Quercetin

Life Extension Magazine September 2012

Quercetin: Broad-Spectrum Protection

By Anne Buckley

Many of our most powerful medicines, including those for diabetes, chemotherapy, and
cardiovascular health, are derived from plant extracts. One reason that plants hold so much
potential for human health is that they are able to withstand a variety of destructive forces such as environmental radiation, oxidative damage, and chemical toxins due to their unique ability to manufacture complex molecules called flavonoids.1-4 For humans, these same conditions can be lethal. Yet when we consume plants as food and beverages, the protective benefits of these same flavonoids are readily transferred to our bodies! 5

One flavonoid in particular, quercetin, is found in a broad range of foods, from grape skins and red onions to green tea and tomatoes. Quercetin is attracting intense scientific interest for its unique anti-aging and immune-boosting activities.6 Several recent studies show that organisms exposed to high levels of quercetin live longer, healthier lives.6–12 Laboratory models of aging, ranging from simple yeasts and primitive worms to cultured human cells, demonstrate that quercetin alone produces up to a 60% increase in life span!6,8-12 In addition, quercetin has been found to be cancer chemopreventive as well as reduce allergic reactions, boost immunity, and protect the cardiovascular system.

Due to its synergies with resveratrol, health-conscious people often obtain some quercetin in science-based resveratrol formulas they already use.

QUERCETIN LOWERS CHOLESTEROL, FIGHTS ATHEROSCLEROSIS

Quercetin is naturally abundant in plant foods and as a result is highly bioavailable.13 Nonetheless, most people do not obtain sufficient quercetin levels through their daily diets.14 This is unfortunate because large-scale epidemiological studies show that sustained high intake of quercetin and related flavonoids provides substantial protection against cardiovascular disease.15

In a study of 805 men aged 65-84 years, those with the highest quercetin and other flavonoid intake were 68% less likely to die from coronary heart disease than those with the lowest intake.14 A similar study found a reduction in death rates from all causes of 31% for women and 24% for men, with a 46% reduction in coronary death rates for women and a 22% reduction for men in those with the highest intakes.16

This dramatic cardiovascular protection is the result of a concerted synergy between several basic quercetin mechanisms, including its ability to lower cholesterol and reduce dangerous accumulations of abdominal and liver fat. In one study on quercetin’s impact on cholesterol levels, a group of otherwise healthy male smokers took 100 mg/day of quercetin or a placebo for 10 weeks, with blood tests done at baseline and at the end of the study.17 The supplemented group, but not the placebo group, had significant reductions in total and LDL cholesterol, and an increase in HDL cholesterol. They also had a significant reduction in blood sugar, another cardiovascular risk factor.

A larger study of non-smokers showed similar results, with an 18% reduction in total cholesterol, a 27% reduction in LDL, and an important 33% increase in beneficial HDL cholesterol.18

Animal and human studies also suggest that quercetin supplementation can reduce dangerous accumulations of abdominal and liver fat, the result of decreased oxidative stress and inflammation. 19,20

Lowering cholesterol and reducing body fat are important first steps, but quercetin’s cardiovascular benefits go farther, lowering blood pressure and increasing plasma levels of nitric oxide, thus providing more of the synergy mentioned earlier.

By blocking oxidation of LDL cholesterol, quercetin counteracts a major source of the blood vessel inflammation that precedes atherosclerosis. 21,22 One human study found a 28% reduction in the rate of LDL oxidation following two weeks of supplementation
with quercetin at just 30 mg/day. 23

Higher doses of quercetin have shown the ability to modestly lower blood pressure. 22,24 Quercetin supplements of 730 mg/day reduced hypertensive people’s systolic (top number) blood pressure by 7 units (mmHg), and diastolic (bottom number) pressure by 5 units (mmHg).25 Those with normal blood pressure retained their healthy levels and did not experience a dangerous drop in blood pressure as is often the case with the use of anti-hypertensive medications. These results have been confirmed in other studies, with lower doses in the range of 100 – 200 mg/day. 17,20,22,26

Quercetin also appears to exert its blood pressure-lowering effects by improving the health of your endothelium, the lining layer of the arteries that controls blood flow and pressure. Supplemental quercetin in hypertensive rats allowed “tight” blood vessels to relax, reducing their blood pressure.27

Quercetin supplements of 200 mg/day in healthy men increased blood levels of nitric oxide, a substance produced in endothelial cells that’s required for vessels to dilate and lower blood pressure.28 Heart muscle that is overloaded by excess blood pressure loses its responsiveness to nitric oxide.29,30 It becomes overgrown, or hypertrophied and eventually loses its ability to pump blood effectively. This can lead to early death or disability.30 Quercetin completely blocks pressure overload-induced cardiac hypertrophy in animal models of hypertension which is the result of beneficial changes in gene expression in heart muscle tissue.30

Another of quercetin’s cardiovascular benefits is its ability to inhibit platelet aggregation or “stickiness” in platelets. Oxidant stress and inflammation trigger this excessive “stickiness” in platelets and blood vessel walls. Untreated, the result can lead to a stroke or a heart attack following blood clot formation.

