TCM Treasure Cistanche: Combating Aging and Cellular Damage
Introduction to Cistanche

Cistanche, a revered herb in Traditional Chinese Medicine (TCM), has been used for centuries to promote vitality, enhance longevity, and support overall health. Often referred to as the 'desert ginseng' due to its potent energizing properties, Cistanche is rich in bioactive compounds such as phenylethanoid glycosides (including echinacoside), polysaccharides, lignans, and iridoids, Cistanche has garnered modern scientific attention for its wide-ranging therapeutic benefits.

By supporting mitochondrial health, enhancing antioxidant defenses, and promoting healthy cell function, Cistanche may offer a natural, holistic approach to managing the aging process and improving overall health. As we delve into the mechanisms that contribute to aging and cellular damage, we will explore how Cistanche plays a pivotal role in mitigating these effects, helping to promote resilience and longevity. Just so you know, the Chinese Pharmacopoeia recognizes only two authentic sources of Cistanches Herba, also known as Roucongrong: Cistanche deserticola and Cistanche tubulosa. They are also authorized as a plant resource in the Japanese Pharmacopoeia.

cistanche
cistanche
Echinacoside’s Impact on Systemic Inflammation
  • Osteoarthritis

Echinacoside, a natural compound found in Cistanche tubulosa, has been shown to help combat aging-related damage in several studies. For example, research on osteoarthritisa degenerative joint disease that causes the breakdown of cartilage and bone in the joints—in mice revealed that echinacoside activated SIRT1, reducing oxidative stress and protecting cartilage from degradation. By regulating oxidative stress pathways and improving mitochondrial function, echinacoside helped preserve joint health, potentially slowing the progression of OA.

  • Lung Injury

Similarly, in a study on sepsis-induced acute lung injury, echinacoside’s activation of SIRT1 mitigated cellular damage by inhibiting inflammatory responses and oxidative stress, improving lung tissue function. This lung study demonstrates how echinacoside addresses systemic inflammation and oxidative stress and provides targeted benefits to specific organs. By activating SIRT1, echinacoside helped reduce oxidative damage, improve mitochondrial function, and enhance lung tissue regeneration, underscoring the broad therapeutic potential of SIRT1 activation.

  • Liver Injury

But echinacoside doesn’t stop at joint and lung protection. It also shows promise in supporting liver function, particularly in the context of alcohol-induced liver injury (ALD) and diabetes. A study published in 2023 explored how echinacoside can help alleviate oxidative stress and cell damage in the liver caused by alcohol consumption.

In this study, researchers used a mouse model of ALD and found that echinacoside dramatically reduced liver damage, as evidenced by improved liver enzyme levels and histological analysis. It did so by activating a critical cellular defense mechanism—the Nrf2 pathway—which helps the liver cope with oxidative stress. This mechanism is key for managing alcohol-induced damage and reducing inflammation in liver cells.

Echinacoside also worked its magic in liver cells in the lab. When cells were exposed to ethanol (which induces damage similar to alcohol abuse), echinacoside decreased oxidative stress and cell death. It boosted the activity of Nrf2, which in turn increased the expression of protective proteins like HO-1 and GCLC, crucial for detoxifying reactive oxygen species (ROS). These findings suggest that echinacoside can be a powerful ally for those dealing with liver stress, especially in the context of alcohol use or oxidative damage.

In addition to its antioxidant properties, echinacoside may play a role in improving insulin sensitivity (reducing insulin resistance) and metabolic health, as seen in another 2023 study involving diabetic liver injury. By activating the AMPK/SIRT1 signaling pathway, it helps counteract the liver’s inflammation and oxidative damage, supporting liver function while also lowering blood lipids and glucose levels. The activation of Sirt1 through the AMPK pathway helped enhance fat metabolism, reduce fat accumulation in the liver, and improve overall metabolic health. As in the other studies, echinacoside’s antioxidant and anti-inflammatory properties played a critical role in combating the oxidative stress and inflammation that contribute to diabetic liver injury and dyslipidemia.

