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No. 1, April/May 2017 www.harnisch.com | ISSN 2364-8104 Cover: Cognitive health and mental fitness Natural extracts Cognitive function Magnesium fortification Plant extracts Bone health Sports and active nutrition Joint and bone health Functional food Marine ingredients Weight management Probiotics Vitafoods 2017 Wellness Foods & Supplements THE EUROPEAN MAGAZINE FOR NUTRITION | FUNCTIONAL FOODS & BEVERAGES | INGREDIENTS

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No. 1, April/May 2017www.harnisch.com | ISSN 2364-8104

Cover: Cognitive health and mental fitness Natural extracts Cognitive function Magnesium fortification Plant extracts Bone health Sports and active nutrition Joint and bone health Functional food Marine ingredients Weight management Probiotics Vitafoods 2017

Wellness Foods & SupplementsTHE EUROPEAN MAGAZINE FOR NUTRITION | FUNCTIONAL FOODS & BEVERAGES | INGREDIENTS

No. 1 April/May 2017 Wellness Foods & Supplements14

Plant extracts

Avena sativa L., or commonly known as oat, was used for more than 4000 years as animal feed as well as for human consumption (1). In 2017, A. sativa L. was chosen as medicinal plant of the year, empha-sizing its significant role in medicinal usage tracing back to the 12th century (1, 2, 3, 4).

The plant, which belongs to the Poaceae family of grasses, originates from the Fertile Crescent of the Near East as it grows throughout in moist, temperate zones of North and South America, Canada, Russia, Australia, China, Western Eurasia and the Mediterranean Basin with an annual total oat production of 19.6 megatons in 2012 (2, 5, 6). The utilized parts of A. sativa are grain (fruits; mature seed) and the rapidly dried aerial green herb, which is harvested prematurely just before flowering (1, 7).

In regard to its aforementioned therapeutic potential, several bioac-tive chemical constituents have been described and grant A. sativa with antioxidant, immunomodulatory, anti-inflammatory, antidiabetic, wound healing, antipruritic, anti-atherogenic and anticancer proper-ties (2, 8). Next to the main ingredients in oat which comprise starch and soluble polysaccharides (65–85 %), proteins (15–20 %), lipids (3–11 %) and fibers (5 %) the major pharmacological substances are polyphenols, saponin glycosides, flavonoids and tocopherol (vitamin E) (9). Within the group of polyphenols avenanthramides

have been found to show the most antioxi-dative activity which is 10–30 fold of other phenolic substances found in A. sativa making oat a promising and unique candi-date on various health indications (10, 11).

Oat avenanthramides were shown to suppress the production of several mole-cules that are known to bear a potential risk in the development of atherosclerosis which is a common hallmark of heart diseases (12). In this context clinical studies also reported a beneficial effect of oat products on choles-terol in healthy as well as hypercholestero-lemic subjects (13, 14).

Several other clinical trials also revealed that β-glucan, a polysaccharide in fibers that is strongly enriched in oat food products, can moderate blood glucose levels of diabetic and pre-diabetic individuals (15, 16, 17).

Next to cardiovascular diseases and diabetes oat is traditionally known to improve skin irri-

Avena sativa: a natural supporter of cognition and mental fitness

Stefanie Lang

Wild green oat (Avena sativa)

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Wellness Foods & Supplements No. 1 April/May 2017 15

tations and wound healing. It was shown that an oatmeal extract had an anti-inflammatory effect in a skin irritation model induced by a chemical compound (18). Additionally, A. sativa has been used as therapeutic agent to cure eczema and renew UVA/UVB damaged skin (19). In clinical trials lotions containing colloidal oatmeal could significantly improve scratching lesions, scaling erythema, licheni-fication and pruritus in patients suffering from cutaneous xerosis (20, 21).

