Birch Research Articles

Antidiabetic activity of Inonotus obliquus water extract in alloxan-induced diabetic mice.

The Inonotus obliquus is a medicinal mushroom that grows on mature birch trees and is commonly used in traditional medicine for various ailments. The current study aimed to explore the hypoglycemic, hypolipidemic, and pancreatic protective effects of the water extract of Mongolian natural Inonotus obliquus on alloxan-induced diabetic mice. Alloxan monohydrate (200 mg/kg) was intraperitoneally single injected into C57BL/6 mice to induce diabetes. Alloxan-induced diabetic mice were orally given the water extract of inonotus obliquus (WEIO) at doses of 500 mg/kg and subcutaneously administered with insulatard 0.6 IU for 4weeks. Subsequently, the levels of factors related to blood glucose, insulin and lipids were assessed. WEIO significantly restored body weight, reduced fasting blood glucose levels, improved glucose tolerance ability, and increased insulin levels compared to the control diabetic mice. WEIO also enhanced cholesterol transportation in the liver, correlated with increased HDL-C levels and decreased TC, TG and LDL-C levels. Histologic examinations revealed that WEIO alleviated alloxan-induced pancreatic tissue damage. Natural Mongolian I. Obliquus water extracts have an antihyperglycemic effect and enhance islet cell function in alloxan-induced diabetic mice. It is a good candidate for a hypoglycemic functional food or medicine.

Experimental Infection of Small-Diameter Trees with Chaga (Inonotus obliquus) in a Postagrogenous Birch Forest.

Abstract-In the Plyussky district of the Pskov region, an experiment was carried out to infect birch trees with the Chaga pathogen Inonotus obliquus in an 18-year-old postagrogenic birch forest. After 10 years of the experiment, sterile bodies of Chaga were found on six out of ten trees, swelling of the bark was found in one tree, and one tree died from Phellinus nigricans. Infected trees continued to grow at a rate no different from the rest of the forest. Sterile growths were mainly located above the inoculation site. The study showed that the production of Chaga raw materials can be considered as an additional form of forest management in the Non-Black Earth Region of Russia.

The Medicinal Properties of Anogeissus leiocarpus (African Birch Tree) and the Development of a Drug for Diabetes Mellitus and its Complications: A Review

The Medicinal Properties of Anogeissus leiocarpus (African Birch Tree) and the Development of a Drug for Diabetes Mellitus and its Complications: A Review

Factors and effects of inter-individual variability in silver birch phenology using dense LiDAR time-series

Comprehending and quantifying local variability in plant phenology, alongside its impacts on tree growth, is challenging due to spatially and temporally heterogeneous environmental factors that interact to affect phenological events and periods. Although previous studies have focused on the climatic factors driving phenological events at the stand level, the influences of competition, neighborhood characteristics, species richness, and water availability on plant phenology remain unclear. In the present paper, we used hourly terrestrial LiDAR surveys performed between April 2020 and April 2021 to investigate the influence of local factors (neighborhood and topography) on the phenology of silver birch trees (Betula pendula Roth.). We also examined how phenological events affect growth in tree height and crown area. All response and explanatory variables were estimated using LiDAR time-series data and a field survey campaign. Our findings demonstrate a high within-species variability in plant phenology that is controlled by biotic and abiotic characteristics of the ecosystem. We found that between tree variation in leaf burst, completion of the leaf growth and length of canopy growth period were affected by tree size, neighborhood species richness, level of suppression and competition, which potentially indicate plant responses to light availability. The beginning of senescence, completion of leaf drop, and length of autumn phenology were mostly affected by topographic water index, which reflects water availability and can be linked to nutrient availability and exposure to wind. Furthermore, we demonstrated that an earlier leaf burst, and delayed beginning of senescence were associated with larger absolute growth in canopy area but found no clear relationship between height growth and phenology. Our study highlights the capability of dense, high-quality LiDAR time-series to detect significant phenological variation among individuals of the same species within the same locality, demonstrating the potential of LiDAR time-series as a tool for understanding phenology and its impacts.

Does living close to allergenic street trees affect lung function in German adults?

