Journals / Sağlık Bilimleri ve Yaşam Dergisi / 2022 / Cilt: 6 Sayı: 2

Effects of Turmeric on Health

Zerdeçalın Sağlığa Etkisi

Yasemin Ertaş Öztürk(ONDOKUZ MAYIS ÜNİVERSİTESİ)
Pages
34–47
Publication Date
2022-09-27
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Turmeric and its active substance curcumin have been associated with several diseases.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this study, it was aimed to examine the relationship between consumption of turmeric and its components with diseases, its effect on microbiota and potential side effects.
📊
Key Findings & Data:The health effects of turmeric are due to an orange-yellow, lipophilic polyphenol called "curcumin", which is usually derived from the plant's rhizomes.
💡
Conclusion & Impact:Conclusion: Turmeric and its active substance curcumin have been associated with several diseases.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Zerdeçal · kurkumin · kanser

Abstract

Objective: In this study, it was aimed to examine the relationship between consumption of turmeric and its components with diseases, its effect on microbiota and potential side effects. Method: Original research or reviews written in Turkish or English using appropriate keywords were searched, examined and presented. Results: Turmeric (Curcuma longa) is an herb widely used in Ayurveda and Chinese medicine due to its medicinal effects from past to present. The health effects of turmeric are due to an orange-yellow, lipophilic polyphenol called "curcumin", which is usually derived from the plant's rhizomes. In recent years, curcumin has been shown to have antioxidant, anti-inflammatory, anticancer, antihypertensive and antidiabetic effects. Thanks to these effects, it plays an important role in the prevention and treatment of various diseases, especially cancer, neurological, autoimmune diseases and diabetes. It has been reported that curcumin consumption alters the microbiota and may be beneficial in preventing dysbiosis. In addition, curcumin also has potential on pneumonia deaths, lung fibrosis, NF-KB, HMGB1 and IL-6-induced inflammatory responses due to infection and internal injuries in the vascular wall caused by high ACE2 expression in the endothelium of blood vessels, which is also causes COVID-19 disease. Turmeric stored in appropriate conditions is “generally recognized as safe” food category. However, it has been stated that some drug groups interact with curcumin and cause side effects. The bioavailability of orally consumed curcumin is low. In order to increase it, curcumin analogs are synthesized in the food and pharmaceutical industry and it is aimed to increase the biological activity of curcumin and its physiological effects on the body. These analogues include various formulations containing nanoparticles, liposomes, micelles, and phospholipid complexes. Conclusion: Turmeric and its active substance curcumin have been associated with several diseases.

Özet

Amaç: Bu çalışmada, zerdeçal ve bileşenlerinin tüketiminin hastalıklar ile ilişkisi, mikrobiyotaya etkisi ve potansiyel yan etkilerinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Uygun anahtar kelimeler kullanılarak Türkçe veya İngilizce dillerinde yazılmış orijinal araştırma veya derleme yayınlar taranmış ve incelenerek başlıklar halinde sunulmuştur. Bulgular: Zerdeçal (Curcuma longa) geçmişten günümüze tıbbi etkileri sebebiyle Ayurveda ve Çin tıbbında yaygın olarak kullanılan bir bitkidir. Zerdeçalın sağlık üzerindeki etkileri, genellikle bitkinin rizomlarından elde edilen "kurkumin" adı verilen turuncu-sarı renkli, lipofilik bir polifenol sayesindedir. Son yıllarda, kurkuminin antioksidan, antiinflamatuvar, antikanser, antihipertansif ve