For
many years, eat a colorful diet has been the advice of physicians
and nutritionists, yet a pandemic of poor diets linked to rising rates of obesity,
diabetes, cancer, and chronic inflammatory, pain and cardiovascular diseases has
swept across the world.
Recognizing
the urgent need to redirect consumer attention toward healthier eating habits
and lifestyles, various scientific and consumer organizations have released advisories
for eating higher amounts of whole natural foods, including color-rich plants
like berries. Colorful plants not only contain good levels of essential nutrients
like vitamin C and fiber, but also harbor among the richest amounts of phenolic
pigments in Nature.
During
June 11-12, 2007 at Oregon State University in Corvallis, Oregon, 27 international
scientists gave presentations on recent research discoveries about berry pigments
and their potential health benefits at the 2nd International Symposium on Berry
Health Benefits. The first symposium was held in 2005, also in Corvallis.
Each of the
presenters discussed new discoveries about berry nutrients, particularly anthocyanins,
a large class of pigments among plants. Anthocyanins make up the bright blue,
violet, red and purple colors of berries, other fruits, vegetables and flowers,
bearing names derived from their flower origins: petunidin, peonidin, rosinidin,
and cyanidin are a few among some 400 hundred anthocyanin pigments in the plant
world. Blueberries, blackberries, black and red raspberries, black and red currants,
red grapes and red wines contain dozens of different anthocyanins per fruit. Because
of this, berries are considered an elite category of fruit.
Color
Your Diet. The
meeting was highlighted by the keynote address of David Heber, MD, PhD, University
of California-Los Angeles Center for Human Nutrition, author of the popular 2001
book, What Color Is Your Diet? (3). Although 6 years old, the message from Heber's
book is ever more important today: a colorful diet of plant foods is needed to
fortify yourself with nutrients and antioxidants, rather than the brown-white
diet of burgers, potatoes and bleached processed foods so commonly preferred in
many countries.
Anthocyanin
Antioxidants. In the plant itself, pigments are a defensive shield against
the ultraviolet radiation of sunlight, bacteria, viruses, fungi and oxidative
reactions. They are the valued antioxidant plant chemicals, providing the plant
a way of protecting its seeds against oxidative radicals produced during photosynthesis
and exposure to sun and pests. The colors have a more visible role of also attracting
pollinators for reproductive purposes, drawing predators to eat the fruit and
disperse seeds for germination elsewhere.
For
human consumers, however, the colors offer a simple guide to shopping for healthful
foods and meal preparation. Berry scientists are helping to educate the public
about these offered benefits.
As
recently as 2005, international scientific groups met to discuss the potential
health properties of berry flavonoids the parent class for anthocyanins
-- at a conference (2) attended by G. Mazza, of Agriculture and AgriFood Canada
(AAFC). In Oregon, Dr. Mazza presented a summary of research work showing the
broad positive health effects demonstrated for anthocyanins in various organ systems,
particularly the heart and blood vessels.
Laboratory
Research Shows That Anthocyanins
reduce the coagulation of blood platelets, inhibiting formation of blood clots
involved in stroke, pulmonary embolism, peripheral vascular disease and heart
attack
promote
higher levels of good cholesterol, HDL
inhibit
oxidation of bad cholesterol, LDL
neutralize
oxygen radicals
down-regulate
enzymes leading to inflammatory reactions that cause pain and stimulate other
diseases
Breeding
Better Berries. Work from Ancona, Italy by M. Battino and colleagues
highlighted progress toward identifying anthocyanins from strawberries, measuring
their antioxidant strength, then breeding strawberry cultivars to bear richer
concentrations of the best antioxidant anthocyanins. Such research is an important
tool for providing horticultural scientists with the right hybrids for new breeding
material and, in the future, the public with favored berry fruit having optimized
levels of anthocyanins (11).
Developing
these capabilities further, the US Department of Agriculture group in Corvallis
and Parma, ID (M. Dossett, C. Finn, J. Lee) presented work showing that black
raspberries, an anthocyanin-enriched berry fruit (so intense with anthocyanins
that the USDA used its juice for decades as an indelible, safe meat stamp), could
be bred for higher anthocyanin profiles, especially in progenies from wild strains
that had exceptional anthocyanin contents.
