DOI QR코드

DOI QR Code

Effect of Onion Consumption on Cardiovascular Disease in Human Intervention Studies: A Literature Review

국내.외 인체중재연구를 통해 살펴 본 양파의 심혈관계 질환 개선효과에 관한 고찰

  • Kim, Jung-Mi (Dept. of Food and Nutritional Science, Kyungnam University) ;
  • Park, Eun-Ju (Dept. of Food and Nutritional Science, Kyungnam University)
  • 김정미 (경남대학교 식품영양학과) ;
  • 박은주 (경남대학교 식품영양학과)
  • Received : 2010.07.12
  • Accepted : 2010.08.30
  • Published : 2010.10.31

Abstract

Onion (Allium cepa L.) production in Korea has increased gradually over the past 15 years, placing second in food consumption survey with 20.6 g daily intake in 2006. Onions, used as an ingredient in many dishes and accepted by almost all traditions and cultures, have been reported to have a range of health benefits which include anticarcinogenic, antiasthmatic, antibiotic, and antioxidative effects. These effects may be attributable to a powerful flavonoid pigment-containing compounds, such as quercetin and alk(en)yl cysteine sulphoxides (ACSOs). Although antiplatelet and antithrombotic activities of onion have been confirmed by many of in vitro or animal studies, only a few human intervention studies have been examined. The majority of human studies identified that onion improves some cardiovascular markers such as lipid profile and platelet coagulant. With regard to antioxidative effects, somewhat positive effects are confirmed through strengthening the resistance of oxidative DNA damage in lymphocyte and urine, while most studies failed to find inhibitory effects on LDL oxidation. The discrepancies among studies might be ascribed to producing area, processing methods of onion, dosage, subject characteristics, study duration, and measurement methods. In this review, we focused on the preventive effect of cardiovascular disease through onion consumption in human intervention studies.

본 총설에서는 동물실험에 이어 인체중재연구에서 양파의 유효성을 검증하고 단편적인 효능 검색 외에 활성물질의 분리, 동정 및 작용기작에 대한 구명연구를 위해 양파의 심혈관계 질환 및 항산화 효과에 대한 기존 중재연구를 종합하여 제시하고자 하였다. 양파의 심혈관계 질환 개선 효과는 대부분의 인체중재연구에서 혈중 콜레스테롤과 중성지방 저하 또는 혈소판 응집 저해 및 혈전 용해 활성 촉진 작용을 통해 입증되었다. 특히 이러한 유효성은 이미 혈중 지질 농도가 높아 혈액 유동성이 낮아진 대상자에게 약 300 g의 양파를 최소 12주 이상 제공할 때 효과적인 것으로 사료된다. 또한 공급되는 양파의 산지, 시료 제조 방법, 공급되는 시료양 및 기간과 중재 기간 동안 개인의 식사 조정과 같은 다양한 실험 조건의 차이가 결과에 영향을 준 것으로 사료되므로 이에 대한 엄격한 기준 및 관리가 필요할 것으로 보인다. 한편 양파는 LDL 산화 억제에는 직접적으로 작용하지 못하는 것으로 보이며 이는 쿼세틴이 단백질과 친화성이 높은 특성에서 기인된 것으로 사료된다. 그러나 양파의 항산화 효과를 전적으로 부인하기보다는 항산화 효과를 반영할 수 있는 보다 효과적인 분석 지표 선정 혹은 항산화 관련 유전자의 발현을 확인하는 등 새로운 분석 기술의 적용이 고려되어야 할 것으로 사료된다.

