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Health Benefits of Quercetin
Health Benefits of Quercetin
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review paper
Abstract
Flavonoids are natural antioxidants derived from plant pigments and commonly found in agricultural produce
such as fruits, vegetables, and also in beverages like tea and wine. Quercetin is the most important flavonoid
which belongs to the class of flavonol. Quercetin is a vital biologically active compound, which is present in many
products, such as onion (Allium cepa), black tea (Camellia sinensis), Broccoli (Brassica oleracea var. italic), and
also in red wine and green tea, It is widely used in medicine and pharmaceutics. In particular, it is used for cancer
treatment; as it restrains the growth of cancer cells. Earlier some of computational investigations of this molecule
were reported in literature, but they were made at low theory level. Quercetin provided many health promoting
benefits, like cardiovascular properties, cancer reducing agent, Anti-inflammatory, asthma and many more. That is
why the further investigation of this molecule is important. The main important of this review is to understanding of
the structure of quercetin and corresponding biological properties of quercetin expressed in vitro studies, absorption
is critical, but in vivo studies, better absorbed antioxidant were observed like vitamin C, further reported studies on
effect of food processing, health benefits, storage effects, and evaluate its safety and dosage.
Keywords: Quercetin; Flavonoids; Health benefits; Food processing; Safety
Received : 16 February 2017, Revised : 13 March 2017 2.2 Chemical and Physical Properties of Quercetin
Accepted : 21 April 2017, Online published : 12 May 2017 Quercetin with its high molecular weight (302.24),
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Kumar, et al.: Def. Life SCI. J., Vol. 2, No. 2, April 2017, DOI : 10.14429/dlsj.2.11359
melting point (316.5 °C) and poor water-solubility makes Figure 3. Proposed pathways of quercetin absorption (Source: Wu
it a big challenge for being available for biologically. The et al, 2002) extraction and analysis of quercetin.
presence of five hydroxyl groups in the quercetin molecule
makes it lipophilic nature. The Table 1 represents the physical 4-OH-3-methoxy-phenylacetic acid; thereby finally quercetin
properties of quercetin. Quercetin derivatives can be lipophilic formed is absorbed from the small intestine to colon6.
or hydrophilic in nature based on the type of substituents in From various studies it was found that 0.07 per cent
the molecule. In general, O-methyl, C-methyl and prenyl to 17.4 per cent of the amount of quercetin consumed was
derivatives of quercetin are lipophilic in character. They are excreted as quercetin or its conjugates. But the quercetin in
synthesised by the glands present on the surface of leaves, form glycosides was reported to absorb in the rat stomach.
flowers and fruits. They can be easily isolated by immersing Walgren7, et al, established from his study with invitro studies
the plant tissue in acetone4. The structural decomposition of of Caco-2 cells, that lack of absorption of the quercetin
quercetin occurs when heated at higher temperatures, wherein glucosides, happens primarily due to the effective efflux by
it emits acrid smoke and irritating fumes5. the multi-drug resistance protein 2 transporters. In succeeding
studies conducted with human subjects, it was observed that
Table 1. Physical properties of quercetin the quercetin glucosides were hydrolysed by bacterial enzymes
in the small intestine.
Boiling point Sublimes
In another study, it was reported that the absorption of
Melting point 316.5 °C
quercetin and quercetin aglycone ranged from 36 per cent to
Solubility Less than 1 mg/mL at 70 °C 53 per cent and 65-81 per cent respectively. It was found that
(a) Very soluble Ether, methanol
absorption of quercetin in ileostomists, as quercetin glucosides,
(b) Soluble Ethanol, acetone pyridine, acetic acid
(c) Water 60 mg/mL at 16 °C
quercetin rutinoside and quercetin aglycone was 52±5%, 17
±15% and 24±9%, respectively8-13.
