Aromatherapy Research Article January 2015 Uplifting Essential Oils I hope you had a wonderful Christmas and New Year’s Eve! Now that the festive season is over and New Year’s Eve celebrations have come and gone, I’m sure I’m not the only feeling a bit run and tired down from over-indulging in food and drink! In this month’s article we will be exploring scientific research into essential oil that may have uplifting properties, to help combat post-holiday blues and uplift and refresh for the New Year ahead. We will also be exploring research behind immunostimulants which could possibly aid in preventing illnesses taking hold when you’re feeling run down or even decreasing the duration of an illness. Uplifting Essential Oils There is a plethora of essential oils that are reportedly uplifting. Uplifting properties of oils could be investigated scientifically by looking at properties such as antidepressant effects (which may combat depression), anxiolytic and/or sedative effects (which could reduce nervous tension and restlessness) and central nervous system stimulants (which increase energy levels, concentration and motivation). Below is a selection of just some of the oils that could be useful. Bergamot Bergamot (Citrus bergamia) is traditionally used as a folk medicine in its native Italy for fever and parasitic worms, however, more recently bergamot has been recommended in aromatherapy for the treatment of stress induced anxiety and depression (Lawless, 1997). Limonene constitutes 26.7-42.5% of bergamot. It has been shown to exert anxiolytic effects in rats (De Almeida Costa et al., 2012), and was found to significantly increase the levels of the neurotransmitters such as GABA and serotonin, which are involved in mood and anxiety, in mouse studies, (Chen et al., 2012). Furthermore, linalool constitutes 11% of bergamot oil (Price and Price, 2011), which may contribute to its anxiolytic effect. In a study of rats, bergamot oil was found to exert a stimulant effect on both brain activity, as measured by EEG, and behaviour, as measured by increases in exploratory behaviour (Bagetta et al., 2010). This suggests that bergamot could be a good oil to uplift the mood by reducing anxiety and depression and aid in restoring motivation and concentration by exerting a central nervous system stimulant effect. Lemon A human clinical trial conducted by Knaso (1992) found that subjects rated their mood as more pleasant when a room was scented with lemon essential oil than with a malodourous or unscented room. The lemon odour also appeared to influence their personality ratings, as when exposed to the lemon odour, participants believed more in an internal source of control and the less they believed that their lives were controlled by chance or others than when exposed to malodour or no odour. They were also significantly less likely to report symptoms of existing health problems when exposed to lemon odour (Knasko, 1992). This suggests lemon can uplift the mood in humans, in support of its use in aromatherapy. Limonene constitutes 55-80% of lemon oil (Price and Price, 2011), and citral, which has been shown in animal studies to exert antidepressant effect (Komori et al., 1995). These components could therefore be partly responsible for improve the subjects’ moods. Ylang Ylang In Indionesian culture, ylang ylang flowers are scattered or extract sprayed onto the beds of newlyweds (Rhind, 2012) as it is reportedly relaxing, anxiolytic and euphoric, thus considered an aphrodisiac. These effects have been investigated in small-scale human clinical trials, using both topical application (Hongratanaworakit and Buchbauer, 2006) and inhalation (Moss et al., 2008). To assess the outcome of the use of ylang ylang on mood, visual analogue scales were used, where the participant marks their mood on a scale of two extremes e.g. relaxed/anxious. Both studies found ylang ylang to significantly increase calmness and relaxation compared to controls (no essential oil). Hongratanaworakit and Buchbauer (2004; 2006) also found a significant decrease in heart rate and blood pressure with topical application and inhalation of ylang ylang aroma, supporting the relaxing properties of the oil. However, inhalation of ylang ylang significantly increased feelings of alertness and attentiveness, suggesting that this oil is not a sedative, but more of a ‘harmonising’ oil (Hongratanaworakit and Buchbauer, 2004). Palmarosa Palmarosa oil could be useful in lifting feelings of depression, due to the results of a study indicating that an ethanolic extract competitively inhibited monoamine oxidase activity in an rat brain mitochondrial monoamine oxidase in vitro preparation (Gacche et al., 2011). Monoamine oxidase is responsible for removing serotonin, dopamine and other neurotransmitters that play a role in mood from neuronal synapses, thus inhibiting monoamine oxidase would increase the amount of available neurotransmitter. Monoamine oxidase inhibitors are commonly used drugs for mood disorders such as depression and anxiety. If palmarosa does inhibit monoamine oxidase activity in the brain upon inhalation, this may be useful for lifting the mood in depressive states and relieving anxiety. Frankincense Frankincense has been highly valued for centuries as a tool for meditation. Using behavioural models, it was found that incensole acetate, a compound found in the resin, exerted anxiolytic and anti-depressive