antidiyabetik etkileri olduğu gösterilmiştir. Bu etkileri sayesinde kanser, nörolojik, otoimmun hastalıklar ve diyabet başta olmak üzere çeşitli hastalıkların önlenmesinde ve tedavisinde önemli rol oynamaktadır. Kurkumin tüketiminin mikrobiyotada değişiklikler yarattığı ve disbiyozisin önlenmesinde faydalı olabileceği bildirilmiştir. Bunlara ek olarak kurkumin, COVID-19’da da etkili olan kan damarlarının endotelindeki yüksek ACE2 ekspresyonunun sebep olduğu damar vasküler duvarında enfeksiyona ve iç yaralanmalara bağlı pnömonili ölümler, akciğer fibrozisi, NF-KB, HMGB1 ve IL-6 kaynaklı inflamatuvar yanıtlar üzerine de potansiyel etkili bileşenlerden biridir. Uygun koşullarda saklanan zerdeçal, “genel olarak güvenilir” gıda kategorisinde kabul edilmektedir. Ancak bazı ilaç gruplarının kurkuminin işlevini indüklediği ve yan etkilere sebep olduğu da belirtilmiştir. Ağız yoluyla tüketilen kurkuminin biyoyararlanımı düşüktür. Artırmak amacıyla gıda ve ilaç sanayinde kurkumin analogları sentezlenmekte ve kurkuminin biyolojik aktivitesinin ve vücut üzerindeki fizyolojik etkilerinin arttırılması hedeflenmektedir. Bu analoglar arasında nanopartiküller, lipozomlar, miseller ve fosfolipid kompleksleri içeren çeşitli formülasyonlar bulunmaktadır. Sonuç: Zerdeçal ve etken maddesi kurkumin birçok hastalık ile ilişkilendirilmiştir.

🔖

Cite This Article

Artar, A., Öztürk, Y. E. (2022). Effects of Turmeric on Health. Sağlık Bilimleri ve Yaşam Dergisi, Cilt: 6 Sayı: 2, 34–47. https://ajindex.com/articles/1600722

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (84)

  1. Adak, A., & Khan, M. R. (2019). An insight into gut microbiota and its functionalities. Cell Mol Life Sci, 76(3), 473-493. https://doi.org/10.1007/s00018-018-2943-4
  2. Ahn, J. K., Kim, S., Hwang, J., Kim, J., Lee, Y. S., Koh, E. M., & Cha, H. S. (2015). Metabolomic Elucidation of the Effects of Curcumin on Fibroblast-Like Synoviocytes in Rheumatoid Arthritis. PLoS One, 10(12), e0145539. https://doi.org/10.1371/journal.pone.0145539
  3. Alemanno APA, G. D. (2014). Foundations of EU food law and policy: Ten years of the european food safety authority. Ashgate Publishing. Ltd, 392 p.
  4. Algandaby, M. M., Al-Sawahli, M. M., Ahmed, O. A. A., Fahmy, U. A., Abdallah, H. M., Hattori, M., & Abdel-Naim, A. B. (2016). Curcumin-Zein Nanospheres Improve Liver Targeting and Antifibrotic Activity of Curcumin in Carbon Tetrachloride-Induced Mice Liver Fibrosis. J Biomed Nanotechnol, 12(9), 1746-1757. https://doi.org/10.1166/jbn.2016.2270
  5. Altveş, S., Yildiz, H. K., & Vural, H. C. (2020). Interaction of the microbiota with the human body in health and diseases. Biosci Microbiota Food Health, 39(2), 23-32. https://doi.org/10.12938/bmfh.19-023
  6. Amalraj, A., Varma, K., Jacob, J., Divya, C., Kunnumakkara, A. B., Stohs, S. J., & Gopi, S. (2017). A Novel Highly Bioavailable Curcumin Formulation Improves Symptoms and Diagnostic Indicators in Rheumatoid Arthritis Patients: A Randomized, Double-Blind, Placebo-Controlled, Two-Dose, Three-Arm, and Parallel-Group Study. J Med Food, 20(10), 1022-1030. https://doi.org/10.1089/jmf.2017.3930
  7. Amirfakhryan, H., & Safari, F. (2021). Outbreak of SARS-CoV2: Pathogenesis of infection and cardiovascular involvement. Hellenic J Cardiol, 62(1), 13-23. https://doi.org/10.1016/j.hjc.2020.05.007
  8. Babaei, F., Nassiri-Asl, M., & Hosseinzadeh, H. (2020). Curcumin (a constituent of turmeric): New treatment option against COVID-19. Food Sci Nutr, 8(10), 5215-5227. https://doi.org/10.1002/fsn3.1858
  9. Bahramsoltani, R., Rahimi, R., & Farzaei, M. H. (2017). Pharmacokinetic interactions of curcuminoids with conventional drugs: A review. Journal of Ethnopharmacology, 209, 1-12. https://doi.org/10.1016/j.jep.2017.07.022