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kumar, et al.: Def. Life SCI. J., Vol. 2, No. 2, April 2017, DOI : 10.14429/dlsj.2.11359
that quercetin was labile to heat degradation. Table 3. Effects of domestic treatment on quercetin content
Ranilla14, et al, reported that boiling and
soaking of Brazilian beans at 100 °C along with Domestic processes
or without draining, induced a loss percentage Food product Processing condition Impact on flavonoid content
of 1-90 per cent of quercetin. Thermal Sautéing (5 min),
pasteurisation of strawberry juices when Onions Increase of quercetin conjugates
baking (15 min, 176 °C)
performed at 90 °C for 60 s was reported to
Brown skinned Boiling (20 min) A 14.3% loss of quercetin conjugates
have no effect on detrimental effect on quercetin
onions Frying (5 min, 15 min) 23-29% Losses of quercetin conjugates
contents , whereas it was proved to reduce
15
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Kumar, et al.: Def. Life SCI. J., Vol. 2, No. 2, April 2017, DOI : 10.14429/dlsj.2.11359
temperature and lighting, on the degradation of the flavanoids, plasma or isolated low density lipoprotein (LDL) over the 48-h
the effect cannot generalised, as the degree or type of influence period following the consumption of the fried onions. The
varies with the type of product and its nature, and with storage two weeks supplementation of quercetin in healthy subjects
condition. (150 mg/day) was reported to have minimal influence on the
plasma, its antioxidant capacity, oxidised LDL, or alpha- or
5. Effect of Light on Quercetin gamma-tocopherols.
The photodegradation of flavanoid has been investigated
earlier33-35. The photodegradative effect on the flavanoids was 6.2 Neurological Effects
reported to either increase or decrease, based on the state of Quercetin has been proved to be neuroprotective as well
the food (fresh or processed foods). The stress signal caused as neurotoxic. Joseph34, et al. reported to be neuroprotector
by the light exposure enhances the flavanols in fresh foods56 in rat brain when used in combination to fish oil, where it
such as fresh-cut potatoes and onions22,25. In a study on the beneficial effects against neurodegenerative diseases (e.g.
effect of illumination on fresh cut onons, 8 per cent increase Alzheimer’s disease). Choi40, et al. showed inhibitory effects
in the quercetin was reported. The exposure of the blueberries against acetylcholinesterase. Quercetin was reported to have
to UV-C increased the flavonoid content and the antioxidant decreased the 6-hydroxydopamine induced oxidative stress in
activity as well. Wang31, et al. reported an increase in the the neurons of brain striatum of rats56. In another study, it was
phenolic content of the raspberries when exposed light. reported that the quercetin treatment affected the working of
The effect of light, primarily on the photodegradation of the nervous system by depleting the intracellular glutathione
phenols was reported to be dependent on various variables like contents41. On the other hand, whether the prolonged usage
wavelength of light, pH, concentration and its structure, based of antioxidant supplements can be considered safe for human
which positive or negative effects were obtained. health is still a big question.
According to Tommasini36, et al. structural rearrangement
of 3-hydroxyflavone, occurred rapidly when irradiated at 254 6.3 Antiviral Activity
nm than when it was exposed at 350 nm. It was also reported Quercetin has been reported to be effective against viruses
to be highly influenced by the physicochemical properties i.e. it posses antiviral activity against enveloped viruses such
of the solvent, which played a vital in determination of the as herpes simplex type I, parainfluenza type 3, respiratory
occurrence of a photo-oxidation or photo-induced molecular syncytial, pseudorabies, and Sindbis. It was also proved to
rearrangement. be protecting from the cardio virus42. The antiviral activity of
quercetin was due to its ability to bind to viral coat protein
6. Health benefits of quercetin and polymerases and also to damage DNA. The mutagenic,
The versatile nature of quercetin contributes too many carcinogenic, and anti carcinogenic activity of quercetin was
beneficial biological properties such as antioxidant action, found to be related to its ability to impose or prevent damage
canker sores, neurological effect, antiviral activity, anti- to DNA. It was reported that on stabilisation of Quercetin with
inflammatory, asthma, cardiovascular properties and as a ascorbate it enhances its antiviral activity, which was similar
anticancer agent. to the effect induced by ascorbate enhanced antiproliferative
effect on squamous cell carcinoma43. Quercetin was also proved
6.1 Antioxidant Action to have enhance the antiviral activity of agents like interferon
The antioxidant property of the flavanoids principally and 5°ethyl-2’-deoxyuridine.
neutralises the free radicals by donating hydrogen atoms to it.