Human volunteers taking a highly bioavailable form of quercetin at both 150 and 300 mg/day rapidly (within 30 minutes) inhibited platelet aggregation. 31 This effect proved to be the result of multiple changes in biochemical signaling pathways and gene expression, resulting in a healthier, “non-sticky” condition of the platelets.

QUERCETIN SHUTS DOWN CANCER CELLS EARLY

Cancers of all kinds are the second leading cause of death in the US, behind cardiovascular
disease.32 Faced with the overwhelming challenge of achieving a cure, oncologists are
increasingly turning to “chemoprevention” with nutrients as the most effective way to battle
malignancies.33

Quercetin’s multitargeted disease-fighting capabilities make it a natural choice as a
chemopreventive compound. Strong evidence from epidemiological studies have shown that
people with the highest quercetin intake enjoy substantially reduced risks for many of the
leading causes of cancer death:

• For lung cancer, the top cause of cancer deaths,34 a 51% overall risk reduction, and a 65% reduction among smokers35
• For colon cancer, the second cause of cancer deaths,36 a 32% reduction in risk37
• For gastric (stomach) cancer, a 43% overall risk reduction and an impressive 80% reduction in risk among female smokers38
• And there’s compelling laboratory evidence for quercetin’s role in reducing risk of breast, prostate, and liver cancers as well. 39-41

At the cellular level, quercetin interferes with the processes that turn healthy cells into malignant cancer cells. Quercetin’s antioxidant and anti-inflammatory properties protect cellular DNA from dangerous cancer-inducing mutations.42 Quercetin “freezes” rapidly reproducing cancer cells into an early, non-productive phase of the cell replication cycle.43 This not only stops tumor growth but also triggers cell death by apoptosis—the innate programming healthy cells use to stop excessive reproduction.44 And quercetin favorably modulates chemical signaling pathways that are abnormal in cancer cells. 45,46

Healthy arterial blood flow

QUERCETIN COMBATS MAJOR CAUSES OF AGING

All of these separate actions can dramatically reduce the chances that any given cancer cell will successfully form a real tumor.

And that is precisely how chemoprevention is meant to work.

Here are details about quercetin’s impact on some of the most common and dangerous human cancer types, from laboratory studies:

• Quercetin reduces the growth of colon cancer and its predecessors. Colon cancer involves both genetic predisposition and chronic inflammation in the intestinal tract. Quercetin reduces the amount of fat oxidation and inflammation of the intestine in animal studies.47,48 That reduces not only the incidence of tumors in lab animals, but also tumor size and the number of tumors per animal. 49
• Quercetin decreases the number and size of pre-cancerous lesions in the colon. These lesions are called “aberrant crypt foci,” which are one of the danger signs your gastroenterologist looks for during a colonoscopy. 44,50
• Quercetin interferes with early lung cancer lesions. Laboratory studies demonstrate that quercetin traps developing cancer cells in the early phases of their replication cycle, effectively preventing further malignant development and promoting cancer cell death. 43

In one dramatic study, laboratory rats were treated with quercetin before exposure to the powerful environmental carcinogen, benzo(a)pyrene. 33 This compound is found in cigarette smoke, charbroiled foods, and automobile (particularly diesel) exhaust, making it among the most common pollutants in our environment. Untreated rats developed lung cancers but rats supplemented first with quercetin showed no such findings. 33

• Quercetin prevents development of liver cancer cells. Your liver is your body’s “toxic waste dump,” receiving and detoxifying the bulk of the poisons it is exposed to every day. As a result, liver cells are at the epicenter of toxin-induced cancer development. Studies show that quercetin ramps up human liver cells’ production of protective proteins and enzyme systems, blocks the cancer replicative cell cycle, and reduces toxin-induced DNA mutations. 41,51

Many of the gravest cancer-related threats to liver tissue come from increased oxidant damage. Quercetin mitigates that damage by sharply increasing liver cells’ production of natural protective antioxidant enzyme systems. 51 The result, again, is a marked reduction in formation and replication of cancerous liver cells.