This research underscores how echinacoside, through its ability to activate Sirt1, can protect against age-related diseases by stabilizing telomeres, reducing inflammation, and improving metabolic function. Whether it’s improving joint health, protecting the lungs, or enhancing liver function, echinacoside shows great potential as a natural compound that supports the body’s ability to age gracefully.

Beyond Echinacoside

While echinacoside is a key focus, Cistanche, the plant from which it is derived, offers additional bioactive compounds with wide-ranging benefits:

  • Polysaccharides

Immune, Gut, and Skin Guardians:

Cistanche polysaccharides are multifunctional compounds that support immune, gut, and skin health. By activating immune cells like macrophages and lymphocytes, they enhance the production of beneficial cytokines such as IFN-γ while reducing inflammatory markers like IL-6, preventing chronic inflammation that accelerates aging.

Polysaccharides from Cistanche also have notable prebiotic effects, regulating the gut microbiota and enhancing digestive health. They promote the growth of beneficial gut bacteria such as Prevotella species and boost short-chain fatty acid (SCFA) production, essential for digestive health and metabolic balance. This gut modulation not only strengthens the immune system but also indirectly supports skin health.

  • Prevotella: a group of Gram-negative, anaerobic bacteria commonly found in the human body, particularly in the oral cavity, gastrointestinal tract, and female reproductive tract. While Prevotella species are part of the normal microbiota and contribute to maintaining health, they can also become opportunistic pathogens under certain conditions.

Polysaccharides further combat skin aging by reducing oxidative stress and rejuvenating dermal fibroblasts (these are specialized cells found in the deeper layers of the skin (the dermis) that produce collagen and elastin, which are essential proteins for maintaining skin strength, elasticity, and structure) through the NRF2/HO-1 antioxidant pathway, improving elasticity, and reducing wrinkles.

Synergy and Bioavailability:

Cistanche polysaccharides play a pivotal role in enhancing the bioavailability of echinacoside, amplifying its therapeutic benefits. By improving gut microbiota and promoting the absorption of low-molecular-weight compounds, polysaccharides ensure that echinacoside’s effects are maximized. Together, these compounds form a synergistic duo, targeting key aging pathways: while echinacoside activates the SIRT1 pathway to enhance mitochondrial repair and cellular resilience, polysaccharides counteract oxidative stress through the NRF2/HO-1 pathway.

This coordinated action addresses the root causes of aging—oxidative damage and chronic inflammation—delivering comprehensive benefits for immunity, skin health, and longevity. These findings underscore the potential of Cistanche polysaccharides not only as a health promoter but also as a bioavailability enhancer, enabling more effective use of echinacoside and other phenylethanoid glycosides in clinical applications.

  • Lignans

Known for their potent antioxidant properties, lignans protect against oxidative stress, reduce inflammation, and may have anti-cancer effects. Their presence in Cistanche contributes to its broad-spectrum health benefits, particularly in managing chronic diseases.

  • Iridoids

These compounds exhibit anti-inflammatory, anti-viral, and neuroprotective properties. They help regulate the body’s stress responses and have been linked to improvements in brain health and cognitive function.

  • Acteoside

Acteoside, another compound from Cistanche, activates the PI3K/AKT/mTOR pathway which plays a vital role in regulating bone health and cell survival. The activation of this pathway by acteoside enhanced osteoblast survival and function, offering a promising therapeutic strategy for preventing and treating osteoporosis. (Source)

Summary

Cistanche, a powerful botanical and a precious material in Traditional Chinese Medicine (TCM) with extremely high medicinal value, is gaining recognition for its diverse therapeutic properties, rooted in its rich composition of bioactive compounds like echinacoside, polysaccharides, lignans, and iridoids. Traditionally used in TCM for nourishing the kidneys and boosting vitality, its modern-day applications extend far beyond these historical uses. Research highlights Cistanche’s potential in promoting kidney health, liver protection, reproductive function, and neuroprotection, particularly by modulating oxidative stress, mitochondrial function, and immune responses.