IntroductionStudies on greenspace and lung function in adults produced divergent results. Some of the adverse findings could be due to long-term exposure to allergenic tree pollen. We investigated whether having more birch trees or more allergenic trees around home is related to worse lung function and whether these exposures confound the association between greenspace and lung function. MethodsThe analytic sample consisted of 874 adults aged 20–44 years at baseline from the German study centers, Erfurt and Hamburg, of the ECRHS cohort study. Spirometric lung function was measured in 1991/92, 2000/01, and 2011/12. We counted trees based on tree registries and classified them into allergenic and non-allergenic. We assessed exposure to greenspace with the normalized difference vegetation index (NDVI), tree cover density, and total number of trees in a 300 m buffer around home. Linear mixed models were used. ResultsThe forced expiratory volume in 1 s (FEV1) and the forced vital capacity (FVC) were decreased in the presence of more birch trees after adjusting for confounders and co-exposures. For every 10 additional birch trees in a 300 m buffer around home, the average change in FEV1 was −27.6 mL (95% confidence interval (CI): [-58.7, 3.5]). For FVC the average change was −28.2 mL (95% CI: [-62.0, 5.6]). No consistent associations were found for allergenic trees, total trees, tree cover density, or NDVI. Unlike other associations, those of birch trees with FEV1 and FVC were not moderated by allergic sensitization to birch pollen, history of asthma symptoms or nasal allergies including hay fever, ozone, NO2, or age. DiscussionLiving close to birch trees had an adverse long-term association with lung function. That tree registries were limited to street trees prevented us from answering the question of a potential confounding of greenspace effects by allergenic neighborhood trees.

Research on Chaga hypoglycemic functional foods

Chaga, also known as Inonotus obliquus (Fr.) Pilát, belongs to the genera Basidiomycotina, Hymenomycetes, Hymenochaetales, Hymenochaetaceae, and Inonotus. Chaga is a brown polypore fungus that mostly grows under the bark of white birch and silver birch trees. It forms sarcoma-like sclerotia when the bark is damaged. It mainly grows in Northern Europe at the 40° to 50° north latitude, Siberia and the Far East in Russia, Hokkaido in Japan, and the Changbai Mountain area of the Heilongjiang Province and Jilin Province in China. Chaga has various pharmacological activities, such as anti-tumor, hypoglycemic, anti-viral, and anti-inflammatory. Inonotus obliquus, an edible fungus with the same origin as medicine and food, has attracted more and more attention. At present, Chaga has become a raw material with great potential for developing functional foods. In this article, Chaga’s blood sugar-lowering function, functional ingredients, and blood sugar-lowering mechanism and the development status of Chaga functional foods are reviewed and Chaga’s future development is analyzed and forecast.

Transcriptome sequencing-based analysis of primary vein development in Betula pendula ‘Dalecarlica’

Keymessage The study revealed the major biological processes occurred at three developmental stages and identified candidate genes involved in primary vein development of birch plants.Vascular tissues usually mirror the surrounding leaf shape and its development plays a fundamental role in plant performance. However, the information of vascular development in birch trees, especially primary vein development, remains unclear. Therefore, we conducted the anatomical observation on primary veins from leaves at different development stages in Betula pendula ‘Dalecarlica’. With the development of primary vein, dynamic changes in mechanical tissue thickness and primary vein diameter were consistent with each other, and the sum of phloem, xylem and cambium thickness was significantly varied. Transcriptome analysis indicated that primary vein development could be divided into three stages, namely Stage I, II and III, which were in aggreement with anatomical observation. Expression of marker genes associated with vascular tissues revealed that pro-vasculature development occurred at Stage I and II, and phloem development occurred at Stage III. GO enrichment analysis of differentially expressed genes (DEGs) showed that shared DEGs at Stage II were mainly engaged in cell division and cell cycle, and shared DEGs at Stage III were mainly engaged in phosphorylation. Decreased cell division and cell cycle as well as activation of lignin biosynthesis might contribute to primary vein development. Combining phenotypic traits, we performed weighted gene co-expression network analysis and identified a cytochrome P450 84A (CYP84A) family gene (BpF5H1). Based on analyses of gene families, expression patterns and yeast-two hybrid assay results, we proposed a potential electron transfer pathway involving BpF5H1 and three cytochrome b5 proteins during primary vein development in B. pendula ‘Dalecarlica’. These results could shed some light on which biological processes occurred during primary vein formation and provide some valuable clues for vascular morphogenesis in woody plants.

Bark Thickness of Forest-forming Species: Modeling and Comparative Analysis

The need to assess the carbon-depositing capacity of a stand, an individual tree and its components is constantly emphasized in the world literature, since mitigation of the effects of climate change has become the highest priority. Since the carbon concentration differs in different tree species and in different components of the tree, including in the stem wood and bark, it is necessary to develop species-specific mathematical models for estimating the proportion of bark in trunks to improve the accuracy of knowledge about the carbon balance of forests. The relationship of bark thickness with both age and diameter of the tree trunk is known, but with respect to its regional variability, the data are contradictory. According to the actual data from 1100 model trees of five forest-forming species, allometric models of a mixed type have been developed. They include as independent variables the age and diameter of the trunk, as well as a binary variable characterising the influence of the growing area itself on the bark thickness of Scots pine, silver birch and Siberian larch, as well as the difference in the thickness of the bark between Siberian spruce and Siberian fir in case of joint growth in mature stands of the taiga zone. At a statistically significant level, it was found that the bark thickness of Scots pine and silver birch trees in the steppe zone is significantly greater compared to the taiga zone, and the bark thickness of Siberian larch trees in the forest-tundra is significantly greater compared to the steppe zone. The bark thickness of Siberian spruce trees is significantly less than that of Siberian fir trees. The ranking of species by bark thickness is included in the paper.