• Quercetin interferes with sex hormone receptors on reproductive system cancers. It blocks the androgen receptors used to sustain growth by prostate cancer cells, potentially preventing such cells from forming tumors. 52 In breast cancer cells, on the other hand, quercetin stimulates estrogen receptors, but only the so-called “beta,” or cancer-suppressing receptors, not the “alpha,” or cancer-promoting ones.53

These cumulative effects put quercetin at the top of the list of potential cancer chemopreventive supplements.

• Nature provides plants with powerful environmental protection in the form of phytomolecules such as quercetin.
• That protection, against age-inducing factors such as oxidant stress, radiation, DNA
damage, and toxins, is surprisingly transferrable when we consume plant matter.
• Quercetin extends life span in laboratory studies of simple animals and even human cells.
• Detailed studies confirm that quercetin’s life-extending effects arise from combating many of
the major causes of aging and chronic disease.
• Quercetin supplementation shows promise in lowering cardiovascular risk by normalizing
cholesterol levels and in reducing cancer risk by blocking fundamental cancer-inducing
processes.
• Quercetin also favorably modifies immune function, reducing the impact of allergies and
related lung diseases, while boosting our responses to dangerous viruses and bacteria.
• Quercetin is readily absorbed and has no reported side effects; it belongs in your supplement plan as a natural way to prolong life’s quality and quantity.

Life Extension Magazine September 2012

Quercetin: Broad-Spectrum Protection

By Anne Buckley

QUERCETIN BLUNTS ALLERGIES, ASTHMA ATTACKS, AND PROTECTS LUNGS

Allergic responses can range from the merely irritating to the life-threatening. Triggers can
involve sources from food (such as peanuts) or the environment (such as pollen). What many
people don’t realize is that allergy-like responses are responsible for most of the symptoms of
asthma and even chronic obstructive pulmonary disease (COPD).

Quercetin powerfully and favorably modifies the allergic response in potentially life-saving
ways.

Let’s start with allergies, which are produced by “pre-sensitizing” a person to a particular
substance (an allergen). Quercetin blocks the allergic response at several points. It
suppresses the actions of immune system cells, reducing the amount of the substance called histamine, that accounts for itchy skin, watery eyes, and (more dangerously) loss of blood pressure during serious allergic reactions. Quercetin also impairs the function of certain cell types that lie at the heart of the allergic and autoimmune processes.54 Studies show that for skin allergies (contact dermatitis), quercetin is more effective than the standard drug cromolyn at inhibiting inflammatory cytokine release. 55

Food allergies may be particularly responsive to quercetin prevention. Studies show that quercetin blocks intestinal inflammation stimulated by the allergy-related antibodies. 56 That can reduce both local discomfort and dangerous systemic symptoms of food allergies.

In one important animal study, quercetin completely blocked the deadly “anaphylactic” response to peanuts in peanut-allergic rats. 57 The animals had much lower histamine levels than did control animals, and none of the airway tightening, blood pressure lowering, or blood vessel leakiness seen in controls exposed to peanuts. This study has powerful implications for future study in humans, since peanut allergy is the leading cause of fatal or life-threatening food allergies. 57 In asthma, smooth muscles in the airway tubes (trachea and bronchi) constrict excessively in response to an allergic stimulus.

Most of the cellular mechanisms involved are similar to those seen in allergies. When those smooth muscles constrict, airways narrow, and breathing becomes difficult. The result is the familiar wheezing sound and need to push air out of the lungs that we see in people suffering from asthma. Quercetin blunts the allergy-like components of the asthma response.58 It reduces the number and activation of inflammatory immune system cells, cuts histamine levels, and relaxes airway smooth muscle.58-61 In one study, quercetin was at least as effective as standard asthma maintenance medications such as cromolyn and inhaled steroids at reducing the resistance to air flow. 62

As we get older, many people with asthma develop a related condition called chronic obstructive pulmonary disease, or COPD. In COPD, chronic inflammation, oxidant stress, and physical damage to the lungs conspire to obstruct airflow. In severe cases, the walls between alveoli (tiny air sacs) break down in the condition known as emphysema, that results in wheezing, labored breathing, and eventually heart disease.

