This is the transcript of a talk I gave recently (at the Traditions herb conference in New Mexico), and focuses specifically on a class of plant chemicals: the saponins. However, it is also a great example of how plant chemistry, in general, works: "promiscuous" phytochemicals (as Chatterjee describes them) finding effects in multiple areas of the body, and being affected by the body in turn. This is the beauty of herbal medicine: the context matters as much as the chemical does. No wonder we obsess about "constitutions", "energetics", and other systems-based ways of describing phytohominid interactions.
We
are moving away from the idea that isolated, targeted chemicals – be they
steroids, antibiotics, or other agents active at specific receptor sites in the
human body – are the only way (or even the most efficient way) to achieve health-promoting
effects. This is progress. But herbalism
has more to offer to the field of medicine than simple polypharmacy: medicinal
plants and their chemical cocktails don’t just act on the system, the
way a drug might, they interact with it.
This means that, when taken habitually the way most herbal prescriptions are,
herbs enmesh themselves into our tissues and processes, and their effects have
as much to do with what the body does to the herbs as with what the herbs do to
the body. Plant saponins are perhaps the best example of this, acting on every
level from the formula to the internal organs and everything in between,
changing their conformation and altering their behavior as they move through
the physiology and interact with its denizens. If we can understand how a human
being and a cocktail of botanical saponins relate to one another, then we don’t
just open a door to new formulation tricks and pharmacodynamic mechanisms – we get
a visceral sense of how truly non-static herbal chemistry is, how it flows and
changes, how different contexts affect it in different ways. And this may be
the most important piece.
What is a
saponin?
In
its simplest form, these chemicals consist of a water-loving (hydrophilic)
chunk attached to an oil-loving (hydrophobic) chunk. Often, the hydrophilic
piece is a sugar molecule, or perhaps a short chain of sugar molecules, and
there can be more than one chain on each saponin. The hydrophobic side is
usually a hydrocarbon – either a net of carbon rings (triterpenoid) or a
steroid-like structure. But since one piece of the molecule mixes well with
water and the other doesn’t, saponins (as the name implies) can have noticeable
soap-like effects, forming foams and acting as cleansers (soapwort, Saponaria, has long been prized as an
easy and abundant botanical detergent).
The
basic test for saponins in a plant is easy. Make a strong infusion (leaves) or
decoction (roots/barks) of the plant in question. Strain into a 250ml graduated
cylinder, and cool. Shake it vigorously for one minute. If a honeycomb-shaped
bubble lattice at least 2cm (a little less than 1 inch) persists in the
cylinder for ten minutes, you can be positive that the plant is rich in
saponins.
Have
you ever tasted soap? You may not have. It is quite bitter, eliciting the
typical aversive responses of moderate-to-strong bitter flavors. Saponins, with
a few exceptions (like licorice), are generally just as bitter. Their flavor is
an important part of their medicinal effects, especially early on in their
journey into the human physiology.
It
is still a matter of debate as to why plants produce these molecules. Some
believe they act as browsing deterrents, because of their bitterness. Others
have documented antifungal and antibacterial qualities which may help protect
plants from infection. Still others hypothesize that the hydrophobic backbone
serves as a sort of “ferry” for the sugar molecules, allowing them to cross
barriers they normally couldn’t. I suspect that all these stories are true, at
least in some part.
The physics of
saponins in water solutions
The
foam you see when shaking a cup of licorice tea is only the most macroscopic
part of the picture. Inside the cup, the soap-like molecules are arranging
themselves into interesting little “bubbles”, known as micelles, with the hydrophilic sugar tails sticking out into the
water and the hydrophobic backbones clustering together in the middle of the
bubble. This is quite interesting in and of itself, as we will see, but imagine
for a moment if there were other molecules in the tea – say, for instance, that
you had added some propolis tincture to really help with your client’s
bronchial cough – that weren’t very water-soluble. If you’ve ever tried adding
a dropper of propolis tincture to a glass of water, you’ll know that the resins
it contains immediately separate from the solution, turning the glass cloudy
and leaving a ring of sticky material behind. If you add that same dropper to a
strong, foamy licorice decoction and shake it up quickly, the effect is much less
pronounced: the hydrophobic resins are trapped inside the saponin micelles,
mixing with the hydrophobic backbones, and stay in solution much better. This
effect is known as emulsification.