Keywords

References

  1. Block E. 1986. Antithrombotic organosulfur compounds from garlic. J Am Soc 108: 1045-1049.
  2. Ministry of Health and Welfare. 2006. The third Korea national health & nutrition examination survey.
  3. Korea National Statistical Office. 2009. Production of the barley, garlic, and onion in 2009.
  4. Food and Agriculture Organization of the United Nations. 2007. World onion production in 2007. Available at http://faostat.fao.org. Assessed May 18, 2010.
  5. Ra KS, Suh HJ, Chung SH, Son JY. 1997. Antioxidant activity of solvent extract from onion skin. Korea J Food Sci Technol 26: 595-600.
  6. Griffiths G, Trueman L, Crowther T, Thomas B, Smith B. 2002. Onions-a global benefit to health. Phytother Res 16: 603-615. https://doi.org/10.1002/ptr.1222
  7. Block E, Naganatha S, Putnam D, Zhao S. 1992. Allium chemistry HPLC ananlysis of thiosulfinates from onion garlic, wild garlic, leek, scallion, shallot, elephant garlic, chive and Chinese chive. J Agric Food Chem 40: 2418-2430. https://doi.org/10.1021/jf00024a017
  8. Korean National Statistic Office. 1999. Cause of death statistics in 2008. Available at http://www.nso.go.kr. Assessed May 20, 2010.
  9. Korea Institute for Health and Social Affairs. 2003. Analysis of major disease and health behavior in Koreans.
  10. Chen JH, Chen HI, Wang JS, Tsai SJ, Jen CJ. 2000. Effects of Welsh onion extracts on human platelet function in vitro. Life Sci 66: 1571-1579. https://doi.org/10.1016/S0024-3205(00)00477-X
  11. Srivas KC. 1984. Effects of aqueous extracts of onion, garlic and ginger on platelet aggregation and metabolism of arachidonic acid in the blood vascular system: in vitro study. Prostaglandins Leukot Med 13: 227-235. https://doi.org/10.1016/0262-1746(84)90014-3
  12. Srivastava KC. 1986. Onion exerts antiaggregatory effects by altering arachidonic acid metabolism in platelets. Prostaglandins Leukot Med 24: 43-50. https://doi.org/10.1016/0262-1746(86)90205-2
  13. Osmont KS, Arnt CR, Goldman IL. 2003. Temporal aspects of onion-induced antiplatelet activity. Plant Foods Hum Nutr 58: 27-40. https://doi.org/10.1023/A:1024062330700
  14. Ali M, Bordia T, Mustafa T. 1999. Effect of raw versus boiled aqueous extract of garlic and onion on platelet aggregation. Prostaglandins Leukot Essent Fatty Acids 60: 43-47. https://doi.org/10.1054/plef.1998.0006
  15. Makheja AN, Vanderhoek JY, Bailey JM. 1979. Effects of onion (Allium cepa) extract on platelet aggregation and thromboxane synthesis. Prostaglandins Med 2: 413-424. https://doi.org/10.1016/0161-4630(79)90125-3
  16. Yamada K, Naemura A, Sawashita N, Noguchi Y, Yamamoto J. 2004. An onion variety has natural antithrombotic effect as assessed by thrombosis/thrombolysis models in rodents. Thromb Res 114: 213-220. https://doi.org/10.1016/j.thromres.2004.06.007
  17. Briggs WH, Folts JD, Osman HE, Goldman IL. 2001. Administration of raw onion inhibits platelet-mediated thrombosis in dogs. J Nutr 131: 2619-2622. https://doi.org/10.1093/jn/131.10.2619
  18. Jung YS, Kim MH, Lee SH, Baik EJ, Park SW, Moon CH. 2002. Antithrombotic effect of onion in streptozotocin-induced diabetic rat. Prostaglandins Leukot Essent Fatty Acids 66: 453-458. https://doi.org/10.1054/plef.2002.0373
  19. Sheo HJ, Jung DL. 1997. The effects of onion juice on serum lipid levels in rats. J Korean Soc Food Sci Nutr 26: 1164-1172.