Quercetin in laboratory studies opens up COPD-inflicted airways. It restores normal elasticity of lung tissue and reduces inflammation.63 Just as important, it reduces production of the protein-melting enzymes that dissolve alveolar walls, helping to retain the lungs’ normal architecture and function. 63

One important additional benefit of quercetin is its ability to interfere with the facial “flush” that many people experience when taking niacin supplements to control cholesterol. Niacin is one of the most effective agents for normalizing cholesterol levels, but because of the “flush” (redness and burning), regular dosing is often skipped due to physical discomfort. In one recent study a daily dose of 150 mg of quercetin reduced symptoms by more than 47%, and the duration of the flush by 56%.64

QUERCETIN’S MECHANISM OF ACTION

Quercetin accomplishes its life-extending, anti-aging benefits through a multitude of mechanisms of action:

QUERCETIN BOOSTS IMMUNITY, FIGHTS INFECTION

Quercetin also acts at the other end of the immune system spectrum by boosting the immune response to many common viruses and bacteria. That makes it especially important for older adults whose immunity declines, making them increasingly susceptible to dangerous infections. Quercetin kills viruses in laboratory dishes, though the mechanisms are not entirely clear.65-67

In one study, quercetin inhibited influenza A virus replication in the laboratory more effectively
than the anti-flu drug Tamiflu®.65 In another study, quercetin inhibited hepatitis C virus
replication. Hepatitis C is a major cause of liver failure and liver cancers.66 Finally, quercetin
blocked replication of the rhinovirus, the virus responsible for the common cold. 67 Not surprisingly, then, quercetin-supplemented animals display fewer symptoms and greater
survival in the face of several different types of virus. Mice infected with influenza A virus, but
supplemented with quercetin just before and for six days following infection, had significantly
fewer serious symptoms of flu. 68 They also survived longer. In-depth study showed that the animals had an astonishing 2,000-fold lower number of viruses in their lungs; in fact, they had just half of the virus load as did animals treated with Tamiflu®. 68

Adults who supplement with quercetin are significantly less likely to develop colds and upper respiratory tract infections following intensive exercise: in one study just 5% of supplemented subjects got sick, while 45% of control patients experienced colds. 69

And in a population of middle-aged and older adults who were physically fit, 1,000 mg quercetin/day reduced the number of sick days taken for colds by 31%, and the severity of symptoms by 36%. 70

Quercetin is also effective against bacterial infections. It decreased the infection rate and inflammatory response to Helicobacter pylori, the cause of many ulcers and eventually cancers of the stomach. 71,72 Quercetin also reduced inflammatory responses and strengthened host defenses in experimental Salmonella infections, a major cause of death and disability, especially in older adults. 73

SUMMARY

Mother Nature protects plant life from the most extreme and harsh environments on our planet. She does it by protecting them with powerful phyto-chemicals, the most common of which is quercetin. Fortunately, that protective effect is readily transferred when we consume quercetin ourselves.

Quercetin extends animal life spans, in large part by protecting us against the same general threats that plants face: oxidant stress, DNA damage, and environmental toxins. A rapidly expanding body of scientific evidence now links high quercetin consumption to improved cardiovascular health, reduced cancer risk, milder allergic responses, and improved resistance to infection. Getting enough plant-based nutrients is a major problem for most people; fortunately, it is easy to boost your quercetin intake with highly bioavailable supplements.

If you have any questions on the scientific content of this article, please call a Life Extension®
Health Advisor at 1-866-864-3027.

Much, but by no means all, of that impact comes from quercetin’s multi-targeted antioxidant activity — it is among the foremost antioxidants in the natural world.74,75

Scientists are now finding, however, that quercetin has a host of remarkable characteristics that go well beyond the antioxidant and anti-inflammatory that we’ve come to recognize as typical of phyto-molecules in general. Here’s a partial list of known life-extending, anti-aging mechanisms of action attributed to quercetin:
• Antioxidant, free radical scavenger6,8,9
• Anti-inflammatory, especially in fat tissue39,76-79
• Prevents DNA damage8
• Regulates gene expression in favor of youthful characteristics10,12
• Supports natural stress responses80
• Increases proteasome activation, hastening disposal of damaged and aging proteins11

Life Extension Magazine September 2012
Quercetin: Broad-Spectrum Protection
By Anne Buckley