Dammarane-Type 3,4-seco-Triterpenoid from Silver Birch (Betula pendula Roth) Buds Induces Melanoma Cell Death by Promotion of Apoptosis and Autophagy.

Despite unquestionable advances in therapy, melanoma is still characterized by a high mortality rate. For years, high expectations have been raised by compounds of natural origin as a component of pharmacotherapy, particularly by triterpenes found in the bark of birch trees. In this study, 3,4-seco-dammara-4(29),20(21),24(25)-trien-3-oic acid (SDT) was isolated from buds of silver birch and its mechanisms of cell death induction, including apoptosis and autophagy, were determined. Cytotoxicity of SDT was evaluated by the cell viability test and clonogenic assay, whereas induction of apoptosis and autophagy was determined by annexin V staining and Western blot. The results revealed dose- and time-dependent reductions in viability of melanoma cells. Treatment of cells for 48 h led to an increase in the percentage of annexin V-positive cells, activation of caspase-8, caspase-9, and caspase-3, and cleavage of PARP, confirming apoptosis. Simultaneously, it was found that SDT increased the level of autophagy marker LC3-II and initiator of autophagy beclin-1. Pretreatment of cells with caspase-3 inhibitor or autophagy inhibitor significantly reduced the cytotoxicity of SDT and revealed that both apoptosis and autophagy contribute to a decrease in cell viability. These findings suggest that 3,4-seco-dammaranes may become a promising group of natural compounds for searching for anti-melanoma agents.

Regional features of sensitization to various allergens in children with allergic diseases, taking into account the formed exposome.

Background. According to statistical data from the WHO and a number of researchers, up to 40% of the world's population. Assessing the impact of the exposome in the population of the Russian Federation is a crucial issue of national public health care, the solution of which will provide a personalised approach to the treatment and prevention of allergic diseases in the local population. The aim of this study was to evaluate the sensitisation profile in children with allergic diseases from different regions of Russia. Methods. The study included sick children with allergic manifestations from different regions of the Russian Federation. A separate group consisted of children from the Far North regions from 2 to 12 years of age. The concentration of total IgE and allergen-specific immunoglobulins in blood was determined retrospectively on the basis of analyses of results obtained in CDCs performing immunoblotting tests using the Allergy-Q test system. Results. It was found that in more than 60% of cases allergic reactions are represented by combined manifestations. Allergic rhinitis took the second place, up to 65.32% of cases. Atopic dermatitis in the structure of allergic diseases took the third place, which was about 22,06%. The diagnosis of allergic conjunctivitis in our study was established in 15.38% of cases. Less than 5% in the structure of allergies was occupied by urticaria. In the group of household allergens the first place is occupied by cat, then dog and already then house dust. Among respiratory allergens, birch and/or other trees, weeds and mugwort are the leaders. Food sensitisation in children is mainly to milk, egg, fish and seafood. Conclusion. The peculiarities of sensitisation revealed in different regions are easily explained by the formed exposomes. The obtained data can be used to develop measures of prevention, diagnosis and treatment of allergic diseases.

A Novel Meta-Heuristic Algorithm Based on Birch Succession in the Optimization of an Electric Drive with a Flexible Shaft

The paper presents the application of a new bio-inspired metaheuristic optimization algorithm. The popularity and usability of different swarm-based metaheuristic algorithms are undeniable. The majority of known algorithms mimic the hunting behavior of animals. However, the current approach does not satisfy the full bio-diversity inspiration among different organisms. Thus, the Birch-inspired Optimization Algorithm (BiOA) is proposed as a powerful and efficient tool based on the pioneering behavior of one of the most common tree species. Birch trees are known for their superiority over other species in overgrowing and spreading across unrestricted terrains. The proposed two-step algorithm reproduces both the seed transport and plant development. A detailed description and the mathematical model of the algorithm are given. The discussion and examination of the influence of the parameters on efficiency are also provided in detail. In order to demonstrate the effectiveness of the proposed algorithm, its application to selecting the parameters of the control structure of a drive system with an elastic connection is shown. A structure with a PI controller and two additional feedbacks on the torque and speed difference between the drive motor and the working machine was selected. A system with rated and variable parameters is considered. The theoretical considerations and the simulation study were verified on a laboratory stand.