Echinacoside, a key compound in Cistanche, plays a pivotal role in supporting cellular health and longevity by activating essential pathways such as SIRT1, Nrf2, and PI3K/AKT/mTOR. These pathways help protect cells from oxidative damage, inflammation, and apoptosis, making echinacoside an effective agent against age-related diseases like diabetes, heart disease, and neurodegeneration.

The synergistic effects of Cistanche’s bioactive compounds, particularly its polysaccharides, play a crucial role in enhancing the bioavailability of echinacoside and amplifying its benefits. Polysaccharides not only promote gut health but also contribute directly to immune modulation and anti-aging processes, complementing echinacoside’s cellular protective mechanisms.

As research into Cistanche continues to unfold, it is clear that this ancient herb holds significant potential not only in traditional practices but also in modern integrative medicine, offering a holistic approach to aging and chronic disease management while improving quality of life.

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The Role of Telomeres in Aging

Telomeres, the protective caps at the ends of our chromosomes, are crucial for maintaining DNA integrity during cell division. However, with each replication, telomeres shorten, leading to cell senescence or apoptosis, which accelerates aging and tissue degeneration. This process is closely linked to oxidative stress and inflammation—two major contributors to cellular aging and the decline in tissue function, making the body more vulnerable to age-related diseases such as cardiovascular disease, neurodegenerative conditions, and even cancer.

  • Oxidative stress occurs when the body has an excess of unstable molecules, known as free radicals, oxidants, or reactive oxygen species (ROS), and insufficient antioxidants to neutralize them. This imbalance can result in cell and tissue damage.

  • Chronic inflammation is a long-term inflammatory response that can last for months or years. It occurs when the body's immune response doesn't end when it should, or when it starts when there's no injury or infection. Chronic inflammation can damage healthy cells, tissues, and organs, and can lead to a number of diseases

SIRT1: A Cellular Guardian

Sirtuin 1 (SIRT1), a protein involved in regulating DNA repair, metabolism, and inflammation, plays a pivotal role in maintaining cellular health and protecting telomeres. Research shows that compounds like echinacoside, a phenylethanoid glycoside from the herb Cistanche, can activate SIRT1. This activation offers promising strategies to protect telomeres, combat oxidative stress, and reduce inflammation—all of which contribute to aging and age-related diseases.

telomeres
telomeres
Echinacoside and Muscle Atrophy

Recent studies have uncovered promising benefits for echinacoside in combating skeletal muscle atrophy (a condition that causes a decrease in muscle mass, fiber cross-sectional area, and muscle strength), particularly in conditions involving muscle disuse. A 2019 study on Cistanche tubulosa extract (CTE) led by a group of Japanese researchers found that while muscle mass did not significantly increase with CTE treatment, the extract improved the performance of the atrophied muscles and helped preserve muscle fiber function. Specifically, CTE administration suppressed the increase in MyHC IId/IIx expression, a marker of the shift from slow-twitch fibers (endurance) to fast-twitch fibers (short bursts of power).

In other words, CTE stopped this shift, helping the muscles keep their endurance fibers, which are better for activities that require long-lasting strength and function. This suggests that even if muscle size doesn't increase, the extract helps maintain muscle performance and stamina, offering a potential therapeutic option for conditions like sarcopenia, muscle wasting, or immobilization-related muscle atrophy.

Note: Sarcopenia, a type of muscle atrophy, is a natural part of aging, but muscle atrophy can occur at any age due to other causes including prolonged inactivity, injury, illness, or medical conditions that affect movement or nerves.

muscle atrophy
muscle atrophy
heart remodelling
heart remodelling
Echinacoside and Heart Health

While we’ve been discussing skeletal muscle atrophy, it’s important to remember that the heart is also a muscle—one that can face its own unique challenges. Let’s explore how echinacoside has been shown to positively influence heart function and support myocardial remodeling—a process where the heart muscle changes its size, shape, or structure due to stress or damage, potentially weakening its ability to pump blood effectively. These changes are critical in the progression of heart failure (HF).

