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Betulinic Acid for Skin Cancer Update, and a mention of Santa Claus December 21, 2006 Jacob Schor, ND
A year ago, I sent out a newsletter on betulinic acid and its potential use in treating cancer, especially melanoma. As it was almost Christmas when I sent it out, I managed a weak tie in to some trivia about Santa Claus. It turns out that our image of this generous gentleman may be a bit misplaced. Instead, I suggested that you consider Santa from an anthropological viewpoint, as a commercialized euphemistic representation of a mad eyed shaman of the reindeer people of the far north, stumbling across the frozen tundra feeding hallucinogenic amanita mushrooms to both his reindeer herds and his ‘congregation', dropping down the smoke holes of yurts with a psychedelicized ho-ho-ho.
I enjoyed reading up on this history and found it entertaining to contemplate when watching Santa Claus at the shopping mall. So entertained was I that I decided to resend the same newsletter out again this year.
My recent email on mistletoe and my allusions to our current culture wars over wishing a Merry Christmas, generated several requests from people asking to be removed from our mailing list. At this point, we hopefully won't offend anyone else on the list by revealing Santa's true identity.
First, we must look at new developments regarding betulinic acid since this time last year. Recall that betulinic acid is a chemical derived from Birch tree bark. A paper back in 1995 first suggested that betulinic acid might be useful in treating skin cancer. Last year's Santa newsletter chronicled the early studies. So what is new? It turns out that a lot is new.
In February 2006, a paper reported great success using a topical salve containing betulinic acid to treat actinic keratosis. Twenty-eight patients were treated with either betulinic alone or betulinic acid in combination with standard freezing therapy. Clearing of more than 75 % of the lesions was seen in 79 % of the patients treated with birch bark ointment alone. The response rate of the combined treatment, betulinic acid and freezing, was 93 %. [i]
Studies are looking into the chemical structure of various betulinic derivatives attempting to figure out which forms work best against which cancer types and, more important to drug companies, which ‘analogues' that can be patented also work. A study from May, details the variations on structure hoping to determine which pieces are most needed to produce the substance's anticancer effect for modeling chemotherapy drugs after. [ii] A study from September is already testing analogues to betulinic acid to see if they work as well as the real stuff. [iii]
Half a dozen or so other studies continue to pursue information on betulinic acid's value in treating skin and other cancers. Betulinic acid kills other types of cancer cells as well as melanoma.
In a study published December 12, that is last week, Dutch researchers, “… tested the in vitro sensitivity of broad cell line panels derived from lung, colorectal, breast, prostate and cervical cancer, which are the prevalent cancer types characterized with highest mortalities in woman and men.” Their results were impressive: “….in all cell lines tested colony formation was completely halted at remarkably equal BA concentrations that are likely attainable in vivo.” [iv]
It was effective against all the cell lines tested in that study but they stuck with the big cancers. Another study published earlier in the year, suggests betulinic acid does not work against all types of Burkitt's lymphoma, one of those obscure things you don't want to get. [v]
Other uses for betulinic acid are showing up in the literature. It may be useful as an anti inflammatory and in killing the HIV virus that causes AIDs. It still appears to be safe, it is non toxic in mice in doses up to 500 mg per kilogram. [vi]
Last year I mentioned studies that showed that betulinic acid augmented the anticancer effect of vitamin D on leukemia, vincristin on lung cancer, hyperthermia and several other anticancer drugs. A study from September 2005, which I hadn't noticed, reports that betulinic acid was helpful when used in combination with vincristin for treating squamous cell cancers of the head and neck. [vii] Just in November, a Chinese group reported a newer simpler and less expensive way to extract betulinic acid. [viii] Back in January, an American company named NATURNORTH TECHNOLOGIES near Duluth , Minnesota reported they had figured out a way to make betulinic acid from waste materials leftover from paper manufacturing. [ix] Despite this interesting research, betulinic acid is still not widely available. I have yet to see any of our major nutritional supplement suppliers offering it in capsule or topical form. At this point, betulinic is available from chemical supply houses at reasonable prices and we have the option of hand compounding it into topical ointments or encapsulating it ourselves. Another option is to use Birch bark which can contain as much as 30% betulin. This can be made into a tea or a compress. My imagination quickly runs to the idea of steeping pounds of birch bark in a hot tub in which we then soak patients. Given the apparent safety of the treatment and the current prognosis for patients with melanoma, one has to ask, “Why not?”
