous skin penetration studies with emu oil to determine its transcutaneous permeability. We hope that this and the future study with emu oil to determine its transcutaneous permeability. We hope that this and the future study mentioned above will fully assess the cosmetic, moisturizing, and pharmaceutical properties of emu oil. Table 1 - The oil's ranking by the participants of the study Statistically Emu Oil Mineral Oil P Significant Difference Median Range Median Range Overall Ranking of the 5,000 (3-5) 3,000 (2,4) 0.020 Yes 4,000 (2-5) 3,000 (2-5) 0.540 No Oil Oil Texture Skin 5,000 (1-5) 3,000 (1-5) 0.016 Yes 5,000 (1-5) 4,000 (1-5) 0.062 No Permeability/Penetration Moisturizing Properties Table 2 - The ranking and side effects by the participants of the study Emu Oil Mineral Oil Oil Preference 11 (100%) 0 (0%) Comedogenicity 2 (18%) 6 (55%) Irritancy 0 (0%) 0 (0%) References 1Commonwealth of Australia, Department of Health, Hosing and Community Services, Certificate of a pharmaceutical Product No 92/0980 2AUST R 22759 in the Australian Register of Therapeutical Goods. 3Singh J, Mabach HI. Topical Iontophoretic Drug Delivery in vivo: Historical Development, Devices, and Future Respectives. Dermatology 1993: 187:235238. 4Korting HC, Blechek P, schaefer-Korting M, Wendel A. topical liposome drugs to come: What the patent literature tells us. A review, J Am Academy of Dermatoloy 1991; 15:1068-1071. 5Schaefer-Korting M, Korting HC, Braun-Falco O. Liposome Preparations; A step forward in topical drug therapy for skin disease: A Review, J Am Academy of Dermatology 1989; 21:1271-1275. 6Wester RC, Maibach HI. Dermatopharmokinetics in clinical Dermatology. Semin Dermatol 1983; 2:81-84 All correspondence should be addressed to: Alexander Zemtsov, M.D., M.S., Research Dept., Ball Memorial Hospital, 2401 University Ave., Muncie, IN 47303-3499. Phone (317)747-8458 of (317 741-1975. Fax (317)747-8459. This work was supported by a grant from the American Emu Association, Dallas, TX. Fa tt y A cid A na lysis of Emu O il Margaret C. Craig-Schmidt, Ph.D. Amanda Brown M.S. Paul C. Smith, D.V.M., Ph.D. Auburn University Emu oil has recently received attention for its possible therapeutic and cosmetic benefits. The oil of the emu has been used for medicinal purposes by the Aborigines of Australia for many years and is currently being used in the cosmetic industry for its protective and softening effects of the skin. The exact mechanism by which emu oil exerts these effects is not known. Because several fatty acids are known to have potent physiological effect, it is important to characterize emu oil with respect to its fatty acid composition. Fatty acids are classified according to chain length and by the number of double bonds, or points of unsaturation, in the chain. For example, palmitic acid is a fatty acid with sixteen carbons and no double bonds; thus in scientific nomenclature it is abbreviated as “16.0”. Because this fatty acid contains no double bonds, it is termed a “saturated” fatty acid. Fatty acids with one double bond (one point of unsaturation) are called “monounsaturated” fatty acids, and those with two or more double bonds are called “polyunsaturated” fatty acids. Oleic acid or 18:1 is a common monounsaturated fatty acid, and linoleic acid or 18:2 is a common polyunsaturated fatty acid. Any natural fat contains a mixture of all three types of fatty acids attached to a glycerol “backbone”. These compounds are called triglycerides. If a fat contains triglycerides made up of mostly saturated fatty acids, such as palmitic acid, then this fat is called a saturated fat. The health effects of different types of fatty acids are well established. For example, saturated fat in the diet is known to raise blood cholesterol, but monounsaturated fats and polyunsaturated fats are known to lower blood cholesterol levels and thus reduce one’s risk for cardiovascular disease. Some polyunsaturated fatty acids are called “essential fatty acids” because they are necessary for the proper functioning of the body yet cannot be made by the body. Humans must get these fatty acids from dietary sources. Linoleic acid (18:2), an essential fatty acid for humans, is converted to arachidonic acid (20:4) which serves as a precursor for the powerful hormone-like compounds called “eicosanoids”. Eicosanoids serve normal functions in the body; however, they are produced in excessive amounts in some disease states such as arthritis. Concentrations of eicosanoids in the body can be manipulated by drugs (such as aspirin), by the type of fat in the diet, and in some cases, by fat administered in a topical manner. Because there are no published scientific studies which have reported the fatty acid composition of emu oil, a study was undertaken at Auburn University to characterize the fatty acid composition of emu oil. The results from this investigation help to explain the properties and possible benefits of emu oil. Ten samples of emu fat/oil were analyzed by gas chromatography. Two of these were rendered samples. All but one sample was taken from the fat depot on the back of the animal; the single sample was taken from the abdomen. All samples were obtained from animals in the Southeastern United States. Results indicated that emu oil is highest in monounsaturated fatty acids, with lower amounts of saturated and polyunsaturated fatty acids (Figure 1). Oleic acid (18:1) was found to be the major monounsaturated fatty acid in emu oil, comprising over 40% of the total fatty acids (Figure 2). Much smaller amounts (less than 5%) of the palmitoleic acid (16:1) were found. Major saturated fatty acids in emu oil were palmitic acid (16:0) which comprised approximately 20% of total fatty acids and stearic acid (18:0) at 8%. Linoleic acid (18:2) at 20% of the total was the primary polyunsaturated fatty acid were observed. In conclusion, approximately 70% of the fatty acids in emu fat are unsaturated. This composition is consistent with current recommendations for a “heart healthy” diet. The monounsaturated fatty acid, oleic acid, is the major fatty acid in emu oil. This fatty acid is a known enhancer for transport of bioactive compounds into the skin, and thus, the fatty acid compositions consistent with emu oil being very penetrating. This aspect of the oil is being investigated in a second phase of the project. Editors Note: Emu oil research dates back to 1987. However, most studies have been proprietary. No emu oil analysis has been reported in medical of scientific journals. The AEA Research Committee sponsored this for public analysis. The results will be published in Highlight of Agricultural Research, an Auburn University publication, as well as scientific journals. Do ub le B lind P la ceb o Co nt ro lle d St ud y Usin g E mu O il And Min e ra l O il Dr. Thom Leahey Arthritis Clinic Ardmore, Oklahoma 1995 Volunteers remained on any medicine they were using. Of those testing the emu oil 58% reported a significant reduction in pain, morning stiffness and swelling. Twelve percent of those using the placebo reported results. Proposed-Three month study, 500 participants diagnosed with arthritis in their hands. Using a dynamometer detect changes in the participant's gripping strength. Also test the sensitivity and number of tender and swollen joints. Volunteers must not take any arthritis medication for at least one month prior to the study. E va lua t io n Of Emu O ils Fo r B en ef icia l Eff ect s To A lle via te Bo th L o ca l & Dist a l P a in & I nf lamma t ion Dr. Michael Whitehouse University of Adelaide, Australia 1996 Principal findings consisted of (1) Emu oil varied considerably in their ability to suppress the arthritic inflammation; (2) Some oil samples were particularly effective in suppressing development of the rat polyarthritis; (3) Their antiarthritic activity was enhanced by facilitating skin penetration using known/novel penetration enhancers, and (4) Potent concentrates could be prepared by solvent extraction and other fractionation procedures which were low in Triglycerides, contained a range of active molecules