Evidence map›Paper›PMID 31684927›Full record

Trial reportBMC complementary and alternative medicine2019

The fallacy of enzymatic hydrolysis for the determination of bioactive curcumin in plasma samples as an indication of bioavailability: a comparative study.

Sidney J Stohs, C Y O Chen, Harry G Preuss, Sidhartha D Ray, Luke R Bucci, Jin Ji, Kevin J Ruff

Registry-linked trialOpen access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in BMC complementary and alternative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04103788 (Evaluation of Increased Absorption of a Curcumin Emulsion), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04103788 nacompletednot on this map

Evaluation of Increased Absorption of a Curcumin Emulsion (CurQ+) in Healthy Volunteers Either Following Enzymatic Hydrolysis Pre-Treatment or Direct Analysis of Split Serum Samples

TypeinterventionalSponsorESM Technologies, LLCRan2018 to 2018Enrolled10ConditionsBioavailabilityArms95% Curcuminoid Powder, CurQ+
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sidney J StohsSchool of Pharmacy and Health Professions, Creighton University Medical Center, Omaha, NE, USA. sid.stohs9@gmail.com.ORCID http://orcid.org/0000-0001-5575-5759
C Y O ChenBiofortis Research, Addison, IL, USA.
Harry G PreussDepartment of Biochemistry, Georgetown University Medical Center, Washington, DC, USA.
Sidhartha D RayDepartment of Pharmaceutical and Biomedical Sciences, Touro College of Pharmacy, Manhattan, NY, USA.
Luke R BucciInterpath Nutrition, Reno, NV, USA.
Jin JiPulchriBio Intl, Cambridge, MA, USA.
Kevin J RuffStratum Nutrition, Carthage, MO, USA.
Creighton University · USGeorgetown University · USProterixBio (United States) · USTouro College · US

Funding

Boston BioPharm and Stratum Nutrition NA
6 · The paper itself

Abstract

backgroundNumerous health benefits have been demonstrated for curcumin which is extracted from turmeric (Curcuma longa L). However, due to its poor absorption in the free form in the gastrointestinal tract and rapid biotransformation, various formulations have been developed to enhance its bioavailability. Previous studies indicate that the free form of curcumin is more bioactive than its conjugated counterparts in target tissues. Most curcumin pharmacokinetics studies in humans designed to assess its absorption and bioavailability have measured and reported total (free plus conjugated) curcumin, but not free, bioactive curcumin in the plasma because enzymatic hydrolysis was employed prior to its extraction and analysis. Therefore, the bioavailability of free curcumin cannot be determined.

methodsEight human subjects (4 male, 4 female) consumed a single dose of 400 mg curcumin in an enhanced absorption formulation, and blood samples were collected over 6 h. Plasma was treated either with or without glucuronidase/sulfatase prior to extraction. Curcumin and its major metabolites were analyzed using HPLC-tandem mass spectrometry. In addition, the literature was searched for pharmacokinetic studies involving curcumin using PubMed and Google Scholar, and the reported bioavailability data were compared based on whether hydrolysis of plasma samples was used prior to sample analysis.

resultsHydrolysis of blood plasma samples prior to extraction and reporting the results as "curcumin" obscures the amount of free, bioactive curcumin and total curcuminoids as compared to non-hydrolyzed samples. As a consequence, the data and biological effects reported by most pharmacokinetic studies are not a clear indication of enhanced plasma levels of free bioactive curcumin due to product formulations, leading to a misrepresentation of the results of the studies and the products when enzymatic hydrolysis is employed.

conclusionsWhen enzymatic hydrolysis is employed as is the case with most studies involving curcumin products, the amount of free bioactive curcumin is unknown and cannot be determined. Therefore, extreme caution is warranted in interpreting published analytical results from biological samples involving ingestion of curcumin-containing products.

trial registrationClinicalTrails.gov, trial identifying number NCT04103788 , September 24, 2019. Retrospectively registered.

Indexed as

CurcumaCurcuminFemaleGlucuronidaseHumansHydrolysisMaleMiddle AgedPlasmaProspective StudiesSulfatasesCurcuminGlucuronidaseSulfatasesBioactive curcuminCurcumin glucuronideCurcumin sulfateEnzymatic hydrolysis

Identifiers

PMID31684927
PMCPMC6829936
OpenAlexW2986628504

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.