![]() |
|
|
,2
* Department of Human Biology and Nutritional Sciences, University of Guelph, ON, Canada and
Agriculture and Agri-Food Canada, Pacific Agri-Food Research Centre, Summerland, BC, Canada
2To whom correspondence should be addressed. E-mail: cdk14{at}psu.edu.
| ABSTRACT |
|---|
|
|
|---|
KEY WORDS: anthocyanins cyanidin 3-glycosides pharmacokinetics metabolites
Within the last decade, many studies have focused on the potential biological activities or health effects of anthocyanins in humans (13). Although there is a great deal of evidence indicating the bioactivity of anthocyanins, very little progress has been made in establishing the pharmacokinetics of these compounds, with aspects such as absorption and metabolism left essentially unstudied. Previously, it was reported that anthocyanins were poorly absorbed and circulated in the blood exclusively as unmetabolized parent glycosides (46). It is only recently that researchers have begun to suggest that anthocyanins are metabolized; however, the identification of derived metabolites has been limited as a result of their diversity and low concentrations in the blood.
In our previous investigation focusing on identifying anthocyanin metabolites in human serum and urine (7), subjects were fed
1.2 g of cyanidin 3-glycosides from chokeberries, which resulted in the identification of glucuronide and methyl derivatives. The aim of the present investigation was to determine the pharmacokinetics of the cyanidin 3-glycosides in humans as well as to establish the extent of their metabolic fate after a lower, more realistic anthocyanin dose (721 mg). Specifically, the chokeberry extract was chosen because it contained exclusively cyanidin 3-glycosides, thereby permitting the monitoring of its metabolites and their pharmacokinetics. Subsequent investigations will be required to identify the biological activity of these metabolites.
| SUBJECTS AND METHODS |
|---|
|
|
|---|
Study design. Subjects were admitted to the clinic (Okanagan Clinical Laboratory; Penticton, BC) on the morning of the study dates after fasting (12 h, 24 h no alcohol). Baseline urine samples (first void, t = 0) were taken in the morning of each study date along with individual urine voids (total volume) over the next 24 h (t = 0, 2, 4, 6, 8, 10, 12, and 24 h). Immediately after baseline (t = 0) blood sampling, the volunteers consumed 7.1 g of encapsulated (gel caps) chokeberry extract with 250 mL of water. The extract contained 4 cyanidin 3-glycosides (721.4 mg): 491.0 mg cyanidin 3-galactoside (C-3-gal), 175.3 mg cyanidin 3-arabinoside (C-3-ara), 27.8 mg cyanidin 3-xyloside (C-3-xyl), and 27.3 mg cyanidin 3-glucuoside (C-3-glu), as determined by HPLC-DAD (Table 1; Fig. 1). Subsequent blood samples were taken at t = 1, 2, and 3 h postconsumption of the extract. The experiment was repeated at a later date (30 d wash-out) following the protocol outlined above with one variation. On d 2, blood samples were taken at t = 0, 3, 4, 5 h and on d 3, at t = 0, 5, 6, 7 h (n = 3; levels = 0, 1, 2, 3, 4, 5, 6, 7). The sampling regimen was necessary to acquire the volume of blood needed for the analysis. Individual urine samples were also collected over 24 h (levels = 0, 2, 4, 6, 8, 10, 12, 24) at each visit (n = 3 x 3 repetitions; y = 9 replicates). After consumption of the extract, subjects were instructed to consume 250 mL of water every hour for 5 h with subsequent ad libitum consumption. An anthocyanin-free lunch and dinner was provided for the subjects at 4 and 8 h postconsumption of the extract.
|
|
20 mL) were drawn by venipuncture from a brachial vein into 10-mL evacuated glass tubes (2 tubes/time point) (Vacutainer; Becton Dickinson). The blood samples were allowed to clot at room temperature for 30 min. Samples were then immediately centrifuged (1000 x g) for 15 min at 5°C to recover the serum. Urine samples were acidified with 20 µL of 12 mol/L HCl/mL urine upon collection. The serum and urine were stored at 80°C after removal/collection. Materials/reagents. The chokeberry extract (no. 74190, lot L18010) was purchased from Artemis International. The anthocyanin standards, cyanidin 3-glucoside chloride, cyanidin 3-galactoside chloride (ideain chloride), peonidin 3-glucoside chloride, cyanidin chloride, and peonidin chloride were purchased from Extrasynthese. Formic acid (Fisher Scientific), hydrochloric acid (HCl), trifluoroacetic acid (TFA), and glacial acetic acid (DH) were all reagent grade; all solvents used for HPLC analysis were HPLC grade.