Pietta37, et al. observed that difficulty aroused on correlating 6.4 Anticancer Agent
the structure of flavonoids and their accountability for radical- Quercetin and other flavonoids, derived from fruits and
scavenging. vegetables have been marked important compounds as it was
The formation of reactive oxygen species (ROS) has considered to positively help in preventing cancer. Various
been reported to contribute to the diabetes, atherosclerosis, studies has been performed to evaluate the anti-carcinogenic
hypertension, ischemic heart disease and heart failure. Quercetin effect of quercetin on cell cultures, where it was found that
acts as an antioxidant by preventing oxidative stress, the major slow the growth of cancer cells was effected and it also helped
cause for generation of ROS. The flavonoids comprising 3-OH to foster apoptosis. The induction of apoptosis in cancer cells
and 3`, 4`-catechol were known to be ten times more effective has been proved to be an vital step in the development of novel
towards peroxynitrite than ebselen, a RNS scavenger38. anticancer drug44. Some animal studies conducted have shown
Quercetin is widely known for its antioxidant property that that quercetin helps in the protecting form certain type of
is for its ability to scavenge free radicals and bind transition cancers, especially colon cancer45.
metal ions. The ultimate effects on the humans by quercetin for
its antioxidant property need to streamline to obtain significant 6.5 Canker Sores
impact on the biomarkers/ indices to be measured. In a study, the Small and shallow lesions known as the canker sores
consumption of a test meal of fried onions was reported to have (aphthous ulcers), occur on the soft tissues in mouth or at the
significantly increased the plasma quercetin levels. Though base of gums. Sharma45, et al. proved that quercetin reduced
an increase in the total antioxidant activity of the plasma was the occurrence of mouth sores and also helps to induce mild
noted, not much difference occurred in the oxidation of the symptomatic relief.
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kumar, et al.: Def. Life SCI. J., Vol. 2, No. 2, April 2017, DOI : 10.14429/dlsj.2.11359
6.6 Cardiovascular Properties may harm the kidneys and thereby it was suggested to take
Heart diseases have been identified to be the primary and intermittent breaks during the consumption of quercetin. It was
leading cause of mortality in the developed countries. Though advised that pregnant and breastfeeding women and people
the exact reason for the cause and the mechanism involved with kidney disorder should avoid quercetin. Consumption
in the occurrence of heart disease still remains a mystery, of doses greater than 1 g per day, have been reported to have
oxidative stress and inflammation has been identified to play caused damage to the kidneys.
a vital role. Quercetin has been investigated for its possible In a four-week rat study performed by Azuma48, et al.
utilisation as a safe alternative to the antioxidant and anti- increase in the ratio of weight of liver and kidney to the body
inflammatory drugs used for conditions like cardiovascular weight ratios was observed when fed with more than 314 mg
disease. The studies have revealed that, both preclinical and and 157 mg quercetin/kg body weight/day, respectively. The
clinical study, quercetin positively reduced several of the risk consumption of doses above 157 mg quercetin/kg body weight/
factors related with heart disease, including blood pressure and day resulted in a pro-oxidant effect.
cytokine-induced C-reactive protein (CRP) expression. It has In human studies, it was seen that the quercetin content has
also been identified as a potent vasodilatory agent. commonly been well tolerated. It was proved that consumption
of doses up to 1,000 mg/day for several months have not
6.7 Anti-inflammatory induced any adverse effects on blood parameters of liver and
The normal biological process in response to injuries, kidney function, hematology, or serum electrolytes. At present,
microbial infection or intoxication and chemical irritation the principal concern for toxicity was the co-administration of
was known as inflammation. Inflammation was generally high quercetin doses with digoxin. Though it has been proved
considered to be initiated by the migration of immune cells to be toxic, until more studies pertaining to the safe dosage
from blood vessels to the infected/ injured area and discharge level determination, it suggested to avoid consumption of
of mediators to combat the infection/injury. quercetin along with digoxin31.