  20. Kim SO, Lee MY. 2001. Effect of ethylacetate fraction of onion on lipid metabolism in high cholesterol-fed rats. J Korean Soc Food Sci Nutr 30: 673-678.
  21. Kang JA, Kang JS. 1997. Effect of garlic and onion on plasma and liver cholesterol and triacylglycerol and platelet aggregation in rat fed basal or cholesterol supplemented diets. Korean J Nutr 30: 132-138.
  22. An SJ, Kim MK. 2001. Effect of dry powders, ethanol extracts and juices of radish and onion on lipid metabolism and antioxidative capacity in rats. Korean J Nutr 34: 513-524.
  23. Woo HS, Aan BJ, Bae JH, Kim S, Choi HJ, Han HS, Choi C. 2003. Effect of biologically active fractions from onion on physiological activity and lipid metabolism. J Korean Soc Food Sci Nutr 32: 119-123. https://doi.org/10.3746/jkfn.2003.32.1.119
  24. Kong JW, Kim IN, Kwon OS, Lee SH, Rhee HW, Kim ES. 2001. Effect of dietary onion supplementation on growth performance and cholesterol level of blood in finishing pigs. J Korean Soc Food Sci Nutr 30: 368-371.
  25. Biggs WH, Folts JD, Osman HE, Goldman IL. 2001. Administration of raw onion inhibits platelet-mediated thrombosis in dogs. J Nutr 131: 2619-222. https://doi.org/10.1093/jn/131.10.2619
  26. Hertog MGL. 1995. Flavonoid intake and long term risk of coronary heart disease in the 7 countries study. Arch Int Med 155: 1184-1195. https://doi.org/10.1001/archinte.1995.00430110096010
  27. Noroozi M, Angerson WJ, Lean ME. 1998. Effects of flavonoids and vitamin C on oxidative DNA damage to human lymphocytes. Am J Clin Nutr 67: 1210-1218. https://doi.org/10.1093/ajcn/67.6.1210
  28. Hollman PCH, Arts ICW. 2000. Flavonols, flavones and flavanols- nature, occurrence and dietary burden. J Sci Food Agric 80: 1081-1093. https://doi.org/10.1002/(SICI)1097-0010(20000515)80:7<1081::AID-JSFA566>3.0.CO;2-G
  29. Azuma K, Ippoushi K, Ito H, Horie H, Terao J. 2003. Enhancing effect of lipids and emulsifiers on the accumulation of quercetin metabolites in blood plasma after the short-term ingestion of onion by rats. Biosci Biotechnol Biochem 67: 2548-2555. https://doi.org/10.1271/bbb.67.2548
  30. Bloek E. 1992. The organosulfur chemistry of the genus allium/implications for the organic chemistry of sulfur. Angew Chem Int Ed Engl 31: 293-300. https://doi.org/10.1002/anie.199202931
  31. Song HP, Shim SL, Jung IS, Kim DH, Kim KS. 2009. Analysis of volatile organosulfur compounds in Korean allium species. Korean J Food Preserv 16: 929-937.
  32. Boelens M, De Valois PJ, Wobben HJ, Van der Gen A. 1971. Volatile flavor compounds from onion. J Agric Food Chem 19: 984-991. https://doi.org/10.1021/jf60177a031
  33. Sumiyoshi H, Wargevich MJ. 1990. Chemoprevention of 1,2-dimethylhydrazine-induced colon cancer in mice by naturally occurring organosulfur compounds. Cancer Res 50: 5048-5087.
  34. Sparnins VL, Barany G, Wattenberg LW. 1998. Effects of organosulfur compounds from garlic and onions on benzopyrene-induced neoplasia and glutathione S-transferase activity in the mouse. Carcinogenesis 9: 131-134. https://doi.org/10.1093/carcin/9.1.131
  35. Rodomski MW, Palmer RMJ, Moncada S. 1987. Characterization of the L-arginine: nitric oxide pathway in human platelets. Br J Phamacol 101: 325-328.
