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Hepatoprotective Efficacy of Cinnamon

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Cinnamon: A Medicinal Plant and A Functional Food Systems

Part of the book series: Food Bioactive Ingredients ((FBC))

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Abstract

The liver is one of the five organs of the human body with a metabolic function in humans. From the perspective of metabolism, the main functions of the liver include amino acid metabolism, hormone metabolism, secretion and excretion of bile, and detoxification. With the improvement of people’s living standards, various overprocessed foods increasingly emerge. High-calorie foods are ingested in large quantities, and high-concentration alcohol products are also popular with consumers, which lead to the extensive prevalence of nonalcoholic fatty liver disease and alcoholic fatty liver disease. However, related Western medicines may have some side effects. Therefore, natural products with lipid-lowering activity and liver-protecting functions in plants have gradually drawn wide attention. Cinnamon is not only used as a traditional food seasoning and spice but also as a medicinal herb. Phenols and aldehydes in cinnamon have been reported to have significant liver protection function. In this chapter, we review the inhibitory effects of cinnamon extract on nonalcoholic fatty liver disease and alcoholic fatty liver disease, the related regulatory pathways, and molecular mechanisms. The related studies indicate that the combination of cinnamon and some chemicals might be a promising treatment scheme. Considering the excellent liver protective functions of cinnamon, it is of great significance to explore the new liver protective efficacy of cinnamon, its synergistic effect with other active substances, and its application in medicine and health food fields.

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References

  • Abdelmalek MF, Diehl AM (2007) Nonalcoholic fatty liver disease as a complication of insulin resistance. Med Clin North Am 91(6):1125–11ix

    Article  CAS  PubMed  Google Scholar 

  • Adisakwattana S, Sompong W, Meeprom A, Ngamukote S, Yibchok-Anun S (2012) Cinnamic acid and its derivatives inhibit fructose-mediated protein glycation. Int J Mol Sci 13(2):1778–1789

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Akilen R, Tsiami A, Devendra D, Robinson N (2012) Cinnamon in glycaemic control: systematic review and mete analysis. Clin Nutr 31(5):609–615

    Article  CAS  PubMed  Google Scholar 

  • Anthony PP, Ishak KG, Nayak NC, Poulsen HE, Scheuer PJ, Sobin LH (1978) The morphology of cirrhosis. Recommendations on definition, nomenclature, and classification by a working group sponsored by the World Health Organization. J Clin Pathol 31(5):395–414

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Aydin MM, Akcali KC (2018) Liver fibrosis. Turk J Gastroenterol 29(1):14–21

    Article  PubMed  PubMed Central  Google Scholar 

  • Behbahani BA, Falah F, Arab FL, Vasiee M, Yazdi FT (2020) Chemical composition and antioxidant, antimicrobial, and antiproliferative activities of Cinnamomum zeylanicum bark essential oil. Evid Based Complement Alternat Med 2020:5190603

    Google Scholar 

  • Brancheau D, Patel B, Zughaib M (2015) Do cinnamon supplements cause acute hepatitis? Am J Case Rep 16:250–254

    Article  PubMed  PubMed Central  Google Scholar 

  • Cassader M, Gambino R, Musso G, Depetris N, Mecca F, Cavallo-Perin P, Pacini G, Rizzetto M, Pagano G (2001) Postprandial triglyceride-rich lipoprotein metabolism and insulin sensitivity in nonalcoholic steatohepatitis patients. Lipids 36(10):1117–1124

    Article  CAS  PubMed  Google Scholar 

  • Chitturi S, Abeygunasekera S, Farrell GC, Holmes-Walker J, Hui JM, Fung C, Karim R, Lin R, Samarasinghe D, Liddle C, Weltman M, George J (2002) NASH and insulin resistance: insulin hypersecretion and specific association with the insulin resistance syndrome. Hepatology (Baltimore, Md) 35(2):373–379

    Article  CAS  PubMed  Google Scholar 

  • Clark JM, Brancati FL, Diehl AM (2002) Nonalcoholic fatty liver disease. Gastroenterology 122(6):1649–1657

    Article  PubMed  Google Scholar 

  • Crabb DW, Galli A, Fischer M, You M (2004) Molecular mechanisms of alcoholic fatty liver: role of peroxisome proliferator-activated receptor alpha. Alcohol (Fayetteville, NY) 34(1):35–38

    Article  CAS  Google Scholar 

  • Crawford P (2009) Effectiveness of cinnamon for lowering hemoglobin A1C in patients with type 2 diabetes: a randomized, controlled trial. J Am Board Fam Med 22(5):507–512

    Article  PubMed  Google Scholar 

  • Deyno S, Eneyew K, Seyfe S, Tuyiringire N, Peter EL, Muluye RA, Tolo CU, Ogwang PE (2019) Efficacy and safety of cinnamon in type 2 diabetes mellitus and pre-diabetes patients: a meta-analysis and meta-regression. Diabetes Res Clin Pract 156:107815