Quercetin has been widely known for its anti-inflammatory
activity. During a in vivo study conducted by Lin46, et al., when 8. Safety and Dosage of quercetin
the rats were treated with quercetin mixed with polysorbate 80, Several studies, have shown that the higher doses of
it resulted in the inhibition of edema in the paw of the rats. The quercetin more than 200 μm reduced the cell viability49; but
applications of quercetin glycoside through the skin surface low doses of quercetin (<200 μm) was reported to increase the
were found to be ineffective against inflammation due to low cell viability and to be fixed as therapeutic dose. It was reported
absorption value. The quercetin pentamethylether formulation that a low dose of quercetin also resulted in the inhibition of
was highly absorbed through the skin route in rat, and it was the proliferation of breast cancer cells, mild cytotoxic effect,
found to be effective against inflammation, therby proving it to and also induce mild DNA damage. The fruit and vegetable
be a potent anti-inflammatory agent. consumption was reported to contribute to an average of 15 mg
to 40 mg of quercetin per day from the diet. It was suggested
6.8 Asthma that an increase in quercetin intake could be accomplished
Asthma is a chronic lung-disease that swells and narrows by increasing the consumption of more fruit and vegetables.
the airways, thereby causing difficulty in breathing. Quercetin Therapeutic dosages of quercetin intake were denoted to range
was found to ease the symptoms of asthma. It was found to from 250 mg to 500 mg three times per day. Quercetin was
induce reduction in the inflammatory immune cells number generally available, in the form of capsules or tablets ranging
and activation, cuts off the histamine level and also eases the in doses from 50 mg to 500 mg, as dietary supplements. The
airway smooth muscle. Rigolin47, et al. reported that even at dosage of quercetin has been recommended based on the health
the minimum concentration, quercetin was effective against condition to be treated and no standard dose for quercetin has
asthma, in comparison to the standard asthma maintenance been suggested. According to Werbach50, et al, for allergic
medications and steroid inhalers that reduces the resistance to conditions and for chronic hives, a dose of 250 mg - 600 mg
air flow. per day and 200 mg - 400 mg has been recommended. It was
Quercetin was also reported to reduce pathologies of reported that a low dose of quercetin was sufficient to inhibit
asthma, such as eosinophil and neutrophil enrollment, bronchial the proliferation of breast cancer cells, mild cytotoxic effect,
epithelial cell activation, mucus and collagen production and and to induce mild DNA damage51.
airway hyperactivity. The dietary intake levels of quercetin
were reported to influence the asthma symptoms. The clinical 9. Dietary source of quercetin
studies performed revealed the possible application of quercetin Scientists have involved in the process of identification
to prevent or treat asthma in human patients. and quantification of quercetin from various food sources.
It was reported that on comparing the quercetin content in
7. Negative effects of quercetin onion peel with that in its flesh, the highest concentration was
Quercetin which was generally considered to be safe was found in the peels of onion52. It has been normally found in
reported to result in few side effects like headache and discomfort a variety of foods like onions, apples, berries, tea, tomatoes,
of stomach. A preliminary study conducted, suggested that the grapes, shallots, brassica vegetables, many seeds, nuts,
byproduct of quercetin leads to the loss of protein function. flowers, barks, leaves and also in some medical plants (ginkgo
It has also been reported that very high doses of quercetin biloba, cranberries and St. John’s wort). The aglycone form
146
Kumar, et al.: Def. Life SCI. J., Vol. 2, No. 2, April 2017, DOI : 10.14429/dlsj.2.11359
of quercetin was found in much lesser amounts in the diet 11. ConclusionS
generally consumed. Hollman8, et al. analysed the glycoside Quercetin, a flavonoid has been proved to be a powerful
and aglycone form of quercetin extracted from plants, and antioxidant which can be derived from raw foods such as fruit
quantified using High-performance Liquid Chromatography and vegetables, cocoa, tea, coffee, etc. Quercetin was also
(HPLC). The Table 5 represents the list of items and their known to provide various beneficial properties for human health
quercetin content as reported by the United States Department as a anti-oxidant, anti-inflammatory agent, antiviral activity,
of Agriculture53. cardiovascular properties and anticancer properties. The health
benefits of quercetin can be preserved in the processed foods by
Table 5. Quercetin content in foods
adapting less intense and non-aggressive processes. However,
Food source Quercetin content (mg/100g) providing the consumers, antioxidants enriched food products
Raw onions 13.27
may not be an easy task, despite the several studies conducted
on the effect of food processes on the degradation of quercetin
Black tea 1.99
and their functional activities, it has been difficult to generalize
Apple, with skin 4.42
the results and adapt. Many factors such as:
Green tea 2.69
(i) The type of raw food
Broccoli, raw 3.21 (ii) Standardisation of processing and analytical methods
Red wine 0.84 (iii) The influence of the food matrix, affect the quercetin
Spinach, raw 4.86 content extraction, analysis and it properties as well.