A study on HF rats demonstrated that echinacoside improved heart function and reversed myocardial remodeling. This effect was linked to the activation of the SIRT1/FOXO3a/MnSOD signaling axis, a key pathway for antioxidant defense and mitochondrial health. By upregulating SIRT1, echinacoside reduced oxidative stress in heart cells, protecting them from damage and improving overall heart function.

Mitochondria, which generate energy for the cell, are a major source of oxidative stress, particularly in heart cells under strain. When mitochondrial function deteriorates, oxidative damage accelerates, contributing to myocardial hypertrophy, fibrosis, and apoptosis—all hallmarks of heart failure. Echinacoside’s ability to reduce mitochondrial oxidative stress and upregulate the MnSOD enzyme, a key antioxidant defense mechanism in mitochondria, is crucial in preventing this cascade of damage.

Alzheirmer's Disease
Alzheirmer's Disease
Echinacoside’s Neuroprotective Role

Echinacoside has also emerged as a powerful neuroprotective agent. In 2023, Matysek et al explored echinacoside's role in the treatment and prevention of neurodegenerative diseases such as Alzheimer’s Disease (AD), Parkinson’s Disease (PD), and amyotrophic lateral sclerosis (ALS).

  • Alzheimer's Disease: A brain disorder that affects memory, thinking, and behavior, gradually making it harder to remember things, recognize people, or do everyday tasks.

  • Parkinson's Disease: A condition that causes the brain to lose control over body movements, leading to shaking, stiffness, and trouble with balance and coordination.

  • Amyotrophic Lateral Sclerosis: Also known as Lou Gehrig's disease, it’s a condition that damages the nerves controlling muscles, causing weakness, difficulty speaking or swallowing, and eventually affecting the ability to breathe.

Echinacoside's neuroprotective effects are largely attributed to its ability to modulate oxidative stress, mitochondrial function, neuroinflammation (the brain's response to injury, infection, or disease, where its immune cells become overactive, potentially causing damage to healthy brain cells and affecting normal brain function), and apoptosis (cell death)—all factors that contribute to the progression of these conditions. In Alzheimer’s Disease, for instance, where amyloid-β plaques and oxidative stress damage neuronal cells, echinacoside has shown promise in reducing amyloid deposition and alleviating cognitive deficits.

It achieves this by inhibiting amyloid precursor protein (APP) processing, reducing β-amyloid production, and protecting against oxidative damage associated with plaque buildup. Furthermore, echinacoside’s antioxidant properties, through the activation of the Nrf2 pathway, help to reduce reactive oxygen species (ROS) and support mitochondrial health—essential in maintaining brain function and preventing neuronal degeneration.

  • Stress, Growth Hormones, and Fatigue Management

Stress-related hormones, particularly cortisol, play a significant role in brain health, fatigue, and resilience. A comparative study on Cistanche tubulosa extracts (CTE) highlighted the anti-fatigue effects of its constituents, particularly total oligosaccharides, which were shown to reduce cortisol levels in central fatigue models like sleep deprivation.

The study also demonstrated improvements in exercise capacity, memory, and learning in mice treated with CTE, supporting its dual role in alleviating physical and cognitive fatigue. By enhancing neurotransmitter regulation, increasing glycogen storage, and improving antioxidant enzyme activity, Cistanche’s compounds align with echinacoside’s broader neuroprotective effects—as potential adaptogens that help the body cope with stress and fatigue. Related to this, the following section, "Cistanche and Ginkgo Combat Chronic Fatigue," explores human studies involving Cistanche and Ginkgo combined extracts in addressing chronic fatigue syndrome.