  36. Lefevre M, Kris-Etherton PM, Zhao G, Tracy RP. 2004. Dietary fatty acids, hemostasis, and cardiovascular disease risk. J Am Diet Assoc 104: 410-419. https://doi.org/10.1016/j.jada.2003.12.022
  37. Blockmans D, Deckmyn H, Vermylen J. 1995. Platelet activation. Blood Rev 9: 143-156. https://doi.org/10.1016/0268-960X(95)90020-9
  38. Smith JB, Dangelmaier C, Sdlak MA, Ashby B, Daniel J. 1992. Cyclic AMP does not inhibit collagen induced platelet signal transduction. Biochem J 283: 889-892. https://doi.org/10.1042/bj2830889
  39. Siess W. 1989. Molecular mechanisms of platelet activation. Physiol Rev 69: 58-178. https://doi.org/10.1152/physrev.1989.69.1.58
  40. Kim SB. 2000. Development of thrombo Q for improvement of hyperlipidemia and thrombosis. Food Industry and Nutrition 5: 57-60.
  41. Chung KH. 1996. Novel antithrombotic drugs in development. Korean J Hemost Thromb 3: 1-12.
  42. Miwa K, Kambara H, Kawai C. 1983. Effect of aspirin in large doses on attacks of variant angina. J Am Heart 105: 262-273. https://doi.org/10.1016/0002-8703(83)90525-2
  43. Yang JL, Suh MJ, Song YS. 1996. Effects of dietary fiber on cholesterol metabolism in cholesterol-fed-rats. J Korean Soc Food Nutr 25: 392-398.
  44. Carron NM, Calixto FS, Goni I. 2000. Reduction in serum total LDL-cholesterol concentration by a dietary fiber and polyphenol-rich grape product in hypercholesterolemic rats. Nutr Res 9: 1183-1188.
  45. Han SY, Anno T, Yanagita T. 2002. S-propyl cystein reduces the secretion of apolipoprotein B100 and triglycerol by HepG2 cell. Nutrition 18: 505-509. https://doi.org/10.1016/S0899-9007(02)00749-9
  46. Glasser G, Graefe EU, Struck F, Veit Glasser G, Graefe EU, Struck F, Veit M, Gebhardt R. 2002. Comparison of antioxidative capacities and inhibitory effects on cholesterol biosynthesis of quercetin and potential metabolites. Phytomedicine 9: 33-40. https://doi.org/10.1078/0944-7113-00080
  47. Lee KH, Park EJ, Cho SR. 2008. Study on dietary habit and effect of onion powder supplementation on serum lipid levels in early diagnosed hyperlipidemic patients. J Korean Soc Food Sci Nutr 37: 561-570. https://doi.org/10.3746/jkfn.2008.37.5.561
  48. Bordia A, Bansai HC, Arora SK, Singh SV. 1975. Effect of the essential oils of garlic and onion on alimentary hyperlipemia. Atherosclerosis 21: 15-19. https://doi.org/10.1016/0021-9150(75)90091-X
  49. Hwang KH, Jung LH, Cho NC, Yoo YK, Park PS. 2003. The effect of concentrated onion juice in a body composition, serum electrolytes and lipids levels on hyperlipidemia. Korean J Food & Nutr 16: 36-45.
  50. Nam KH, Baik HW, Choi TY, Yoon SG, Park SW, Joung H. 2007. Effects of ethanol extract of onion on the lipid profiles in patients with hypercholesterolemia. J Nutr 40: 242-248.
  51. Srivastava KC. 1986. Onion exerts antiaggregatory effects by altering arachidonic acid metabolism in platelets. Prostaglandins Leukot Med 24: 43-50. https://doi.org/10.1016/0262-1746(86)90205-2
  52. Kalus U, Pindur G, Jung F, Mayer B, Radtke H, Bachmann K, Mrowietz C, Koscielny J, Kiesewetter H. 2000. Influence of the onion as an essential ingredient of the mediterranean diet on arterial blood pressure and blood fluidity. Arzneimittelforschung 50: 795-801.
  53. Mayer B, Kalus U, Grigoro A, Pindur G, Jung F, Radtke H, Bachmann K, Mrowietz C, Koscielny J, Wenzel E. 2001. Effects of an onion-olive oil maceration product containing essential ingredients of the mediterranean diet on blood pressure and blood fluidity. Arzneimittelforschung 51: 104-111.