and under some conditions, consistently prevented development of the rat polyarthritis (in contrast to conventional anti-inflammatory drugs). Their findings also confirmed other evidence which suggested that different emu oils possessed different levels of potency. E mu Cream A ssists L id oca in e Local Anesthetic Absorption Through Human Skin (Excerpts) 88th AOCS Meeting, May 1997 Ratite Oils: Processing and Applications Presented by Dr. William Code Lidocaine is probably the most common used local anesthetic. For those of you with an organic chemistry of biochemistry background, it’s an amide. An amide local anesthetic is a much safer agent to use; as it is less likely to cause an allergic reaction. In fact, until a few years ago it was reportable if you got an allergic reaction to an amide local anesthetic. The other groups are the esters and are much more likely to give you a reaction because they contain para-amino-benzoid-acid (PABA) which a lot of us have been sensitized to in our sunscreens and other products. Lidocaine is also reasonable in cost and readily available. It’s the most understood local anesthetic and a prototype in general. Most ideas aren’t new ideas. The concept of emu oil as being useful for any number of things primarily originated from the people who have used it for many centuries. Actually, some of the oldest people on Earth, as far as the time that they’ve been here, are the Australoid race, or the Australian Aborigines. The problem I wanted to address as something to thing about is the problem with punctures in the skin of planned-for-needle insertion. The obvious one that comes to mind to an anesthesiologist is to start an intravenous drugs. We want to know in a few seconds whether the anesthetic is working or not. Vaccination is an interesting example. In the last few months, all of the postsecondary students in British Columbia were vaccinated for measles after an outbreak in Vancouver. It’s a large group because the hepatitis B and the German measles vaccines, of course, are given to the early preteens and that’s often a group that we recognize, certainly, as anesthesiologists. As young people, particularly in the preteen and early teen years, that can get very anxious and upset about an injection. If something were available to minimize that trauma, life could be a lot simpler for public health nurses and other personnel. Suturing of wounds is always a tough consideration – the decision is whether to put the local anesthetic in, and make two or three holes, or just go straight ahead and suture with a tiny needle. If you had a relatively sterile entity that could numb it either before the injection with the needle, or with regard to the wound itself, then you might be a lot further ahead. Laser therapy typically is done with injection and can be quite painful in some parts of the body, as most of you are aware, especially the pain of the hand or the base of the foot. The traditional over-the-counter preparation in both Canada and the U.S. is EMLA cream, which stand for eutectic mixture of local anesthetics. It has lidocaine in it and another agent called prilacaine. It doesn’t work as well as I’d like it to. It has a relatively slow action, a minimum of 45 minutes, so that requires pre-planning. If you’re going to see somebody in an operating room suite, it literally has to be put on by someone at your suggestion beforehand, or you have to get the parent to purchase it at home and put it on. Do they put it on the right place? Do they put it on in the right amount? How does it proceed from there? Unfortunately now, many pediatric institutions are withdrawing or reducing their use of the cream because it’s been somewhat erratic as to whether it’s actually served a purpose or not. It’s often built up impressions and potential feelings, but sometimes those have been very disappointed in the actual use thereof. The emu substance used in this particular pilot study was what I call a cream, the thick version of the refined product versus the clear oil. What did we test? We created two mixtures that looked, for intents and purposes to people observing them, the same. Quite honestly, if they would have tasted them, they would have had a considerable difference because all of the local anesthetics are very bitter. It doesn’t take a rocket scientist to tell when you’ve got one in your mouth. As any of you know who have ever had a local anesthetic sprayed in your mouth, for a sore throat of whatever, almost all of them are very bitter. Anyway, our substance was emu cream and spearmint oil. We use the spearmint oil for two reasons: the relatively positive scent it imparts to most people and it has the advantage that it may enhance absorption as well. Our second preparation was emu cream of the same batch, Canadian emu oil and spearmint oil again, with lidocaine. Those were then applied to two sites on six people. The tow sites were both chosen as the same and that’s in the ventral distal foreman, that is on part of your wrist which hardly ever has any hair on it. You can start intravenous there. Usually, they’re not your large veins, but they work really well and they’re exquisitely tender – therefore, good site to test if you were able to use it. The mixture was applied on both forearms on a two-inch square sites, and then covered with something called Opsite, Tegaderm, or one of the other proprietary units which are a lot like Saran Wrap with a sticky surface around it. The function of the cover is twofold. First of all, you increase the warmth and moisture in the area and that might make a difference in penetration. Also, it usually permits an increased concentration crossing across the skin before it’s rubbed off or taken away. After twenty minutes, that cover was removed and residual cream was wiped away. The amount of residual cream left is usually diminished over a time frame. We then did two major tests on the individuals. The common one we used initially was ice. That’s because in my practice in the operating room. I found that if you can check with an ice cube where people can tolerate the ice cube, and not tell when they’re going to have sharpness from the incision with the cold hard steel knife. Then, of course, we used pinpricks because most people were kind of intrigued with the idea that this actually made any difference. Because each individual had the substance A or B in each instance, and ; correspondingly, the observer of the ice and pin pricks was also blinded. We got fairly simple results in that there was a reduced sensation noted in only one of the two arms, one skin site only. Also, fortunately the one with the reduced sensation had been treated with mixture B, which was the emu cream, the spearmint, and the lidocaine combination. That’s something that might be vary – a larger size might make a difference. You might get a difference too, if you went on other areas which may have more thickened skin. In the discussion, this has to be done with co-called consistent, proven pain stimulus. The pain and temperature, just for those that aren’t as comfortable with the physiology, are virtually teted by the same thing. What I mean is, acute sharp pain, and warm and cold sensations, tend to be affected and carried by the came fibers and the same components of the spinal cord. It’s not that same as the burning of dull pain that starts after a few seconds. That in a different type of pain fiber again. When we’re talking about the next step, the clinical trial, we’ll need to start with adults. Where we want to use it is in children, but typically, you can’t have much success with the groups within the hospitals discussing the study unless it’s been proven on adults. Of course, the million dollar, multinational question if “Will emu oils work?” “Which ones will work better?” “Is there a particular feature in emu oil that does work better?” I know that people have tried local anesthetics on their own, and local anesthetics in mineral oil. Whether they’ve tried it in pure oleic acid, I don’t know. What’s the potential use in animals? I feel certainly