Also
shown at the meeting by A. Pen(ia-Neira and colleagues (Santiago, Chile) was new
research about strawberry leaves as excellent sources of anthocyanins, indicating
potential for broader use of berry plant components for diets and nutraceuticals.
Distribution
in the Body and Bioavailability.
Anthocyanin-rich plant foods contain up to several hundred mg of active chemicals
per each 100 g serving, but most of that intake is degraded in the digestive tract
within hours of a meal (10). Compounding the problem of measuring anthocyanins
in vivo is that these chemicals are stable in an acidic environment (pH 3.5),
but destabilize, degrade or bind together (called polymerization) as pH rises
in the blood (pH 7.4).
To
what degree effective anthocyanins remain and in what specific organs were research
topics discussed at the conference, with seven speakers providing the following
highlights:
1. W. Kalt et al. (AAFC-Nova Scotia) showed that daily feeding of blueberries
to pigs over an 8 week period delivered anthocyanins to all organs examined, with
the interesting discovery that some anthocyanins, e.g. malvidin, were deposited
in tissues proportionately more than their content in the fruit; this result may
indicate active uptake and tissue binding of malvidin and certain other anthocyanins
2. R. Koli and colleagues (Finland) tested uptake from a bilberry-rich diet
in patients with cardiovascular disease, showing that indicators specifically
in the heart and coronary vascular functions were improved from the berry diet
3. M.A. Lila (University of Illinois) presented evidence that blueberry extracts
fed to mice resulted in higher levels of the energy molecule, ATP, specifically
in glial cells in vitro, indicating selectivity of uptake by an energy-demanding
cell line
4. in studies of anthocyanin-rich fruits, such as blackcurrants,
T. McGhie (New Zealand) showed that retention and bioavailability of ingested
berry phenolics was only 1-4% of the total hours after ingestion and that plasma
antioxidant capacity did not increase, results that reveal difficulties in interpreting
the fate and function of anthocyanins in vivo
5. the McGhie study differed,
however, from research by R. Prior et al. (USDA-ARS Arkansas) who showed recently
that consumption of blueberries or red grapes increased plasma anthocyanin content
and antioxidant capacity of human subjects (10)
6. despite the above
evidence for significant body elimination of consumed anthocyanins from antioxidant-rich
foods like berries, A. Crozier (University of Glasgow, Scotland) gave evidence
from hamster studies that lipid deposition in major arteries like the aorta could
be substantially prevented by berry anthocyanins, a finding pertinent and timely,
according to Crozier, for enjoying the famous Wimbledon treat of strawberries
in double cream!
7. several discussions addressed the possibility of
an anthocyanin-specific receptor in certain organs or even at the level of blood
vessels, an hypothesis tested by Matsumoto et al. (Japan) who showed that the
blackcurrant anthocyanin, delphinidin-3-glucoside, may stimulate endothelin receptors
in the eye ciliary muscles. This effect could release the endothelium-dependent
relaxing factor, nitric oxide, which, if proved as a mechanism, would be an exciting
result certain to stimulate new research on anthocyanin binding, receptor identification
for the large number of commonly consumed anthocyanims, their uptake mechanisms
and organ distribution.
Processing
Effects on Anthocyanins (or What Happens To Anthocyanins When Juice Is Manufactured? Important to expanding applications for berries in the food and beverage
industries, preservation of anthocyanins was a research area summarized by L.
Howard and colleagues (University of Arkansas, USDA-ARS). Freezing of berries
followed by frozen storage preserves anthocyanins most effectively, whereas major
anthocyanin losses occur from heat processing needed to make juices or pasteurization
of purees and canned products.
During
heating, anthocyanins bind together, making polymers that actually enhance the
richness of colors but lower individual anthocyanin contents, even though total
antioxidant strength is maintained. Howard showed that the presscake (residual
pomace after juicing), often discussed as a valuable but undeveloped biomaterial
for functional foods and nutraceuticals, retained appreciable anthocyanin levels.