  10. Burge, K., Gunasekaran, A., Eckert, J., & Chaaban, H. (2019). Curcumin and Intestinal Inflammatory Diseases: Molecular Mechanisms of Protection. Int J Mol Sci, 20(8). https://doi.org/10.3390/ijms20081912
  11. Chin, K. Y. (2020). The Relationship between Vitamin K and Osteoarthritis: A Review of Current Evidence. Nutrients, 12(5). https://doi.org/10.3390/nu12051208
  12. Cho, Y.-Y., Lee, M.-K., Jang, H.-C., Rha, M.-Y., Kim, J.-Y., Park, Y.-M., & Sohn, C.-M. (2008). The clinical and cost effectiveness of medical nutrition therapy for patients with type 2 diabetes mellitus. Journal of Nutrition and Health, 41(2), 147-155.
  13. Daily, J. W., Yang, M., & Park, S. (2016). Efficacy of Turmeric Extracts and Curcumin for Alleviating the Symptoms of Joint Arthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Med Food, 19(8), 717-729. https://doi.org/10.1089/jmf.2016.3705
  14. Dethlefsen, L., McFall-Ngai, M., & Relman, D. A. (2007). An ecological and evolutionary perspective on human–microbe mutualism and disease. Nature, 449(7164), 811-818. https://doi.org/10.1038/nature06245
  15. Dou, Y., Luo, J., Wu, X., Wei, Z., Tong, B., Yu, J., & Dai, Y. (2018). Curcumin attenuates collagen-induced inflammatory response through the “gut-brain axis”. Journal of Neuroinflammation, 15(1), 6. https://doi.org/10.1186/s12974-017-1047-7
  16. Dourado, D., Freire, D. T., Pereira, D. T., Amaral-Machado, L., N. Alencar, É., de Barros, A. L. B., & Egito, E. S. T. (2021). Will curcumin nanosystems be the next promising antiviral alternatives in COVID-19 treatment trials? Biomedicine & Pharmacotherapy, 139, 111578. https://doi.org/10.1016/j.biopha.2021.111578
  17. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Turmeric. [Updated 2021 Oct 18]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501846/
  18. Fajgenbaum, D. C., & June, C. H. (2020). Cytokine Storm. New England Journal of Medicine, 383(23), 2255-2273. https://doi.org/10.1056/NEJMra2026131
  19. Feng, W., Wang, H., Zhang, P., Gao, C., Tao, J., Ge, Z., & Bi, Y. (2017). Modulation of gut microbiota contributes to curcumin-mediated attenuation of hepatic steatosis in rats. Biochim Biophys Acta Gen Subj, 1861(7), 1801-1812. https://doi.org/10.1016/j.bbagen.2017.03.017
  20. Franklyne, J. S., Nadarajan, A., Ebenazer, A., Tiwari, N., Mukherjee, A., & Chandrasekaran, N. (2018). Preparation And Characterization Of Edible Oil Nanoemulsions For Enhanced Stability And Oral Delivery Of Curcumin. International Journal of Applied Pharmaceutics, 10(6), 139-146. https://doi.org/10.22159/ijap.2018v10i6.28726
  21. Funk, J. L., Frye, J. B., Oyarzo, J. N., Kuscuoglu, N., Wilson, J., McCaffrey, G., & Jolad, S. D. (2006). Efficacy and mechanism of action of turmeric supplements in the treatment of experimental arthritis. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 54(11), 3452-3464. https://doi.org/10.1002/art.22180
  22. Fusar-Poli, L., Vozza, L., Gabbiadini, A., Vanella, A., Concas, I., Tinacci, S., & Aguglia, E. (2020). Curcumin for depression: a meta-analysis. Crit Rev Food Sci Nutr, 60(15), 2643-2653. https://doi.org/10.1080/10408398.2019.1653260
  23. Gao, X., Wang, B., Wu, Q., Wei, X., Zheng, F., Men, K., & Gong, C. (2015). Combined Delivery and Anti-Cancer Activity of Paclitaxel and Curcumin Using Polymeric Micelles. J Biomed Nanotechnol, 11(4), 578-589. https://doi.org/10.1166/jbn.2015.1964
  24. Garcea, G., Berry, D. P., Jones, D. J., Singh, R., Dennison, A. R., Farmer, P. B., & Gescher, A. J. (2005). Consumption of the putative chemopreventive agent curcumin by cancer patients: assessment of curcumin levels in the colorectum and their pharmacodynamic consequences. Cancer Epidemiol Biomarkers Prev, 14(1), 120-125.