there is a good possibility in some of the thinner skinned animals. I think of horses, particularly, and probably dogs where you might be able to apply the cream, and not require near as much sedation of other entities. In general, we need more study with design and data acceptable for publication in a peer-reviewed medical journal. E va lua t io n of Em u O il I n Lu b rica t ion & Tre atm en t of Hea led B u rn W ou nd s S. O’Banion, J. Griswold, Texas Tech University Health Sciences Center, Lubbock, Texas; American Burn Association, March 18, 1998. Chicago, Illinois. Compiled from research by Harner Burn Center AEA began working with Dr. John Griswold, Director of Timothy J. Harnar Burn Center (affiliated with the Texas Tech University Medical Center in Lubbock) during the first quarter of 1995. We agreed to a four-six month study to analyze the potentially effective involvement of emu oil in the healing process of burn wounds. Healing burn wounds are painful and pose many difficulties for the recovery of a burned patient. Inflammation, lack of moisture, and wound sensitivity are often cited as impediments to daily activities and therapy. Current emollients vary in their ability to penetrate skin and decrease sensitivity and associated pain. Adequate lubrication aids the healing process by providing moisture in areas where sebaceous glands are depleted or currently dysfunctional. Inflammation is the normal response to healing of a burn wound. This inflammation also causes scar tissue to form. Approximately 2.5 million people seek medical attention of burn injuries each year. Virtually all require some type of lubricant application during their recovery. This provides a large segment of the population with potential need for an emu oil product. In a letter received from Dr. Griswold by the American Emu Association in January, 1997, he said, “We now have 10 patients with appropriate wounds who have completed at least initial evaluation of approximately nine months that could be compared in an treatment/control fashion in the same patient. This required wounds that were completely separate in opposite sides of the body yet in areas that would heal similarly in order to appropriately compare the emu oil versus a placebo. Two important results from evaluation of the data are: 1. Comments from patients almost unanimously favored emu oil as an end result and during application. 2. There was a unanimous difference noted in photographs taken of the wounds as far as reduction in scarring and inflammation done by three blinded observers as to which was emu and which was a control wound area. This difference was statistically significant. We are in the process of providing you more in-depth details as to the complete study, patient demographics and results.” During the American Burn Association meeting on March 18-21, 1998, a poster presentation was made on the completed study. The presentation was entitled; Evaluation of Emu Oil in Lubrication and Treatment of Healed Burn Wounds. Accredited authors were M. Penturf, PhD., RD; S. O’Banion, RPh; and J. Griswold, MD. The full and complete abstract presented to the American Burn Association reads, “Emu oil has been reported to have significant anti-inflammatory effects, and has been used both in cosmetics and therapeutic vehicles. This experiment was conducted to evaluate emu oil as a lubricant as a aid in reducing scar formation in healed burned wounds. Ten patients were evaluated in a randomized double blind study for a minimum of 6 months. Patients served as their own control by utilizing bilateral wound areas for application of emu oil (New Discoveries, Inc. Florence, MS) and the placebo lubricant on independent sites respectively patients were instructed to apply both lotions daily on an as-needed basis. During scheduled out-patient clinic visited, patients’ wounds were evaluated by the Vancouver Scar Assessment Scale. Photos were taken on each clinic visit. Treatment ranged from 195 to 385 days before discontinuation. LL of the patients were men, ranging in age from 24-63 years. Per scar assessment, significant differences were noted in pigmentation and pliability (p less than 0.02). There were no differences noted in vascularity and height of the healed wound, (=0.08). Pictures were scored by a four person blinded panel on pigmentation, scar maturation and general health of the skin. Emu treated areas healed significantly better (p less than 0.02) than control in photo analysis. Statistics were calculated by analysis of variance, means were separated with the F-protected predicted difference test. The results of the pilot study are promising, however, additional research is needed to further elucidate any therapeutic qualities of the oil.” Now that the study has been presented in a peer-reviewed context, the abstract can be cited in research studies. Proper citation id “Evaluation of Emu Oil In Lubrication and Treatment of Healed Burn Wounds,” S. O’Banion, J. Griswold, Texas Tech University Health Sciences Center, Lubbock, Texas; American Burn Association, March 18. 1998. Chicago, Illinois. In closing, because the study was thought to be ground breaking at the time, our expectations were high. This study now pales in comparison to current experiences of the benefits of emu oil in wound healing. I nf lue n ce of E mu O il o n S kin Th ickne ss I n O ld e r I nd ividu a ls By: Dr. Leigh Hopkins From presentation given at AOCS Ratite Oil session, May 1998, Chicago Illinois As we age, there are a number of issues that set us up for complications in our daily lives. There is a change in our skin thickness, so we are always interested in that and looking to change some of that. There is loss of elasticity and of the adherence to deep tissue – some of that sagging that you get is due to this. Langerhans cells are also decreased, and so immunocompetence is declining with age, and we are more prone to skin infections. There is also probably a decline in that ability of the skin to synthesize lipids, so this is the principal benefit we are aiming for when we apply oils. Skin dryness also increases with age. The consequence is that there is a loss of the integrity of the skin, and then a decline in the ability to repair this. You are also at a greater risk for insults to the skin/body. Dr. Hollick has done some studies with mice, applying emu oil to their skin with corn oil as the negative control. Epidermal growth thickness and, believe it of not, hair growth increased. His comments were that there was increased thickness although I don’t know what that number was, and 80% of resting hair follicles were “charged”. The bottom line is, you have to have a hair follicle for it to be rejuvenated. Emu oil will not make hair follicles. Dr. Pugliese, last year, did another study on skin thickness using ratite oils (ostrich, rhea, and emu), with retinoic acid (Retin-A) as the positive control and mineral oil as the negative control. There were probably 4-5 mice per group. The findings from that mouse study was that the Retin-A gave marked hyperplasia. The ratite oils gave anything from mild hyperplasia to the mosaic effect seen with Retin-A. The mineral oil, to out chagrin perhaps, also gave a postive response. But this is because it is an irritant, and it gives a different hyperplasia to the response you see with Retin-A. We also looked at fish oil and chicken oil. These did not demonstrate any topical activity. The next study that Dr. Pugliese did for us was to take a look at elderly individuals and see what their response was to the topical application of emu oil. So we recruited 8 people. In retrospect, there is a little problem here since they were unbelievably healthy Mennonites. These people, then, were a little unusual. The average age was 72. We did throw in one unusual patient who was 38, who had scleroderma, so she lowered the average age. The average age would have been 77 otherwise, and there were 4 patients that were over 80, or at least claimed to be. I didn’t check birth certificates or anything, but these church Mennonites cannot lie, so we had