Anthocyanin analysis.
The chokeberry extract, serum, and urine anthocyanins were quantified via HPLC-DAD. Individual serum samples were collected every hour for 7 h (n = 3) and individual urine voids were collected (separately) over a 24-h period (n = 3 x 3 repetitions) as detailed in the study design. Every serum and urine sample was analyzed and quantified individually via HPLC-DAD before pooling for identification purposes. After quantification, urine samples were pooled for purification (XAD adsorption chromatography), isolation [preparative (prep)-HPLC and prep-TLC], and identification (HPLC-MS; HPLC-DAD; TLC; NMR). Identification of the anthocyanins was based on the matching of molecular weight (parent and daughter fragments), retention time (Rt),
maxvis, E440/Emax, and reference (Rf) values with those of available anthocyanin standards as well as isolated chokeberry anthocyanins (Table 1). TLC data (post-acid hydrolysis) were utilized for additional confirmation when considered necessary. Peaks lacking absorption maxima in the 280 and 520 nm range were not considered anthocyanin metabolites, and no attempt was made to identify these unknown compounds. Selected pharmacokinetic variables were determined for the identified compounds from the initial HPLC quantitative results (Table 2, and 3; Figs. 2and 3).
|
|
|
|
Purification of anthocyanins in pooled human urine samples (postquantitative HPLC analysis) was performed using Amberlite XAD-7 polymeric adsorbent (Sigma; Lot # 77H0157) before isolation of individual anthocyanin/metabolite peaks using prep-HPLC. The procedure was based on general methods as described by Markham (9). The column (50 x 3.0 cm) was filled with presoaked (24 h EtOH:H2O v:v) XAD-7 resin (volume of 212 cm3) and loaded with 1 L of unfiltered acidified urine (pH
2.5). The column was drained under gravity, then washed with 500 mL acidified H2O (0.1% TFA), followed by 500 mL MeOH:H2O (30:70; 0.1% TFA; flow rate 10 mL/min). Finally, the anthocyanin extract was eluted with 500 mL of MeOH:H2O (75:25; 0.1% TFA; flow rate 10 mL/min) and evaporated. The anthocyanin-rich urine extract was then further purified via prep-HPLC.
Analytical HPLC analysis was performed on an Agilent 1100 series HPLC (Agilent Technologies) using a Zorbax SB C18 RP column (5 µm, 4.6 x 250 mm) with a Supelguard LC-18 guard column (C18 5 µm, 4.6 x 20 mm; Supelco, Sigma-Aldrich). The following procedure was modified from previously published methods (7,10).
Prep-HPLC separation of individual anthocyanins from pooled urine samples was performed on a Waters Chromatographic system (Waters) comprised of 3 Model 510 pumps, and a Model 490 programmable multiwavelength detector set at 525nm. The preparative column system (Waters PrepPak) consisted of 2 Nova-Pak HR C18 radial compression cartridges (25 x 100 mm; 6 µm, 60Å; PrepPak Cartridge; Waters) with a Nova-Pak HR C18 guard insert (Waters). Injections were carried out on a manual injection port (Rheodyne) equipped with a 500-µL injection loop. The column and injector were kept at ambient temperature, with an injection volume of 250500 µL. The mobile phase consisted of 0.1% TFA in water (solvent A) and 100% MeOH (solvent B). The flow rate was 15 mL/min with an isocratic run of 80% A and 20% B. Peaks on the chromatogram corresponding to anthocyanins, as identified by spectral analysis (peaks detected at 525 nm with
max 250300 and 500550 nm), were collected manually from the prep-HPLC column and concentrated using a rotary evaporator. The remaining H2O was removed in a freeze-dryer and samples were sealed under nitrogen gas and stored at 80°C until further analysis.