Another indication of A. sativa was described in the context of mental health and cogni-tive function. Here, few scientific studies reported a beneficial effect of oat on condi-tions like stress, depression and anxiety. Especially in regard to society’s increasing numbers of people suffering from burnout and fatigue syndrome it is reasonable to focus future research on the potential of such oat products. A large quantity of herbal and

fruit oat products is available, mainly on the Asian market. However, only a small number of products are manufactured under GMP (good manufacturing practice) compliant conditions. This article aims to give an overview about the impact of A. sativa extracts on cognitive performance as well as mental health and to review the propagated mode of action.

Oxidative cell stress is known to alter neuronal function, neuro-transmission as well as overall brain activity. Referring to this, oxida-tive stress is also implicated in terms of neuropsychiatric diseases including stress and anxiety (22). The seeds of immature oat are acknowledged to be amongst the most popular and safest nerv-ines, as it is prescribed for acute and chronic anxiety, symptoms of tension as well as for neurasthenic syndromes (23). Several studies could show that antioxidant treatment with polyphenols, flavonoids or special diets that are rich in antioxidants can act protective and anxi-olytic (24, 25, 26). This property of oat was confirmed in behavioral anxiety tests with rodents where a group of mice showed a more relieved behavior after the consumption of an oat extract that was almost comparable to the group that was administered with the standard anti-anxiety drug diazepam (27). In addition it could be demonstrated that the daily dietary intake of an oat herb extract for

Plant extracts

No. 1 April/May 2017 Wellness Foods & Supplements16

Proof of bio-equivalence of two green oat extracts. An aqueous (aq.) standardized extract (Anklam Extrakt GmbH) as well as a known alcoholic (spir.) standardized oat extract showed both good inhibitory capacity of the CNS-related enzymes PDE-4 and MAO-B.

seven weeks in a study with rats led to an improvement of active stress response, an increased learning performance as well as a “friendlier” social behavior (28). Imbalances in social behavior are known to be indicative for several cognitive disorders (29).

Same beneficial effects were seen in a clinical trial conducted in Australia where elderly people with mild cognitive dysfunction were asked to perform the so-called Stroop test – a test that combines different colors and the reading of words. Test subjects that consumed the oat extract already showed within the short time of two hours after administration an improved ability to maintain task focus as well as a better executive attention and concentration (30).

Also another clinical trial in UK could reveal that the intake of a wild green oat extract results in an amelioration in speed of performance and an increased episodic memory in healthy middle-aged people who reported an aged-associated cognitive decline (31).

A group around Wilfried Dimpfel aimed to study the human electric brain activity during mental work and therefore analyzed the effect of an oat extract on the cognitive performance. They performed EEG measurements using CATEEM®, a quantitative brain mapping tech-nology, and found the major effects in the frontotemporal region of the brain which is well known to be involved in cognitive function. Hence, the results suggest a direct benefit of oat on mental health (32). Taken the fact that oat seems to promote a true effect on the central nervous system (CNS) the question about the mode of action of A. sativa arouse. The mechanism in detail is currently still unknown.

Yet unpublished data of in vitro bioassays, provided by a European herbal extract company, demonstrated that a well-established stand-ardized ethanolic green oat extract, manufactured by the same company, showed an inhibition of two distinct enzymes namely phos-

phodiesterase 4 (PDE-4) and monoamine oxidase B (MAO-B). Both enzymes act in the CNS and hold modulatory roles in anxiety, memory and depression (33, 34). Furthermore elevated levels of MAO-B in the brain are associated with neurodegener-ative disorders like Alzheimer’s and Parkin-son’s disease (35, 36). Next to CNS-related disorders MAO-B and PDE-4 inhibitors have a wide field of potential therapeutic applica-tions including the treatment of rheumatoid arthritis or COPD (37). Also the standardized A. sativa extract of Anklam Extrakt GmbH could provide good and full equivalent effect of MAO-B and PDE-4 inhibitory capacity

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when compared with the aforementioned oat extract (see figure). Measurements of the inhibitory effect revealed an even stronger inhibition of MAO-B by the Anklam Extrakt GmbH A. sativa extract in comparison to the other oat extraction (IC50 97.6 µg/ml to 119.1 µg/ml). The inhibitory effect of herbal extracts was defined as the sample concen-tration of the oat extract that is required to reduce the maximal enzymatic activity to 50 % (IC50).