  25. Ghosh, S. S., Bie, J., Wang, J., & Ghosh, S. (2014). Oral supplementation with non-absorbable antibiotics or curcumin attenuates western diet-induced atherosclerosis and glucose intolerance in LDLR-/- mice--role of intestinal permeability and macrophage activation. PLoS One, 9(9), e108577. https://doi.org/10.1371/journal.pone.0108577
  26. Giordano, A., & Tommonaro, G. (2019). Curcumin and cancer. Nutrients, 11(10), 2376. https://doi.org/10.3390/nu11102376
  27. Haroyan, A., Mukuchyan, V., Mkrtchyan, N., Minasyan, N., Gasparyan, S., Sargsyan, A., & Hovhannisyan, A. (2018). Efficacy and safety of curcumin and its combination with boswellic acid in osteoarthritis: a comparative, randomized, double-blind, placebo-controlled study. BMC Complement Altern Med, 18(1), 7. https://doi.org/10.1186/s12906-017-2062-z
  28. Hoehle, S. I., Pfeiffer, E., Sólyom, A. M., & Metzler, M. (2006). Metabolism of curcuminoids in tissue slices and subcellular fractions from rat liver. J Agric Food Chem, 54(3), 756-764. https://doi.org/10.1021/jf058146a
  29. Hu, B., Huang, S., & Yin, L. (2021). The cytokine storm and COVID-19. J Med Virol, 93(1), 250-256. https://doi.org/10.1002/jmv.26232
  30. Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet, 395(10223), 497-506. https://doi.org/10.1016/s0140-6736(20)30183-5
  31. Ishikawa, L. L. W., Colavite, P. M., Fraga-Silva, T. F. C., Mimura, L. A. N., França, T. G. D., Zorzella-Pezavento, S. F. G., & Sartori, A. (2017). Vitamin D Deficiency and Rheumatoid Arthritis. Clin Rev Allergy Immunol, 52(3), 373-388. https://doi.org/10.1007/s12016-016-8577-0
  32. Johnson, V. L., & Hunter, D. J. (2014). The epidemiology of osteoarthritis. Best Practice & Research Clinical Rheumatology, 28(1), 5-15. https://doi.org/10.1016/j.berh.2014.01.004
  33. Kalluru, H., Kondaveeti, S. S., Telapolu, S., & Kalachaveedu, M. (2020). Turmeric supplementation improves the quality of life and hematological parameters in breast cancer patients on paclitaxel chemotherapy: A case series. Complementary Therapies in Clinical Practice, 41, 101247. https://doi.org/10.1016/j.ctcp.2020.101247
  34. Kaufmann, F. N., Gazal, M., Bastos, C. R., Kaster, M. P., & Ghisleni, G. (2016). Curcumin in depressive disorders: An overview of potential mechanisms, preclinical and clinical findings. Eur J Pharmacol, 784, 192-198. https://doi.org/10.1016/j.ejphar.2016.05.026
  35. Kharat, M., Du, Z., Zhang, G., & McClements, D. J. (2017). Physical and chemical stability of curcumin in aqueous solutions and emulsions: impact of pH, temperature, and molecular environment. Journal of agricultural and food chemistry, 65(8), 1525-1532. https://doi.org/10.1021/acs.jafc.6b04815
  36. Kim, M.-S., Chun, S.-S., Kim, S.-H., & Choi, J.-H. (2012). Effect of tumeric (Curcuma longa) on bile acid and UDP-glucuronyl transferase activity in rats fed a high-fat and-cholesterol diet. Journal of Life Science, 22(8), 1064-1070. https://doi.org/10.5352/JLS.2012.22.8.1064
  37. Kuptniratsaikul, V., Dajpratham, P., Taechaarpornkul, W., Buntragulpoontawee, M., Lukkanapichonchut, P., Chootip, C., & Laongpech, S. (2014). Efficacy and safety of Curcuma domestica extracts compared with ibuprofen in patients with knee osteoarthritis: a multicenter study. Clin Interv Aging, 9, 451-458. https://doi.org/10.2147/cia.S58535