to accept this. They were instructed to apply emu oil at least nightly (but more often if they wanted to) to the back of the non-dominant hand. That is what we measured to skin thickness on. The study was 6 weeks in duration. Most of the mice studies had been of about a 5-day duration. I was always a little concerned about what you can do to the skin of a newborn in just 5 days, and how applicable that would be to humans. I think you would probably need a longer time frame. This (SLIDE SHOWN) is sort of a summary of the 8 patients, looking at the summation of the epidermis and papillary dermis changes. There is a huge variation in skin thickness between individuals, so if I just gave you the raw numbers, it becomes a little tricky. That’s why you need to look at the relative change. (percent change). Let me point two out. Patient 6 is the young lady in the group who had the scleroderma. There was essentially no response. I was looking for a miracle cure for scleroderma, and this study suggests that it’s not emu oil. And this other individual with zero change was an individual who claimed he was 84. He was what you would call “ham hands.” They were so big he could not purchase gloves. I think he plowed with his hands. They were the hardest hands I’ve ever seen, and when you put emu oil on them it would just dissipate right away. So I thought this could be interesting. But maybe he needed quarts of emu oil, instead of the two ounces that we gave. He had no change. So there are limits, and he could have been an individual that did not follow the protocol as closely as the others. Anyway, his hands were different. The changes are of the order of 9.9 to 10.6%, depending on which portion of the skin you looked at. Combined, there was an 8% increase in skin thickness from 6 weeks of application of pure emu oil. Most of the other products that I’ll be talking to you about in later sessions are formulation, looking to make enhancements. If you haven’t tried emu oil, it’s of course grease. It depends on how interested you are in applying grease anywhere – to your hair, to your hands, etc. Formulations that take some of that greasiness with probably be important to us. I will elaborate more later about the fatty acid roles. The fatty acids are probably what contribute more to the changes. I’ll give more details in the next talk. Here are some slides to show you what the scans look like (SLIDES SHOWN). This section right up here is the epidermis, and this software program within the equipment allows you to determine the thickness changes. This area in here is the papillary dermis. You can look at density, and there are a number of different measures that you can follow with this type of equipment, all depending on the internal software for those interpretations. (end of skin thickness part of talk) FOOTNOTE: In response to the question of whether skin thickness change was measured at the beginning and at the end of the study, or between the two hands (one with emu oil applied, the other without), Dr. Hopkins said that only skin thickness of the emu-oil-treated hand was measured – first at the beginning of the study, then at the end. E mu O il A nt i -I nf la mma to ry Anti-Inflammatory & Therapeutic Properties of Emu Oil by University of MA - Lowell, Robert Nicolosi Ph.D. (2000) Introduction and Specific Aims: Emu oil has been reported to have significant anti-inflammatory and therapeutic properties. It's claimed that emu oil reduces skin swelling, promotes wound healing and alleviates musculoskeletol pains, when used as an external application. Previous studies have looked at evaluating the anti-inflammatory properties under experimental conditions, using mice as experimental animals. They found that the auricular swelling induced by 2% croton oil was significantly reduced in the high dose (5 ml) emu oil group at 6 hours, when compared to the controls. This led to the conclusion that emu oil had this beneficial antiinflammatory property on selected sites. The potential effect of emu oil on other tissues such as skin was not studied under in vivo conditions. It's postulated that emu oil may have similar antiinflammatory properties in other areas of the body as well. Though it has been established that emu oil has this property, the mechanism of action is not wellunderstood or studied in detail. During an inflammatory process, depending the severity and the cause, the defense mechanism of the body responds in multiple ways. The cardinal signs of inflammation are; rubor (redness), calor (increased heat), tumor (swelling), dolor (pain) and functio laesa (loss of function). Different signs manifest in different degrees and ways. Cell biology studies reveal that this complex reaction is brought forward by a group of pro-inflammatory cytokines. Inflammation is the body's reaction to invasion by an infectious agent, antigen challenge or even physical damage. This inflammatory process is actively orchestrated by the cytokines, IL-1a, TNFa and IL-6. In this proposed study, we plan to look into the anti-inflammatory and therapeutic properties of emu oil on both auricular (ear) and cutaneous inflammation in male CD-1 mice, induced topically by application of 2% croton oil. In addition, this study is designed to measure the different cytokines levels and to assess whether there is any association between the cytokines levels and the anti-inflammatory effect. It's essential to identify and understand the mechanism of action of emu oil on inflammation. Preliminary Studies: To evaluate and measure the levels of different cytokines, a preliminary study was conducted in ten animals. IL-1a, TNF a and IL-6 are considered to be the predominant pro-inflammatory cytokines, in the family of interleukins that play a significant role in inducing any inflammatory response. Inner surface of right auricles (ears) of CD-1 mice were exposed to croton oil followed by application of emu oil at one hour. Animals were sacrificed at different time points: 2, 4, 7 and 9 hours post croton oil application. Two animals served as untreated controls. Exposed and unexposed ears were harvested and weighed at time of sacrifice and frozen in liquid nitrogen and saved at -85 degrees for further analysis. Blood samples were drawn from the heart and smears made for differential counts, to evaluate whether there are any systemic reactions to this inflammatory induction. Serum was harvested from the blood and saved for cytokines levels evaluation. Detection of mouse interleukins and other cytokines from tissue samples is done in vitro, by Enzyme Linked Immuno Sorbent Assay(ELISA) method. This is an antigen, antibody reaction and it's a quantitative determination of cytokines in mouse serum or tissue extracts (homogenized ear tissue). ELISA kit wells (Biosource, CA) coated with specific antibody are treated with sample sera or tissue extract. After a series of incubations and washing, the reaction is colorimetrically measured. The intensity of colored product is directly proportional to the concentration of the cytokine in the original specimen. Frozen ears were digested in a tissue homogenizer containing lysis buffer. This process releases the cytokines from the cells. The extract was used to detect the levels of cytokines under consideration, measured by ELISA. From this preliminary study and the ELISA results, it was concluded that at 56 hours post exposure to croton oil, the predominant cytokine responsible for this inflammatory action is IL-1a. The emu oil mediated its' action primarily by suppressing the pro-inflammatory cytokine, IL-1a. The other two cytokines, TNF a and IL-6 do not seem to play a significant role in elucidating this inflammatory action during this period. Comparison of photographs taken at different time points and comparative measurements of auricular thickness and ear plug weights, strongly support the earlier findings that the anti-inflammatory properties of emu oil was greatest around 6 hours. Materials and Methods: Following this preliminary experiment, 34 male CD-1 mice weighing 25 to 28 grams were obtained from Charles