I will paste our original Santa newsletter below. You can read it with references on our website: http://denvernaturopathic.com/news/santaandbetulinic.html
Santa Claus, Hallucinogenic mushrooms, birch trees and melanoma December 8, 2005 Subject: Betulinic acid research is moving forward confirming its value in treating melanoma. Chaga mushrooms may be even more useful. Santa Claus trivia as well.
It is time to review the new studies on betulinic acid, a derivative of birch bark, and its potential role in treating melanoma. It is also time to consider the use of Chaga mushrooms which grow on birch trees. Yet given the season, we first must consider Santa Claus and his reindeer as the subjects are connected.
Santa Claus and Amanita Mushrooms: Our dear Santa, despite his modern association with Christmas, is apparently modeled after the shamans of the reindeer culture of the far northern latitudes. These peoples and especially their shamans relied on amanita mushrooms for their potent hallucinogenic properties which proved efficacious for communing with the gods.
Amanita muscaria mushrooms grow only under certain types of trees, mostly firs and evergreens. Amanita are bright red with white spots: they are the original bright gifts that these early people sought under their ‘Christmas' tree.
In the belief system of these people, the sacred North Star stood atop a magical evergreen tree that was the central axis of the world. The shaman would metaphorically climb this tree and, by touching the North Star, would pass into the realm of the gods. With enough hallucinogenic mushrooms, anything is possible.
There is a drawback. Amanita mushrooms are very poisonous. They cause catastrophic liver failure. Serious shamans could avoid violent death by slowly building up tolerance to the poison by consuming tiny amounts of mushroom daily. Daily doses of violently toxic hallucinogens have their drawbacks. You can't hold a day job.
For the peoples of the far north reindeer provided an almost magical way around amanita toxicity. Reindeer are unaffected by the toxins or hallucinogens in amanita. When reindeer eat the mushrooms, the active hallucinogenic chemicals are left unchanged but the toxic elements are inactivated. By feeding mushrooms to the reindeer and then collecting and drinking the reindeer urine, our early Santa found a simple chemical detoxification process. If this sounds gross, recall how Premarin is made.
If you are into trivia, some scholars think that the origin of the phrase "to get pissed," was started by this urine-drinking; it preceded the consumption of alcohol by thousands of years and left the consumer incredibly plastered.
Does the image of an ancient shaman dressed in his traditional red fur hat trimmed with fur and long black leather boots coming back from collecting mushrooms carrying large sacks of bright red ‘gifts' sound a bit like the fellow in Coca-cola ads?
The hallucinogenic effect of the amanita mushroom often includes the feeling of flying, which probably accounts for the image of bell decked reindeer flying around the North Pole with a hallucinating shaman laughing in his sled.
While pondering that ancient Santa stumbling stoned on reindeer piss and falling through the smoke hole of his yurt, come back to the subject of betulinic acid which is what this article is really about.
Birch Trees and Betulinic Acid: Betulinic acid is found in birch tree bark. These trees inhabit the northern cold latitudes and were very familiar to the reindeer peoples of northern Europe and Asia . Over the last few years a growing body of published scientific research has made this chemical appear very interesting for its potential effect in cancer treatment.
Although birch bark has a long history of use in making various herbal medicines, modern interest didn't start until ten years ago. In March, 1995, John Pezzuto of the University of Illinois , Chicago reported that a compound isolated from birch bark called betulinic acid, was able to kill human melanoma cells transplanted into mice.
Dr. Pezzuto extracted betulin from birch logs found in an old woodpile near his Chicago laboratory and converted this into betulinic acid (BA). Unlike conventional chemotherapy, this compound caused no apparent side effects and, for obvious reasons, is potentially very inexpensive. This initial research spurred a flurry of studies confirming the initial findings, delineating the chemical mechanisms of action, or at least some of them, and finding BA effective at killing other types of cancer cell besides melanoma.
