Curr Opin Complement Alternat Med 1:1, 8-11; January/February 2014; © 2014 STM Publishing Advances in Pharmacological Research of Eugenol Xiaojun KONG, Xiwang LIU, Jianyong LI, Yajun YANG Key Laboratory of Veterinary Pharmaceutical Development, Ministry of Agriculture/Key Laboratory of New Animal Drug Project, Gansu Province, Lanzhou Institute of Husbandry and Pharmaceutical Sciences of CAAS, Lanzhou 730050, China Summary Eugenol, a main constituent of clove oil, is an organic phenol with antipyretic, analgesic, anti-inflammatory, and anesthetic effects. Pharmacological studies showed that eugenol also has antibacterial, antifungal, antioxidant, anticancer, and insect repellent activities. Given its minimal side effects, low toxicity, and non-metabolized residue, eugenol is widely accepted in many fields such as pharmaceuticals and cosmetics. Further elucidation of the functional groups, action sites, and action model of eugenol, along with the establishment of related database, is expected to widen the applications of eugenol. This paper briefly reviews the pharmacological effects of eugenol. Curr Opin Complement Alternat Med 2014; 1:8-11 Key words eugenol; pharmacological; analgesic; antibacterial Eugenol (4-allyl-2-methoxyphenol), with a molecular formula of C10H12O2 and a molecular weight of 164.21, mainly exists in clove oil, camphorated oil, cinnamon leaf oil, and nutmeg oil. In normal temperatures, eugenol is a pale yellow viscous oily liquid with a strong clove flavor and a special hot taste. Eugenol is slightly soluble in water and easily dissolved in organic solvents. Eugenol is widely applied in dentistry, anesthetics, analgesics, anti-inflammatory agents,1 and flavoring agents. In recent years, the pharmacodynamics of eugenol has been developed to immunological function, central nervous regulation, reproductive effects, cardiovascular system, digestive system, blood biochemistry,2 and urinary system. Pharmacological action of eugenol Abirritation Low doses of eugenol can inhibit the activity of peripheral nerves and has local analgesic and anesthetic effects. However, high doses of eugenol can cause coma. Studies found that eugenol can significantly inhibit the generation of prostaglandin E2 (PGE2).3 Exogenous prostaglandin (PG) can cause pain response or improve the sensitivity of a model organism to the sense of touch. Prostaglandin E1 (PGE-1) and PGE-2 in exogenous PG have stronger effects than in other types of PG. Eugenol elicits analgesic activity by inhibiting PGE-2 generation. Correspondence to: Jianyong LI, Lanzhou Institute of Husbandry and Pharmaceutical Sciences of CAAS (Chinese Academy of Agricultural Sciences), Lanzhou 730050, China; Email: lijy1971@163.com Submitted: 09/06/2013; Revised: 19/07/2013; Accepted: 01/08/2013 DOI: 10.7178/cocam.7 8 Yang et al.4 used eugenol as a compound nanoemulsion transdermal agent and observed wriggle frequency of mouse after injection of chemical irritants and hot plate-induced pain model, respectively. They found that compound nanoemulsion can reduce wriggle frequency of mouse and that the inhibitory rates to the chemical irritant pain are 37.9% and 60.5%, respectively, whereas the effective rates to the hot plate-induced pain model are 54.4% and 96.5%, respectively. Obvious differences were observed among compound nanoemulsion, ordinary mixture, and positive control. Its active ingredient, eugenol, can increase the pain threshold of mouse model and has a clear analgesic function. In the study of Kurian et al.5 on the analgesic activity of eugenol, the efficiency of eugenol on induced pain mouse model in the inflammatory stage is better than that in the neurological stage. Guenette et al.6 also found that 40 mg/kg eugenol can extend the response time of Sprague-Dawley mice to pain. Anesthetic effect Anesthesia of aquatic products One of the important factors that restrict the development of the aquatic product industry is the changes in aquatic products because of physiological stress in long-distance transportation. Physiological stress can cause loss of aquatic products. However, anesthetics can effectively solve this problem.7 Among routine fish anesthetics, including 2-phenoxyethanol, eugenol, 3-Aminobenzoic acid ethyl ester methanesulfonate (MS-222), hypnodil V, anaesthesine, urethane, acetochloral, and other chemical anesthetics, eugenol is approved by the Food and Drug Administration (FDA) of the USA as being harmless to humans because its cost and residual quantity are lower than other anesthetics. Thus, eugenol is widely applied to the long-distance transportation of fish. The mechanism of Curr Opin Complement Alternat Med Volume 1 Issue 1 REVIEW RESEARCH PAPER Table 1. Anesthetic concentration and onset time of eugenol on five fishes Categories Anguilla reinhardtii Cynoglossus semilaevis Günther Ictalurus punctatus Pseudosciaena crocea Spinibarbus sinensis Concentration (mg/L) Onset time (min) References 20-120 10 61 3-40 12-30 10 3 4 20 12 8 9 10 11 12 anesthetic action of eugenol on fish first starts with the inhibition of the cerebral cortex (period of tactile loss), followed by the basal ganglion and cerebellum (excitation period), and finally the spinal cord (narcosis stage). In this paper, we summarized the anesthetic effects of eugenol on different types of