  38. Kuptniratsaikul, V., Thanakhumtorn, S., Chinswangwatanakul, P., Wattanamongkonsil, L., & Thamlikitkul, V. (2009). Efficacy and safety of Curcuma domestica extracts in patients with knee osteoarthritis. J Altern Complement Med, 15(8), 891-897. https://doi.org/10.1089/acm.2008.0186
  39. Lagier, J. C., Khelaifia, S., Alou, M. T., Ndongo, S., Dione, N., Hugon, P., & Raoult, D. (2016). Culture of previously uncultured members of the human gut microbiota by culturomics. Nat Microbiol, 1, 16203. https://doi.org/10.1038/nmicrobiol.2016.203
  40. Li, M., Yue, G. G.-L., Tsui, S. K.-W., Fung, K.-P., & Lau, C. B.-S. (2018). Turmeric extract, with absorbable curcumin, has potent anti-metastatic effect in vitro and in vivo. Phytomedicine, 46, 131-141. https://doi.org/10.1016/j.phymed.2018.03.065
  41. Li, S.,Yuan W., Deng, G., Wang, P., Yang, P., Aggarwal. B.B. (2011). Chemical Composition and Product Quality Control of Turmeric (Curcuma longa L.). National Center for Pharmaceutical Crops, 2, 28-54. https://doi.org/10.2174/2210290601102010028
  42. Liu, X., Machado, G. C., Eyles, J. P., Ravi, V., & Hunter, D. J. (2018). Dietary supplements for treating osteoarthritis: a systematic review and meta-analysis. Br J Sports Med, 52(3), 167-175. https://doi.org/10.1136/bjsports-2016-097333
  43. Liu, Z., Huang, P., Law, S., Tian, H., Leung, W., & Xu, C. (2018). Preventive Effect of Curcumin Against Chemotherapy-Induced Side-Effects. Front Pharmacol, 9, 1374. https://doi.org/10.3389/fphar.2018.01374
  44. Lopresti, A. L., Maes, M., Maker, G. L., Hood, S. D., & Drummond, P. D. (2014). Curcumin for the treatment of major depression: a randomised, double-blind, placebo controlled study. Journal of affective disorders, 167, 368-375. https://doi.org/10.1016/j.jad.2014.06.001
  45. McAlindon, T. E., Jacques, P., Zhang, Y., Hannan, M. T., Aliabadi, P., Weissman, B., & Felson, D. T. (1996). Do antioxidant micronutrients protect against the development and progression of knee osteoarthritis? Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 39(4), 648-656. https://doi.org/10.1002/art.1780390417
  46. Marcu, K. B., Otero, M., Olivotto, E., Borzi, R. M., & Goldring, M. B. (2010). NF-kappaB signaling: multiple angles to target OA. Current drug targets, 11(5), 599–613. https://doi.org/10.2174/138945010791011938
  47. McFadden, R. M., Larmonier, C. B., Shehab, K. W., Midura-Kiela, M., Ramalingam, R., Harrison, C. A., & Kiela, P. R. (2015). The Role of Curcumin in Modulating Colonic Microbiota During Colitis and Colon Cancer Prevention. Inflamm Bowel Dis, 21(11), 2483-2494. https://doi.org/10.1097/mib.0000000000000522
  48. National Collaborating Centre for Mental Health (UK). (2010). National Institute for Health and Clinical Excellence: Guidance. In Depression: The Treatment and Management of Depression in Adults (Updated Edition). Leicester (UK): British Psychological Societyn. Chapter 7, Psychologıcal And Psychosocıal Interventıons For People Wıth Depressıon And A Chronıc Physıcal Health Problem https://www.ncbi.nlm.nih.gov/books/NBK82916/.