River Laboratories ( Wilmington, MA) and housed in polycarbonate cages and given commercial food and water ad libitum for 15 days before the commencement of the study. On the day of the experiment, body weights ranged from 29 to 32 grams. Animals were cared for, as per the guidelines set forth by the 'The Guide' and the Institutional Animal Care and Use Committee. Experimental Design: Mice were randomly assigned to three groups; Control group - untreated (n=11), olive oil control group (n=11) and emu oil treatment group (n=14). Animals were anesthetized with a combination of ketamine (100mg/ml) and xylazine (20mg/ml). Dosage: Ketamine/Xylazine 87mg/kg-13mg/kg IM. Auricular inflammation was induced by topical application of 2% croton oil to the inner surface of the right auricle. One hour later, the assigned treatment (untreated group, olive oil control group and emu oil treatment group) was carried out to each group. Dorsal skin area was clipped before the application of croton oil to the skin site. Similar treatment was carried out as for the auricles. The left ear and the left cutaneous area remained untreated and served as noninflamed controls. Auricular thickness was measured prior to exposure of croton oil using micrometer calipers. Photographs were taken to illustrate the degree of inflammation and the treatment responses seen in each group. Animals were sacrificed at 6 hours post application of emu oil and the thickness of the pinna measured again. Uniform size areas were punched from the treated and control sites (ears and skin) and weighed. At the time of sacrifice, blood samples were drawn from the heart. Blood smears were made for differential cell counts. Serum was harvested from the blood and saved for further cytokine analysis. Results: Application of 2% croton oil induced observable hyperemic inflammation and swelling in the auricles of CD-1 mice. Photographic evidence clearly illustrates this phenomenon. On the cutaneous site, no detectable hyperemia, swelling or inflammation was seen. There was edematous swelling in the right auricles and the magnitude of swelling was calculated as the weight difference between the right (inflamed) and the left (noninflamed) uniform earplugs. Pretreatment and post-treatment thickness measurements of auricles show a significant difference in both the control and oil control groups, indicating that there was no anti-inflammatory effect in these groups. In the emu oil group, the thickness measurements (pre and post) were not significantly different. This showed that emu oil was able to reverse the inflammatory process induced by croton oil. It is also well supported by the reversal of hyperemia, compared to the control groups, as seen in the photographs ( ….. ) Comparison of weights of uniform ear plugs from left and right ears show that in the emu oil group there was very little difference in weight. In the control groups, the difference was very significant (statistical data) ELISA results from serum indicate that there was no significant difference seen between the control group and the emu oil group. This indicates that the inflammatory action is more local than systemic. We expect to see significant correlation between the anti-inflammatory process and the cytokine levels from the excised ear tissues, indicating that there is suppression of the predominant pro-inflammatory cytokine IL-1a by emu oil application. ( Complete results will be available in three weeks time) Discussion: As shown by other investigators, application of 5ul of emu oil at 5-6 hours post croton oil exposure significantly reduced the degree of inflammation in the auricles of CD-1 mice. The inflammatory process reverses itself in 24 hours, if left untreated. The natural host defense actions and mechanisms of the body bring about this reversal process. This is a complex phenomenon involving leukocyte cell migration, attachment of definitive cells to vascular endothelium and the movement of endothelial cells. Neutrophils appear early in the sites where there is acute inflammation and this is in part controlled by cytokine induction. In this study, we looked at the possible relationship and interaction between the different cytokines and the anti-inflammatory process and how emu oil mediates its' anti-inflammatory action. Final analysis of the cytokine evaluation results will lead us to conclude the hypothesis, that the anti-inflammatory effect of emu oil is directed towards the pro-inflammatory cytokine IL-1a. On the cutaneous site, there was no inflammation seen to the exposure to croton oil. This may be because the dorsal skin area differs histologically to the auricular site, having additional subcutaneous layers. It is possible that injecting the causative agent subcutaneously may induce a detectable inflammatory response. L oo kin g int o Emu O il Looking into Emu Oil by Dr. Frank Orthoefer - ACH Food Companies The theme of the 2001 AEA Symposium was “….Meet a new Frontier….Catch the Spirit.” The new frontier was the opportunities identified in recent research on the biological properties of emu oil. This research targeted properties some already use to promote emu oil but evaluated in valid, controlled, quantifiable scientific studies. The report by the principal investigator on cholesterol lowering, anti-inflammatory and transdermal characteristics of emu oil served to validate to the scientific community that a new oil is available having functional and pharmaceutical properties. Previously producers and marketers have relied principally on anecdotal or testimonial disclosures on the benefits of emu oil. Healing, penetrating, antiaging descriptions have been used to promote our product. While perhaps actual, none have been based on characteristics proven by scientific studies. Few results until now have been reported in the scientific, peer reviewed literature that lends credibility to these often seen claims. Data has been developed that will pass the test of scientific scrutiny. Future efforts are targeted to reach the scientific community and eventually the users of this oil. The principle investigator, Dr. Robert Nicolosi, University of Massachusetts, reported on animal trials that showed cholesterol lowering, anti-inflammatory and transdermal properties of emu oil. Dr. Nicolosi was selected to perform the emu oil studies because of his widely recognized publications on vegetable oils, sterols and lecithin. He has published more than 150 peer reviewed papers in many of the noted journals on nutrition. Dr. Nicolosi holds teaching and research positions at the University of Massachusetts. He has been involved in identifying and quantitating the biological and physiological effects of various oils such as rice, corn fiber, sunflower, soybean and others. Dr. Bob is most noted for his identification of the active ingredients in oils having cholesterol-lowering effects. Illustrating the reluctance to accept claims for this oil, even Dr. Nicolosi (Dr. Bob) expressed doubts about the possible outcome in these trials. After all, isn’t this just another animal fat being “packaged” with other “snake oils. ” The standard method to assay for cholesterol lowering activity is to feed animals a high cholesterol diet then to add the test material to the diet and determine serum cholesterol over a defined time (2 weeks, 4 weeks, etc.). Dr. Nicolosi fed hamsters a hypercholesterolemic diet followed by inclusion of emu oil. The emu oil fed was either a crude rendered oil or a fully processed oil. The results were incredible with emu oil reducing total cholesterol over 30%. Most of the reduction occurred in the bad cholesterol (low density lipoprotein [LDL] cholesterol -25%). Serum cholesterol is a major risk factor for heart disease and the leading cause of death in the U.S. It is essential that people make changes in lifestyle and diets to lower their cholesterol. Cholesterol lowering drugs are the major pharmaceutical products sold. Emu oil may be a very attractive alternative. Inflammation is easily seen but more difficult to quantify. We’ve all seen how some people