REFERENCES

1. Solovchenko A, Schmitz-Eiberger M. Significance of skin flavonoids for UV-B-protection in apple fruits. J Exp Bot. 2003
Aug;54(389):1977-84.
2. Kusumoto M, Kamobayashi H, Sato D, et al. Alleviation of cisplatin-induced acute kidney injury using phytochemical
polyphenols is accompanied by reduced accumulation of indoxyl sulfate in rats. Clin Exp Nephrol. 2011 Dec;15(6):820-30.
3. Agati G, Biricolti S, Guidi L, Ferrini F, Fini A, Tattini M. The biosynthesis of flavonoids is enhanced similarly by UV radiation
and root zone salinity in L. vulgare leaves. J Plant Physiol. 2011 Feb 15;168(3):204-12.
4. Mustafa RA, Abdul Hamid A, Mohamed S, Bakar FA. Total phenolic compounds, flavonoids, and radical scavenging activity of
21 selected tropical plants. J Food Sci. 2010 Jan-Feb;75(1):C28-35.
5. Steerenberg PA, Garssen J, Dortant P, et al. Protection of UV-induced suppression of skin contact hypersensitivity: a
common feature of flavonoids after oral administration? Photochem Photobiol. 1998 Apr;67(4):456-61.
6. Belinha I, Amorim MA, Rodrigues P, et al. Quercetin increases oxidative stress resistance and longevity in Saccharomyces
cerevisiae. J Agric Food Chem. 2007 Mar 21;55(6):2446-51.
7. Surco-Laos F, Cabello J, Gomez-Orte E, et al. Effects of O-methylated metabolites of quercetin on oxidative stress,
thermotolerance, life span and bioavailability on Caenorhabditis elegans. Food Funct. 2011 Aug;2(8):445-56.
8. Kapiszewska M, Cierniak A, Elas M, Lankoff A. Life span of etoposide-treated human neutrophils is affected by antioxidant
ability of quercetin. Toxicol In Vitro. 2007 Sep;21(6):1020-30.
9. Kampkotter A, Timpel C, Zurawski RF, et al. Increase of stress resistance and life span of Caenorhabditis elegans by
quercetin. Comp Biochem Physiol B Biochem Mol Biol. 2008 Feb;149(2):314-23.
10. Pietsch K, Saul N, Menzel R, Sturzenbaum SR, Steinberg CE. Quercetin mediated life span extension in Caenorhabditis
elegans is modulated by age-1, daf-2, sek-1 and unc-43. Biogerontology. 2009 Oct;10(5):565-78.
11. Chondrogianni N, Kapeta S, Chinou I, Vassilatou K, Papassideri I, Gonos ES. Anti-ageing and rejuvenating effects of
quercetin. Exp Gerontol. 2010 Oct;45(10):763-71.
12. Pietsch K, Saul N, Swain SC, Menzel R, Steinberg CE, Sturzenbaum SR. Meta-analysis of global transcriptomics suggests
that conserved genetic pathways are responsible for quercetin and tannic acid mediated longevity in C. elegans. Front Genet.
2012;3:48.
13. Egert S, Wolffram S, Bosy-Westphal A, et al. Daily quercetin supplementation dose-dependently increases plasma quercetin
concentrations in healthy humans. J Nutr. 2008 Sep;138(9):1615-21.
14. Hertog MG, Feskens EJ, Hollman PC, Katan MB, Kromhout D. Dietary antioxidant flavonoids and risk of coronary heart
disease: the Zutphen Elderly Study. Lancet. 1993 Oct 23;342(8878):1007-11. 15. Larson AJ, Symons JD, Jalili T. Therapeutic
potential of quercetin to decrease blood pressure: review of efficacy and mechanisms. Adv Nutr. 2012 Jan;3(1):39-46.
16. Knekt P, Jarvinen R, Reunanen A, Maatela J. Flavonoid intake and coronary mortality in Finland: a cohort study. BMJ. 1996
Feb 24;312(7029):478-81.
17. Lee KH, Park E, Lee HJ, et al. Effects of daily quercetin-rich supplementation on cardiometabolic risks in male smokers.
Nutr Res Pract. 2011 Feb;5(1):28-33.
18. Talirevic E, Jelena S. Quercetin in the treatment of dyslipidemia. Med Arh. 2012;66(2):87-8.
19. Panchal SK, Poudyal H, Brown L. Quercetin ameliorates cardiovascular, hepatic, and metabolic changes in diet-induced
metabolic syndrome in rats. J Nutr. 2012 Apr 25.
20. Pfeuffer M, Auinger A, Bley U, et al. Effect of quercetin on traits of the metabolic syndrome, endothelial function and
inflammatory parameters in men with different APOE isoforms. Nutr Metab Cardiovasc Dis. 2011 Nov 23.
21. Yang MY, Huang CN, Chan KC, Yang YS, Peng CH, Wang CJ. Mulberry leaf polyphenols possess antiatherogenesis effect