Studies published in the last few years continue to confirm betulinic acid (BA) kills melanoma cells. Eight years after the original article from 1995 [i] the original research group published again, providing greater detail to the mechanism of action. [ii] Various chemical derivatives of BA have been created and examined with even greater cytotoxicity, 2005. [iii] [iv] [v] [vi] While toxic to skin cancer cells BA encourages cell differentiation in normal skin cells according to a 2005 study. [vii] Betulinic acid may be useful in treating other cancers besides melanoma. Research has been published suggesting use of BA in treatment of leukemia, [viii] [ix] lung, [x] head and neck cancer, [xi] and brain [xii] cancer. It enhances the effect of other treatments, including vitamin D on leukemia, [xiii] vincristine on lung cancer, [xiv] hyperthermia [xv] and potentiates other anticancer drugs. [xvi] Doctrine of Signatures and Chaga Mushroom: There is an old theory in herbal medicine called the Doctrine of Signatures which suggests that the therapeutic use of a plant can be inferred from the image, shape or form the plant presents. In simpler word, the plant's appearance contains a message which suggests the organ or illness it is useful to treat. It is interesting that the skin of the birch tree yields a chemical useful in treating skin ailments. It is even more interesting if you look at the appearance of a fungus that occasionally grows on birch trees. This fungus, a mushroom polyspore called Chaga, Innonotus obliquus , which parasitizes birch trees and can only be described as looking like a tumor. The Chaga mushroom has been revered by those same reindeer cultures that brought us Santa, and used as a medicine to treat among other things, skin cancers. Although the mushroom can grow on other trees, including alder and beech, only the mushrooms from birch trees are reputed to have medicinal value. Unlike most mushrooms, chaga is a polypore, a fungus with pores instead of gills. Chaga is a parasite and draws its nutrients out of living trees, rather than from the ground. Fungi digest food outside their bodies by releasing enzymes into the surrounding environment, breaking down organic matter into a form the fungus can then absorb. Chaga absorb large amounts of betulinic acid from the birch trees and convert it into various forms that can be ingested orally. Chaga mushrooms are not easy to come by. They often grow high in the trees at a height of 10 to 30 feet, which makes collecting difficult. The Russians, the main commercial source of these mushrooms, go out with ropes and harnesses. The ideal chaga fruiting body is 25 years old and may weigh 10 pounds. According to one chaga website, only one birch tree in 15,000 yields a mushroom. There is less research on Chaga than on betulinic acid yet what there is looks promising. Chaga is immunostimulating, having effects similar to other medicinal mushrooms. [xvii] It has anti-inflammatory and pain relieving action. [xviii] It acts as an antioxidant, [xix] preventing damage to cell DNA. [xx]
What does this have to do with Santa and his reindeer? Not much. Reindeer convert one medicinal plant substance into another more ‘beneficial' for people. This sort of transformation by an intermediary organism into something more useful to people is not unique. The fermentation of sugars by yeast to make alcohol is the most obvious example. The biotransformation of birch bark by Chaga mushrooms may yield a unique ally in the treatment of specific illnesses. Betulinic acid appears useful on its own yet we already know that certain chemical derivatives are even more powerful. Chaga may provide a source of betulinic acid at once both more bioavailable and useful. These mushrooms may provide benefits, in ways more complex and more elegant than the research scientists have yet to figure out? If nothing else the digression about Santa should provide food for thought this holiday season.