TLC procedures were based on methods described by Wagner and Bladt (11). Normal phase prep-TLC was utilized for the final purification of individual anthocyanins separated from the pooled urine samples (20 x 20 250-µm silica gel Redi/plates; Analtech). The solvent system consisted of ethyl acetate, glacial acetic acid, formic acid, and H2O (100:11:11:26). After the plates were developed, the anthocyanin bands were removed and dissolved in 5 mL of MeOH containing 0.1% formic acid. The final solution was filtered through a 0.45µm polyvinylidene fluoride syringe filter, evaporated in a rotary evaporator, and brought to dryness in a freeze-dryer. The remaining extract was sealed under nitrogen gas and stored at 80°C until further analysis.
For the postacid hydrolysis of anthocyanins for verification of aglycones, 0.20-mm silica gel 60 analytical TLC plates (Macherey-Nagel; Batch 901/021) containing a fluorescent indicator (UV 254) were used. Acid hydrolysis of the anthocyanin glycosides was achieved by dissolving a portion of the dry anthocyanin extracts in 200 µL of 2 mol/L HCl. The solution was then sealed under nitrogen gas and heated to 100°C for 1.5 h. The samples were then cooled immediately in an ice bath and plated using the above solvent system.
MS identification of individual compounds was conducted postseparation via prep-HPLC and prep-TLC (as outlined above). The analysis was carried out on a Waters Alliance 2695 HPLC coupled serially with a Waters 2996 photodiode array detector and a Waters ZQ 2000 quadrupole analyzer utilizing the electrospray ionization interface (ESI-MS) (Waters). The chromatographic separation was performed on a 250 x 2.0 mm Synergi 4-µm Max-RP 80Å column (Phenomenex) with a 4 x 2 mm Phenomenex Max RP guard cartridge (Phenomenex). Injection volumes were 2 µL. The mobile phase consisted of an acidified (0.18% v:v acetic acid) water:acetonitrile mixture (95:5) (solvent A) and 100% acetonitrile (solvent B). The flow rate was 130 µL/min; the solvent gradient program used 100% A at 02 min and was ramped to 100% B at 60 min. The instrument was operated in electrospray positive ion mode (ES+). Micromass ZQ single quadrupole MS with electrospray interface and MassLynx 4.0 software (Micromass) was used for data acquisition. The MS parameters were loosely based on methods previously published by Felgines et al. (12) and García-Beneytez et al. (13).
NMR spectra were obtained on a Bruker Avance DRX 500 MHz spectrometer (Bruker Biospin), equipped with a cryoprobe, at 300 K. For 1H (500 MHz) NMR, a solvent mixture of methanol-d4 to trifluoroacetic acid-d (CD3OD:CF3COOD) (98:2, v:v, 200 µL) was used and
values were referenced to CD3OD (CHD2OD at 3.30 ppm). Analysis of the 1H NMR spectra was based on the comparison of the chemical shift and relative intensity of the signals with those of standard compounds.
Statistical analysis.
The primary analyses were performed on urinary values (urinary values only) using the mixed models procedure (PROC MIXED) in SAS (version 9.1; SAS Institute). The data are presented as means ± SD unless otherwise stated. The distributions of anthocyanins were corrected with natural log transformations, and unadjusted values are reported. The total level of anthocyanins as well as the levels of individual anthocyanin species were evaluated over time. The model included time (levels = 0, 2, 4, 6, 8, 10, 12, and 24 h) and anthocyanin species (levels = 1, 2, 3, 4, 5, 6) as fixed effects, and subjects (n = 3) and their replicate treatments (3 replicates) were treated as random variables (y = 9 replicates). For all analyses, the significant main effects (P
0.05) were investigated using the Tukey-Kramer test.