react very strongly due to contact with an irritant while others show little effect. In our trials the inflammatory response was quantitated using a standard irritant applied to the ear of mice. Croton oil (2%) is the standard irritant and the degree of inflammation or anti-inflammation was determined by measuring auricular (ear) swelling and the weight of a plug taken from the ear. Swelling of tissue is a primary indication of inflammation. After the croton oil application (3, 6, 9, or 24 hrs.), emu oil was applied to the same area as the irritant. The thickness and earplug weights were then determined. The results were again “incredible.” The degree of inflammation was significantly reduced between 42% and 71% in the emu oil treated mice. The cytokines or those circulatory compounds produced as a result of inflammation, were also reduced significantly (-83% interleukin -1 and –66% tumor necrosis factor). Several human and animal diseases are probably the result of inflammation. These include arthritis and vascular diseases. Treatment is often difficult but topical application has been explored. Substances that pass through the skin are needed. The claimed transdermal characteristics of emu oil were evaluated by topical application on hamsters of emu oil containing delta tocopherol. Different combinations of emu oil and tocopherol were evaluated (1:1, 5:1 and 10:1). These were applied to the shaved, dorsal surface of hamsters. Blood samples were taken at 1 hour, 1 day, 2, 3 and 7 days and submitted for plasma analysis of the tocopherol. The different dilutions of the tocopherol with emu oil showed a dose/response relation between plasma tocopherol and concentration. Emu was found to be transdermal carrying the tocopherol through the skin into the blood. When a long chain fatty acid, docosahexenoic acid (C22:6), was incorporated into emu oil, a similar transfer to the blood was seen. Together, these trials showed statistically that emu oil is transdermal and can be utilized for transdermal delivery. The component of emu oil that brings about the transdermal delivery to the blood is unknown. One can visualize several possibilities as a result of these studies. Some of these may include: cholesterol control and subsequent reduction of cardiovascular disease through a friendly food ingredient or capsule of emu oil, topical treatment of inflammatory diseases such as arthritis or rheumatism, or efficient delivery of topical pharmaceuticals. Enhanced cosmetics and pharmaceutical formulations seem likely for both external and internal treatment perhaps even to targeting of specific organs. What has not been done is the determination of the active ingredient or ingredients in emu oil that is responsible for the observations made in these trials. The future efforts should focus on the identification of active components in the oil. The determination of the effects of gender, feeds, location of oil and processing effects can then be determined and optimized. As Dr. Nicolosi had summarized at the annual meeting, “emu oil is not your normal chicken fat.” We can push forward into new opportunities with this beneficial livestock product with “further research that aims at specific new medicinal uses in everyday health-aid situations.” The following charts support this article: Anti-Inflammatory Effects of Emu Oil Cholestrol Effects of Emu Oil Trans-dermal Delivery of Emu Oil A rt h rit is an d Pa in Re lief A pp lica t io n s of Emu O il Reprinted from Emu Today & Tomorrow July 1995 Getting a Grip on Pain: Documenting the Facts on Emu Oil and Arthritis Dr. Thom Leahey of the Arthritis Clinic in Ardmore, OK, discusses reducing arthritis pain with Emu Oil, and the use of Emu Oil in his practice. A preliminary study has already produced some positive indication, that the oil may substantially reduce the pain caused by arthritis. "We took a random sampling of 20 volunteers for a double blind, placebo-controlled study using emu oil and mineral oil," said Dr. Leahey. "The only qualifying parameter was that the volunteer could not have ever used emu oil before the test. Volunteers also remained on the same arthritis medicine they were currently taking,: he explained. "In this 2 week study, 7 of the 12 emu oil users reported a significant reduction in pain, morning stiffness and swelling. Only 1 of the 8 mineral oil users (placebo) related the same results," reported Dr. Leahey. Encouraged by these preliminary findings. Dr. Leahey felt the oil merited additional investigation through a comprehensive clinical study that could be documented and published in scientific and trade journals. The proposed study, which will extend over a three month period, will involve 500 participants. 'The main qualifying factor will be that the participant must have had arthritis diagnosed in their hands," he explained. Although the extensiveness of the arthritis is not a factor that will disqualify a volunteer, Dr. Leahey maintains a personal theory that the oil may have its greatest impact on early stages of arthritis pain. "I don't know if any topical aid would be beneficial for chronic or burnout arthritis, where the cartilage has been actually destroyed. I suspect the oil reduces inflammation around and within joints, and assists in allowing a greater freedom of movement." he reasoned. "This study will not only provide for a subjective determination of the effect of the oil," said Dr. Leahey, "but it will also include direct measurements. By using a dynamometer, we can confirm changes in the participant's gripping strength. Also, by direct examination of the hands, it is very easy to test the sensitivity and number of tender and swollen joints." he revealed. Volunteers that are accepted and have been off arthritis medicine for one month will receive an Initial examination measuring the gapping strength in the hands. The subject may be asked at the beginning of the study to assign a number corresponding to the pain level being experienced in their joints on a scale of 1 to 5. After the hands are examined, the subject will be instructed on how to properly apply the oil onto the hands, tentatively 3 times a day for 3 months. The subject's hands will be reexamined and evaluated at the end of each 30 day interval. "When I was initially approached by patients advising me that they were experiencing relief from emu oil, I did a literature search on the topic of emu oil and medical applications. I quickly learned that there is a big void in this area and that there were no published articles in scientific or medical journals." Dr. Leahey revealed. Personal observation of the effectiveness of the emu oil on his own patients was the motivating factor behind Dr. Leahey's proposal for a clinical study. "The dramatic results I have observed convinced me that this oil can make an impact on those suffering from arthritis." he stated. "The advent of this oil has simply changed my practice." he asserted. "The research is imperative," stated Dr. Leahey. The initial results and potential are so exciting. In the last few weeks. I've begun recommending the use of emu oil as part of a regular treatment program for patients," he revealed. "I’ve observed some very surprising results. The oil is very economical compared to regular arthritis medicines, and appears to have fewer side effects," he continued. "It's very encouraging to find something that may help relieve the suffering associated with arthritis, and it's very exciting to be a part of a project that may impact the quality of life for so many people." E mu O il is Th is P h ysician 's Cho ice by Beth Silva Reprinted from Emu Today & Tomorrow October 1998 Hundreds of patients who have visited Dr. Dan Dean of Dan C. Dean D.O. & Associates in Mt. Pleasant, Michigan are receiving relief from various ailments, thanks in part to treatments with emu oil. A commodity acknowledged for centuries [in its native Australia] for its medicinal purposes, emu oil is just beginning to be touted and recognized by some in the medical field in this country. Typical of the medical practitioner, Dean was at