via inhibiting LDL oxidation and foam cell formation. J Agric Food Chem. 2011 Mar 9;59(5):1985-95.
22. Egert S, Bosy-Westphal A, Seiberl J, et al. Quercetin reduces systolic blood pressure and plasma oxidised low-density
lipoprotein concentrations in overweight subjects with a high-cardiovascular disease risk phenotype: a double-blinded, placebocontrolled
cross-over study. Br J Nutr. 2009 Oct;102(7):1065-74.
23. Chopra M, Fitzsimons PE, Strain JJ, Thurnham DI, Howard AN. Nonalcoholic red wine extract and quercetin inhibit LDL
oxidation without affecting plasma antioxidant vitamin and carotenoid concentrations. Clin Chem. 2000 Aug;46(8 Pt 1):1162-70.
24. Galindo P, Rodriguez-Gomez I, Gonzalez-Manzano S, et al. Glucuronidated quercetin lowers blood pressure in
spontaneously hypertensive rats via deconjugation. PLoS One. 2012;7(3):e32673.
25. Edwards RL, Lyon T, Litwin SE, Rabovsky A, Symons JD, Jalili T. Quercetin reduces blood pressure in hypertensive
subjects. J Nutr. 2007 Nov;137(11):2405-11.
26. Egert S, Boesch-Saadatmandi C, Wolffram S, Rimbach G, Muller MJ. Serum lipid and blood pressure responses to quercetin
vary in overweight patients by apolipoprotein E genotype. J Nutr. 2010 Feb;140(2):278-84.
27. Galindo P, Gonzalez-Manzano S, Zarzuelo MJ, et al. Different cardiovascular protective effects of quercetin administered
orally or intraperitoneally in spontaneously hypertensive rats. Food Funct. 2012 Mar 23.
28. Loke WM, Hodgson JM, Proudfoot JM, McKinley AJ, Puddey IB, Croft KD. Pure dietary flavonoids quercetin and (-)-
epicatechin augment nitric oxide products and reduce endothelin-1 acutely in healthy men. Am J Clin Nutr. 2008 Oct;88(4):1018-
25.
29. Shinke T, Takaoka H, Takeuchi M, et al. Nitric oxide spares myocardial oxygen consumption through attenuation of
contractile response to beta-adrenergic stimulation in patients with idiopathic dilated cardiomyopathy. Circulation. 2000 Apr
25;101(16):1925-30.
30. Han JJ, Hao J, Kim CH, Hong JS, Ahn HY, Lee YS. Quercetin prevents cardiac hypertrophy induced by pressure overload in
rats. J Vet Med Sci. 2009 Jun;71(6):737-43.
31. Hubbard GP, Wolffram S, Lovegrove JA, Gibbins JM. Ingestion of quercetin inhibits platelet aggregation and essential
components of the collagen-stimulated platelet activation pathway in humans. J Thromb Haemost. 2004 Dec;2(12):2138-45.
32. Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf. Accessed May 22, 2012.
33. Kamaraj S, Vinodhkumar R, Anandakumar P, Jagan S, Ramakrishnan G, Devaki T. The effects of quercetin on antioxidant
status and tumor markers in the lung and serum of mice treated with benzo(a)pyrene. Biol Pharm Bull. 2007 Dec;30(12):2268-73.
34. Available at: http://www.cdc.gov/cancer/lung/. Accessed May 14, 2012.
35. Lam TK, Rotunno M, Lubin JH, et al. Dietary quercetin, quercetin-gene interaction, metabolic gene expression in lung tissue
and lung cancer risk. Carcinogenesis. 2010 Apr;31(4):634-42.
36. Available at: http://www.cdc.gov/cancer/colorectal/. Accessed May 14, 2012.
37. Theodoratou E, Kyle J, Cetnarskyj R, et al. Dietary flavonoids and the risk of colorectal cancer. Cancer Epidemiol
Biomarkers Prev. 2007 Apr;16(4):684-93.
38. Ekstrom AM, Serafini M, Nyren O, Wolk A, Bosetti C, Bellocco R. Dietary quercetin intake and risk of gastric cancer: results
from a population-based study in Sweden. Ann Oncol. 2011 Feb;22(2):438-43.
39. Xiao X, Shi D, Liu L, et al. Quercetin suppresses cyclooxygenase-2 expression and angiogenesis through inactivation of
P300 signaling. PLoS One. 2011;6(8):e22934.
40. Liu KC, Yen CY, Wu RS, et al. The roles of endoplasmic reticulum stress and mitochondrial apoptotic signaling pathway in
quercetin-mediated cell death of human prostate cancer PC-3 cells. Environ Toxicol. 2012 Mar 20. doi: 10.1002/tox.21769. [Epub
ahead of print]