effects. These findings were corroborated by immunohistochemical mapping of mice brains following incensole acetate administration. Incensole acetate was assessed for its behavioural effects on mice with the gene missing for an ion channel called TRPV3, which is thought to be connected to mood states. No anti-depressive and anxiolytic effects were seen in mice missing the TRPV3 gene, suggesting that incensole acetate exerts anti-depressive and anxiolytic effects via TRPV3 channels. This is a distinct pathway compared to anxiolytic and antidepressant drugs currently in use (Moussaieff and Mechoulam, 2009). The possible anxiolytic and antidepressant properties may therefore aid in calming and lifting the mood. Cypress A mouse study of cypress essential oil found it to possess central nervous system stimulant effects, as it decreased conditioned avoidance response rates to electric shocks upon administration of cypress oil (Umezu, 2012). A further mouse study found cypress essential oil to significantly reduce immobility of mice in a swimming test (immobility is a behavioural instinct with forced swimming), with the same result being achieved with caffeine, also suggesting cypress has a stimulating effect on the central nervous system (Lim et al., 2005). Furthermore, it has been noted that cypress could improve cognition and memory (Dobetsberger and Buchbauer, 2011). Jasmine Jasmine absolute was found to act as a central nervous system and behavioural stimulant when administered topically to the skin of the stomach of 40 healthy participants. This was concluded due to a significant increase in autonomic parameters of blood pressure, pulse rate, blood oxygen saturation, breathing rate and significantly increased feelings of attentiveness and energy than subjects in the control group (Hongratanaworakit, 2010). Sweet Orange Hongratanaworakit et al. (2003) found that through inhalation of sweet orange aroma (olfactory stimulation) by humans, heart rate and subjective ratings of alertness significantly increased, suggesting sweet orange has a stimulating activity. Roman Chamomile Roman Chamomile has a long history of medicinal use, and is commonly employed for treating nausea and inflammation. Chamomile is also often used as a relaxant to calm frayed nerves, such as in a massage or consumed in a tea. This use is supported by a study finding that massages of Roman Chamomile for 20 minutes, 3 times a week significantly improved self-esteem and decreased anxiety of cancer patients (Srivastava, Shankar and Gupta, 2010). A mouse study reported finding that roman chamomile significantly increased shuttle type avoidance responses, a behaviour indicative of central nervous stimulation, suggesting roman chamomile is a central nervous system stimulant (Umezu, 2012). Black Pepper Inhalation of black pepper essential oil for 7 minutes was found to enhance adrenaline concentrations 1.7-fold and increase systolic blood pressure compared to inhalation of an odourless solvent, in a small study of healthy women (Haze, Sakai and Gozu, 2002). An increase in adrenaline and sympathetic nervous system activity serves to stimulate the body for action, by increasing blood flow to skeletal muscle and mobilise energy stores, bronchodilation to increase oxygen intake and pupil dilation for better vision. Basil was very highly regarded in the past, and even regarded as a ‘King among plants’ (Davis, 1990). It was thought to clear the mind, for instance, some Indian tribes chewed basil leaves for inspiration. It is also reportedly a stimulant (Sellar, 1992). Intraperitoneal injection of basil essential oil has been found to significantly increase the ambulatory activity of mice. Ambulatory activity is a type of spontaneous central nervous system activity, which increases with central nervous system stimulation. Thus basil may exhibit CNS stimulant effects (Umezu, 2013) Peppermint Peppermint essential oil is reportedly a central nervous system stimulant, which is supported by animal studies showing an increase in activity of mice upon inhalation of peppermint essential oil as opposed to no odour (Dobetsberger and Buchbauer, 2011). Peppermint’s central nervous system stimulating effect on humans was also investigated in a study of 44 healthy volunteers. A concealed essential oil diffuser was used to deliver the essential oil via inhalation, and several cognitive parameters were measured in comparison to a control of no aroma. Significant increases in alertness reported by volunteers using a mood scale were found compared to controls, as well as a significant increase in memory function (Moss et al., 2008). A small trial also reported that peppermint odour acted as a CNS stimulant; significantly increasing alertness, motivation and performance and decrease fatigue and frustration in a simulated driving test (Raudenbush et al., 2009). Cinnamon Raudenbush et al. (2009) also studied the effects of cinnamon odour on alertness, motivation and performance and decreased fatigue and frustration in a simulated driving test, and found that cinnamon odour did indeed significantly improve these parameters. A small human study reported that cinnamon odour acted as a CNS stimulant; significantly increasing alertness, motivation and performance and decrease fatigue and frustration in a simulated driving test (Raudenbush et al., 2009). Immunostimulant Oils Feeling run down? Some essential oils have