In addition, noncompartmental pharmacokinetic evaluation of urine and serum parent compounds, and their metabolites was performed on untransformed data according to standard methods (14). For urinary variables, there was no effect of subject (P = 0.3); therefore, subject (n = 3) and their replicate treatments (3 replicates) were collapsed (y = 9 replicates) for the determination of means (± SD) in the pharmacokinetic analysis. The analyses of serum variables included 3 subjects with no replications and are presented as means ± SD (n = 3; no replicates). Calculation of the area under the plasma concentration time curve was based on the mean serum concentrations of individual subjects using the trapezoidal rule. Absorption half-lives were determined graphically (SPSS SigmaPlot, IL) using the method of residuals. The geometric means of the elimination half-lives were determined graphically from the renal excretion rates of individual subjects.
| RESULTS |
|---|
|
|
|---|
As a result of the sampling regimen, the mixed models procedure was performed on urinary variables only. There was a significant main effect of time (P < 0.0001) for the total (P16) and individual level of anthocyanins (P1,2,3,4,5,6), as well as a significant interaction between time and anthocyanin species (P = 0.0016). Additionally, the level of total anthocyanins did not differ among the 3 subjects (P = 0.30). Serum variables were utilized only for pharmacokinetic analyses. The pharmacokinetic analysis of urine and serum variables (Tables 2, and 3) and their graphical representations (Figures 2and 3) utilized untransformed data as was previously described (14). The results of both urinary (Table 2) and serum (Table 3) analyses indicated that parent compounds and their metabolites had similar pharmacokinetic profiles (Tmax and T1/2).
| DISCUSSION |
|---|
|
|
|---|
1.2 g of cyanidin 3-glycosides, leading to the identification of glucuronide and methylated derivatives in the serum and urine. The aim of the present investigation was to identify metabolites and their time course (pharmacokinetics) after a lower, more realistic anthocyanin dose. The present investigation involved a 721-mg oral dose of cyanidin 3-glycosides with the subsequent collection of serum over 7 h and urine over 24 h. This dose is equivalent to
120230 g of whole berries (fresh weight) (15). Additionally, a 721-mg dose is roughly the median dose of 12 reviewed anthocyanin human consumption trials in the literature (788 ± 883 mg) (5,10,12,1624). The chokeberry extract as utilized in the present investigation was chosen for its simplistic anthocyanin profile, consisting of only cyanidin 3-glycosides. The use of a fruit extract containing only one anthocyanidin species (cyanidin) was crucial for establishing the origin of methylated cyanidin derivatives. Further investigations are required to identify the biological activity of these metabolites. In the present investigation, no anthocyanins were identified in the serum or urine of fasting subjects suggesting that the washout phase and prestudy dietary exclusion of anthocyanins was sufficient. Glucuronidation was the major metabolic pathway observed for anthocyanin metabolism in the present investigation, representing 59.8 and 57.8% of the total anthocyanins detected in the blood and urine, respectively. Methylation was the second most commonly observed metabolic transformation for anthocyanins, representing 43.8 and 51.4% of the total anthocyanins detected in the serum and urine, respectively. Even though only a few researchers have reported glucuronidated and methylated anthocyanins in the urine and blood of humans and animals (7,8,12), methylated and glucuronidated derivatives of the flavonoid quercetin are well documented (18,25,26). Although some recent investigations described the detection of anthocyanin metabolites in urine, this is the first study to give detailed pharmacokinetic parameters for anthocyanin metabolites.
In the present investigation, no attempt was made to identify HPLC peaks lacking characteristic anthocyanin profiles (maxima in the 280 and 520 nm range). There are likely other anthocyanin metabolites (breakdown products) present in the serum and urine with absorbance outside the 240- to 525-nm range; however, identifying these compounds is beyond the scope of this investigation. Further studies involving labeled anthocyanins are necessary for the complete characterization of metabolites.
The appearance of anthocyanins (parent compounds) in the blood (t1/2a = 1.51 ± 0.2 4 h, tmax = 3.0 h) (Table 3; Fig. 2B) as well as their subsequent elimination in the urine was rapid (t1/2 of 3.88 ± 0.62 h, tmaxR at 3.16 ± 1.26 h; Table 2; Fig. 2A). Additionally, the proportion of parent anthocyanins excreted in the urine was
0.048% of the total ingested dose, which is consistent with the literature (4,5,1923,27,28). The low plasma and urinary concentrations of parent anthocyanins, as well as their rapid absorption and elimination, suggest either a low absorption or a rapid and efficient metabolism.