Taken together, all above-mentioned animal and human studies could provide sound evidence that A. sativa is a powerful plant with enormous potential as a natural supporter of cognition and mental fitness. Since the intake is safe and exhibits no inter-actions, side effects or yet known contrain-dications green oat can be recommended as an attractive herbal medicine and food supplement.

Stefanie Lang, Research ManagerAnklam Extrakt GmbH, Campus Marienberg, Marienbergstr. 94, 90411 Nuernberg, GermanyTel +49 911 [email protected]

For more information, please contact

References

(1) EMEA 2008 Doc. Ref. EMEA/HMPC/202967/2007(2) Singh et al. (2013) Avena sativa (Oat), a potential neutraceutical and therapeutic agent: an overview. Crit Rev Food Sci Nutr. 2013;53(2):126-44(3) ZPT - Zeitschrift für Phytotherapie 2016; 37: 262-263(4) Study Group for the Historical Development of Medic-inal Plant Science at Würzburg University, Germany (http://www.klostermedizin.de/images/Avena_sativa-Arzneip-flanze_des_Jahres_2017.pdf)(5) Heywood, V. H. (1982) Popular Encyclopedia of Plants. New York: Press Syndicate of the University of Cambridge(6) Food and Agriculture Organization of the United Nations FAOSTAT (http://faostat.fao.org/)(7) Hänsel et al. (1992) Hager’s Handbuch der Phar-mazeutischen Praxis. Drogen A-D. Springer-Verlag, Berlin 1992: 437-46(8) Kylee Martens (2013) in Medicinal Plant Mono-graphs, pp 111-121 (http://etnobotanica.us/wp-content/uploads/2011/12/Plant-Monograph-Book-4.2013.pdf)(9) Sur et al. (2008) Avenanthramides, polyphenols from oats, exhibit anti-inflammatory and anti-itch activity. Arch Dermatol Res 300:569–574(10) Emmons et al. (1999) Antioxidant capacity of oat (Avena sativa L.) extracts. 2. In vitro antioxidant activity and contents of phenolic and tocol antioxidants. J. Agric. Food Chem., 47(12): 4894-4898(11) Mattila et al. (2005) Contents of Phenolic Acids, Alkyl- and Alkenylresorcinols, and Avenanthramides in Commer-cial Grain Products. J. Agric. Food Chem., 53 (21), pp 8290–8295(12) Liu et al. (2004)The antiatherogenic poten-tial of oat phenolic compounds. Atherosclerosis. 2004 Jul;175(1):39-49(13) Berg et al. (2003) Effect of an Oat Bran Enriched Diet on the Atherogenic Lipid Profile in Patients with an Increased Coronary Heart Disease Risk. Ann Nutr Metab 2003;47:306–311(14) Brown et al. (1999) Cholesterol-lowering effects of dietary fiber: a meta-analysis. Am J Clin Nutr 1999;69:30–42(15) Jenkins et al. (2002) Depression of the glycemic index by high levels of beta-glucan fiber in two functional foods tested in type 2 diabetes. Eur J Clin Nutr 56, 622–628(16) Reyna et al. (2003) Sweeteners and beta-glucans improve metabolic and anthropometrics vari-ables in well controlled type 2 diabetic patients. Am J Ther. 2003 Nov-Dec;10(6):438-43(17) Hou et al. (2015) The Metabolic Effects of Oats Intake in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis. Nutrients. 2015 Dec 10;7(12):10369-87(18) Vié et al. (2002) Modulating effects of oatmeal extracts in the sodium lauryl sulfate skin irritancy model. Skin Phar-macol Appl Skin Physiol. 2002 Mar-Apr;15(2):120-4(19) Aburjai und Natsheh (2003) Plants used in cosmetics. Phytother Res. 2003 Nov;17(9):987-1000(20) Pacifico et al. (2005) Clinical Trial on Aveeno Skin Relief Moisturizing Lotion in patients with itching accom-panied by skin lesions and xerosis. J Appl Res, 5(2), 325-330(21) Reynertson et al. (2015) Anti-inflammatory activities of colloidal oatmeal (Avena sativa) contribute to the effec-tiveness of oats in treatment of itch associated with dry, irritated skin. J Drugs Dermatol. 2015;14(1):43-48(22) Bouayed, Rammal und Soulimani (2009) Oxidative stress and anxiety: relationship and cellular pathways. Oxid Med Cell Longev. 2009 Apr-Jun;2(2):63-7(23) Abascal und Yarnell (2004) Nervine Herbs for Treating Anxiety. Alternative and Complementary Ther-apies. December 2004, 10(6): 309-315. doi:10.1089/act.2004.10.309.

