2010
DOI: 10.1186/1749-8546-5-7
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Treatment of menopausal symptoms by an extract from the roots of rhapontic rhubarb: the role of estrogen receptors

Abstract: A dry extract from the roots of rhapontic rhubarb (extract Rheum rhaponticum (L.); ERr) has been commercially available in Germany for over two decades to treat menopausal symptoms. However, the molecular basis of its clinical effectiveness remains obscure. This article reviews the in vitro and in vivo data of its estrogenic actions, particularly those mediated by estrogen receptor-β (ERβ).

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Cited by 13 publications
(15 citation statements)
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“…An extended in vivo study for 90 days with ovariectomized rats also confirmed that the rhubarb extract did not induce uterotrophy or markers of proliferation, while it showed no effect on the bone mineral density [128]. Vollmer et al [129] also reported that different doses of the rhubarb extract did not enhance the uterine wet weight and the proliferation marker genes in ovariectomized rats. Interestingly, when the extract was combined with E 2 , it counteracted the uterotrophic effects of E 2 , dose-dependently [129].…”
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confidence: 84%
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“…An extended in vivo study for 90 days with ovariectomized rats also confirmed that the rhubarb extract did not induce uterotrophy or markers of proliferation, while it showed no effect on the bone mineral density [128]. Vollmer et al [129] also reported that different doses of the rhubarb extract did not enhance the uterine wet weight and the proliferation marker genes in ovariectomized rats. Interestingly, when the extract was combined with E 2 , it counteracted the uterotrophic effects of E 2 , dose-dependently [129].…”
mentioning
confidence: 84%
“…Vollmer et al [129] also reported that different doses of the rhubarb extract did not enhance the uterine wet weight and the proliferation marker genes in ovariectomized rats. Interestingly, when the extract was combined with E 2 , it counteracted the uterotrophic effects of E 2 , dose-dependently [129]. They reported that the two compounds, trans-rhapontigenin and desoxyrhapontigenin (l " Table 1, Fig.…”
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confidence: 97%
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“…However, the most abundant constituents represent less active forms and are assumed to be metabolically acti vated (31). The estrogenic activity of the Rheum rhaponticum extract ERr 731 or its phytoestrogen rhapontigenin has been investigated by reporter gene assays as well as ligand binding assays demonstra ting cell specific ER α activity in U2OS bone cells and ER β activity in endometrium adenocarcinoma cells (HEC-1B) (32). In ovarectomized rats it did, however, not induce proliferation of endometrium cells or related gene activity.…”
Section: Discussionmentioning
confidence: 99%
“…The effects of rhubarb extracts on experimental chronic renal failure (CRF) indicate that it can reduce proteinuria and the severity glomerulosclerosis within remnant kidneys in rats [29]. Treatment of menopausal symptoms using an extract from the roots of Rhapontic rhubarb (plus the results of in vitro and in vivo experiments) indicate estrogenic actions, especially estrogen receptor b (ERb)-mediated effects [30]. Oligostilbenes from rhubarb also inhibit low-density lipoprotein and highdensity lipoprotein oxidation humans [31], suggesting a pivotal role in the prevention of lipoprotein oxidation.…”
Section: Introductionmentioning
confidence: 99%