  49. Nelwan, M. (2020). Control of COVID-19. http://dx.doi.org/10.2139/ssrn.3748111. Olotu, F., Agoni, C., Soremekun, O., & Soliman, M. E. S. (2020). An Update on the Pharmacological Usage of Curcumin: Has it Failed in the Drug Discovery Pipeline? Cell Biochemistry and Biophysics, 78(3), 267-289. https://doi.org/10.1007/s12013-020-00922-5
  50. Panahi, Y., Hosseini, M. S., Khalili, N., Naimi, E., Simental-Mendía, L. E., Majeed, M., & Sahebkar, A. (2016). Effects of curcumin on serum cytokine concentrations in subjects with metabolic syndrome: A post-hoc analysis of a randomized controlled trial. Biomed Pharmacother, 82, 578-582. https://doi.org/10.1016/j.biopha.2016.05.037
  51. Peterson, C. T., Vaughn, A. R., Sharma, V., Chopra, D., Mills, P. J., Peterson, S. N., & Sivamani, R. K. (2018). Effects of Turmeric and Curcumin Dietary Supplementation on Human Gut Microbiota: A Double-Blind, Randomized, Placebo-Controlled Pilot Study. J Evid Based Integr Med, 23, 2515690x18790725. https://doi.org/10.1177/2515690x18790725
  52. Pivari, F., Mingione, A., Brasacchio, C., & Soldati, L. (2019). Curcumin and Type 2 Diabetes Mellitus: Prevention and Treatment. Nutrients, 11(8), 1837. https://doi.org/10.3390/nu11081837
  53. Pompella, A., Sies, H., Wacker, R., Brouns, F., Grune, T., Biesalski, H. K., & Frank, J. (2014). The use of total antioxidant capacity as surrogate marker for food quality and its effect on health is to be discouraged. Nutrition, 30(7-8), 791-793. https://doi.org/10.1016/j.nut.2013.12.002
  54. Prasad, S., & Aggarwal, B. B. (2011). Turmeric, the golden spice (2nd edition). Herbal Medicine: Biomolecular and Clinical Aspects. https://www.ncbi.nlm.nih.gov/books/NBK92752/
  55. Prasanna, A., Ahmed, M. M., Mohiuddin, M., & Coleman, C. N. (2014). Exploiting sensitization windows of opportunity in hyper and hypo-fractionated radiation therapy. J Thorac Dis, 6(4), 287-302. https://doi.org/10.3978/j.issn.2072-1439.2014.01.14
  56. Pulido-Moran, M., Moreno-Fernandez, J., Ramirez-Tortosa, C., & Ramirez-Tortosa, M. (2016). Curcumin and Health. Molecules, 21(3), 264. https://doi.org/10.3390/molecules21030264
  57. Ruby, A. J., Kuttan, G., Babu, K. D., Rajasekharan, K. N., & Kuttan, R. (1995). Anti-tumour and antioxidant activity of natural curcuminoids. Cancer Lett, 94(1), 79-83. https://doi.org/10.1016/0304-3835(95)03827-j
  58. Schneider, C., Gordon, O. N., Edwards, R. L., & Luis, P. B. (2015). Degradation of curcumin: from mechanism to biological implications. Journal of agricultural and food chemistry, 63(35), 7606-7614. https://doi.org/10.1021/acs.jafc.5b00244