  54. Janssen K, Mensink RP, Cox FJ, Harryvan JL, Hovenier R, Hollman PC, Katan MB. 1998. Effects of the flavonoids quercetin and apigenin on hemostasis in healthy volunteers: results from an in vitro and a dietary supplement study. Am J Clin Nutr 67: 255-262. https://doi.org/10.1093/ajcn/67.2.255
  55. Srivastava KC. 1989. Effect of onion and ginger consumption on platelet thromboxane production in humans. Prostaglandins Leukot Essent Fatty Acids 35: 183-185. https://doi.org/10.1016/0952-3278(89)90122-1
  56. An BJ, Lee JT. 2001. Screening of biological activity for phenolic fraction from onion. Korean J Postharvest Sci Technol 8: 224-230.
  57. Kim YM. 2006. DNA base damage induced by free radicals, the first step in a carcinogenesis. Medical Observer 345: 49.
  58. Leopold JA, Loscalzo J. 2009. Oxidative risk for atherothrombotic cardiovascular disease. Free Radic Biol Med 47: 1673-1706. https://doi.org/10.1016/j.freeradbiomed.2009.09.009
  59. McAnlis GT, McEneny J, Pearce J, Young IS. 1999. Absorption and antioxidant effects of quercetin from onions in man. Eur J Clin Nutr 53: 92-96. https://doi.org/10.1038/sj.ejcn.1600682
  60. Murota K, Hotta A, Ido H, Kawai Y, Moon JH, Sekido K, Hayashi H, Inakuma T, Terao J. 2007. Antioxidant capacity of albumin-bound quercetin metabolites after onion consumption in humans. J Med Invest 54: 370-374. https://doi.org/10.2152/jmi.54.370
  61. Beatty ER, O'Reilly JD, England TG, McAnils GT, Young IS, Geissler CA, Sanders TA, Wiseman H. 2000. Effect of dietary quercetine on oxidative DNA damage in healthy human subjects. Br J Nutr 84: 919-925.
  62. Moon JH, Nakata R, Oshima S, Inakuma T, Terao J. 2000. Accumulation of quercetin conjugates in blood plasma after the short-term ingestion of onion by women. Am J Physiol regul Integr Comp Physiol 279: 461-467. https://doi.org/10.1152/ajpregu.2000.279.2.R461
  63. Boyle SP, Dobson VL, Duthic SJ, Kyle JAM, Collins AR. 2000. Absorption and DNA protective effects of flavonoid glycosides from an onion meal. Eur J Nutr 39: 213-223. https://doi.org/10.1007/s003940070014
  64. Lean MEM, Noroozi M, Kelly I, Burns J, Talwar D, Sattar N, Crozier A. 1999. Dietary flavonols protect diabetic human lymphocytes against oxidative damage to DNA. Diabetes 48: 176-181. https://doi.org/10.2337/diabetes.48.1.176
  65. Kim JM, Jeon GI, Lee KH, Park E. 2008. Onion consumption increases leukocytic DNA resistance to oxidative stress in healthy female students. J Clin Biochem Nutr 43: 1-4.
  66. Rice-Evans CA, Miller NJ, Paganga G. 1996. Structure-antioxidant activity relationships of flavonoids and phenolic acids. Free Radic Biol Med 20: 933-956. https://doi.org/10.1016/0891-5849(95)02227-9

Cited by

  1. Quality Characteristics of Seasoned Pork with Water Extracts of Allium hookeri Root during Storage vol.44, pp.2, 2015, https://doi.org/10.3746/jkfn.2015.44.2.242
  2. High-cholesterol diet enriched with onion affects endothelium-dependent relaxation and NADPH oxidase activity in mesenteric microvessels from Wistar rats vol.11, pp.1, 2014, https://doi.org/10.1186/1743-7075-11-57
  3. 쿼세틴 복합체의 생물학적 이용성 향상을 위한 양파 추출물의 유산균 발효 vol.50, pp.4, 2010, https://doi.org/10.9721/kjfst.2018.50.4.391