41. Granado-Serrano AB, Martín MÁ, Bravo L, Goya L, Ramos S. Quercetin attenuates TNF-induced inflammation in hepatic
cells by inhibiting the NF-?B pathway. Nutr Cancer. 2012 May;64(4):588-98. Epub 2012 Mar 27.
42. Aherne SA, O’Brien NM. Protection by the flavonoids myricetin, quercetin, and rutin against hydrogen peroxide-induced DNA
damage in Caco-2 and Hep G2 cells. Nutr Cancer. 1999;34(2):160-6.
43. Yang JH, Hsia TC, Kuo HM, et al. Inhibition of lung cancer cell growth by quercetin glucuronides via G2/M arrest and
induction of apoptosis. Drug Metab Dispos. 2006 Feb;34(2):296-304.
44. Yang K, Lamprecht SA, Liu Y, et al. Chemoprevention studies of the flavonoids quercetin and rutin in normal and
azoxymethane-treated mouse colon. Carcinogenesis. 2000 Sep;21(9):1655-60.
45. Morrow DM, Fitzsimmons PE, Chopra M, McGlynn H. Dietary supplementation with the anti-tumour promoter quercetin: its
effects on matrix metalloproteinase gene regulation. Mutat Res. 2001 Sep 1;480-481:269-76.
46. Bach A, Bender-Sigel J, Schrenk D, Flugel D, Kietzmann T. The antioxidant quercetin inhibits cellular proliferation via HIF-1-
dependent induction of p21WAF. Antioxid Redox Signal. 2010 Aug 15;13(4):437-48.
47. Warren CA, Paulhill KJ, Davidson LA, et al. Quercetin may suppress rat aberrant crypt foci formation by suppressing
inflammatory mediators that influence proliferation and apoptosis. J Nutr. 2009 Jan;139(1):101-5. Epub 2008 Dec 3.
48. Kaindl U, Eyberg I, Rohr-Udilova N, Heinzle C, Marian B. The dietary antioxidants resveratrol and quercetin protect cells from
exogenous pro-oxidative damage. Food Chem Toxicol. 2008 Apr;46(4):1320-6.
49. Dihal AA, de Boer VC, van der Woude H, et al. Quercetin, but not its glycosidated conjugate rutin, inhibits azoxymethaneinduced
colorectal carcinogenesis in F344 rats. J Nutr. 2006 Nov;136(11):2862-7.
50. de David C, Rodrigues G, Bona S, et al. Role of quercetin in preventing thioacetamide-induced liver injury in rats. Toxicol
Pathol. 2011 Oct;39(6):949-57. Epub 2011 Sep 1.
51. Gee JM, Hara H, Johnson IT. Suppression of intestinal crypt cell proliferation and aberrant crypt foci by dietary quercetin in
rats. Nutr Cancer. 2002;43(2):193-201.
52. Yuan H, Young CY, Tian Y, Liu Z, Zhang M, Lou H. Suppression of the androgen receptor function by quercetin through
protein-protein interactions of Sp1, c-Jun, and the androgen receptor in human prostate cancer cells. Mol Cell Biochem. 2010
Jun;339(1-2):253-62.
53. van der Woude H, Ter Veld MG, Jacobs N, van der Saag PT, Murk AJ, Rietjens IM. The stimulation of cell proliferation by
quercetin is mediated by the estrogen receptor. Mol Nutr Food Res. 2005 Aug;49(8):763-71.
54. Huang RY, Yu YL, Cheng WC, OuYang CN, Fu E, Chu CL. Immunosuppressive effect of quercetin on dendritic cell activation
and function. J Immunol. 2010 Jun 15;184(12):6815-21.
55. Weng Z, Zhang B, Asadi S, et al. Quercetin is more effective than cromolyn in blocking human mast cell cytokine release
and inhibits contact dermatitis and photosensitivity in humans. PLoS One. 2012;7(3):e33805.
56. Lee EJ, Ji GE, Sung MK. Quercetin and kaempferol suppress immunoglobulin E-mediated allergic inflammation in RBL-2H3
and Caco-2 cells. Inflamm Res. 2010 Oct;59(10):847-54.
57. Shishehbor F, Behroo L, Ghafouriyan Broujerdnia M, Namjoyan F, Latifi SM. Quercetin effectively quells peanut-induced
anaphylactic reactions in the peanut sensitized rats. Iran J Allergy Asthma Immunol. 2010 Mar;9(1):27-34.
58. Joskova M, Franova S, Sadlonova V. Acute bronchodilator effect of quercetin in experimental allergic asthma. Bratisl Lek
Listy. 2011;112(1):9-12.
59. Rogerio AP, Kanashiro A, Fontanari C, et al. Anti-inflammatory activity of quercetin and isoquercitrin in experimental murine
allergic asthma. Inflamm Res. 2007 Oct;56(10):402-8.
60. Capasso R, Aviello G, Romano B, Atorino G, Pagano E, Borrelli F. Inhibitory effect of quercetin on rat trachea contractility in