(24) Gautam et al. (2012) Role of antioxidants in general-ised anxiety disorder and depression. Indian J Psychiatry. 2012 Jul-Sep; 54(3): 244–247(25) Medina et al. (1998) Neuroactive flavonoids: new ligands for the Benzodiazepine receptors. Phytomedicine Volume 5, Issue 3, May 1998, Pages 235-243(26) Paladini et al. (1999) Flavonoids and the central nervous system: from forgotten factors to potent anxiolytic compounds. J Pharm Pharmacol. 1999 May;51(5):519-26(27) Kaur, Kamboj und Shri (2016) Comparative Evalua-tion of Anxiolytic Effects of Various Extracts of Oats (Avena sativa), Rica Bran (Oryza sativa) and Spinach (Spinacia oleracea) in Experimental Animals. IJPSR, 2016; Vol. 7(10): 4110-4116(28) Schellekens et al. (2009) An Extract from Wild Greet Oat Improves Rat Behaviour. Phytother Res. 2009 Oct;23(10):1371-7(29) Sams-Dodd (1996) Phencyclidine-induced stere-otyped behaviour and social isolation in rats: a possible animal model of schizophrenia. Behav Pharmacol. 1996 Jan;7(1):3-23(30) Berry et al. (2011) Acute Effects of an Avena sativa Herb Extract on Responses to the Stroop Color–Word Test. J Altern Complement Med. 2011 Jul;17(7):635-7(31) Kennedy et al. (2017) Acute effects of a wild green-oat (Avena sativa) extract on cognitive function in middle-aged adults: A double-blind, placebo-controlled, within subjects trial. Nutr Neurosci. 2017 Feb;20(2):135-151(32) Dimpfel et al. (2011) Ingested Oat Herb Extract (Avena sativa) Changes EEG Spectral Frequencies in Healthy Subjects. J Altern Complement Med. 2011 May;17(5):427-34.(33) Hansen et al. (2014) Mice deficient in phosphodieste-rase-4A display anxiogenic-like behavior. Psychopharma-cology (Berl). 2014 Aug;231(15):2941-54(34) Bortolato et al. (2009) Behavioral disinhibition and reduced anxiety-like behaviors in monoamine oxidase B-deficient mice. Neuropsychopharmacology. 2009 Dec;34(13):2746-57(35) Saura et al. (1994) Increased monoamine oxidase B activity in plaque-associated astrocytes of Alzheimer brains revealed by quantitative enzyme radioautography. Neuroscience. 1994 Sep;62(1):15-30(36) Mallajosyula et al. (2009) Metabolic control analysis in a cellular model of elevated MAO-B: relevance to Parkin-son's disease. Neurotox Res. 2009 Oct;16(3):186-93(37) Francis et al. (2011) Phosphodiesterase inhibitors: factors that influence potency, selectivity, and action. Handb Exp Pharmacol. 2011;(204):47-84

Plant extracts

Photo: Anklam Extrakt GmbH