first somewhat skeptical about the reputed medicinal and cosmetic benefits of emu oil. The doctor remarks that his initial research in earnest on the oil happened on a trip to Australia several years ago. But the physician, also an avid thoroughbred horse enthusiast, was won over only after emu oil was used to save one of his top racers, The Rebalizer. Dean explains that the horse picked up a Salmonella infection, was treated at the Michigan State University, but developed an allergic reaction to all the IV steroids, antibiotics, etc., it received and subsequently lost all its hair and much of its stamina. Knowing that emu oil had a reputation to stimulate skin and hair growth, the doctor decided to give it a try on his favored horse. Ultra sensitive to touch, The Rebalizer had to be stilled for the first few applications of pure emu oil to his bare hide. But Dean says that after twice-a-day applications for three days, the animal welcomed the employment of the oil. Shortly after the treatments began, his horse's health and hair returned! Dean says that after researching the oil further, he began using it on himself, his family and then patients, with incredible results. Now, two years later, hundreds of the doctor's patients (as well as some patients of other physicians sent to Dean) are realizing benefit from emu oil. On a typical day the doctor uses the oil on individuals suffering from burns, abrasions, sore joints, eczema, arthritis, colitis, psoriasis, and as a wound application immediately following surgery. "It's all voluntary," says Dean. "I explain to the patients what the oil is and what I'll be doing. I've had exceptional results with the oil and we haven't had one patient complain. Actually, many people come in and ask for it. When surgery patients leave they are given a small container of the pure oil to be applied to their wound three times a day to speed up the healing process. In the office we use the pure emu oil directly on open burns, abrasions and ulcerations. We only use pure emu oil with no added ingredients. It's an amazing substance." The doctor utilizes the oil's moisturizing properties by compounding an emu oil nasal spray and cough syrup formula for some of his patients. "When cold and flue season starts, we'll use the oil on a minimum of 15 patients a day," he says. When asked what impresses him most about the oil's properties as a practicing physician, Dean replies, "the thing that's most impressive about the oil is I can actually see [photos accompanied the magazine article] the way it affects open wound healing, which I'm very interested in." The doctor is also presently researching wound healing utilizing emu oil to learn more about the oil's properties with Dr. Leigh Hopkins, a comrade who is a clinical professor of pharmacy with a degree in biochemistry. "We've got the cart before the horse," says Dean. "We know the oil works, but we want to look deeper into the microphysiology and biology of just why it does work." Actually, emu oil is being utilized and researched quietly by a growing number of individuals in the medical field including cancer centers interested in the oil's effects on burns sustained by patients during radiation treatments. Dean himself has a growing number of patients being referred to him by other medical professionals. Of this he says, "Slowly we're getting other physicians interested in the oil. It's a little hard to convince doctors, but I don't push the emu oil on them, I let them come to me. Now some are asking, What are you using? and Why did so-and-so heal so fast? An 80-year-old diabetic patient with gangrene of the toes and a serious heel ulceration was recently referred to Dean. "The surgeon who sent the patient down said it looked like they were going to have to amputate the foot," relates the doctor. "But I suggested that we first try the emu oil. And by using the emu oil we were able to completely heal the ulceration on the heel and there's no gangrene in the toes -they're just as pink as can be. The surgeon's comment was, it looks like emu oil turned this thing around. We're not going to amputate.' We used only pure oil in the treatment and it saved this gentlemen's foot!" Patients of open-heart surgery also receive emu oil on their freshly stitched incision. Dean says that when they return to their thoracic surgeon for a follow up with a well healed sternum incision, the surgeons always comment on how fast the incision healed. Convalescents of a nearby extended care facility also benefit from the medicinal advantage of emu oil. Dean says that he is currently using the oil on individuals with pressure sores. "We're using the oil when the sore is actually a grade 1 - when we just see the inflammation of the skin. And I think because of the oil's penetrability, we're able to prevent the sores rather than having to cure them," he remarks. Dean is helping to spread the interest in emu oil. He delivered the slide presentation "Wound Management With Emu Oil" at the 1998 Annual American Emu Association Convention in San Antonio and relates that he was recently approached by a drug company (that usually features a discourse on one of their own products) to deliver a presentation on emu oil to an all-doctor audience. He mentions that he has also been petitioned by an Alternative Medicine group out of Chicago to speak on emu oil. To better serve individuals requesting the oil, Dean recently began offering a line of several specially formulated and pre-tested emu oil products for medicinal and cosmetic applications called 'The Dean's List." And this May the doctor received a Humanitarian award for his continuing work in the field of family practice, as well as a New Product Award for his product line from the Award Committee for the International Hall of Fame, sponsored by the Inventors Clubs of America Inc. Through Rishada Emu Inc., Dean currently has available six products, which he says contain a high percentage of emu oil and Include a hand lotion, skin moisturizer, skin tightener, body cleanser, shampoo, and 100 percent pure emu oil. "I'm real excited about all our products and people's response to them is amazing," says the doctor, who has additional emu oil products on line. Dean says that he will continue to research the oil and use it in his practice. "I wouldn't quit!" he says. Eczema Pictures from Dr. Dean E mp lo yin g Emu O il in t he Do cto r's Off ice Reprinted from Emu Today & Tomorrow October 1999 On an ordinary day, Dr. Dan Dean will use an emu oil product on an average of a dozen patients in his private practice in Mt. Pleasant, Michigan. Pure emu oil is employed by the physician mainly on clients suffering from various burns and abrasions. "In addition to abrasions and burns I also use pure emu oil on scars and wounds," says Dean, who has spent the past 30 years in private family practice. "I do a lot of in-office skin surgeries, and anytime the patient walks out of the office they have the oil to use on the wound because emu oil enhances wound healing." The patients are told to apply the emu oil or to remoisten the bandage three times daily, usually until their next appointment. During allergy season emu oil is employed often by the doctor, who has developed a nasal spray product, one of several emu oil products from his product line The Dean's List. He relates that he's interested in making pure emu oil as well as medicinal emu oil products available to his patients. One product that he uses perhaps the most often during allergy season is Emusol nasal spray (98% pure emu oil). "I've probably had well over 500 people use my nasal spray with very good success," says Dean. "The nasal spray has been practically a miracle drug -it does such a fantastic job. These people say they can now breathe. I also use it for kids with bloody noses. It moistens the nasal mucosa and brings it back to its normal function." Utilizing Emu Oil With Conventional Drugs In addition to pure emu oil, Dean relates that he also employs emu oil in conjunction with some conventional drugs including antifungal medications. "I think the oil