Category: Autoimmune

  • Combo of Curcumin or Resveratrol with Mediterranean Diet in People with Ulcerative Colitis

    Combo of Curcumin or Resveratrol with Mediterranean Diet in People with Ulcerative Colitis

    This was a small, short-term study in 46 people with mild-to-moderate active ulcerative colitis (UC). Subjects were randomized to one of three groups for 8 weeks:

    • Mediterranean Diet (MD)
    • MD plus curcumin 1600mg daily
    • MD plus resveratrol 500mg daily

    At the completion of the trial, all groups experienced significant reductions in CRP and ESR levels (p <0.05). Only the resveratrol group saw a significant improvement in the neutrophil-to-lymphocyte ratio (NLR) (p =0.01).

    All groups also had significant reductions in the frequency of bowel movements (p= 0.001 for all). Regarding health-related QOL, all groups experienced statistically significant improvements (p<0.05); compared to the other groups, the resveratrol group subjects had even better pain scores (p<0.05), and the curcumin group reported even better social functioning (p<0.05).

    This trial lends support to the concept that the MD is safe and effective in people with mild or moderate UC. Is there a strong advantage to adding curcumin or resveratrol to the MD for these folks? In this trial, aside from some minor differences, there was not a big advantage. It does seem important to note that both curcumin and resveratrol are thought to suffer from poor bioavailability. The formulations of curcumin and resveratrol used in this particular trial do not specify any ingredients or manufacturing methods that would enhance bioavailability.

    Citation:

    Erol Doğan Ö, Karaca Çelik KE, Baş M, Alan EH, Çağın YF. Effects of Mediterranean Diet, Curcumin, and Resveratrol on Mild-to-Moderate Active Ulcerative Colitis: A Multicenter Randomized Clinical Trial. Nutrients. 2024 May 16;16(10):1504. doi: 10.3390/nu16101504.

    Link:

    Full text on Pub Med

  • Curcumin and Vitamin D for People with Lupus: Combo Better Than Either Alone

    Curcumin and Vitamin D for People with Lupus: Combo Better Than Either Alone

    In this small study, people with SLE (N=45) were randomized in double-blind fashion to one of 3 groups for 3 months:

    • Group 1: Vitamin D (1200 IU cholecalciferol) + placebo
    • Group 2: Curcumin (600 mg curcumin + 15,800 mg piperine) + placebo
    • Group 3: Vitamin D (1200IU) + Curcumin (600 mg curcumin + 15,800 mg piperine)

    All patients had low vitamin D levels (serum vitamin D3 levels <30 ng/ml) at the outset of the trial.

    SLEDAI disease scores, fatigue severity scale (FSS), and IL-6 decreased significantly for all 3 groups, while serum TGF-β significantly increased in all 3 groups (p <0.05). However, shanges in SLEDAI, FSS, IL-6, and TGF-β serum levels were similar for groups 1 and 2, while people in group 3 saw the greatest improvements. Changes in SLEDAI score (p = 0.003 and p = 0.008), FSS (p = 0.001 and p <0.001), and TGF-β (p = 0.003 and p = 0.004) serum levels were significantly higher for group 3 versus group 1 or group 2. This is encouraging considering the somewhat modest doses of vitamin D and curcumin provided to participants.

    Citation:

    Wahono CS, Susianti H, Hakim AL, Rosita F, Pratama MZ, Rahman PA, Anshory M. Randomised Clinical Trial Study: The Combination of Vitamin D and Curcumin Piperine Attenuates Disease Activity and Pro-inflammatory Cytokines Levels Insystemic Lupus Erythematosus Patients. Curr Rheumatol Rev. 2024 Jan 31. doi: 10.2174/0115733971276106231226071002. Epub ahead of print. PMID: 38299416.

    Link:

    Epub ahead of print on Pub Med

  • Pilot study on green tea extract and coconut oil to improve functional capacity and anxiety in people with MS

    Pilot study on green tea extract and coconut oil to improve functional capacity and anxiety in people with MS

    This was a 4 month pilot scale trial which randomized 51 people with multiple sclerosis to either an intervention or control group. The intervention group (N=27) received EGCG 400mg BID plus 30mL coconut oil (roughly 2 TBSP) BID and followed a Mediterranean diet. The control group (n=24) followed the Mediterranean diet only.

    At the 4 month mark, both groups experienced significant reductions in BMI and IL6 levels (which the authors attribute to the antioxidant capacity of the Mediterranean diet). Additionally, the intervention group participants had significant reduction in anxiety, and improved functional capacity.

    The authors selected coconut oil for this trial due to its high medium chain fatty acid/MCT content, and EGCG for its ability to modulate GABA receptor function as well as T cell and cytokine activity.

    Citation:

    Platero, J.L.; Cuerda-Ballester, M.; Ibáñez, V.; Sancho, D.; Lopez-Rodríguez, M.M.; Drehmer, E.; Ortí, J.E.R. The Impact of Coconut Oil and Epigallocatechin Gallate on the Levels of IL-6, Anxiety and Disability in Multiple Sclerosis Patients. Nutrients 202012, 305.

    Link:

    https://www.mdpi.com/2072-6643/12/2/305