Echinacoside’s ability to enhance neuroprotection is evident through its interaction with other hormonal pathways as well. A 2019 study on Cistanche tubulosa revealed that echinacoside stimulates growth hormone secretion via activation of the ghrelin receptor. Known as the 'hunger hormone,' ghrelin also plays a key role in brain health, including stress adaptation, neurogenesis, and the modulation of cognitive functions.

By activating the ghrelin receptor, echinacoside may indirectly contribute to brain resilience and repair, aligning with its broader neuroprotective effects. These findings suggest that echinacoside’s influence on hormonal pathways could complement its direct antioxidative actions, offering a dual approach to safeguarding cognitive function and promoting longevity.

  • Neuroinflammation and Apoptosis

Echinacoside has also been shown to inhibit neuroinflammation, a key factor in both AD and PD, by modulating microglial activity and reducing the activation of inflammatory pathways in the brain. This helps preserve neuronal health and function, offering a multi-targeted approach to combating neurodegeneration. Microglia, by the way, are specialized cells in the brain that act as the brain's immune system. They help protect the brain by cleaning up waste, fighting infections, and responding to injury. However, when overactive, they can contribute to brain inflammation and damage.

Moreover, echinacoside's ability to inhibit apoptosis (cell death) through the ERK pathway and by modulating proteins such as Bcl-2 and Bax further supports its neuroprotective role. Reducing cell death in the brain can help slow the progression of neurodegenerative diseases and protect critical brain regions responsible for memory, cognition, and motor control.

chronic fatigue syndrome
chronic fatigue syndrome
Cistanche and Ginkgo Combat Chronic Fatigue

Alongside its effects on neurodegenerative diseases, echinacoside has shown promise in improving symptoms of chronic fatigue syndrome (CFS). A randomized, double-blind, placebo-controlled study featuring a botanical product containing cistanche and ginkgo extracts potentially Improves CFS symptoms in adults. The study found that this combination improved various symptoms of CFS, including fatigue, mental clarity, and overall well-being.

  • Chronic fatigue syndrome: A condition that causes long-lasting tiredness and other symptoms, lasting at least 6 months in adults. People with CFS often experience extreme fatigue after physical activity, poor sleep, trouble with memory or concentration, muscle aches, joint pain, a sore throat, swollen lymph nodes, and new headaches.

  • Randomized, double-blind, placebo-controlled study: A type of medical research where participants are randomly assigned to receive either the treatment being tested or a fake treatment (placebo), and neither the participants nor the researchers know who gets which, ensuring unbiased results.

While this study specifically focused on a botanical blend, the inclusion of Cistanche suggests that echinacoside’s neuroprotective and energy-boosting properties might play a role in mitigating fatigue and enhancing cognitive function in individuals with CFS. This aligns with its broader neuroprotective effects, highlighting echinacoside’s potential as a natural remedy for conditions characterized by both fatigue and cognitive decline.

gut health matters
gut health matters
Exploring the Gut–Brain Axis

Recent research expands on the therapeutic potential of Cistanche tubulosa, focusing on its antidepressant-like effects through modulation of the gut microbiota. A study investigating the impact of Cistanche tubulosa extract (CTE) on depression-like behaviors in chronic unpredictable stress (CUS)-induced rats revealed compelling findings.

  • Chronic Unpredictable Stress: A widely used experimental model in research designed to study the effects of stress on physiology, behavior, and brain function, simulating the chronic and unpredictable nature of stress experienced in human life.

The results indicated that CTE significantly alleviated depression-like behaviors, improving outcomes in various behavioral tests, including the forced swimming test, sucrose preference test, and novelty-suppressed feeding test. These behavioral improvements were accompanied by restored neurotransmitter levels, particularly serotonin (5-HT), in the hippocampus, highlighting CT’s neurochemical benefits.