aquatic products. The results8-12 are listed in Table 1. Renault et al.13 studied the effects of eugenol on gene expression of Anguilla anguilla. They found that eugenol can increase the content of stress response protein encoding oxidability. They also found that adenosine triphosphate (ATP) synthetase, nicotinamide adenine dinucleotide phosphate (NADP) dehydrogenase, and mitochondrial superoxide dismutase increased in muscle of anabiotic A. anguilla after 21 day. Scholars studied the anesthetic effects of eugenol on common carp, tilapia, juvenile Chinese sturgeon, Japanese Macrobrachium, Chinese shrimp, juvenile southern catfish, and other aquatic products, and the oxygen consumption rate. The results showed that eugenol content is negatively related to the onset time of anesthesia. Compared with the most common anesthetic of aquatic products, MS-222, eugenol has less residual activity and does not need three weeks as metabolic time. Thus, the use of eugenol can be widely popularized. Local anesthesia Eugenol is widely applied to current local nerve anesthesia. As an herbal anesthetic, eugenol is becoming increasingly used by patients and researchers. Moreira-Lobo et al.14 studied the adjustment of eugenol to the excitability of sciatic nerve of mouse. They found that eugenol mainly inhibits Na+-dependent channel receptor, activates transient receptor potential vanilloid receptor 1 (TRPV1) subfamily of ion channel receptors, and inhibits the flow of sodium ions, thus, blocking nerve conduction and decreasing the conduction rate gradually. Low eugenol content can inhibit complex action potential and decrease nerve excitability. Antioxidant function The antioxidant function of eugenol has gained universal acceptance in academia. Increasing scientific researchers have made in-depth studies on eugenol. Ou et al.15 revealed that eugenol can avoid functional disorders of endothelial cells resulting from oxidized low-density lipoprotein (LDL) and increase antioxidant activity to inhibit active oxygen generation. Fujisawa et al.16 believed that eugenol, butylated hydroxyanisole, and other phenols have important antioxidant activity because they can capture the oxygen atom from alkyl radical over the oxidation group by devoting a hydrogen atom of the phenolic hydroxyl group. Its reaction rate is significantly higher than that of the substrate of over-oxidized group to attack the organs. Masae et al.17 studied the inhibition of eugenol on ironwww.cocam.org dependent lipid peroxidation and oxidation of copper-dependent LDL. They believed that its mechanism reduces transition metal ions, particularly divalent copper ion, thus delaying the generation of hydrogen peroxide and alkoxy from polyunsaturated fatty acids in the body. The current research results of antioxidant function of eugenol show that its antioxidant function is similar to that of most phenols. Eugenol captures oxygen atoms by devoting hydrogen atoms and reducing free radical generation to achieve its antioxidant function. However, further studies are needed to determine the mechanism of eugenol that is related to some enzymes and the electron transport system and to reveal further its antioxidant function. Antibiotic activity Numerous studies on the antimycotic,18 antiviral,19 desinsection,20 and antiparasitic21 activities of eugenol and other volatile oils were implemented. Katayama et al.22 studied the structure of antibiotic substance in flavoring agents. Their results showed that the benzene ring compound containing hydroxyl group has antibacterial efficacy even when diluted to more than 2000 times. Eugenol also contains this structure. Sara et al.23 studied the antibiotic mechanism of eugenol and other flavoring agents, in which the cell wall becomes degraded, which damages the plasma membrane and membrane protein and exposes the cell contents. The cytoplasm coagulates, causing the proton-motive force to move far away. Lu et al.24 investigated the in vitro antibacterial activity of eugenol by microdilution test and found that eugenol has better antibacterial action on 12 common bacteria (Table 2). The hydrophobicity of eugenol is an important factor affecting its antibacterial activity. The hydrophobic property of eugenol can separate the lipids of cell membrane and mitochondria of bacteria and change its structure to increase penetrability of cell membrane. Eugenol also has antibiotic activity because it can block the proton-motive force, electron stream, and active transport, and cause coagulation of cell contents. Anticancer activity The anticancer activity of eugenol has become an important research topic in recent years. Chemically synthesized anticancer drugs have toxic side effects and usually cause potential damage to normal cells. Eugenol shows better application potential in the prevention and treatment of some cancers. Hussain et al.25 studied the effect of eugenol combined with gemcitabine on cervical carcinoma. They found that the combination of eugenol and gemcitabine can inhibit cancer cell growth, even in low concentrations. In addition, eugenol can reduce the toxic side effect of gemcitabine on normal cells. Studies on the related gene Curr Opin Complement Alternat Med 9 RESEARCH PAPER Table 2. Minimum inhibitory concentration (MIC) of eugenol on 12 bacteria