  59. Shakibaei, M., Mobasheri, A., Lueders, C., Busch, F., Shayan, P., & Goel, A. (2013). Curcumin enhances the effect of chemotherapy against colorectal cancer cells by inhibition of NF-κB and Src protein kinase signaling pathways. PLoS One, 8(2), e57218. https://doi.org/10.1371/journal.pone.0057218
  60. Shanmugam, M. K., Rane, G., Kanchi, M. M., Arfuso, F., Chinnathambi, A., Zayed, M. E., & Sethi, G. (2015). The multifaceted role of curcumin in cancer prevention and treatment. Molecules, 20(2), 2728-2769. https://doi.org/10.3390/molecules20022728
  61. Sharifi-Rad, J., Rayess, Y. E., Rizk, A. A., Sadaka, C., Zgheib, R., Zam, W., & Martins, N. (2020). Turmeric and Its Major Compound Curcumin on Health: Bioactive Effects and Safety Profiles for Food, Pharmaceutical, Biotechnological and Medicinal Applications. Front Pharmacol, 11, 01021. https://doi.org/10.3389/fphar.2020.01021
  62. Shehzad, A., Lee, J., & Lee, Y. S. (2013). Curcumin in various cancers. Biofactors, 39(1), 56-68. https://doi.org/10.1002/biof.1068
  63. Shen, L., Liu, L., & Ji, H. F. (2017). Regulative effects of curcumin spice administration on gut microbiota and its pharmacological implications. Food Nutr Res, 61(1), 1361780. https://doi.org/10.1080/16546628.2017.1361780
  64. Silva, B. N., Araújo Í, L., Queiroz, P. M., Duarte, A. L., & Burgos, M. G. (2014). Intake of antioxidants in patients with rheumatoid arthritis. Rev Assoc Med Bras (1992), 60(6), 555-559. https://doi.org/10.1590/1806-9282.60.06.014
  65. Soni, V. K., Mehta, A., Ratre, Y. K., Tiwari, A. K., Amit, A., Singh, R. P., & Vishvakarma, N. K. (2020). Curcumin, a traditional spice component, can hold the promise against COVID-19? European Journal of Pharmacology, 886, 173551. https://doi.org/10.1016/j.ejphar.2020.173551
  66. Sousa, D. F. d., Araújo, M. F. M. d., de Mello, V. D., Damasceno, M. M. C., & Freitas, R. W. J. F. d. (2020). Cost-Effectiveness of Passion Fruit Albedo versus Turmeric in the Glycemic and Lipaemic Control of People with Type 2 Diabetes: Randomized Clinical Trial. Journal of the American College of Nutrition, 1-10. https://doi.org/10.1080/07315724.2020.1823909
  67. Sun, Z. Z., Li, X. Y., Wang, S., Shen, L., & Ji, H. F. (2020). Bidirectional interactions between curcumin and gut microbiota in transgenic mice with Alzheimer's disease. Appl Microbiol Biotechnol, 104(8), 3507-3515. https://doi.org/10.1007/s00253-020-10461-x
  68. Suresh, D., & Srinivasan, K. (2010). Tissue distribution & elimination of capsaicin, piperine & curcumin following oral intake in rats. Indian J Med Res, 131, 682-691.
