Effect of a dietary supplement on the reduction of lymphedema-progression in mouse tail-cut model

Eur Rev Med Pharmacol Sci. 2021 Dec;25(1 Suppl):56-66. doi: 10.26355/eurrev_202112_27334.

Abstract

Objective: The aim of our study was to evaluate in vivo, in a mouse tail model of lymphedema, the effects of a dietary supplement, Garlive®, based on hydroxytyrosol from olive leaves, spermidine from rice seeds, hesperidin from citrus fruits and vitamin A. Hydroxytyrosol has anti-inflammatory, antioxidant and antimicrobial activities and inhibits leukotriene B4 generation; spermidine is able to inhibit the production of pro-inflammatory cytokines and mediators; hesperidin inhibits the secretion of pro-inflammatory cytokines: IFN-γ, IL-2, IL-4, IL-10; vitamin A deficiency was shown to induce inflammation and aggravate existing inflammatory states, whereas supplementation with vitamin A could ameliorate inflammation.

Materials and methods: The active compounds were included in tablets: 250 mg of olive leaf extract titrated in 10% hydroxytyrosol, 200 mg of citrus fruits extract titrated in 60% hesperidin, 10 mg of rice (Oryza sativa) seeds extract titrated in 1% spermidine and 0.8 mg of vitamin A. Mice of an inbred group were randomly selected and divided in the control group and drug-treated group. The wound necessary for lymphedema generation was made on the tail of each mice 1 cm below the base of the trunk.

Results: After surgical intervention, there was a gradual increase in the circumference of both ends of the wound. The control group showed higher increase of tail volume than the drug-treated group. The differences in tail swelling between the control group and the drug-treated group were significantly different. The peak of swelling was anticipated to the 6th day in the drug-treated group, whereas in the control group the peak was reached later on.

Conclusions: The tested drug prevented the induction of swelling from day 5th of wound creation and decreased the duration of swelling, favoring the wound healing.

MeSH terms

  • Animals
  • Citrus
  • Dietary Supplements*
  • Disease Models, Animal*
  • Disease Progression*
  • Lymphedema / diet therapy*
  • Lymphedema / pathology
  • Mice
  • Olea
  • Oryza
  • Phenylethyl Alcohol / administration & dosage
  • Phenylethyl Alcohol / analogs & derivatives*
  • Plant Extracts / administration & dosage
  • Tail / injuries*
  • Tail / pathology
  • Treatment Outcome
  • Vitamin A / administration & dosage
  • Wound Healing / physiology

Substances

  • Plant Extracts
  • 3,4-dihydroxyphenylethanol
  • Vitamin A
  • olive leaf extract
  • Phenylethyl Alcohol