Categories Escherichia coli ATCC5922 E. coli O54 Salmonella typhimurium Salmonella choleraesuis Salmonella Dublin Shigella flexnert Staphyloccocus aureus Streptococcus hemolytis Streptococcus suis Listeria monocytogenes Pesudomonas aeruginosa Bacillus cereus MIC (μg/mL) 5.0 20.0 40.0 10.0 160.0 20.0 40.0 40.0 10.0 160.0 320.0 320.0 also found that eugenol can reduce the possibility of apoptosis of B-cell lymphoma-2 (Bcl-2), Cyclooxygenase-2 (COX-2), and interleukin-1β (IL-1β), reduce inflammation, and increase the treatment efficacy of gemcitabine. Manikandan et al.26 studied the treatment effect of eugenol on gastric cancer in Wistar rats caused by N-methyl-N’-nitryl-N-nitrosoguanidine by regarding apoptosis, cancer cell invasion, and angiogenesis as the main indices. They found that eugenol inhibits cell apoptosis, cancer cell invasion, and cancer angiogenesis by regulating the Bcl-2 protein family, apoptotic protease-activating factor-1 (Apaf-1), cytochrome C, and cysteine aspartic protease, and changes the activity of mesenchymal metalloprotease and the expression of Matrix Metalloproteinase-2 (MMP-2), Matrix Metalloproteinase-9 (MMP-9), vascular endothelial growth factor (VEGF), vascular endothelial growth factor receptor 1 (VEGFR-1), and tissue metalloprotease inhibitor (TIMP-2). MMP, VEGF, and TIMP are important observations indicating tumorigenesis. Rita et al.27 studied the curative effect of the combination of eugenol and 2-methoxyestradiol on non-androgen-dependent prostate cancer. They found that this combination can effectively inhibit the proliferation of prostate cancer cells and enhance the expression of apoptosis precursor protein to prevent prostate cancer. Moreover, eugenol shows better curative effects in skin cancer and melanoma. Anti-insect activity The anti-insect activity of eugenol depends on the structure of its phenolic hydroxyl. Pessoa et al.28 studied the inhibition of eugenol on small ruminants of Haemonchus contortus by ovum hatching test and obtained the highest inhibition rate when concentration was 0.5%. Machado et al.29 studied the effect of eugenol on the growth, activity, adherence, and ultrastructure of Giardia lamblia. Their results showed that eugenol inhibits the adherence of trophosome after being administered for 3 h and does not cause cytolysis. They also found that eugenol can affect the cell shape and cause the coagulation of cytoplasm and autophagy in cells. These studies show that eugenol can be used as a drug to prevent giardiasis and verminosis. Other pharmacological activities of eugenol Except the aforementioned pharmacological activities, eugenol also 10 can promote percutaneous absorption and treat angiocardiopathy. Eugenol has a certain effect in reproductive regulation and immunoregulation. Eugenol also has obvious killing or repellent action on worldwide agricultural insects, such as red flour beetle30 and citrus fruit fly males31. Toxic side effects of eugenol Eugenol has many pharmacological effects, but it also has some toxic side effects. For example, eugenol has a certain corrosive action, but its strength is less than that of phenol. The reason for this action is that eugenol is not dissolved in water. In addition, the stimulation of eugenol can cause respiratory syndrome, and its ingestion can cause metabolic acidosis. For infants, eugenol can cause hypoglycemia and liver failure. Some experiments showed that eugenol ingestion can cause a seven-month-old infant to suffer from protein and hematotoxicity with disseminated intravascular coagulation. Animal experiments showed that eugenol can cause gastroenteritis and anorexia. Summary and prospect The development and application of natural drugs have been done for thousands of years. As a type of plant extract, eugenol has a very long application history. In recent years, given its low toxicity and less residual activity, eugenol has been widely used in agriculture, forestry, animal husbandry, and veterinary medicine. Eugenol also has some treatment effects after being combined with classic drugs. Aspirin eugenol ester,32 Ibuprofen eugenol ester,33 and other non-steroidal anti-inflammatory drugs not only possess the anti-inflammatory action of Aspirin and Ibuprofen but also can reduce the toxic side effects of these two drugs on stomach and liver. These studies revealed another method of eugenol application. However, its application still has some bottlenecks. For example, the achievements in scientific research on eugenol have not been integrated with industrial production. Although eugenol has a simple structure and few toxic side effects, its target effects and mechanism of substrate interactions have not been clearly investigated, and no credible data exist to verify its toxicity. A complete toxic database has also not been established yet. Thus, the molecular mechanisms for all types of pharmacological actions need further analysis and explanation. In addition, reproductive regulation and immunoregulation are in the preliminary stages. In the future, we look forward to more detailed and complete data and materials related to eugenol so that this natural drug can have wide applications, particularly in the prevention and treatment of cancer and oxidation resistance. 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