  69. Tang, N., Li, D., Wang, X., & Sun, Z. (2020). Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost, 18(4), 844-847. https://doi.org/10.1111/jth.14768
  70. T.C. Sağlık Bakanlığı, Tıbbi İlaç ve Cihaz Kurumu. (2022). Tıbbi Bitki Monografları, Curcuma longa. https://titck.gov.tr/storage/Archive/2020/dynamicModulesAttachment/CurcumalongaL._9833c2ec-9595-4fd0-abde-21b1865b7569.pdf, Erişim Tarihi:26.02.2021
  71. Thimmulappa, R. K., Mudnakudu-Nagaraju, K. K., Shivamallu, C., Subramaniam, K. J. T., Radhakrishnan, A., Bhojraj, S., & Kuppusamy, G. (2021). Antiviral and immunomodulatory activity of curcumin: A case for prophylactic therapy for COVID-19. Heliyon, 7(2), e06350. https://doi.org/10.1016/j.heliyon.2021.e06350
  72. Thota, S. M., Balan, V., & Sivaramakrishnan, V. (2020). Natural products as home-based prophylactic and symptom management agents in the setting of COVID-19. Phytother Res, 34(12), 3148-3167. https://doi.org/10.1002/ptr.6794
  73. Toden, S., & Goel, A. (2017). The Holy Grail of Curcumin and its Efficacy in Various Diseases: Is Bioavailability Truly a Big Concern?. Journal of restorative medicine, 6(1), 27–36. https://doi.org/10.14200/jrm.2017.6.0101
  74. Vanaie, A., Shahidi, S., Iraj, B., Siadat, Z. D., Kabirzade, M., Shakiba, F., & Parvizian, H. (2019). Curcumin as a major active component of turmeric attenuates proteinuria in patients with overt diabetic nephropathy. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 24, 77. https://doi.org/10.4103/jrms.JRMS_1055_18
  75. Wickenberg, J., Ingemansson, S. L., & Hlebowicz, J. (2010). Effects of Curcuma longa (turmeric) on postprandial plasma glucose and insulin in healthy subjects. Nutr J, 9, 43. https://doi.org/10.1186/1475-2891-9-43
  76. World Health Organization, WHO Consultation on Selected Medicinal Plants. (‎2006)‎. https://apps.who.int/iris/handle/10665/42052, Erişim Tarihi:26.02.2021
  77. World Health Organization. (2020, April 27). Archived: WHO Timeline - COVID-19. https://www.who.int/news/item/27-04-2020-who-timeline---covid-19, Erişim Tarihi:11.06.2021
  78. World Health Organization [WHO]. (2021). Cancer. http://www.who.int/cancer/en/, Erişim Tarihi:11.03.2021
  79. Xu, X. Y., Meng, X., Li, S., Gan, R. Y., Li, Y., & Li, H. B. (2018). Bioactivity, Health Benefits, and Related Molecular Mechanisms of Curcumin: Current Progress, Challenges, and Perspectives. Nutrients, 10(10). https://doi.org/10.3390/nu10101553
  80. Zhang, D. W., Fu, M., Gao, S. H., & Liu, J. L. (2013). Curcumin and diabetes: a systematic review. Evid Based Complement Alternat Med, 2013, 636053. https://doi.org/10.1155/2013/636053
  81. Zhang, Z., Chen, Y., Xiang, L., Wang, Z., Xiao, G. G., & Hu, J. (2017). Effect of Curcumin on the Diversity of Gut Microbiota in Ovariectomized Rats. Nutrients, 9(10). https://doi.org/10.3390/nu9101146
  82. Zheng, Q. T., Yang, Z. H., Yu, L. Y., Ren, Y. Y., Huang, Q. X., Liu, Q., & Zheng, X. (2017). Synthesis and antioxidant activity of curcumin analogs. J Asian Nat Prod Res, 19(5), 489-503. https://doi.org/10.1080/10286020.2016.1235562
  83. Zhou, Q.-M., Wang, X.-F., Liu, X.-J., Zhang, H., Lu, Y.-Y., Huang, S., & Su, S.-B. (2011). Curcumin improves MMC-based chemotherapy by simultaneously sensitising cancer cells to MMC and reducing MMC-associated side-effects. European journal of cancer, 47(14), 2240-2247. https://doi.org/10.1016/j.ejca.2011.04.032
  84. Vanaie, A., Shahidi, S., Iraj, B., Siadat, Z. D., Kabirzade, M., Shakiba, F., & Parvizian, H. (2019). Curcumin as a major active component of turmeric attenuates proteinuria in patients with overt diabetic nephropathy. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 24, 77. https://doi.org/10.4103/jrms.JRMS_1055_18