Cancer. In just the past two years, the pace of science showing human health benefits
has accelerated in a way no more evident than the prodigious research output by
the cancer research team at Ohio State University led by G.D. Stoner and L.A.
Kresty. Dietary freeze-dried black raspberries were shown to inhibit chemically
induced cancer of the rat esophagus by 30-60% and of the colon by up to 80%. Effective
at both the initiation and promotion/progression stages of tumor development,
black raspberries are a practical research tool and a promising therapeutic source,
as they contain the richest contents of anthocyanins among native North American
berries (15).
Stoner's
work on laboratory cancer models has shown that black raspberry anthocyanins inhibit
promotion and progression of tumor cells by
1)
stalling the growth of pre-malignant cells
2)
accelerating the rate of cell turnover, called apoptosis, effectively making the
cancer cells die faster
3)
reducing inflammatory mediators that may have a role in tumor onset
4)
inhibiting the growth of new blood vessels that nourish tumors, a process called
angiogenesis
5)
minimizing cancer-induced DNA damage.
On
a molecular level, berry anthocyanins turn off genes involved with proliferation,
apoptosis, inflammation and angiogenesis. Stoner's group has taken the black raspberry
to the next pivotal level of research the human clinical trial for
which they have several approved studies underway to examine chemopreventive effects
of black raspberries and cranberries on tumors in the esophagus (throat), prostate
and colon (13).
Similar
anti-cancer studies of anthocyanins from blackberry, black raspberry, blueberry,
cranberry, red raspberry and strawberry at UCLA are under the direction of N.
Seeram and D. Heber. The UCLA group has shown an enhanced, synergistic anti-cancer
activity of berry anthocyanins with other berry antioxidants called proanthocyanidins
and flavonols (12).
Aging
and Neurological Diseases. Following last year's publication of the Kame
Project showing that regular dark fruit juice consumption could lower risk against
Alzheimer's disease (1), attention toward the potential anti-aging roles of berry
phenolics including anthocyanins has also increased, a message highlighted at
this meeting through the decades-long efforts of J.A. Joseph and colleagues (Tufts
University; USDA-ARS). Dr. Joseph presented evidence that long-term blueberry
or strawberry consumption improved motor control, memory and learning of new tasks
in mice and aged rats. Preliminary results indicate the beneficial effects of
anthocyanins are due not only to antioxidant protection against stress, but also
to neurogenesis, enhanced neuronal signaling capabilities and improved communication
among neurons (5).
Inflammation. Dr. Joseph's other studies on inflammatory mediators in glial cells of the
rat brain showed that blueberry extracts could attenuate brain inflammation (6)
by inhibiting production of nitric oxide as well as the cytokines, interleukin-1beta
and tumor necrosis factor-alpha. Also, messenger RNA levels and activity of the
inflammatory enzyme, cyclooxygenase-2 (COX-2), were reduced by blueberries.
These same
mechanisms may be at work to inhibit onset of atherosclerosis which involves oxidation
of LDL, as discussed by J.D. Reed (University of Wisconsin). Using Concord grapes
and cranberries, Dr. Reed demonstrated that berry anthocyanins and their cousin
chemicals, proanthocyanidins attenuate, 1) platelet aggregation, 2) high arterial
blood pressure, 3) total serum cholesterol levels and 4) development of vascular
atheroma in laboratory animals. Inhibiting COX-2 and LDL oxidation was an important
mechanism for prevention of foam cells that stimulate vascular plaques to form.
Diabetes. One of the conference's most provocative reports was by T. Tsuba (Chubu University,
Japan) who showed that anthocyanins
1)
inhibit enlargement of individual fat cells called adipocytes
2)
suppress insulin resistance causing the rise in blood glucose (hyperglycemia)
and insulin levels following a meal (curtailing appetite)
3)
stimulate expression of cytokines related to adipocytes and
4)
deter development of obesity in mice.
The
effects were mediated via anthocyanin upregulation of genes for fat metabolism
(14), providing preliminary evidence that dietary anthocyanins stimulate mechanisms
countering weight gain and obesity. Specifically, a dietary anthocyanin called
cyanidin-3-glucoside inhibited post-meal hyperglycemia and insulin-sensitivity
in diabetic mice, providing a foundation for the possible use of anthocyanin-rich
foods in treating diabetes and obesity.