The maximum serum concentration of total parent and metabolized anthocyanins was observed at 2.8 h, with the maximum rate of urinary excretion (tmaxR) at 3.72 ± 0.83 h and an elimination half-life of 4.12 ± 0.4 h (Tables 2, and 3). Similar elimination kinetics are reported in the literature (6,21). The data presented in this manuscript suggest that the elimination of parent anthocyanins from the body follows a first-order model. This elimination kinetic model was also reported by Cao et al. (5), after the consumption of an anthocyanin mixture derived from elderberries.
Glucuronidated and methylated anthocyanin metabolites were observed in the present investigation at levels twice that of the parent (intact) compounds. Only 32% of the total anthocyanins detected in the serum were the parent compounds (P1,3) with 68% identified as conjugated metabolites (P2,4,5,6; Fig. 1C; Table 3). Similarly, only 32.5% of the anthocyanins excreted in the urine were the parent compounds (P1,3) with 67.5% occurring as conjugated metabolites (P2,4,5,6; Fig. 1D; Table 2). The elimination of the metabolites in this investigation mirrored that of the parent compounds having similar tmax, Rmax, and t1/2 (Table 2 and Fig. 2A) suggesting that the metabolites and parent compounds follow the same metabolic pathway in the body.
The total urinary excretion of metabolites and parent compounds over 24 h was 1071.54 ± 375.46 µg, accounting for 0.15% of the initial dose. Several studies reported that the excretion of anthocyanins accounted for as little as 0.05% of the initial dose (5,6,10,21,27); however, many of these studies were unable to identify anthocyanin metabolites in biological fluids. This shortfall is likely the consequence of insufficient extraction procedures as well as the limited sensitivity of using UV-vis HPLC alone to distinguish between anthocyanin glycosides and glucuronides. Additionally, studies unable to identify metabolites of anthocyanins in biological fluids undoubtedly underestimated their absorption. Furthermore, the metabolism of anthocyanins may also result in the formation of phenolic acids, phenolic acid residues, H, or CO2 (8,18,26), which augments their underestimation in biological fluids. In this investigation, both parent glycoside and metabolized derivatives were identified in the urine and serum, and the excretion of metabolites was 2 times that of the parent glycosides. Recent studies feeding pharmacological or mega-doses of anthocyanins [1.23.5 g (7,24), respectively] reported that the parent glycosides were the major circulating species. This is likely the result of the saturation of metabolic pathways and would not be expected to occur after "typical" or "normal" dietary consumption of fruits, vegetables, juices, or wines. It is therefore clear that further research is required to establish a more comprehensive understanding of anthocyanin absorption and metabolism in humans.
To conclude, the above results indicate that cyanidin 3-glycosides are absorbed and transported in human serum and urine primarily as glucuronide and methyl-glucuronide derivatives after a moderate-to-high oral dose. Future research focused on identifying the physiological effects of these compounds should therefore be conducted using anthocyanins as they exist in the circulation in both forms (i.e., parent and metabolite) and concentrations.
| ACKNOWLEDGMENTS |
|---|
| FOOTNOTES |
|---|
3 Abbreviations used: C-3-ara, cyanidin 3-arabinoside; C-3-gal, cyanidin 3-galactoside; C-3-glu, cyanidin 3-glucoside; C-3-xyl, cyanidin 3-xyloside; CD3OD, Methanol-d4; CF3COOD, trifluoroacetic acid-d; Cmax, maximum concentration; DAD, diode array detector; E440/Emax, ratio of the absorbance intensity at 440 nm vs. the maximum absorbance intensity; ESI-MS, electrospray ionization MS; m/z, mass to charge ratio; P, peak; PCA, perchloric acid; P-3-gal, peonidin 3-galactoside; Prep-HPLC, preparative HPLC; Rf, reference value; Rmax, maximum rate of urinary excretion; RP-HPLC, reverse phase HPLC; Rt, retention time; SPE, solid phase extraction; t = 0, baseline; t1/2, elimination half-life; t1/2a, absorption half-life; tmax, time point at which maximal serum concentration occurs; tmaxR, time point at which maximal rate of urinary excretion occurs; TFA, trifluoroacetic acid; UV-vis, UV-visible. ![]()
Manuscript received 31 March 2005. Initial review completed 2 May 2005. Revision accepted 27 August 2005.
