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Indian Madder Stem Extract

Also known as: Indian Madder, Manjistha, Madder Root, Rubia cordifolia

Overview

Rubia cordifolia, commonly known as Indian Madder or Manjistha, is a perennial climbing plant indigenous to India and other parts of Asia. It has a long history of use in traditional medicine systems like Ayurveda and Traditional Chinese Medicine (TCM). The stem and root extracts of Rubia cordifolia are primarily utilized for their purported anti-inflammatory, blood-purifying, and hemostatic (bleeding-stopping) properties. The plant contains a rich array of phytochemicals, including anthraquinones, iridoids, and triterpenoids, which are believed to be responsible for its diverse pharmacological effects. While preclinical research, including in vitro and in vivo animal studies, has explored its potential, high-quality human clinical trials are currently limited. Therefore, much of the understanding of its benefits and safety is derived from traditional use and preliminary scientific investigations.

Benefits

Rubia cordifolia exhibits several potential benefits, primarily supported by preclinical research. Its most notable effect is its anti-inflammatory potential, demonstrated in animal studies where hydro-alcoholic root extract (300-600 mg/kg) significantly reduced intestinal inflammation and tissue lesions in rats with indomethacin-induced enterocolitis. This suggests a possible role in managing inflammatory bowel diseases, though human evidence is absent. Traditionally, it's used for blood-related issues, including stopping bleeding and improving circulation, with some in vitro evidence showing inhibition of nitric oxide (NO) production in macrophages, which contributes to its anti-inflammatory action. Additionally, preliminary in vitro studies indicate neuroprotective potential through acetylcholinesterase (AChE) inhibitory activity, hinting at possible cognitive benefits, but this requires substantial clinical validation. Animal toxicological evaluations have shown a favorable safety profile at tested doses, with no significant adverse effects on heart and kidney biochemical markers, suggesting good tolerability in animal models.

How it works

The mechanisms of action for Rubia cordifolia are primarily attributed to its diverse phytochemicals, including anthraquinones and triterpenoids. Its anti-inflammatory effects are partly mediated by inhibiting nitric oxide (NO) production in immune cells, specifically macrophages, thereby reducing inflammatory signaling pathways. The observed acetylcholinesterase (AChE) inhibitory activity suggests an interaction with cholinergic pathways, which could potentially enhance neurotransmission and support cognitive function. These bioactive compounds are thought to modulate oxidative stress and various inflammatory cascades within the body. While animal studies indicate systemic effects after oral administration, detailed human absorption and bioavailability data are currently lacking, making it difficult to fully elucidate its precise pharmacokinetics in humans.

Side effects

Based on available research, Rubia cordifolia appears to have a favorable safety profile in animal models. Toxicological studies in rats, involving daily administration of extracts for up to 28 days, showed no significant adverse effects on vital organ markers (heart and kidney) at tested doses. However, due to the limited number of high-quality human clinical trials, well-documented side effects in humans are not extensively reported. There are no known significant drug interactions or contraindications explicitly mentioned in the provided literature. Despite the promising animal safety data, caution is strongly advised for pregnant or breastfeeding women due to the insufficient safety data in these populations. As with any herbal supplement, individual sensitivities may vary, and it is recommended to consult a healthcare professional before use, especially for individuals with pre-existing medical conditions or those taking other medications.

Dosage

Currently, there are no established dosing guidelines for Rubia cordifolia in humans due to the lack of comprehensive clinical trials. Doses effective in animal models for anti-inflammatory effects ranged from 300 to 600 mg/kg body weight of hydro-alcoholic root extract. However, these animal doses cannot be directly extrapolated to humans. Traditional use involves various forms like decoctions or powders of the root and stem, but the standardization and bioactive content of these traditional preparations can vary significantly. Optimal dosing, timing of administration, and the most effective formulation for human use require further rigorous clinical investigation. Without human clinical data, it is not possible to specify upper limits or safety thresholds for human consumption.

FAQs

Is Indian Madder Stem Extract safe?

Animal studies suggest safety at tested doses, showing no significant toxicity. However, human safety data are insufficient due to a lack of clinical trials, so caution is advised.

What benefits can I expect from Indian Madder Stem Extract?

Preclinical studies indicate potential anti-inflammatory and blood-related effects. However, clinical evidence in humans is lacking, so specific benefits cannot be guaranteed.

How long does it take for effects to appear?

In animal models, effects were observed after 11 to 28 days of treatment. The timeline for human effects is unknown due to insufficient clinical data.

Can Indian Madder be used for cognitive support?

Preliminary in vitro data suggest acetylcholinesterase inhibition, which could imply cognitive benefits. However, there is no clinical evidence to support this use in humans yet.

Research Sources

  • https://dspace.bracu.ac.bd/xmlui/bitstream/handle/10361/25136/20346040_PHR.pdf?sequence=1&isAllowed=y – This toxicological evaluation study in rats investigated the safety of Rubia cordifolia extract. Rats administered high and low doses daily for 28 days showed no significant changes in heart and kidney biochemical markers, indicating a favorable safety profile at these doses. However, the small sample size and reliance on an animal model limit direct human extrapolation.
  • https://pmc.ncbi.nlm.nih.gov/articles/PMC9500525/ – This animal study by Pawar et al. (2011) demonstrated that hydro-alcoholic root extract of Rubia cordifolia (300-600 mg/kg) administered for 11 days reduced intestinal inflammation and LDH activity in Wistar rats with indomethacin-induced enterocolitis. The study's limitations included simple detection indexes and the absence of a positive control group, and the exact mechanism was not fully elucidated.
  • https://pmc.ncbi.nlm.nih.gov/articles/PMC9339571/ – This in vitro study investigated the anti-inflammatory potential of Rubia cordifolia extracts, showing that they inhibited nitric oxide (NO) production by over 50% in RAW264.7 macrophage cells at 100 μg/mL. This finding supports the anti-inflammatory properties of the extract, but in vitro results require further confirmation through in vivo and clinical studies to establish relevance in living organisms.

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