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Note: In 1994 local Denver artist, Tom Stimson traveled extensively documenting the shamanic use of Amanita mushrooms in far eastern Russia . He produced and sells a fascinating video on these Siberian shamans who still employ amanita mushrroms. http://pageformer.com/mukomor/
References
[i] Nature Medicine 1, 1046 - 1051 (1995) Discovery of betulinic acid as a selective inhibitor of human melanoma that functions by induction of apoptosis Emily Pisha1, Heebyung Chai1, Ik-Soo Lee1, Tangai E. Chagwedera2, Norman R. Farnsworth1, Geoffrey A. Cordell1, Christopher W.W. Beecher1, Harry H.S. Fong1, A. Douglas Kinghorn1, Daniel M. Brown3, 5, Mansukh C. Wani3, Monroe E. Wall3, Tina J. Hieken4, Tapas K. Das Gupta4 & John M. Pezzuto1, 4, 6 As a result of bioassay-guided fractionation, betulinic acid, a pentacyclic triterpene, was identified as a melanoma-specific cytotoxic agent. In follow-up studies conducted with athymic mice carrying human melanomas, tumour growth was completely inhibited without toxicity. As judged by a variety of cellular responses, antitumour activity was mediated by the induction of apoptosis. Betulinic acid is inexpensive and available in abundant supply from common natural sources, notably the bark of white birch trees. The compound is currently undergoing preciinicai development for the treatment or prevention of malignant melanoma.
[xii] .
[xiii] Betulinic acid enhances 1a,25-dihydroxyvitamin D3-induced differentiation in human HL-60 promyelocytic leukemia cells Ka-Hung Poon, Jinxia Zhang, Cheng Wang, Anfernee Kai-Wing Tse, Chi-Keung Wan, Wang-Fun Fong Bioactive Products Research Group Published at: Anti-cancer Drugs July 2004
[xv] minimal effect in normal tissues growing at pH 7.3.
• [xvi]
[xvii] Kim YO, Han SB, Lee HW, Ahn HJ, Yoon YD, Jung JK, Kim HM, Shin CS. Immuno-stimulating effect of the endo-polysaccharide produced by submerged culture of Inonotus obliquus. Life Sci. 2005 Sep 23;77(19):2438-56. PMID: 15970296 [PubMed - indexed for MEDLINE]
[xviii] Park YM, Won JH, Kim YH, Choi JW, Park HJ, Lee KT. In vivo and in vitro anti-inflammatory and anti-nociceptive effects of the methanol extract of Inonotus obliquus. J Ethnopharmacol. 2005 Oct 3;101(1-3):120-8. PMID: 15905055 [PubMed - in process] [xix] Cui Y, Kim DS, Park KC. Antioxidant effect of Inonotus obliquus. J Ethnopharmacol. 2005 Jan 4;96(1-2):79-85. PMID: 15588653 [PubMed - indexed for MEDLINE] [xx] Park YK , Lee HB, Jeon EJ, Jung HS, Kang MH. Chaga mushroom extract inhibits oxidative DNA damage in human lymphocytes as assessed by comet assay. Biofactors. 2004;21(1-4):109-12. PMID: 15630179 [PubMed - indexed for MEDLINE]
[i] : J Dtsch Dermatol Ges. 2006 Feb;4(2):132-6. [Treatment of actinic keratoses with birch bark extract: a pilot study][Article in German] Huyke C , Laszczyk M , Scheffler A , Ernst R , Schempp CM . Universitats-Hautklinik, Hauptstr. 7, D-79104 Freiburg . BACKGROUND: Birch bark contains a variety of apoptosis-inducing and anti-inflammatory substances such as betulinic acid, betulin, oleanolic acid and lupeol. Therefore, birch bark extract may be effective in the treatment of actinic keratoses. To address this issue, a pilot study using a standardized birch bark ointment was performed. METHODS: Twenty-eight patients with actinic keratoses were enrolled in this prospective, non-randomized pilot study. Fourteen patients were treated with birch bark ointment only; fourteen patients received a combination therapy with cryotherapy and birch bark ointment. Treatment response was assessed clinically after two months. RESULTS: Clearing of more than 75 % of the lesions was seen in 79 % of the patients treated with birch bark ointment monotherapy. The response rate of the combined treatment modality was 93 %. Therapy with birch bark ointment was well tolerated. CONCLUSION: In this pilot study, a standardized birch bark extract was effective in the treatment of actinic keratoses. This therapy is easy to perform and it has no side effects. Birch bark ointment may be a new therapeutic option for actinic keratoses. PMID: 16503940 [PubMed - indexed for MEDLINE
