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Chiococca Alba

Also known as: Snowberry, Milkberry, Cainca, Chiococca alba

Overview

Chiococca alba, commonly known as Snowberry, Milkberry, or Cainca, is a Neotropical shrub belonging to the Rubiaceae family. Native to the American continent, it has a long history of traditional use by indigenous healers, particularly the Yucatec Maya, for its purported antipyretic, antirheumatic, anti-inflammatory, antimicrobial, and insecticidal properties. The roots of the plant are frequently prepared as infusions to address conditions such as fever, colds, muscle pain, rheumatism, asthma, and general inflammation. While ethnobotanical reports highlight its diverse traditional applications, scientific research on C. alba is still in its nascent stages. Most of the current evidence is derived from preclinical studies, including in vitro and in silico investigations, which have begun to explore its potential antiviral activities. However, there is a significant lack of systematic clinical evidence, with no high-quality randomized controlled trials or meta-analyses available to substantiate its efficacy or safety in humans. The overall quality of scientific evidence for C. alba as a supplement remains low to moderate, primarily based on preclinical findings.

Benefits

Research on the benefits of Chiococca alba is primarily preclinical and ethnobotanical, with limited clinical validation. The most notable scientific finding is its in vitro antiviral activity. Methanolic extracts from C. alba roots have demonstrated efficacy against chikungunya virus (CHIKV) and Mayaro virus (MAYV) in Vero cell cultures, showing a reduction in viral plaques. This suggests a potential role as an antiviral agent, though these findings are preliminary and have not been replicated in human studies. Traditionally, C. alba has been used as an antipyretic (fever-reducing), anti-inflammatory, and antimicrobial agent. These traditional uses are supported by ethnobotanical reports, indicating a long history of perceived benefits in various cultures. However, these traditional claims lack rigorous clinical validation, and no randomized controlled trials or meta-analyses have quantified the clinical efficacy or safety of C. alba for any of these conditions in humans. Therefore, while promising, the evidence for its benefits is currently considered low to moderate, primarily based on preclinical and traditional accounts.

How it works

The precise mechanisms of action for Chiococca alba are not fully elucidated, but preliminary research offers some insights. Its observed antiviral effects, particularly against alphaviruses like CHIKV and MAYV, are hypothesized to involve the interaction of secondary metabolites within the plant with viral proteases, such as the nsP2 protease. This mechanism is supported by computational docking studies, suggesting that compounds in C. alba may interfere with essential viral replication processes. While specific bioactive compounds have been partially identified through GC-MS analysis, further isolation and mechanistic studies are needed to confirm these interactions. For its traditional anti-inflammatory and antimicrobial uses, the mechanisms are less clear but may involve the modulation of immune responses or direct inhibition of microbial growth. However, the exact molecular targets and pathways responsible for these traditional effects remain to be fully elucidated.

Side effects

Comprehensive safety data for Chiococca alba from clinical trials are currently unavailable. While traditional use suggests a degree of tolerability, formal toxicological assessments in humans are lacking. In vitro cytotoxicity assays have indicated that C. alba extracts may exhibit dose-dependent toxicity, showing effects on cell viability at higher concentrations. This suggests a potential for adverse effects, particularly if consumed in large quantities or highly concentrated forms. Due to the absence of clinical studies, there are no documented drug interactions or contraindications based on clinical data. Individuals considering the use of C. alba should be aware of the significant lack of human safety data. Pregnant or breastfeeding individuals, those with pre-existing medical conditions, or those taking other medications should exercise extreme caution and consult a healthcare professional before use, given the unknown risks and potential for adverse reactions or interactions. The long-term safety profile is also unknown.

Dosage

There are no established or clinically validated dosing guidelines for Chiococca alba due to the absence of human clinical studies. Traditional preparations typically involve infusions made from the roots, but the concentration, frequency, and duration of use vary widely across different regional and cultural practices. This variability means there is no standardized dosage form or recommendation. Without pharmacokinetic and dose-finding studies, it is impossible to specify safe or effective dosage ranges for any particular purpose. Users should be aware that any self-administration of C. alba would be based on anecdotal evidence or traditional practices, not on scientific evidence of safety or efficacy. There are no known upper limits or safety thresholds established through research, making it difficult to determine what constitutes a safe dose. Further research is critically needed to determine appropriate and safe dosing for human consumption.

FAQs

Is Chiococca alba safe?

Safety in humans is not well established. While traditional use suggests some tolerability, there's a lack of rigorous clinical safety data. In vitro studies indicate potential dose-dependent toxicity at higher concentrations.

Does it treat viral infections?

Preliminary in vitro data suggest antiviral potential against specific viruses like chikungunya and Mayaro. However, there is no clinical evidence to support its use as an antiviral treatment in humans.

How should it be taken?

Traditionally, it's prepared as root infusions. There are no standardized supplement forms or established dosing guidelines from clinical studies, making self-administration without professional guidance risky.

Research Sources

  • https://pmc.ncbi.nlm.nih.gov/articles/PMC11546558/ – This in vitro and in silico study investigated methanolic extracts of Chiococca alba roots for antiviral activity against chikungunya (CHIKV) and Mayaro (MAYV) viruses. The extracts significantly reduced viral plaques in Vero cell cultures, and computational docking suggested interaction with viral proteases. This research provides preclinical evidence for the plant's antiviral potential but highlights the need for further in vivo and clinical studies.