has an inherent anti-fungal property itself," remarks the physician. "When I mix it or combine it with a known topical antifungal or a known topical anticeritic drug for psoriasis, I see a benefit from using that as compared to using just the topical medications by themselves. I have seen the difference and I use the oil combination quite often. We're seeing the fungus under the nails healing much faster. People are saying, 'I've had this for years and now it's healed.' By using the oil we've corrected the problem much more quickly." The doctor remarks that he also uses the oil in conjunction with a topical antibiotic. Pain Reduction Another benefit of emu oil as noted by the doctor's findings is that emu oil lessens pain in patients with bums and in patients with abrasions. "When we use the pure oil on the wounds, they're not using as much pain medication," comments Dean. "For example, we gave an 8-year-old boy with burns a liquid codeine, and when he returned I asked how much he had left and he said, 'Most of it, because I didn't need it.' Recently I used pure emu oil on post-radiation burn on two ladies. They've related that the burning sensation subsides and they don't need as much of their pain medication. In addition, another patient's wife said her husband didn't complain as much of the pain (typical burning pain associated with that particular ailment) just a few days after applying emu oil." Emu oil is great for sunburns as well. "It stops the pain therefore we don't need as much pain killers," says Dean. "I see most of your college students with sunburns from tanning beds and that pain is eased remarkably with just the oil." Reducing Time of Healing Of great interest is Dean's findings with emu oil in relation to quicker wound healing. He relates, "I have noticed that with a typical third degree burn and with various abrasions where it normally takes six weeks to heal, we're seeing healing much quicker, in almost half the time. Also when we remove skin lesions in the office, these wound incisions heal quicker when emu oil is applied." Lack of Complications Using Emu Oil Naturally patients not familiar with emu oil question the doctor as to what type of side effects they might experience with emu oil. "Since it's a natural product, the answer is, technically none," says Dean. "But although many individuals feel that taking aspirin is safe -- some people react to aspirin. I'm sure that there's somebody out there somewhere that may get a reaction from emu oil, but I've not experienced it." When applying emu oil to fresh burns or wounds the first day, Dean maintains that his patients haven't experienced any negative reaction. "Emu oil is a natural product and we would be less apt to expect any type of an allergic or contact type reaction when using it," he says. Don't Self-Diagnose -- Work With a Physician While much good has been reported about emu oil, Dean cautions individuals not to take treatment into their own hands, especially when it comes to serious injuries or illnesses. "It is very, very important that people don't think this is such a miracle that they can go home and start treating third degree bums," advises Dr. Dean. "They need to see their physician have the conventional care before they start using emu oil. Because what can happen is that they may take a second degree burn and drive it to a third degree burn if it is not taken care of properly. And a burn may not heal even when applying pure emu oil because there may be extenuating circumstances involved such as lack of circulation, or it may be a different type burn such as a chemical burn that may require special care, or a burn that has already gotten bacteria into it. And a lot of people don't know when their last tetanus shot was, so if they were to treat their burns at home without the aid of their physician, they may run into serious problems." If a physician is not familiar with the benefits of emu oil, Dean says that the patient should go ahead and see their physician and bring up the benefits of the oil and suggest that it be used, or ask them to call Dr. Dean himself and let him explain what he's done with it. And then once the ailment is treated and when the patient feels comfortable about applying the oil to the wound, then Dean feels they can go ahead and start applying it. Just the Beginning While the Australian aborigines have employed emu fat [emu oil is rendered and refined emu fat] for medicinal and cosmetic purposes for centuries, it wasn't until the late 1980's that emu oil began being researched in seriously for its beneficial properties. Additional public awareness and the findings of physicians like Dean and others, no doubt will spur on additional research. "Some work is currently being done with emu oil -- adding additional compounds to enhance its healing process or the oil enhancing conventional therapy," relates Dean. "So there is a great deal more that we're going to find out about the oil. But it would be much easier and much better if we could get emu oil into a wound care center or university for example for additional experimentation by itself and with conventional drugs. I think what we've done with the oil so far is gotten our toe in the door. Now we need to get more of the medical field involved to confirm what I and others have started to do in a more scientific and technical mariner." Dean has been employing emu oil in his practices for the past several years and feels confident he's working with a winner. "It seems we have a fantastic product here," says the doctor. NOTE: This article had several pictures that we do not have at this time. E mu O il - Som et h in g Ne w un de r t he S un (bu rn ) American Emu Association Press Release May 2000 DALLAS, TEXAS- Packing for vacation? Don't forget the emu oil! "Many travelers don't realize that taking along emu oil makes summer vacation more comfortable and therefore more enjoyable," said Neil Williams, president of the American Emu Association. "By applying a small amount, you can take the burn out of a sunburn and sidestep the peeling phase. You can take the sting out of most insect bites and soothe chafing after a day's sightseeing. And with emu oil, you can prevent dry skin and chapped lips in any climate." Esta Kronberg, M.D., a Houston, TX-based dermatologist began prescribing emu oil for her patients several years ago after using it on a sunburn. "When I realized how well it fights inflammation, I began using it for many different problems, all with good results. A spider bite on her ankle was the next test. "Within a few hours after applying emu oil, all the stinging was gone," the physician said." Kronberg said emu oil begins healing faster and relieves pain, so patients feel better sooner. "It works quickly, our patients have been really pleased," she explained, "and they are intrigued because it is a natural substance." In her practice, Kronberg finds emu oil is the best treatment for first- and second-degree burns and she has also had good success prescribing emu oil for rosacea patients. "Even though it is an oil, it seems to heal inflamed, ruddy and raw skin," explained the physician. At a recent medical symposium, the physician and her husband met a nurse who suffered from psoriasis. After using emu oil, the woman reported a clearing of scaling skin lesions and being able to wear short sleeves and shorts for the first time in 10 years. "I was absolutely sold after that," Kronberg said. Julie Brumlik, founder of a line of emu oil-based skin care products she markets from Miami, FL, said her first formulas were used by dermatologists for patients who had undergone dermabrasion (a skin resurfacing procedure) and to treat post-sunburn. "The results were remarkable. Emu oil consistently promoted healing of sunburned skin, stopped the stinging and prevented tightness and peeling," said Brumlik. "Would I travel without it - across the state or across Europe? Absolutely not! O ve rvie w P ro ce ss of Re nde rin g & Ref in in g Em u O il These graph images explain a top level overview of how emu oil is rendered and refined.