DESCRIPTION
Propolis, also known as bee glue and bee propolis, is a brownish resinous substance collected by bees, mainly from poplar and conifer buds, and used to seal their hives. Because of antimicrobial properties of propolis, it helps keep hives free of germs. Propolis has a long history of use in folk medicine and was even used as an official drug in London in the 1600s. Over time, propolis has been used for many purposes and marketed as lozenges, cough syrups, toothpastes, mouth rinses, lipsticks, cosmetics and even for the varnishing of Stradivarius violins. It appears to have antimicrobial and anti-inflammatory activities.
The composition of propolis is variable, depending on the locale and variety of trees and other plant species used for the collection. For example, unique constituents have been identified in propolis collected in Cuba and Brazil. The main chemical classes found in propolis are flavonoids, phenolics and terpenes. The flavonoids include quercetin, apegenin, galangin, kaempferol, luteolin, pinocembrin, pinostrobin and pinobanksin. The phenolic ester (caffeic acid phenethyl ester or CAPE) present in propolis is receiving much attention in the medical research community because of its potential for the treatment of a number of disorders, including spinal cord injury. Most of the substances in propolis are poorly soluble in water.
ACTIONS AND PHARMACOLOGY
ACTIONS
A list of possible actions of propolis includes: antibacterial, antifungal, antiviral (including anti HIV-1 activity), antioxidant, anticarcinogenic, antithrombotic and immunomodula- tory.
MECHANISM OF ACTION
The mechanism of the possible actions of propolis may be understood by reviewing research findings on some of the individual compounds found in it. It is difficult to study the mechanism of actions of more than one compound at a time. Therefore, the following descriptions apply only to single compounds. The contribution of any single compound to the possible action of such a complex substance as propolis is difficult to know.
Caffeic acid phenethyl ester (CAPE) inhibits the lipoxygenase pathway of arachidonic acid, resulting in anti-inflammatory activity. CAPE is also known to have anticarcinogenic, antimitogenic and immunomodulatory properties. CAPE has been found to completely inhibit the activation of the nuclear transcription factor NF-Kappa B by tumor necrosis factor (TNF), as well as by other pro-inflammatory agents. The inhibition of NF-Kappa B activation may provide the molecular basis for its immunomodulatory, anticarcinogenic, anti-inflammatory and antiviral activities. It is possible that CAPE exerts its effects by inhibiting reactive oxygen species (ROS) production. ROS are known to play a major role in the activation of NF-Kappa B.
Compounds in propolis found to have antibacterial activity include a polyisoprenylated benzophenone, galangin, pinobanksin and pinocembrin. The exact mechanism of antimicrobial action of these compounds is not known.
INDICATIONS AND USAGE
There is evidence that propolis has some broad antimicrobial activity and that it may have anti-inflammatory effects that could make it useful in the treatment of some forms of arthritis, among other disorders. There is also some evidence of anti-cancer activity.
RESEARCH SUMMARY
have shown anti-bacterial, anti-viral and anti-fungal effects. It shows activity in culture against a broad spectrum of pathogens, including influenza and herpes viruses, as well as HIV and various fungal and bacterial organisms.
In a study of school children, an aqueous propolis extract was judged effective in reducing the incidence and intensity of acute and chronic rhinopharyngitis. In another study involving 10 volunteers, it exerted activity against oral bacteria. A Cuban study concluded that propolis is more effective than tinidazole against giardia.
Propolis has a high concentration of caffeic acid esters that some believe may give it some antitumor properties. In two studies, extracts of propolis fed to rats have inhibited azoxymethane-induced colonic tumors.
In vitro studies have shown propolis-related anti-inflammatory effects. Various extracts of propolis have also shown anti-inflammatory activity in animal models, particularly against adjuvant-induced arthritis.
More research is needed to further explore these preliminary findings.
CONTRAINDICATIONS, PRECAUTIONS, ADVERSE REACTIONS
CONTRAINDICATIONS
Propolis is contraindicated in those who are allergic or hypersensitive to any of its components.