    Article  CAS  PubMed  Google Scholar 

  • Fabbrini E, Sullivan S, Klein S (2010) Obesity and nonalcoholic fatty liver disease: biochemical, metabolic, and clinical implications. Hepatology 51(2):679–689

    Article  CAS  PubMed  Google Scholar 

  • Harrison SA, Diehl AM (2002) Fat and the liver – a molecular overview. Semin Gastrointest Dis 13(1):3–16

    PubMed  Google Scholar 

  • Kallel I, Hadrich B, Gargouri B, Chaabane A, Lassoued S, Gdoura R, Bayoudh A, Ben Messaoud E (2019) Optimization of cinnamon (Cinnamomum zeylanicum Blume) essential oil extraction: evaluation of antioxidant and antiproliferative effects. Evid Based Complement Alternat Med 2019:6498347

    Article  PubMed  PubMed Central  Google Scholar 

  • Kanuri G, Weber S, Volynets V, Spruss A, Bischoff SC, Bergheim I (2009) Cinnamon extract protects against acute alcohol-induced liver steatosis in mice. J Nutr 139(3):482–487

    Article  CAS  PubMed  Google Scholar 

  • Lee J-S, Jeon S-M, Park E-M, Huh T-L, Kwon O-S, Lee M-K, Choi M-S (2003) Cinnamate supplementation enhances hepatic lipid metabolism and antioxidant defense systems in high cholesterol-fed rats. J Med Food 6(3):183–191

    Article  CAS  PubMed  Google Scholar 

  • Liu X, Yu S, Zhang Y, Zhang W, Zhong H, Lu X, Guan R (2023) A review on the protective effect of active components in Antrodia camphorata against alcoholic liver injury. J Ethnopharmacol 300:115740

    Article  PubMed  Google Scholar 

  • Lonardo A, Ballestri S, Marchesini G, Angulo P, Loria P (2015) Nonalcoholic fatty liver disease: a precursor of the metabolic syndrome. Dig Liver Dis 47(3):181–190

    Article  PubMed  Google Scholar 

  • Ludwig J, Viggiano TR, McGill DB, Oh BJ (1980) Nonalcoholic steatohepatitis: Mayo Clinic experiences with a hitherto unnamed disease. Mayo Clin Proc 55(7):434–438

    CAS  PubMed  Google Scholar 

  • Marchesini G, Bugianesi E, Forlani G, Cerrelli F, Lenzi M, Manini R, Natale S, Vanni E, Villanova N, Melchionda N, Rizzetto M (2003) Nonalcoholic fatty liver, steatohepatitis, and the metabolic syndrome. Hepatology (Baltimore, Md) 37(4):917–923

    Article  PubMed  Google Scholar 

  • McClain CJ, Mokshagundam SPL, Barve SS, Song Z, Hill DB, Chen T, Deaciuc I (2004) Mechanisms of non-alcoholic steatohepatitis. Alcohol (Fayetteville, NY) 34(1):67–79

    Article  CAS  Google Scholar 

  • Mokdad AA, Lopez AD, Shahraz S, Lozano R, Mokdad AH, Stanaway J, Murray CJL, Naghavi M (2014) Liver cirrhosis mortality in 187 countries between 1980 and 2010: a systematic analysis. BMC Med 12:145

    Article  PubMed  PubMed Central  Google Scholar 

  • Mollazadeh H, Hosseinzadeh H (2016) Cinnamon effects on metabolic syndrome: a review based on its mechanisms. Iran J Basic Med Sci 19(12):1258–1270

    PubMed  PubMed Central  Google Scholar 

  • Mousavi SM, Jayedi A, Bagheri A, Zargarzadeh N, Wong A, Persad E, Akhgarjand C, Koohdani F (2021) What is the influence of cinnamon supplementation on liver enzymes? A systematic review and meta-analysis of randomized controlled trials. Phytother Res 35(10):5634–5646

    Article  CAS  PubMed  Google Scholar 

  • Nam JK (2014) Medieval European medicine and Asian spices. Ui sahak 23(2):319–342

    PubMed  Google Scholar 

  • O’Keefe JH, Gheewala NM, O’Keefe JO (2008) Dietary strategies for improving post-prandial glucose, lipids, inflammation, and cardiovascular health. J Am Coll Cardiol 51(3):249–255

    Article  PubMed  Google Scholar 

  • Perumpail BJ, Khan MA, Yoo ER, Cholankeril G, Kim D, Ahmed A (2017) Clinical epidemiology and disease burden of nonalcoholic fatty liver disease. World J Gastroenterol 23(47):8263–8276

    Article  PubMed  PubMed Central  Google Scholar 

  • Petta S, Muratore C, Craxi A (2009) Non-alcoholic fatty liver disease pathogenesis: the present and the future. Dig Liver Dis 41(9):615–625

    Article  CAS  PubMed  Google Scholar 

  • Rao PV, Gan SH (2014) Cinnamon: a multifaceted medicinal plant. Evid Based Complement Alternat Med 2014:642942