These
two effects – the foaming, and the emulsification – have numerous practical
applications, and you don’t need a lot of saponin to achieve them. For
instance, soft drink manufacturers add saponins to their products to improve
the quality and persistence of the foam “head” [Ref: A.J. Mitchell, Formulation
and Production of Carbonated Soft Drinks]. I favor a combination of hawthorn,
gotu kola, and turmeric for chronic ligament and connective tissue injury, and
for a long time formulated this tincture blend with two parts hawthorn and
turmeric, and one part gotu kola. But the turmeric tincture, extracted at a
much higher percentage of alcohol, would always separate, sometimes clogging
the dropper, once it got diluted by the other two and all its hydrophobic
constituents fell out of solution. The problem was solved by adding horse
chestnut tincture, from a saponin-rich seed,
to the mix (one part out of five). The curcuminoids stayed in solution,
no more clogging, and horsechestnut’s anti-inflammatory power helped make the
formula even more effective.
The
British Pharmaceutical Codex recommends a ratio of 1 part Quillaja tincture (the soapbark tree, from Chile) to 8 parts resins
or fatty acids to achieve an effective emulsion. This highlights the
effectiveness, even at low concentration, of saponins as blending agents.
The
emulsifying, blending quality of plant saponins in a multi-constituent herbal
formula, especially if it contains high- and low-alcohol tinctures mixed
together, is really useful. And it may underlie the traditional wisdom of using
plants like licorice as “harmonizers” and “binders” in the formula: not only
does the pleasant flavor help in compliance, but the physics of the saponins in
solution ensures that all constituents remain equally suspended in the blend –
in harmony.
Act I – the
gastric phase of digestion
First
off, taste. The activity of saponin-rich plants like yucca, fenugreek, and even
ginseng begins with their ability to stimulate bitter taste receptors – soap-like,
after all. From here you get many of the benefits of bitter tastants, and these
actions are reinforced once the saponins reach the stomach and duodenum:
secretions increase, movement of smooth muscle in the gut becomes less
spasmodic and better synchronized, valves close up. This may be part of the
reason why so many saponin-rich plants (again, with the exception of licorice)
are good at controlling blood sugar spikes: the food we eat doesn’t get to the
intestinal phase as quickly, so it doesn’t flood the bloodstream with glucose.
Another
interesting topical effect of saponins relies on the intimate connection
between the mucous membrane of the GI tract and the respiratory system. Pick
your saponin-rich herb: licorice, Senega snake root, yucca root, Platycodon, fenugreek – almost all have
at least some degree of expectorant activity. This is probably due to what
Simon Mills calls “acupharmacology” – the fact that our gut lining is connected
to other tissues in the body via nerve fibers, particularly the vagus nerve,
allows a slight irritation to affect those other tissues by reflex. So saponins
encourage the upward movement of material from the lungs by slightly irritating
the stomach lining with their soap-like quality.
Yet
another effect relies on the physical properties of saponin micelles. When
bile, which contains appreciable quantities of cholesterol, is released into
the duodenum, some of the hydrophobic cholesterol is trapped in the micelles.
It is then excreted at higher levels in the stool, instead of being re-absorbed
and circulated in the blood. There has been a lot of animal research confirming
this mechanism [Ref: Sautier, C., et al.
"Effects of soy protein and saponins on serum, tissue and feces steroids
in rat." Atherosclerosis 34.3 (1979): 233-241], but it also
helps explain the cholesterol-lowering effect of ginseng saponins [Ref: Kim,
Seung-Hwan, and Kyung-Shin Park. "Effects of Panax ginseng extract on
lipid metabolism in humans." Pharmacological
Research 48.5 (2003):
511-513.]