PRECAUTIONS
Pregnant women and nursing mothers should avoid using propolis supplements.
ADVERSE REACTIONS
There are reported adverse reactions in those using topical preparations of propolis. These reactions are manifested as a dermatitis. There are reports of hypersensitivity reactions to ingested propolis, including rhinitis, conjunctivitis, skin rashes and bronchospasm.
OVERDOSAGE
No reported overdosage of propolis.
DOSAGE AND ADMINISTRATION
No typical dose. Propolis is available in several different preparations, including lozenges, tablets, creams, gels, mouth rinses, toothpastes and cough syrups.
HOW SUPPLIED
Capsules — 120 mg, 500 mg, 650 mg
Liquid
Lozenge — 50 grains
Tablets — 500 mg
LITERATURE
Burdock GA. Review of the biological properties and toxicity of bee propolis (propolis). Food Chem Toxicol. 1998; 36:347-363.
Chopra S, Pillai KK, Husain SZ, Giri DK. Propolis protects against doxorubicin-induced myocardiopathy in rats. Exp Mol Pathol. 1995; 62:190-198.
El-Ghazaly MA, Khayyal MT. The use of aqueous propolis extract against radiation-induced damage. Drugs Exp Clin Res. 1995; 21:229-236.
Grange JM, Davey RW. Antibacterial properties of propolis (bee glue). J.R Soc Med. 1990; 83:159-160.
Harish Z, Rubinstein A, Golodner M, et al. Suppression of HIV-1 replication by propolis and its immunoregulatory effect. Drugs Exp Clin Res. 1997; 23:89-96.
Khayyal MT, el-Ghazaly MA, el-Khatib AS. Mechanism involved in the anti-inflammatory effect of propolis extract. Drugs Exp Clin Res. 1993; 19:197-203.
Kujumgiev A, Tsverkova I, Serkedjieva Y, et al. Antibacterial, antifungal and antiviral activity of propolis of different geographic origins. J Ethnopharmacol. 1999; 64:235-240.
Ledon N, Casaco A, Gonzales R, et al. Antipsoriatic, anti-inflammatory and analgesic effects of an extract of red propolis. Chung Kuo Yao Li Hsueh Pao. 1997; 18:274-276.
Lin SC, Lin YH, Chen CF, et al. The hepatoprotective and therapeutic effects of propolis ethanol extract on chronic alcohol-induced liver injuries. Am J Chin Med 1997; 25:325-332.
Matsuno T, Jung SK, Matsumoto Y, et al. Preferential cytotoxicity to tumor cells of 3, 5-diprenyl-4-hydroxycinnamic acid (artipillin C) isolated from propolis. Anticancer Res. 1997; 17(5A):3565-3568.
Mirzoeva OK, Calder PC. The effect of propolis and its components on eicosanoid production during the inflammatory response. Prostaglandins Leukot Essent Fatty Acids. 1996; 55:441-449.
Mirzoeva OK, Grishanin RN, Calder PC. Antimicrobial actin of propolis and some of its components: the effects on growth, membrane potential and motility of bacteria. Microbiol Res. 1997; 152:239-246.
Natarajan K, Singh S, Burke TR Jr, et al. Caffeic acid phenethyl ester is a potent and specific inhibitor of activation of nuclear transcription factor NF-Kappa B. Proc Natl Acad Sci. 1996; 93:9090-9095.
Ozturk F, Kurt E, Cerci M, et al. The effect of propolis extract in experimental chemical corneal injury. Ophthalmic Res. 2000; 32:13-18.
Park EH, Kahng JH. Suppressive effects of propolis in rat adjuvant arthritis. Arch Pharm Res. 1999; 22:554-558.
Rao CV, Desai D, Simi B, et al. Inhibitory effect of caffeic acid esters on azoxymethane-induced biochemical change and aberrant crypt foci formation in rat colon. Cancer Res. 1993; 53:4182-4188
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