One of the most striking discoveries was the restoration of gut microbiota homeostasis by CTE. Chronic stress in CUS rats caused dysbiosis, marked by alterations in the gut microbial composition, which CTE treatment successfully normalized. Specifically, CTE influenced the relative abundance of beneficial microbiota such as Bacteroides and Parabacteroides, while decreasing the levels of potentially harmful taxa like Ruminococcus.

These microbiota shifts were correlated with enhanced production of short-chain fatty acids (SCFAs), particularly acetate and hexanoic acid, known for their neuroactive properties. This interplay between gut microbiota, SCFAs, and neurotransmitter regulation underscores the complex role of the gut–brain axis in mediating Cistanche’s antidepressant effects.

  • Bacteroides: A group of friendly gut bacteria that help digest fiber, produce beneficial compounds like short-chain fatty acids (such as butyrate), and support gut and immune health.

  • Parabacteroides: Gut bacteria that aid digestion, produce anti-inflammatory metabolites, and contribute to improved metabolic and immune health.

This research suggests that, beyond its known compounds like echinacoside, Cistanche tubulosa may act through gut microbiota modulation, positioning it as a promising candidate for managing depression through microbiome-based therapies. The ability of CTE to influence both the gut microbiota and brain chemistry represents an exciting frontier in understanding how traditional medicinal plants can provide holistic solutions to modern mental health challenges. For additional information related to gut microbiota and its role in these effects, refer to the 'Polysaccharides' subsection of the 'Beyond Echinacoside' section below.

protect your kidneys
protect your kidneys
Kidney Health and Anti-Aging in TCM

Have you ever wondered why, in Traditional Chinese Medicine (TCM), Cistanche is often called the 'desert ginseng'? Beyond its renowned energizing properties, this herb is celebrated for its ability to nourish the kidneys and support vitality. In TCM, the kidneys, regarded as the storehouse of "Jing" (the body's foundational energy), are central to the aging process. A decline in kidney function is often linked to low energy, sexual dysfunction, and accelerated aging. Cistanche is traditionally used to warm and tonify the kidneys, nourish the blood, enhance sexual and reproductive health, and preserve vitality and longevity. (Source)

Modern research aligns with these ancient practices, demonstrating Cistanche's ability to protect and restore kidney health. A recent study on gentamicin-induced nephrotoxicity (nephro refers to the kidneys) highlights Cistanche's powerful nephroprotective effects. Gentamicin, while effective as an antibiotic, often causes kidney damage through oxidative stress, inflammation, and apoptosis. Remarkably, treatment with water and ethanol extracts of Cistanche not only mitigated kidney dysfunction but also reduced inflammation, oxidative stress, and cell death in the kidneys.

The study observed significant improvements in kidney function markers, such as glomerular filtration rate (GFR), blood urea nitrogen (BUN), and creatinine levels, underscoring Cistanche's potential to counteract kidney damage. Additionally, echinacoside, a key active compound in Cistanche, contributes to these benefits by modulating oxidative stress and enhancing mitochondrial function in kidney cells.

These findings are especially relevant for addressing chronic kidney disease and age-related kidney decline, making Cistanche an invaluable ally in supporting long-term kidney health and vitality. By bridging traditional wisdom and modern science, Cistanche proves itself a powerful herb for anti-aging and maintaining renal health, standing as a testament to TCM's holistic approach to well-being.

Male Reproductive Function and More

Echinacoside also plays a role in restoring male reproductive health (which, in TCM, is connected to the kidneys), particularly in diabetic conditions where diabetes disrupts normal gonadal function. In a recent study conducted by scientists in the Department of Food Science at National Taiwan Ocean University, Cistanche tubulosa extract (CTE), rich in echinacoside, led to improvements in testosterone synthesis, sperm motility, and overall reproductive health in diabetic rats. Echinacoside regulated key proteins involved in steroidogenesis, such as StAR, CYP11A1, and CYP17A1, which are essential for optimal testosterone production.