| LITERATURE CITED |
|---|
|
|
|---|
1. Bohm H, Boeing H, Hempel J, Raab B, Kroke A. Flavonols, flavone and anthocyanins as natural antioxidants of food and their possible role in the prevention of chronic diseases. Z Ernahrungswiss. 1998;37:147-163.[Medline]
2. Kong JM, Chia LS, Goh NK, Chia TF, Brouillard R. Analysis and biological activities of anthocyanins. Phytochemistry. 2003;64:923-933.[Medline]
3. Galvano F, La Fauci L, Lazzarino G, Fogliano V, Ritieni A, Ciappellano S, Battistini NC, Tavazzi B, Galvano G. Cyanidins: metabolism and biological properties. J Nutr Biochem. 2004;15:2-11.[Medline]
4. Miyazawa T, Nakagawa K, Kudo M, Muraishi K, Someya K. Direct intestinal absorption of red fruit anthocyanins, cyanidin-3-glucoside and cyanidin-3,5-diglucoside, into rats and humans. J Agric Food Chem. 1999;47:1083-1091.[Medline]
5. Cao G, Muccitelli HU, Sanchez-Moreno C, Prior RL. Anthocyanins are absorbed in glycated forms in elderly women: a pharmacokinetic study. Am J Clin Nutr. 2001;73:920-926.
6. Murkovic M, Mülleder U, Adam U, Pfannhauser W. Detection of anthocyanins from elderberry juice in human urine. J Sci Food Agric. 2001;81:934-937.
7. Kay CD, Mazza G, Holub BJ, Wang J. Anthocyanin metabolites in human urine and serum. Br J Nutr. 2004;91:933-942.[Medline]
8. Tsuda T, Horio F, Osawa T. Absorption and metabolism of cyanidin 3-O-beta-D-glucoside in rats. FEBS Lett. 1999;449:179-182.[Medline]
9. Markham KR. Techniques of flavonoid identification. Treherne JE Rubery PH eds. Techniques of flavonoid identification. Biological techniques series. :1-113 Academic Press New York, NY.
10. Mazza G, Kay CD, Cottrell T, Holub BJ. Absorption of anthocyanins from blueberries and serum antioxidant status in human subjects. J Agric Food Chem. 2002;50:7731-7737.[Medline]
11. Wagner H, Bladt S. Absorption of anthocyanins from blueberries and serum antioxidant status in human subjects. Plant drug analysis: a thin layer chromatography atlas. 2nd ed. :384 Springer-Verlag Berlin.
12. Felgines C, Talavera S, Gonthier MP, Texier O, Scalbert A, Lamaison JL, Remesy C. Strawberry anthocyanins are recovered in urine as glucuro- and sulfoconjugates in humans. J Nutr. 2003;133:1296-1301.
13. García-Beneytez E, Cabello F, Revilla E. Analysis of grape and wine anthocyanins by HPLC-MS. J Agric Food Chem. 2003;51:5622-5629.[Medline]
14. Rowland M, Tozer TN. Analysis of grape and wine anthocyanins by HPLC-MS. Clinical pharmacokinetics: concepts and applications. 2nd ed. Lea & Febiger Malvern, PA.
15. Skrede G, Wrolstad RE. Flavonoids from berries and grapes. Shi J Mazza G eds. Flavonoids from berries and grapes. Functional foods, volume 2, biochemical and processing aspects. :71-133 CRC Press Boca Raton, FL.
