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Turmeric (Curcuma longa L.) food supplements and hepatotoxicity: an integrated evaluation approach

Title: Turmeric (Curcuma longa L.) food supplements and hepatotoxicity: an integrated evaluation approach
Authors: Menniti-Ippolito, Francesca; Ippoliti, Ilaria; Pastorelli, Augusto Alberto; Altieri, Ilaria; Scalise, Francesco; De Santis, Barbara; Debegnach, Francesca; Brera, Carlo; Pacifici, Roberta; Pichini, Simona; Pellegrini, Manuela; Rotolo, Maria Concetta; Graziano, Silvia; Palazzino, Giovanna; Multari, Giuseppina; Gallo, Francesca Romana; Neri, Bruno; Giannetti, Luigi; Russo, Katia; Fedrizzi, Giorgio; Bonan, Stefania; Mazzanti, Gabriela; Moro, Paola Angela; Salvi, Emanuela; Firenzuoli, Fabio; Valeri, Andrea; Moretti, Ugo; Traversa, Giuseppe; Silano, Marco; Stacchini, Paolo; Boniglia, Concetta
Source: Annali dell'Istituto Superiore di Sanità; Vol. 56 No. 4 (2020); 462-469 ; 2384-8553 ; 0021-2571
Publisher Information: Annali dell'Istituto Superiore di Sanità
Publication Year: 2020
Collection: Annali dell'Istituto Superiore di Sanità
Subject Terms: Curcuma longa; food supplements; adverse reactions; food safety; chemical analyses
Description: Introduction. Turmeric is the common name for the rhizome of Curcuma longa L. Inthe recent years, food supplements containing turmeric have been marketed and widelyused by an increasing number of consumers. Spontaneous reports of suspected adversereactions to food supplements are collected within the Phytovigilance system.Methods. An ad hoc multidisciplinary group investigated the suspected cases of hepatotoxicity reported to the Italian Phytovigilance system associated with the assumption of turmeric food supplements with the methodology specific to pharmacovigilance as wellas for the evaluation of the quality and safety of food supplements.Results. A cluster of 28 spontaneous reports of acute hepatitis, mostly with cholestasis,associated with turmeric products were sent to the Italian Phytovigilance system in thefirst six months of 2019.In all cases, except one, the causality assessment was at least possible. The suspectedproducts were collected and analysed for the presence of drugs, heavy metals, aflatoxins,pesticides, synthetic dyes and pyrrolizidine alkaloids.Conclusion. On the basis of the results of all the activities performed by multidisciplinarygroup, regulatory intervention was taken. This study highlights the importanceof developing an integrated evaluation approach for the evaluation of the adverse effectsassociated with the use of food supplements.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://annali.iss.it/index.php/anna/article/view/1146/660; https://annali.iss.it/index.php/anna/article/view/1146/677; https://annali.iss.it/index.php/anna/article/view/1146
Availability: https://annali.iss.it/index.php/anna/article/view/1146
Rights: Copyright (c) 2020 Annali dell'Istituto Superiore di Sanità ; http://creativecommons.org/licenses/by-nc-nd/4.0
Accession Number: edsbas.69F430F5
Database: BASE