been found to stimulate branches of the immune system, so could possibly help keep up your defences from illnesses that might take hold with a low immune function. Echinacea Echinacea is the most popular herbal immune stimulant in North America and Europe (Oomah et al., 2006). The effect of Echinacea on the immune system has been studied extensively both in vitro and in vivo, with an overall consensus that Echinacea extracts act as immune stimulants, but tends to be referred to as immunomodulatory, as widespread immune stimulation can be harmful (Barrett, 2003). Echinacea has been investigated in both in vitro and in vivo against macrophages, a type of white blood cell involved in the immediate immune response to infection and injury by engulfing debris such as microbes, and recruit other cells by producing proinflammatory cytokines. It was found that both mouse and human macrophages had greater phagocytic (engulfing) activity and increased their production of the cytokines IL-1,IL-10 and TNF-α when treated with Echinacea compared to controls (Barnes et al., 2005). Furthermore, samples of peripheral white blood cells from healthy humans, AIDS patients and ME patients (who both have depressed immune systems) treated with Echinacea revealed an increase in natural killer cell function. This is supported by a mouse study performed in vivo in normal, leukemic and aging mice (who have depressed immune systems), which also found an increase in natural killer cell function (Barnes et al., 2005). As the name suggests, natural killer cells are important in immune responses as they are primed to kill immediately and don’t need activation by other cells. They specialise in killing virally-infected cells, preventing spread to the surrounding tissues. This is therefore a potential mechanism of Echinacea’s reported use in viral infections. When Echinacea root was administered to humans orally in an ethanol extract for 5 days in a double-blind placebo-controlled trial, phagocytic activity was increased in peripheral blood neutrophils, suggesting Echinacea’s immunostimulant effects can be seen in humans. However, these results were not found when using acid-resistant capsules of Echinacea root, ethanol extract of Echinacea herb and root prepared for oral ingestion, and Echinacea in a complex preparation for injection, suggesting that the root of administration is important and should be investigated further to find the best way to increase immune function with Echinacea. Seven double-blind, randomized clinical trials were conducted in Germany between 1984 and 1997, with a total of 910 subjects. Two studies looked at the appearance of flu-like symptoms, and five studies looked at the appearance of upper respiratory tract symptoms, as determined by self-reporting and physical examination. All seven studies showed a significant benefit due to taking Echinacea, supporting the use of Echinacea to modify the severity and duration of cold symptoms (Percival, 2000). Frankincense Frankincense is classically considered to be an immunostimulant. While little research has been performed to determine if this is the case, one study looked at whether it could induce proliferation of T-lymphocytes. T-lymphocytes were isolated from peripheral human venous blood and treated with 10% frankincense oil solution in vitro, or positive controls of Echinacea and levamisole and negative controls of the immunosuppressants cyclophosphamide and cyclosporine. Frankincense was found to induce 90% lymphocyte proliferation, which is comparable to the positive controls of Echinacea and levamisole (Mikhaiel et al., 2003). This supports the traditional uses of frankincense as an immunostimulant. In a further study, the authors looked at different compounds within frankincense resin to try to determine which was responsible for the immunostimulant effect. The degree of the proliferative response could not be replicated with individual compounds in frankincense, suggesting they work in synergy to stimulate the immune system. However, the authors of the study did not differentiate between the response of different types of T-lymphocytes, which respond to either bacterial or viral infection, so it is hard to know whether this immune response would be useful for fending off colds and flu if this immunostimulant effect translated to in vivo conditions. Clove Carrasco et al. (2010) investigated the effects of oral administration of clove, ginger and sage oils upon the white blood cells of healthy and immunosuppressed mice. It was found that after seven days, the total white blood cell count of both non- and immunosuppressed mice had increased in a dose dependent manner. For example, 200mg/kg of clove oil increased the white blood cell count in non-immunosuppressed mice by an average of 71.1% in seven days. Ginger and sage oils did not have a significant effect on total white blood cell count. Clove essential oil was found to stimulate a cell-mediated response as it caused an increase in delayed-type hypersensitivity reactions. Cell-mediated responses are important for defending against viruses and intracellular bacteria and fungi, suggesting clove could help activate this response to protect against these, however further research into the mechanisms behind this response and trials in humans are needed to confirm if it would be a useful immunostimulant. 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