16. Rechner AR, Kuhnle G, Hu H, Roedig-Penman A, van den Braak MH, Moore KP, Rice-Evans CA. The metabolism of dietary polyphenols and the relevance to circulating levels of conjugated metabolites. Free Radic Res. 2002;36:1229-1241.[Medline]
17. Matsumoto H, Inaba H, Kishi M, Tominaga S, Hirayama M, Tsuda T. Orally administered delphinidin 3-rutinoside and cyanidin 3-rutinoside are directly absorbed in rats and humans and appear in the blood as the intact forms. J Agric Food Chem. 2001;49:1546-1551.[Medline]
18. Williamson G, Day AJ, Plumb GW, Couteau D. Human metabolic pathways of dietary flavonoids and cinnamates. Biochem Soc Trans. 2000;28:16-22.[Medline]
19. Lapidot T, Harel S, Granit R, Kanner J. Bioavailability of red wine anthocyanins as detected in human urine. J Agric Food Chem. 1998;46:4297-4302.
20. Wu X, Cao G, Prior RL. Absorption and metabolism of anthocyanins in elderly women after consumption of elderberry or blueberry. J Nutr. 2002;132:1865-1871.
21. Mülleder U, Murkovic M, Pfannhauser W. Urinary excretion of cyanidin glycosides. J Biochem Biophys Methods. 2002;53:61-66.[Medline]
22. Nielsen IL, Dragsted LO, Ravn-Haren G, Freese R, Rasmussen SE. Absorption and excretion of black currant anthocyanins in humans and Watanabe heritable hyperlipidemic rabbits. J Agric Food Chem. 2003;51:2813-2820.[Medline]
23. Frank T, Janben M, Netzel M, Starab G, Kler A, Kriesl E, Bitsch I. Pharmacokinetics of anthocyanidin-3-glycosides following consumption of Hibiscus sabdariffa L. extract. J Clin Pharmacol. 2005;45:203-210.
24. Bitsch R, Netzel M, Sonntag S, Strass G, Frank T, Bitsch I. Urinary excretion of cyanidin glucosides and glucuronides in healthy humans after elderberry juice ingestion. J Biomed Biotechnol. 2004;(5):343-345.
25. Manach C, Morand C, Crespy V, Demigné C, Texier O, Regerat F, Remesy C. Quercetin is recovered in human plasma as conjugated derivatives which retain antioxidant properties. FEBS Lett. 1998;426:331-336.[Medline]
26. Hollman PC, Katan MB. Bioavailability and health effects of dietary flavonols in man. Arch Toxicol Suppl. 1998;20:237-248.[Medline]
27. Bub A, Watzl B, Heeb D, Rechkemmer G, Briviba K. Malvidin-3-glucoside bioavailability in humans after ingestion of red wine, dealcoholized red wine and red grape juice. Eur J Nutr. 2001;40(3):113-120.[Medline]
28. Milbury PE, Cao G, Prior RL, Blumberg J. Bioavailability of elderberry anthocyanins. Mech Ageing Dev. 2002;123:997-1006.[Medline]
This article has been cited by other articles:
![]() |
P. Vitaglione, G. Donnarumma, A. Napolitano, F. Galvano, A. Gallo, L. Scalfi, and V. Fogliano Protocatechuic Acid Is the Major Human Metabolite of Cyanidin-Glucosides J. Nutr., September 1, 2007; 137(9): 2043 - 2048. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. E. Milbury, B. Graf, J. M. Curran-Celentano, and J. B. Blumberg Bilberry (Vaccinium myrtillus) Anthocyanins Modulate Heme Oxygenase-1 and Glutathione S-Transferase-pi Expression in ARPE-19 Cells Invest. Ophthalmol. Vis. Sci., May 1, 2007; 48(5): 2343 - 2349. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. W. Erdman Jr., D. Balentine, L. Arab, G. Beecher, J. T. Dwyer, J. Folts, J. Harnly, P. Hollman, C. L. Keen, G. Mazza, et al. Flavonoids and Heart Health: Proceedings of the ILSI North America Flavonoids Workshop, May 31-June 1, 2005, Washington, DC J. Nutr., March 1, 2007; 137(3): 718S - 737S. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||