Infections.
The clearest clinical evidence for a health benefit of berries has come from numerous
previous studies showing antibacterial and anti-adhesion properties of cranberry
juice (4). Work by R. Puupponen-Pimiä (Finland) showed that adherence of
bacteria to epithelial surfaces (example, female urinary tract and bladder) is
a prerequisite for colonization and infection by many pathogens. Berry phenolics
including anthocyanins have activity against salmonella and staphylococcus, Helicobacter
pylori and Bacillus cereus, Campylobacter jejuni and Candida albicans (9) which
collectively are pathogens causing common female infections. Cloudberry, a nordic
Rubus species, strawberry and red raspberry provided the strongest anti-bacterial
effects.
Potential
mechanisms for such antimicrobial effects by berry pigments include
inhibition of
bacterial proliferation
destabilization
(disintegration) of cytoplasmic membranes on bacterial cells
increased
permeability of the bacterial cell plasma membrane, possibly causing loss of cell
volume control leading to its destruction
inhibition
of extracellular enzymes involved in promoting bacterial infections
direct
actions on microbial metabolism and deprivation of substrates required for microbial
growth
anti-adherence
of bacteria to epithelial cell walls, inhibiting colonization and infection of
many pathogens.
This
Finnish group has initiated a human clinical trial examining the ability of berries
to inhibit pathogens in patients with intestinal and urinary tract infections.
Public Advisory
The
industrialized world's preference for a colorless diet of meat, potatoes and highly
processed foods means that many consumers miss a variety of dietary sources that
could contribute to health and fitness. "Today's dietary problems are an
accident of nature," explained keynote speaker, Dr. D. Heber. "Our ancestors
evolved on a diverse plant-based diet of dozens of plant food sources, but the
typical American diet has changed tremendously just over the past 100 years. Plant
food preferences in the United States now are limited to just a few, such as potatoes,
apples and wheat. On one hand, we're eating more unhealthy foods in larger amounts
just because it's the cheapest and easiest way to eat. Today, there's a much wider
variety of nutrient-rich berries, fruits and vegetables available to us. When
you consider the impact on lifestyle and high cost of treating illnesses that
could be avoided by eating more colorful and nutritious foods, the public needs
to make changes for healthier living. "
What
the Public Can Do According to Heber, to change diets from empty off-white
to well-colored, consumers can begin with some simple substitutions:
yellow corn instead
of white
sweet
potatoes (or the purple potatoes now available in some supermarkets) instead of
russetts
pink
grapefruit instead of white
romaine
lettuce instead of iceberg
cabernet
wine instead of chardonnay
Guinness
instead of Bud!
eat
whole foods that have had the least amount of processing, e.g., whole grains instead
of breads, cereals and snack foods made from refined white flours
brown
rice instead of white
baked
potatoes with the skin intact instead of fries
real
fruit instead of Skittles!
in
short, try to eat berries and other colorful whole foods each day!
Heber
said: It doesn't really matter if you get something from every color group
each day; just eat as wide a variety of colored foods as possible and try to get
the recommended 5-9 daily servings of colorful produce. Berries are an easy way
of getting these pigments. Of course, the more fruit and vegetables you eat, the
more of these crucial compounds like pigment anthocyanins you'll absorb.
While
there's no way to know the phytonutrient content of a given piece of produce,
choose items like berries that have the deepest color and seem both fresh and
ripe (or flash-frozen, which can be equally nutritious) to assure your pigment
intake.
"If
you know nothing else, you can put together a good diet with color alone,"
Heber said. "It isn't a magic bullet, but if you want to maximize nutrients
and antioxidants in your food, this is a good way to start."
References
1. Dai Q, Borenstein AR, Wu Y, Jackson JC, Larson EB. Fruit and vegetable
juices and Alzheimer's disease: the Kame Project. Am J Med. 2006 Sep;119(9):751-9.
2.
Erdman JW Jr, Balentine D, Arab L, Beecher G, Dwyer JT, Folts J, Harnly J, Hollman
P, Keen CL, Mazza G, Messina M, Scalbert A, Vita J, Williamson G, Burrowes J.
