Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic Review

Inflammatory bowel disease (IBD) remains a burden for patients with increasing prevalence in industrialized countries. Phytochemicals are non-nutrient plant derived bioactive substances with antioxidant and anti-inflammatory effects that may prove beneficial to IBD patients. This review aims to over...

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Main Authors: George Pantalos, Natalia Vaou, Smaragda Papachristidou, Elisavet Stavropoulou, Christina Tsigalou, Chrysa Voidarou, Eugenia Bezirtzoglou
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/14/5/2177
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author George Pantalos
Natalia Vaou
Smaragda Papachristidou
Elisavet Stavropoulou
Christina Tsigalou
Chrysa Voidarou
Eugenia Bezirtzoglou
author_facet George Pantalos
Natalia Vaou
Smaragda Papachristidou
Elisavet Stavropoulou
Christina Tsigalou
Chrysa Voidarou
Eugenia Bezirtzoglou
author_sort George Pantalos
collection DOAJ
description Inflammatory bowel disease (IBD) remains a burden for patients with increasing prevalence in industrialized countries. Phytochemicals are non-nutrient plant derived bioactive substances with antioxidant and anti-inflammatory effects that may prove beneficial to IBD patients. This review aims to overview current evidence on the application and impact of isolated phytochemicals or phytochemicals contained in plant extracts and essential oils on patients suffering from IBD. A systematic literature search was conducted for studies relating to the use of phytochemicals for the treatment of IBD. Ultimately, 37 human clinical trials and 3 systematic reviews providing human IBD patient data relevant to phytochemicals as therapeutic agents were included. Phytochemicals in the form of curcumin, <i>Plantago ovata</i> seeds, polyphenon E, silymarin, resveratrol supplements or an herbal preparation of myrrh, chamomile and coffee charcoal have evidence from human clinical trials supporting their safety and beneficial effects. Cannabinoids improve quality of life but not IBD outcomes. The addition of probiotics like <i>B. longum</i> to fructo-oligosaccharides promote healthy composition of the gut microbiome. Phytochemicals like mastiha, anthocyanins, berberine, tormentil, T2, ecabet sodium and Pycnogenol need more well-designed trials. Systematic research on phytochemicals can lead to the discovery of useful therapeutics. These secondary metabolites can be incorporated in current IBD treatment strategies to limit side effects, promote mucosal healing and provide higher quality of life to patients.
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spelling doaj.art-0c797fec1dc044b0899fa1e0226c68b52024-03-12T16:40:23ZengMDPI AGApplied Sciences2076-34172024-03-01145217710.3390/app14052177Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic ReviewGeorge Pantalos0Natalia Vaou1Smaragda Papachristidou2Elisavet Stavropoulou3Christina Tsigalou4Chrysa Voidarou5Eugenia Bezirtzoglou6Pediatric Surgery Department, Penteli General Children’s Hospital, 15236 Athens, GreeceLaboratory of Hygiene and Environmental Protection, Department of Medicine, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, GreeceSecond Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, P.&A. Kyriakou Children’s Hospital, 11527 Athens, GreeceLaboratory of Hygiene and Environmental Protection, Department of Medicine, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, GreeceLaboratory of Hygiene and Environmental Protection, Department of Medicine, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, GreeceDepartment of Agriculture, School of Agriculture, University of Ioannina, 47100 Arta, GreeceLaboratory of Hygiene and Environmental Protection, Department of Medicine, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, GreeceInflammatory bowel disease (IBD) remains a burden for patients with increasing prevalence in industrialized countries. Phytochemicals are non-nutrient plant derived bioactive substances with antioxidant and anti-inflammatory effects that may prove beneficial to IBD patients. This review aims to overview current evidence on the application and impact of isolated phytochemicals or phytochemicals contained in plant extracts and essential oils on patients suffering from IBD. A systematic literature search was conducted for studies relating to the use of phytochemicals for the treatment of IBD. Ultimately, 37 human clinical trials and 3 systematic reviews providing human IBD patient data relevant to phytochemicals as therapeutic agents were included. Phytochemicals in the form of curcumin, <i>Plantago ovata</i> seeds, polyphenon E, silymarin, resveratrol supplements or an herbal preparation of myrrh, chamomile and coffee charcoal have evidence from human clinical trials supporting their safety and beneficial effects. Cannabinoids improve quality of life but not IBD outcomes. The addition of probiotics like <i>B. longum</i> to fructo-oligosaccharides promote healthy composition of the gut microbiome. Phytochemicals like mastiha, anthocyanins, berberine, tormentil, T2, ecabet sodium and Pycnogenol need more well-designed trials. Systematic research on phytochemicals can lead to the discovery of useful therapeutics. These secondary metabolites can be incorporated in current IBD treatment strategies to limit side effects, promote mucosal healing and provide higher quality of life to patients.https://www.mdpi.com/2076-3417/14/5/2177phytochemicalinflammatory bowel diseaseclinical studypreventiontreatmentantioxidant
spellingShingle George Pantalos
Natalia Vaou
Smaragda Papachristidou
Elisavet Stavropoulou
Christina Tsigalou
Chrysa Voidarou
Eugenia Bezirtzoglou
Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic Review
Applied Sciences
phytochemical
inflammatory bowel disease
clinical study
prevention
treatment
antioxidant
title Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic Review
title_full Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic Review
title_fullStr Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic Review
title_full_unstemmed Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic Review
title_short Antioxidant and Anti-Inflammatory Phytochemicals for the Treatment of Inflammatory Bowel Disease: A Systematic Review
title_sort antioxidant and anti inflammatory phytochemicals for the treatment of inflammatory bowel disease a systematic review
topic phytochemical
inflammatory bowel disease
clinical study
prevention
treatment
antioxidant
url https://www.mdpi.com/2076-3417/14/5/2177
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