The study also found that echinacoside improved insulin sensitivity, reduced oxidative stress, and enhanced mitochondrial function in the testes, addressing both metabolic and reproductive dysfunctions linked to diabetes. These combined effects offer a holistic approach to managing the impact of diabetes on male fertility, positioning echinacoside as a promising therapeutic candidate.

apoptosis
apoptosis

Echinacoside vs. Cancer

  • Lymphoma

A recent study explored how compounds from Cistanche, particularly echinacoside, could help fight cancer, specifically T-cell lymphoma. It turns out that echinacoside and a few other related compounds in Cistanche trigger both apoptosis (cell suicide) and pyroptosis (a fiery, inflammatory type of cell death) in cancer cells. The study found that echinacoside works by activating certain proteins like P53 that promote cell death while also shutting down pathways that help tumors grow.

What's interesting is that echinacoside didn't just go the typical route of activating the usual inflammasome (NLRP3) in cancer cells, but instead, it suppressed it, which is a more unexpected way to fight cancer. In animal tests, these compounds even helped reduce tumor growth. So, it seems that echinacoside is more than just a boost for kidney health in traditional medicine; it's also showing some serious promise as a cancer-fighting agent!

  • Breast Cancer

Echinacoside’s potential as a cancer-fighting compound extends beyond lymphoma. A study on breast cancer revealed how echinacoside interferes with critical microRNAs, particularly miR-4306 and miR-4508, which are involved in tumor progression and metastasis. In this study, echinacoside was shown to downregulate these microRNAs, which led to a significant reduction in breast cancer cell proliferation, migration, and invasion.

Furthermore, echinacoside promoted apoptosis in cancer cells by regulating these miRNAs and disrupted tumor growth in mouse models, increasing survival rates. These findings suggest that echinacoside could offer a dual approach—by both promoting cell death and interfering with the pathways that allow cancer cells to spread. This adds to the growing body of evidence supporting Cistanche as a potent natural ally in the fight against cancer.

  • Endometrial Cancer

Another recent study explored the potential of echinacoside in fighting endometrial cancer (EC), a common gynecological malignancy. Using network pharmacology and molecular docking, researchers identified that echinacoside interacts with several key targets, including EGFR, AKT1, and caspase-3, which play pivotal roles in tumor cell proliferation, apoptosis, and metastasis.

In laboratory tests with endometrial cancer cells, echinacoside induced cell apoptosis by triggering the mitochondrial pathway, increasing reactive oxygen species (ROS) levels, and decreasing mitochondrial membrane potential (MMP) levels. Furthermore, echinacoside was found to inhibit the PI3K/AKT signaling pathway—an essential pathway for cancer growth and survival—thereby reducing the expression of proteins like p-AKT and PI3K. When combined with a PI3K inhibitor, the anti-cancer effects of echinacoside were further enhanced.

  • Liver Cancer

Expanding on the growing body of research on Cistanche’s anti-cancer properties, a study on the total glycosides (TG) from Cistanche explored their effects on liver cancer, specifically HepG2 cells. The results showed that TG significantly reduced cell survival by triggering mitochondrial dysfunction and disrupting both glycolytic and mitochondrial energy metabolism pathways, a hallmark of tumor cell behavior. This disruption of the energy metabolism processes can inhibit tumor cell growth by starving the cells of necessary energy. Furthermore, the study found that TG increased the levels of reactive oxygen species (ROS) in HepG2 cells, contributing to oxidative damage and promoting apoptosis.

These findings suggest that Cistanche deserticola's bioactive compounds, including echinacoside, can significantly impact the metabolic pathways of tumor cells, limiting their ability to grow and proliferate. The ability of Cistanche’s glycosides to target energy metabolism makes it an intriguing candidate for future anti-cancer treatments, either as a standalone agent or in combination with other therapies.

These are just a few studies highlighting Cistanche's potential as a cancer-fighting agent, offering a glimpse into its promise. There's much more to explore, but this should give you a sense of its remarkable potential in oncology without delving too deep into the many studies on the topic.

apoptosis
apoptosis