[ii] Anticancer Agents Med Chem. 2006 May;6(3):271-9. Betulinic acid derivatives as anticancer agents: structure activity relationship. Mukherjee R , Kumar V , Srivastava SK , Agarwal SK , Burman AC . Medicinal Chemistry, Dabur Research Foundation, 22 Site IV, Sahibabad, Ghaziabad 201010, UP, India . Betulinic acid, a pentacyclic triterpene, is widely distributed throughout the tropics. It possesses several biological properties such as anticancer, anti-inflammatory, antiviral, antiseptic, antimalarial, spermicidal, antimicrobial, antileshmanial, antihelmentic and antifeedent activities. However, betulinic acid was highly regarded for its anticancer and anti-HIV activities. Anticancer role of betulinic acid appeared by inducing apoptosis in cells irrespective of their p53 status. Due to high order safety in betulinic acid, a number of structural modifications carried out to improve its potency and efficacy. The C-1, C-2, C-3, C-4, C-20 and C-28 positions are the diversity centers in betulinic acid, and the derivatives resulted on various structural modifications at these positions screened for their anticancer activity. This review presents the structure activity relationship carried out on C-1, C-2, C-3, C-4, C-20, C-28, A-ring, D-ring and E-ring modified betulinic acid derivatives. We have compiled the most active betulinic acid derivatives along with their activity profile in each series. Structure activity relationship studies revealed that C-28 carboxylic acid was essential for the cytotoxicity. The halo substituent at C-2 position in betulinic acid enhanced the cytotoxicity. Though the relation of the cytotoxicity with the nature of substituents at C-3 position could not be generalized but the ester functionality appeared to be a better substituent for enhancing the cytotoxicity. An interesting observation is that the three rings skeleton (A, B and C rings) had played an important role in eliciting anticancer activity, which could be a new molecular skeleton to design new anticancer drugs. PMID: 16712455 [PubMed - indexed for MEDLINE]
[iii]
Honda
T, Liby KT, Su X, Sundararajan C, Honda Y, Suh N, Risingsong R, Williams
CR, Royce DB, Sporn MB, Gribble GW. Related
Articles,
Links Design, synthesis,
and anti-inflammatory activity both in vitro and in vivo of new betulinic
acid analogues having an enone functionality in ring A.
[iv] Cancer Lett. 2006 Dec 12; [Epub ahead of print] Links Broad in vitro efficacy of plant-derived betulinic acid against cell lines derived from the most prevalent human cancer types. Kessler JH , Mullauer FB , de Roo GM , Medema JP . Laboratory for Experimental Oncology and Radiobiology (LEXOR), Center for Experimental and Molecular Medicine, Academic Medical Center (AMC), Meibergdreef 9, 1105 AZ Amsterdam , The Netherlands . Betulinic acid (BA) is a widely available plant-derived triterpene with reported activity against cancer cells of neuroectodermal origin and leukaemias . Treatment with BA was shown to protect mice against transplanted human melanoma and led to tumor regression. In contrast, cells from healthy tissues were resistant to BA and toxic side-effects in animals were absent. These findings have raised interest in the chemotherapeutical anti-cancer potential of BA. A comprehensive assessment of the efficacy of BA against the clinically most important cancer types is currently lacking. Therefore, we tested the in vitro sensitivity of broad cell line panels derived from lung, colorectal, breast, prostate and cervical cancer, which are the prevalent cancer types characterized with highest mortalities in woman and men. Multiple assays were used in order to allow a reliable assessment of anti-cancer efficacy of BA. After 48h of treatment with BA, cell viability as assessed with MTT and cell death as measured with propidium iodide exclusion showed clear differences in sensitivity between cell lines. However, in all cell lines tested colony formation was completely halted at remarkably equal BA concentrations that are likely attainable in vivo. Our results substantiate the possible application of BA as a chemotherapeutic agent for the most prevalent human cancer types. PMID: 17169485 [PubMed - as supplied by publisher]
[v]
Int