    Article  PubMed  PubMed Central  Google Scholar 

  • Roussel AM, Hininger I, Benaraba R, Ziegenfuss TN, Anderson RA (2009) Antioxidant effects of a cinnamon extract in people with impaired fasting glucose that are overweight or obese. J Am Coll Nutr 28(1):16–21

    Article  CAS  PubMed  Google Scholar 

  • Sadati SN, Ardekani MRS, Ebadi N, Yakhchali M, Dana AR, Masoomi F, Khanavi M, Ramezany F (2016) Review of scientific evidence of medicinal convoy plants in traditional Persian medicine. Pharmacogn Rev 10(19):33–38

    Article  PubMed  PubMed Central  Google Scholar 

  • Shang C, Lin HC, Fang XQ, Wang YL, Jiang ZL, Qu Y, Xiang M, Shen ZH, Xin LY, Lu YD, Gao JL, Cui XN (2021) Beneficial effects of cinnamon and its extracts in the management of cardiovascular diseases and diabetes. Food Funct 12(24):12194–12220

    Article  CAS  PubMed  Google Scholar 

  • Shin SH, Koo KH, Bae JS, Cha SB, Kang IS, Kang MS, Kim HS, Heo HS, Park MS, Gil GH, Lee JY, Kim KH, Li YH, Lee HK, Song SW, Choi HS, Kang BH, Kim JC (2013) Single and 90-day repeated oral dose toxicity studies of fermented Rhus verniciflua stem bark extract in Sprague-Dawley rats. Food Chem Toxicol 55:617–626

    Article  CAS  PubMed  Google Scholar 

  • Shishehbor F, Safar MR, Rajaei E, Haghighizadeh MH (2018) Cinnamon consumption improves clinical symptoms and inflammatory markers in women with rheumatoid arthritis. J Am Coll Nutr 37(8):685–690

    Article  CAS  Google Scholar 

  • Singh G, Maurya S, DeLampasona MP, Catalan CAN (2007) A comparison of chemical, antioxidant and antimicrobial studies of cinnamon leaf and bark volatile oils, oleoresins and their constituents. Food Chem Toxicol 45(9):1650–1661

    Article  CAS  PubMed  Google Scholar 

  • Subichin M, Clanton J, Makuszewski M, Bohon A, Zografakis JG, Dan A (2015) Liver disease in the morbidly obese: a review of 1000 consecutive patients undergoing weight loss surgery. Surg Obes Relat Dis 11(1):137–141

    Article  PubMed  Google Scholar 

  • Suppapitiporn S, Kanpaksi N, Suppapitiporn S (2006) The effect of Cinnamon cassia powder in type 2 diabetes mellitus. J Med Assoc Thail = Chotmaihet thangphaet 89(Suppl 3):S200–S205

    Google Scholar 

  • Tolman KG, Fonseca V, Dalpiaz A, Tan MH (2007) Spectrum of liver disease in type 2 diabetes and management of patients with diabetes and liver disease. Diabetes Care 30(3):734–743

    Article  CAS  PubMed  Google Scholar 

  • Toshikuni N, Tsutsumi M, Arisawa T (2014) Clinical differences between alcoholic liver disease and nonalcoholic fatty liver disease. World J Gastroenterol 20(26):8393–8406

    Article  PubMed  PubMed Central  Google Scholar 

  • Utzschneider KM, Kahn SE (2006) Review: the role of insulin resistance in nonalcoholic fatty liver disease. J Clin Endocrinol Metab 91(12):4753–4761

    Article  CAS  PubMed  Google Scholar 

  • Williams CD, Stengel J, Asike MI, Torres DM, Shaw J, Contreras M, Landt CL, Harrison SA (2011) Prevalence of nonalcoholic fatty liver disease and nonalcoholic steatohepatitis among a largely middle-aged population utilizing ultrasound and liver biopsy: a prospective study. Gastroenterology 140(1):124–131

    Article  PubMed  Google Scholar 

  • Zaefarian F, Abdollahi MR, Cowieson A, Ravindran V (2019) Avian liver: the forgotten organ. Animals 9(2):63

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhou Z, Shen WX, Yu LL, Xu C, Wu QB (2016) A Chinese patent medicine, Shexiang Baoxin Pill, for Non-ST-elevation acute coronary syndromes: a systematic review. J Ethnopharmacol 194:1130–1139

    Article  PubMed  Google Scholar 

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Acknowledgments

We appreciate the research was funded by the China Agriculture Research System (CARS-46) and the major project of the Scientific and Technological R&D of Hubei Agricultural Scientific and Technological Innovation Center (2020-620-000-002-03).

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There are no conflicts of interest in this work.

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Ju, J., Santana de Oliveira, M., Qiao, Y. (2023). Hepatoprotective Efficacy of Cinnamon. In: Cinnamon: A Medicinal Plant and A Functional Food Systems. Food Bioactive Ingredients. Springer, Cham. https://doi.org/10.1007/978-3-031-33505-1_16

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