At
this point, the molecules are still very similar to what they were in your tea
or tincture. But once they enter the duodenum and start to meet pancreatic
amylases (starch-digesting enzymes) and eventually gut flora, things start to
get interesting.
Act II – the
intestinal phase of digestion
The
entire GI tract is a sophisticated chemosensory organ – meaning, it’s really
good at tasting, and not just the tongue. While bitter taste receptors persist
throughout the gut, you also start to see lots of lymphatic tissue associated
with the mucous membrane once you get past the stomach and its high-acid
environment. In these areas, immune cells proliferate and sample the contents
of the food we eat, all the while interacting with members of the microbiome.
It’s a deep and rich conversation down there, and we are just barely beginning
to understand the language. One thing that seems clear is that many of the
signals that travel back and forth are expressed in sugar chains, or chains of
sugar, fat, and protein – because that’s
what is found on the outside of most viruses and bacteria (with some
exceptions, like the cyst form of Borrellia,
the Lyme disease spirochete, which is naked can thereby evade immune
detection). What is so interesting is that the saponin micelle, with its core
of hydrophobic molecules and all the little sugars sticking out, looks a lot
like a small microbe. Couple this with the fact that it’s never just one kind
of saponin, but the sugar chain shapes and sizes vary dramatically (ginseng,
for example, has over 100 [Ref: Shin, Byong-Kyu,
Sung Won Kwon, and Jeong Hill Park. "Chemical diversity of ginseng
saponins from Panax ginseng." Journal
of Ginseng Research (2015).]), and you have the potential
for a very fascinating little micelle to interact with the microbiome and the
immune cells in the gut’s lymphatic tissue. Plant saponins are one of the most
powerful ways for the vegetable kingdom to participate in the immunologic
conversation that takes place inside the human being.
The
interaction with the microbiome continues. Many saponins get broken in half
once they meet pancreatic amylases, which can break sugar-to-sugar bonds, or
gut flora, which can digest sugar chains for energy. But not all members of the
microbiome feel the same way about saponins: probably because they are so
ubiquitous in the traditional human diet, our long-term partners (the
beneficial flora) aren’t harmed, and can harvest the sugars for energy. But
yeasts and pathogenic bacteria that may be overgrowing in the case of dysbiosis
can be damaged by saponins, whose soap-like quality melts their outer
membranes. Many saponin-rich plants, like chapparal (Larrea) are excellent anti-parasitics and can help correct
dysbiosis.
When
you stop to think about the recent interest in the microbiome and immune system
for modulating our mental health and perception of stress, our inflammatory
balance, and our overall relationship with the world, you can begin to see how
relevant a cocktail of plant saponins might be. The effects on immunologic
tissue in the GI tract and gut flora balance is a big part of the adaptogenic,
anti-inflammatory, immunomodulating effects of saponin-rich plants like Panax and Astragalus.
Some
[Ref: Robb Wolf, Paleo Solutions] worry that the soap-like quality of plant
saponins can “punch a hole in the lining of your gut,” contributing to
leaky-gut syndrome and inflammation. In fact, these molecules can be quite
toxic to fish and reptiles who lack the ability to metabolize them, and have
been used as fish poisons. In these cases they do actually cause a breakdown
reaction in tissues and blood cells of the animals. Fortunately, mammals seem
immune to these effects (as long as the saponins aren’t injected
intravenously), because our digestive enzymes and gut flora separate the
hydrophilic sugars from the hydrophobic backbones, thereby destroying the
soap-like effect. The hydrophobic metabolites are often absorbed into the
blood, sometimes pretty quickly (less than 90 minutes), but they do no damage once
they’re separated from the sugars [Ref: Lee, Jayeul, et al.
"Studies on absorption, distribution and metabolism of ginseng in humans
after oral administration." Journal
of ethnopharmacology122.1 (2009): 143-148.]
