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      An evaluation of the effects of saffron supplementation on the asthma clinical symptoms and asthma severity in patients with mild and moderate persistent allergic asthma: a double-blind, randomized placebo-controlled trial

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          Abstract

          Background

          Asthma is a heterogeneous disease which is usually associated with chronic airway inflammation. Saffron has anti-inflammatory effects and may has beneficial effects on asthma.

          Hypothesis

          The present study was intended to survey the effects of saffron supplementation on blood pressure, lipid profiles, basophils, eosinophils and clinical symptoms in patients with allergic asthma.

          Study design

          Our study was a clinical trial.

          Methods

          Subjects ( N = 80, 32 women and 48 men, 41.25 ± 9.87 years old) with mild and moderate allergic asthma were randomized into two groups: the intervention group who received two capsules of saffron (100 mg/d), and the control group who received two capsules of placebo for 8 weeks. SPSS software (version 16.0) was used for the data analysis.

          Results

          Saffron improved the frequency of clinical symptoms of the patients (i.e., frequency of the shortness of breath during the day and night time, use of salbutamol spray, waking up due to asthma symptoms and activity limitation) in comparison to the placebo ( p < 0.001). Besides, asthma severity decreased almost significantly in the saffron group ( p = 0.07). It was also found that saffron, in comparison with the placebo, significantly reduced the systolic and diastolic blood pressure, triglycerides and low density lipoprotein cholesterol. Moreover, eosinophils and basophils concentration reduced in the saffron group ( p = 0.06 and 0.05 respectively).

          Conclusion

          Saffron seems to be an effective and safe option (in 8 weeks supplementation) to improve clinical symptoms of patients with allergic asthma but the toxicity and/or long-term effects of saffron intake are not known. Registration ID in IRCT (IRCT2017012132081N2).

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          Most cited references17

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          Mechanisms of eosinophil-associated inflammation.

          Increasing evidence supports a critical role for the eosinophil in disease. Here, the mechanisms underlying eosinophil-associated inflammation are reviewed including eosinophil constituents, eosinophil maturation and release from the bone marrow, and eosinophil tissue recruitment and activation. Eosinophil effector functions in bronchial asthma are summarized with particular attention to pulmonary M2 muscarinic receptors and bronchial hyperreactivity. Recent findings supporting roles for IL-5, the eosinophil, and its ribonucleases in viral immunity are presented. Overall, this information supports an expanded view of eosinophil participation in health and disease.
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            Crocin, safranal and picrocrocin from saffron (Crocus sativus L.) inhibit the growth of human cancer cells in vitro.

            Extracts of saffron (Crocus sativus L.) have been reported to inhibit cell growth of human tumor cells. In order to study the cytotoxic effect of the characteristic compounds of saffron spice, we have isolated crocin, crocetin, picrocrocin and safranal. Doses inducing 50% cell growth inhibition (LD50) on HeLa cells were 2.3 mg/ml for an ethanolic extract of saffron dry stigmas, 3 mM for crocin, 0.8 mM for safranal and 3 mM for picrocrocin. Crocetin did not show cytotoxic effect. Cells treated with crocin exhibited wide cytoplasmic vacuole-like areas, reduced cytoplasm, cell shrinkage and pyknotic nuclei, suggesting apoptosis induction. Considering its water-solubility and high inhibitory growth effect, crocin is the more promising saffron compound to be assayed as a cancer therapeutic agent.
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              Safety evaluation of saffron (Crocus sativus) tablets in healthy volunteers.

              Saffron (Crocus sativus) stigma tablets were evaluated for short-term safety and tolerability in healthy adult volunteers. The study was a double-blind, placebo-controlled design consisting of a 1 week treatment of saffron tablets. Volunteers were divided into 3 groups of 10 each (5 males and 5 females). Group I received placebo; groups 2 and 3 received 200 and 400mg saffron tablets, respectively, for 7 days. General measures of health were recorded during the study such as hematological, biochemical and electrocardiographic parameters done in pre- and post-treatment periods. Clinical examination showed no gross changes in all volunteers after intervention. Saffron with higher dose (400mg) decreased standing systolic blood pressure and mean arterial pressures significantly. Saffron decreased slightly some hematological parameters such as red blood cells, hemoglobin, hematocrit and platelets. Saffron increased sodium, blood urea nitrogen and creatinine. This study showed that saffron tablets may change some hematological and biochemical parameters. However, these alterations were in normal ranges and they were not important clinically.
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                Author and article information

                Contributors
                marziezilae67@gmail.com
                +989163097944 , Seyedahmadhosseini@yahoo.com
                Sjafarirad@gmail.com
                abolnezhadian-f@ajums.ac.ir
                cheraghian-b@ajums.ac.ir
                namjoyan-f@ajums.ac.ir
                ghadiri-a@ajums.ac.ir
                Journal
                Respir Res
                Respir. Res
                Respiratory Research
                BioMed Central (London )
                1465-9921
                1465-993X
                22 February 2019
                22 February 2019
                2019
                : 20
                : 39
                Affiliations
                [1 ]ISNI 0000 0000 9296 6873, GRID grid.411230.5, Nutrition & Metabolic Diseases Research Center, , Ahvaz Jundishapur University of Medical Sciences, ; Ahvaz, Iran
                [2 ]ISNI 0000 0000 9296 6873, GRID grid.411230.5, Nutrition Department, Faculty of Paramedicine, , Ahvaz Jundishapur University of Medical Sciences, ; Ahvaz, Iran
                [3 ]ISNI 0000 0000 9296 6873, GRID grid.411230.5, Division of Immunology and Allergy, Department of Pediatrics, Abuzar Children’s Hospital, , Ahvaz Jundishapur University of Medical Sciences, ; Ahvaz, Iran
                [4 ]ISNI 0000 0000 9296 6873, GRID grid.411230.5, Research Center for Infectious Diseases of Digestive System, Department of Biostatistics and Epidemiology, School of Public Health, , Ahvaz Jundishapur University of Medical Sciences, ; Ahvaz, Iran
                [5 ]ISNI 0000 0000 9296 6873, GRID grid.411230.5, Pharmacognosy Department, Marine Pharmaceutical Research Center, Faculty of Pharmacy, , Ahvaz Jundishapur University of Medical Sciences, ; Ahvaz, Iran
                [6 ]ISNI 0000 0000 9296 6873, GRID grid.411230.5, Department of Immunology, School of Medicine, , Ahvaz Jundishapur University of Medical Sciences, ; Ahvaz, Iran
                Author information
                http://orcid.org/0000-0002-9895-8887
                Article
                998
                10.1186/s12931-019-0998-x
                6387530
                30795753
                c186a9b2-25eb-4b4d-ab6d-49c21aab5f88
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 31 December 2018
                : 4 February 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100005001, Ahvaz Jundishapur University of Medical Sciences;
                Award ID: 1395.810.AJUMS.REC.IR
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2019

                Respiratory medicine
                asthma severity,allergic asthma,saffron
                Respiratory medicine
                asthma severity, allergic asthma, saffron

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