Possible green tea-induced thrombotic thrombocytopenic purpura

Detoxification effects of phytonutrients against environmental toxicants and sharing of clinical experience on practical applications

According to the Food and Health Bureau and Trade and Industry Department of the Hong Kong Government, 90 % of the total food supply in Hong Kong was imported from the Mainland China. In addition, the hidden or illegal use of prohibited pesticides, food adulteration (e.g., using industrial salt in food processing, using gutter oil as cooking oil), and pollutions were periodically reported by the media. Excessive exposure to toxic heavy metals or persistent organic pollutants (POPs) from diet or environmental is inevitable amid industrialization and pollution. Understanding of the detoxification ability among nutrients in plant-based food (i.e., phytonutrients in green tea, onion, garlic, coriander, and turmeric) offers therapeutic and preventive effects against the poisoning effects due to these pollutants. Oxidative stress and pro-inflammatory actions are the common mechanisms for heavy metals or POPs toxicities, while phytonutrients counteracts these cellular insults by anti-oxidation, upregulation of anti-inflammatory pathways, and chelation.

Commonly Used Dietary Supplements on Coagulation Function during Surgery

BACKGROUND

Patients who undergo surgery appear to use dietary supplements significantly more frequently than the general population. Because they contain pharmacologically active compounds, dietary supplements may affect coagulation and platelet function during the perioperative period through direct effects, pharmacodynamic interactions, and pharmacokinetic interactions. However, in this regard, limited studies have been conducted that address the pharmacological interactions of dietary supplements. To avoid possible bleeding risks during surgery, information of potential complications of dietary supplements during perioperative management is important for physicians.

METHODS

Through a systematic database search of all available years, articles were identified in this review if they included dietary supplements and coagulation/platelet function, while special attention was paid to studies published after 1990.

RESULTS

Safety concerns are reported in commercially available dietary supplements. Effects of the most commonly used natural products on blood coagulation and platelet function are systematically reviewed, including 11 herbal medicines (echinacea, ephedra, garlic, ginger, ginkgo, ginseng, green tea, kava, saw palmetto, St John's wort, and valerian) and 4 other dietary supplements (coenzyme Q₁₀, glucosamine and chondroitin sulfate, fish oil, and vitamins). Bleeding risks of garlic, ginkgo, ginseng, green tea, saw palmetto, St John's wort, and fish oil are reported. Cardiovascular instability was observed with ephedra, ginseng, and kava. Pharmacodynamic and pharmacokinetic interactions between dietary supplements and drugs used in the perioperative period are discussed.

CONCLUSIONS

To prevent potential problems associated with the use of dietary supplements, physicians should be familiar with the perioperative effects of commonly used dietary supplements. Since the effects of dietary supplements on coagulation and platelet function are difficult to predict, it is prudent to advise their discontinuation before surgery.

Green tea polyphenols and their potential role in health and disease

There is a growing body of evidence that plant polyphenols such as resveratrol, anthocyanins, catechins, and terpenes like taxol are effectively used in the treatment of chronic conditions including cancer, Alzheimer, Parkinsonism, diabetes, aging, etc. The link between oxidative stress and inflammation is well accepted. Thus, the mechanism of action of these natural products is partly believed to be through their significant antioxidant properties. The main constituent of green tea, with clinical significance, is epigallocatechin gallate (EGCG). It has been associated with antitumor, anti-Alzheimer, and anti-aging properties, improve redox status at the tissue level possibly preventing system level structural damage. This review focuses on EGCG and its potential therapeutic role in health and disease.