Flavonoids and Heart Health: Proceedings of the ILSI North America Flavonoids
Workshop, May 31-June 1, 2005, Washington, DC. J Nutr. 2007 Mar;137(3):718S-37S.
3.
Heber D, What Color Is Your Diet?, ReganBooks/HarperCollins, New York, 2001.
4.
Jepson RG, Craig JC. A systematic review of the evidence for cranberries and
blueberries in UTI prevention. Mol Nutr Food Res. 2007 Jun;51(6):738-45.
5.
Joseph JA, Shukitt-Hale B, Lau FC. Fruit polyphenols and their effects on
neuronal signaling and behavior in senescence. Ann N Y Acad Sci. 2007 Apr;1100:470-85.
6. Lau FC, Bielinski DF, Joseph JA. Inhibitory effects of blueberry extract
on the production of inflammatory mediators in lipopolysaccharide-activated BV2
microglia. J Neurosci Res. 2007 Apr;85(5):1010-7.
7.
Moyer RA, Hummer KE, Finn CE, Frei B, Wrolstad RE. Anthocyanins, phenolics,
and antioxidant capacity in diverse small fruits: vaccinium, rubus, and ribes.
J Agric Food Chem. 2002 Jan 30;50(3):519-25.
8.
Mullen W, Marks SC, Crozier A. Evaluation of phenolic compounds in commercial
fruit juices and fruit drinks. J Agric Food Chem. 2007 Apr 18;55(8):3148-57.
9.
Nohynek LJ, Alakomi HL, Kahkonen MP, Heinonen M, Helander IM, Oksman-Caldentey
KM, Puupponen-Pimia RH. Berry phenolics: antimicrobial properties and mechanisms
of action against severe human pathogens. Nutr Cancer. 2006;54(1):18-32.
10.
Prior RL, Gu L, Wu X, Jacob RA, Sotoudeh G, Kader AA, Cook RA. Plasma antioxidant
capacity changes following a meal as a measure of the ability of a food to alter
in vivo antioxidant status. J Am Coll Nutr. 2007 Apr;26(2):170-81.
11.
Scalzo J, Battino M, Costantini E, Mezzetti B. Breeding and biotechnology
for improving berry nutritional quality. Biofactors. 2005;23(4):213-20.
12.
Seeram NP, Adams LS, Zhang Y, Lee R, Sand D, Scheuller HS, Heber D. Blackberry,
black raspberry, blueberry, cranberry, red raspberry, and strawberry extracts
inhibit growth and stimulate apoptosis of human cancer cells in vitro. J Agric
Food Chem. 2006 Dec 13;54(25):9329-39.
13.
Stoner GD, Wang LS, Zikri N, Chen T, Hecht SS, Huang C, Sardo C, Lechner JF.
Cancer prevention with freeze-dried berries and berry components. Semin Cancer
Biol. 2007 May 10. Epub.
14.
Tsuda T, Ueno Y, Yoshikawa T, Kojo H, Osawa T. Microarray profiling of gene
expression in human adipocytes in response to anthocyanins. Biochem Pharmacol.
2006 Apr 14;71(8):1184-97.
15.
Wada L, Ou B. Antioxidant activity and phenolic content of Oregon caneberries.
J Agric Food Chem. 2002 Jun 5;50(12):3495-500.
About
the Author Paul M. Gross, PhD, received his doctorate in physiology
from the University of Glasgow, Scotland and was a post-doctoral fellow in neuroscience
at the Laboratory of Cerebral Metabolism,
National Institutes of Health, Bethesda, MD. A Research Scholar for the Heart
and Stroke Foundations of Ontario and Canada, he published 85 peer-reviewed journal
reports and book chapters over his 25 year career in medical science, and was
recipient of the Karger Memorial Award, Switzerland, for publications on brain
capillaries. Dr. Gross is senior author of a 2006 book on the goji berry entitled
Wolfberry: Natures Bounty of Nutrition and Health (Booksurge Publishing,
Amazon.com) and publisher of The Berry Doctor's Journal at http://berrydoctor.com
where readers can obtain free information on berry science and nutrition.
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