J Cancer. 2006 Jan 1;118(1):246-52. Betulinic acid, a natural cytotoxic agent, fails to trigger apoptosis in human Burkitt's lymphoma-derived B-cell lines. Karpova MB , Sanmun D , Henter JI , Smirnov AF , Fadeel B . Childhood Cancer Research Unit, Department of Woman and Child Health, Karolinska University Hospital , Stockholm , Sweden . Betulinic acid (BA), a pentacyclic triterpene of natural origin, effectively induces apoptosis in neuroectodermal tumors and was recently shown to be a potent trigger of cell death in human leukemia-derived cell lines. To explore the potential of BA in the treatment of hematologic malignancies, we tested a panel of 10 Burkitt's lymphoma (BL)-derived B-cell lines for sensitivity to BA. The human Jurkat T leukemia cell line was included as a positive control. Our studies show that BA exerts cytotoxic effects in some of the BL cell lines tested, including DG75, a chemoresistant BL cell line. However, cell death was caspase-independent, as evidenced by a lack of protection by zVAD-fmk, a pancaspase inhibitor, and displayed signs of necrosis. Furthermore, BA-induced caspase activation was seen to a minor extent in only 1 of the 10 BL cell lines tested (Ramos, a p53-deficient cell line), but was readily detected in Jurkat cells. Together, these studies indicate that resistance to BA-induced apoptosis is a common feature of BL-derived cell lines. Copyright 2005 Wiley-Liss, Inc. PMID: 16003746 [PubMed - indexed for MEDLINE]
[vi] Eur J Pharm Sci. 2006 Sep;29(1):1-13. Epub 2006 Apr 29. Links Pharmacological properties of the ubiquitous natural product betulin. Alakurtti S , Makela T , Koskimies S , Yli-Kauhaluoma J . Faculty of Pharmacy, Division of Pharmaceutical Chemistry, University of Helsinki , Helsinki , Finland . Betulin (lup-20(29)-ene-3beta,28-diol) is an abundant naturally occurring triterpene and it is found predominantly in bushes and trees forming the principal extractive (up to 30% of dry weight) of the bark of birch trees . Presently, there is no significant use for this easily isolable compound, which makes it a potentially important raw material for polymers and a precursor of biologically active compounds. Betulin can be easily converted to betulinic acid, which possesses a wide spectrum of biological and pharmacological activities. Betulinic acid has antimalarial and anti-inflammatory activities. Betulinic acid and its derivatives have especially shown anti-HIV activity and cytotoxicity against a variety of tumor cell lines comparable to some clinically used drugs . A new mechanism of action has been confirmed for some of the most promising anti-HIV derivatives, which makes them potentially useful additives to the current anti-HIV therapy. Betulinic acid is specifically cytotoxic to several tumor cell lines by inducing apoptosis in cells. Moreover, it is non-toxic up to 500 mg/kg body weight in mice. The literature concerning derivatization of betulin for structure-activity relationship (SAR) studies and its pharmacological properties is reviewed. PMID: 16716572 [PubMed - indexed for MEDLINE]
[vii] Oncol Rep. 2005 Sep;14(3):667-71. Links Combination of betulinic acid with cisplatin--different cytotoxic effects in two head and neck cancer cell lines. Eder-Czembirek C , Czembirek C , Erovic BM , Selzer E , Turhani D , Vormittag L , Thurnher D . Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. Betulinic acid (BetA), a new experimental cytotoxic compound that is active against human melanoma cells and neuroectodermal tumor cells, has recently been shown to be also effective against head and neck squamous carcinoma cells (HNSCC). In this study we investigated BetA in combination with cisplatin in squamous cell carcinoma cell lines of the tongue. SCC25 and SCC9 were treated with BetA and/or cisplatin. Cells were counted with an automated analyzing system. Caspase activation was determined using the M30 Cyto-Death ELISA, expression of the anti-apoptotic protein Mcl-1 by Western blot analysis. Visualization of apoptotic cells was achieved by immunohistochemistry. Synergistic cytotoxic effect and the induction of apoptosis under combined treatment was observed in SCC25 cells only after 24 or 48 h, whereas treatment of SCC25 cells for 72 h with BetA and cisplatin showed antagonism or subadditive effects. In SCC9 cells, antagonism occurred over an increase of dose and time during treatment. Furthermore, we could not demonstrate a significant alteration in the expression of the anti-apoptotic protein, Mcl-1. Our in vitro data demonstrate that BetA seems to be an unlikely candidate for combination with cisplatin in the treatment of head and neck cancer. PMID: 16077972 [PubMed - indexed for MEDLINE]