Cocoa powder, unsweetened 20.10 The usage of quercetin for its anti-oxidative and anti-
Cranberries, raw 14.00 inflammatory property has been well established. Interestingly,
these were the two effects of quercetin which has been widely
dealt to combat the oxidative stress and inflammation proving
10. Quantification methods it to be a major source of supplementation for those who have
Extraction has been the critical and important step in the been suffering from this problem.
employment and development of analytical methods for analysis The major toxicological work related to the quercetin and
of plant extracts. Table represents the summary of optimised its by product has been widely studied with the in vitro studies.
experimental conditions for various extraction protocols. In The formation of toxic compounds from quercetin upon
general, the basic unit operations of extraction involve drying oxidation, during its ROS scavenging activities were likely
and milling of source to acquire a homogenous powder and also to occur. The primary oxidation product of quercetin formed
to improve the extraction kinetic of the molecules. Methods was found to be orthoquinone, which has been proved to be
such as ultrasonication, heating under reflux, extraction with toxic. As a result, the supplementation of quercetin during the
Soxhlet apparatus were the most used techniques54. However, in vivo studies has to be done with utmost care, considering
these methods were time consuming and require large volumes the possibility of toxic compounds/ metabolite formation,
of organic solvents like methanol, ethanol with low extraction especially in the treatment of chronic ailments.
rates. Molecules of interest can be of polar, non-polar or heat
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biosynthesis in fresh-cut potatoes-effect of domestic Dr R. Kumar, obtained his MSc (Food Science & Nutrition)
cooking. J. Agr. Food Chem., 2002, 50, 5925-5931. from Tamil Nadu Agricultural University, Coimbatore and
doi: 10.1021/jf020330y PhD (Food Science) from Bharathiyar University, Coimbatore.
Presently working as Scientist ‘F’ in DFRL, Mysuru. He has 65
65. Turner, C.; Turner, P.; Jacobson, G.; Almgren, K.;
research papers and 10 patents to his credit. He has received
Waldeback, M.; Sjoberg, P.; Karlsson, E.N. & Markides, many awards including DRDO Performance Excellence Award
K.E. Subcritical water extraction and [small beta]- and Thomson Edition Award. He has research experience in
glucosidase-catalyzed hydrolysis of quercetin glycosides thermal, non-thermal food processing technologies and food
in onion waste. Green Chemistry, 2006, 8, 949-959. packaging.
doi: 10.1039/B608011A Contribution in the current study, he did collection of relevant
66. Valverdú-Queralt, A.; Medina-Remón, A.; Andres- literature, preparation of manuscript and correction.
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Kumar, et al.: Def. Life SCI. J., Vol. 2, No. 2, April 2017, DOI : 10.14429/dlsj.2.11359
Ms S. Vijayalakshmi obtained her MSc (Food Science and Dr S. Nadanasabapathi obtained his MSc (Chemistry) from
Technology) from Pondicherry University. Presently she is Annamalai University and PhD (Chemistry) from University
working as Senior Research Fellow in DFRL, Mysuru. She of Mysuru. Presently working as Scientist ‘G’ and Head,
has published more than 10 research and review papers. Her Food Engineering & Packaging in DFRL, Mysuru. He has 95
research interest includes: Reduction of Aflatoxin contamination research papers and 15 patents to his credit. He has received
by the use of pulsed electrical field (PEF) processing and DRDO Performance Excellence Award, Thomson Edition Award,
combination processing. Technology Group Award, and Laboratory Scientist of the Year
Contribution in the current study, she is involved in writing Award. He has research experience in the : Food packaging,
of manuscript. thermal and non thermal food processing technologies.
Contribution in the current study, he is involved in final
correction and editing of the manuscript.
151