vitro. J Pharm Pharmacol. 2009 Jan;61(1):115-9.
61. Park HJ, Lee CM, Jung ID, et al. Quercetin regulates Th1/Th2 balance in a murine model of asthma. Int Immunopharmacol.
2009 Mar;9(3):261-7.
62. Moon H, Choi HH, Lee JY, Moon HJ, Sim SS, Kim CJ. Quercetin inhalation inhibits the asthmatic responses by exposure to
aerosolized-ovalbumin in conscious guinea-pigs. Arch Pharm Res. 2008 Jun;31(6):771-8.
63. Ganesan S, Faris AN, Comstock AT, et al. Quercetin prevents progression of disease in elastase/LPS-exposed mice by
negatively regulating MMP expression. Respir Res. 2010;11:131.
64. Kalogeromitros D, Makris M, Chliva C, Aggelides X, Kempuraj D, Theoharides TC. A quercetin containing supplement
reduces niacin-induced flush in humans. Int J Immunopathol Pharmacol. 2008 Jul-Sep;21(3):509-14.
65. Choi HJ, Song JH, Park KS, Kwon DH. Inhibitory effects of quercetin 3-rhamnoside on influenza A virus replication. Eur J
Pharm Sci. 2009 Jun 28;37(3-4):329-33.
66. Bachmetov L, Gal-Tanamy M, Shapira A, et al. Suppression of hepatitis C virus by the flavonoid quercetin is mediated by
inhibition of NS3 protease activity. J Viral Hepat. 2012 Feb;19(2):e81-8.
67. Ganesan S, Faris AN, Comstock AT, et al. Quercetin inhibits rhinovirus replication in vitro and in vivo. Antiviral Res. 2012 Mar
23.
68. Choi HJ, Song JH, Kwon DH. Quercetin 3-rhamnoside exerts anti-influenza A virus activity in mice. Phytother Res. 2012
Mar;26(3):462-4.
69. Nieman DC, Henson DA, Gross SJ, et al. Quercetin reduces illness but not immune perturbations after intensive exercise.
Med Sci Sports Exerc. 2007 Sep;39(9):1561-9.
70. Heinz SA, Henson DA, Austin MD, Jin F, Nieman DC. Quercetin supplementation and upper respiratory tract infection: A
randomized community clinical trial. Pharmacol Res. 2010 Sep;62(3):237-42.
71. Gonzalez-Segovia R, Quintanar JL, Salinas E, Ceballos-Salazar R, Aviles-Jimenez F, Torres-Lopez J. Effect of the flavonoid
quercetin on inflammation and lipid peroxidation induced by Helicobacter pylori in gastric mucosa of guinea pig. J Gastroenterol.
2008;43(6):441-7.
72. Brown JC, Wang J, Kasman L, Jiang X, Haley-Zitlin V. Activities of muscadine grape skin and quercetin against Helicobacter
pylori infection in mice. J Appl Microbiol. 2011 Jan;110(1):139-46.
73. Paolillo R, Carratelli CR, Rizzo A. Effect of resveratrol and quercetin in experimental infection by Salmonella enterica serovar
Typhimurium. Int Immunopharmacol. 2011 Feb;11(2):149-56.
74. Boots AW, Haenen GR, Bast A. Health effects of quercetin: from antioxidant to nutraceutical. Eur J Pharmacol. 2008 May
13;585(2-3):325-37.
75. Zhang M, Swarts SG, Yin L, et al. Antioxidant properties of quercetin. Adv Exp Med Biol. 2011;701:283-9.
76. Chuang CC, Martinez K, Xie G, et al. Quercetin is equally or more effective than resveratrol in attenuating tumor necrosis
factor-{alpha}-mediated inflammation and insulin resistance in primary human adipocytes. Am J Clin Nutr. 2010 Dec;92(6):1511-
21. Epub 2010 Oct 13.
77. Bhaskar S, Shalini V, Helen A. Quercetin regulates oxidized LDL induced inflammatory changes in human PBMCs by
modulating the TLR-NF-kappaB signaling pathway. Immunobiology. 2011 Mar;216(3):367-73.
78. Kostyuk VA, Potapovich AI, Suhan TO, de Luca C, Korkina LG. Antioxidant and signal modulation properties of plant
polyphenols in controlling vascular inflammation. Eur J Pharmacol. 2011 May 11;658(2-3):248-56.
79. Kim OY, Lee SM, Do H, et al. Influence of quercetin-rich onion peel extracts on adipokine expression in the visceral adipose
tissue of rats. Phytother Res. 2012 Mar;26(3):432-7.
80. Saul N, Pietsch K, Menzel R, Steinberg CE. Quercetin-mediated longevity in Caenorhabditis elegans: is DAF-16 involved?
Mech Ageing Dev. 2008 Oct;129(10):611-3.

These statements have not been evaluated by the Food and Drug Administration. These products