It
is these metabolites that feature prominently in the final act – but what is
fascinating is that the metabolites would probably never be absorbed whole into
our bloodstream if they didn’t come attached to those sugar chains. In essence,
the sugars protect the hydrophobic metabolites from digestion and breakdown in
the gastric phase and shield them from microbial metabolism by locking them
into those little micelles. A sort of molecular enteric coating. Without it,
glycyrretinic acid (the metabolite of glycyrrhizin, a licorice saponin) would
never make it into our bloodstream [Ref: 崎谷陽子, et al. "Rapid estimation of glycyrrhizin
and glycyrrhetinic acid in plasma by high-speed liquid chromatography." Chemical and Pharmaceutical
Bulletin 27.5 (1979):
1125-1129.]
Act III – the
blood and tissues
Now
stripped of its sugar chains, what was once a saponin is now an aglycone – a sugarless molecule. The
first tissue it encounters may be the liver (though being hydrophobic, many
aglycones are absorbed into lymphatics and wind their way up to the heart
instead. Soon, though, they all will visit the liver). Here, the aglycone
travels across the cell membrane and begins to interact with the expression of
DNA, affecting the types and quantities of proteins that are produced. Some
aglycones from fenugreek saponins, for instance, seem to increase liver cells’
sensitivity to insulin, and decrease cholesterol production – thereby reinforcing
the effects the saponin had in act I. Still in the liver, aglycones may
interact with enzymes responsible for metabolizing sex and steroid hormones,
contributing to a balancing and adaptogenic effect. Sometimes this can be quite
powerful: glycyrrhetinic acid, the aglycone from licorice, slows the breakdown
of secretions from the adrenal cortex such as cortisol (a stress steroid) and
aldosterone (which makes us retain sodium). Taken in large quantities for long
periods, it can cause fluid retention and high blood pressure.
Many
saponin aglycones have noticeable anti-inflammatory effects, through a wide
range of mechanisms. Some inhibit cyclooxygenases – sort of like a gentle
aspirin – while others increase the presence of anti-inflammatory hormones,
still others (like the aescin aglycones from horse chestnut) tone the tissue of
the capillaries and venules, decreasing leakage, swelling, and pain. These
actions synergize with the immunological activity exerted in act II, where the
saponins talked to lymph tissue and microbiome, to reinforce the overall
anti-inflammatory effect.
Because
of their fat-soluble nature, a good portion (though not all) of saponin
aglycones can cross the blood-brain barrier and affect the production,
distribution, and balance of key neurotransmitters, particularly the ones
involved in the stress response. Many adaptogens (like licorice, codonopsis,
ginseng, eleuthero) rely on this activity. That horse chestnut and fenugreek
lack adaptogenic activity speaks to the circulation of their aglycones: they
may not be as effective at modulating the relevant hormones because they simply
can’t get there.
In conclusion, we can use the example of plant
saponins to illustrate the complex and multiple ways that herbal medicines
interact with our physiology. They change us, in gentle but profound ways, and
yet they are also themselves changed. Without this two-way interaction, none of
the activities we reviewed would be possible. But what is even more interesting
is that, depending on the context, all or none of these actions may be present:
the same root may work differently in different folks. Codonopsis saponins
might help correct dysbiosis in one individual, by preferentially feeding
beneficial flora and contributing to the destruction of pathogens. This,
coupled with the interaction of saponin micelles with immune cells in gut
lymph, might help restore emotional and spiritual balance for that specific
individual. But for another, it may be the codonopsis aglycone, interacting
with the metabolism of stress hormones, that keeps their mood balanced: adrenal
spikes flatten out, blood sugar normalizes, emotions stop their roller-coaster
ride. The physiology can avail itself of any or all of these actions depending
on what is lacking, or out of balance: and unlike single molecules like
caffeine or convallotoxin, none are ever strong enough to disrupt a system
already in balance. Consider saponins as great harmonizers: first in your
formulas, then in your gut, and finally in your blood vessels, liver, and endocrine
cells.
The Great Returning.
ReplyDeleteThank you, this is so easy to understand, accessible and informative ..
ReplyDeleteDiann