[viii] Planta Med. 2006 Nov 7; [Epub ahead of print] Links Physical, Chemical and Pharmacological Characterization of a New Oleogel-Forming Triterpene Extract from the Outer Bark of Birch (Betulae Cortex). Laszczyk M , Jager S , Simon-Haarhaus B , Scheffler A , Schempp CM . Carl Gustav Carus-Institut, Niefern-Oschelbronn , Germany . Triterpenes are biologically active secondary plant substances that display antimicrobial, hepatoprotective and anti-inflammatory effects. However, the poor solubility of triterpenes in both polar and non-polar solvents as well as expensive purification procedures have prevented the large-scale isolation of these compounds for medicinal purposes. Here, we describe a novel quantitative extraction method of triterpenes from the outer bark of birch ( BETULA species) in which betulin, a lupan triterpene, predominates. The resulting highly purified triterpene extract (TE) in the form of a dry powder contains betulin as the major compound, but also betulinic acid, lupeol, erythrodiol and oleanolic acid. We have found that this TE is able to form an oleogel, thus providing an opportunity for the topical application of pharmacologically relevant amounts of triterpenes. Furthermore, we have investigated the TE in comparison to its major isolated compounds in cell culture experiments with human immortalized keratinocytes and skin cancer cells. We could demonstrate dose-dependent cytotoxic and apoptosis-inducing effects of TE and betulin. These experimental data support the notion from a previous clinical study that TE from the outer bark of birch might represent a new tool for the topical treatment of skin cancer and skin cancer precursors like actinic keratoses. PMID: 17091432 [PubMed - as supplied by publisher]
[ix] http://www.naturnorth.com/In%20The%20News2.html January 31, 2006 NATURNORTH TECHNOLOGIES BUILDING BIRCH BARK PROCESSING FACILITY NEAR DULUTH Duluth, MN-NaturNorth Technologies LLC (NaturNorth) has begun construction of a commercial production facility-the first of its kind- in Two Harbors, about 20 miles north of Duluth. The facility will concentrate the bark of the white paper birch tree (betula papyrifera) into material that will be further processed into large quantities of bioactive, low-toxicity compounds, like betulin and betulinic acid, potentially useful in antifungals, antibacterials, and antivirals for use in pharmaceuticals, cosmetics, crop protection and preservatives. The Two Harbors facility is expected to start operating in early April of 2006. It will be the first facility in the world to process birch bark into material that can be efficiently converted into commercial quantities of bioactive compounds. This also represents NaturNorth's first effort to invest in capabilities to develop commercial quantities of birch bark. “The Two Harbors bark processing facility represents a strategic move to construct a significant production facility and a demonstration site for our technology as well as lay the groundwork for further expansion as commercial opportunities develop,” said David Peterson, President and CEO of NaturNorth. “The new facility will initially employ five people,” he said. Peterson emphasized that NaturNorth will be getting its supply of bark from existing forest products companies, where birch bark is a by-product of their commercial operations. “Extracting betulin from birch bark and producing betulinic acid for cosmetic and medicinal purposes represent exciting potential uses for this otherwise wasted resource from Minnesota 's forest products industry.” NaturNorth's mission is to identify, develop and produce natural, high-purity commercial compounds from birch bark and their active derivatives. NaturNorth is able to supply commercial quantities of previously unavailable bioactive natural products and their derivatives for use in high-value applications. NaturNorth is a public-private partnership between the University of Minnesota Duluth, Potlatch Corporation (NYSE: PCH) and Synertec, a subsidiary of ALLETE, Inc. (NYSE: ALE). Technologies to extract the betulin were developed at UMD's Natural Resources Research Institute. “Together, these partners have guided and supported NaturNorth and we are pleased to have the opportunity to support this business in Minnesota ,” said L. Pendleton Siegel, Chairman and CEO, Potlatch Corporation.
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