Use of weather types to analyze the simultaneous abundance of ozone, PM2.5 and allergenic tree pollen: focusing on the potential impact on asthma hospitalization in Montreal, Canada

AbstractAir pollution, aeroallergens, and weather conditions can worsen health symptoms such as asthma. While studying the impact of these factors, the use of weather types (WTs) rather than individual meteorological variables (such as temperature, relative humidity, wind, cloudiness, or precipitation) is more appropriate since it is holistic and integrative. Moreover, several studies have shown that the human body responds to WTs, rather than to individual meteorological variables. In this study, the use of Sheridan’s WTs is adopted and compared with a so-called “In-House” WTs. The analysis presented here deals with the links between asthma hospitalization and the synergy among air pollution, birch tree pollen and WTs. Knowing the daily WT in a region can provide valuable information for health planning and management of asthma hospitalization, emergency visits and sub-clinical symptoms in the population. This is because air pollution and birch pollen both occur within only a few specific WTs, such as the TROWAL (trough of warm air aloft) or tropical airmasses. These specific WTs need to be more scrutinized since, in Montreal, these are often linked with higher daily mean hospitalization. The findings of this study emphasize the importance of specific WTs in determining the maximum daily concentrations of ozone, fine particles, Betula pollen concentrations and health effects such as asthma hospitalization. Moreover, the use of data filters in the analysis (for temperature and total count of hospitalization) also reveals new insights in the complex nature of asthma disease and its relationship with environmental factors.

Chemical Content and Cytotoxic Activity on Various Cancer Cell Lines of Chaga (Inonotus obliquus) Growing on Betula pendula and Betula pubescens.

Chaga mushroom (Inonotus obliquus) is a pathogenic fungus that grows mostly on birch species (Betula pendula Roth and B. pubescens Ehrh.) and has traditionally been used as an anticancer medicine. This study aimed to compare the chemical composition and cytotoxic activity of chagas growing on both Betula spp. on various cancer cell lines. The freeze-dried extracts contained triterpenes inotodiol, lanosterol betulin, and betulinic acid typical to conks growing on Betula species. The cytotoxic activity of chaga growing on Betula pendula and B. pubescens 80% ethanolic extracts against 31 human cancer cell lines was evaluated by a sulforhodamine B assay. Chaga extract showed moderate activity against all cancer cell lines examined; it did not result in high cytotoxicity (IC50 ≤ 20 µg/mL). The strongest inhibitions were observed with chaga (growing on B. pendula) extract on the HepG2 and CAL-62 cell line and with chaga (from B. pubescens) extract on the HepG2 cell line, with IC50 values of 37.71, 43.30, and 49.99 μg/mL, respectively. The chaga extracts from B. pendula exert somewhat stronger effects on most cancer cell lines studied than B. pubescens extracts, which can be attributed to a higher content of inotodiol in B. pendula extracts. This study highlights the potential of chaga as a source of bioactive compounds with selective anticancer properties. To the best of our knowledge, this study is the first investigation of the chemical composition of I. obliquus parasitizing on B. pubescens.

Cellular and molecular mechanisms underlying the potential of betulinic acid in cancer prevention and treatment

BackgroundBetulinic acid (BA), which is a pentacyclic triterpenoid found in the bark of plane, birch, and eucalyptus trees, has emerged as a compound of significant interest in scientific research due to its potential therapeutic applications. BA has a range of well-documented pharmacological and biological effects, including antibacterial, immunomodulatory, diuretic, antiviral, antiparasitic, antidiabetic, and anticancer activities. Although numerous research studies have explored the potential anticancer effects of BA, there is a noticeable gap in the literature, highlighting the need for a more up-to-date and comprehensive evaluation of BA's anticancer potential. PurposeThe aim of this work is to critically assess the reported cellular and molecular mechanisms underlying the cancer preventive and therapeutic effects of BA. MethodsRelevant research on the inhibitory effects of BA against cancerous cells was searched using Science Direct, Scopus, Web of Science, and PubMed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. ResultsThe anticancer properties of BA are mediated by the activation of cell death and cell cycle arrest, production of reactive oxygen species, increased mitochondrial permeability, modulation of nuclear factor-κB and Bcl-2 family signaling. Emerging evidence also underscores the combined anticancer effects of BA with other natural bioactive compounds or approved drugs. Notably, several novel BA nanoformulations have been found to exhibit encouraging antineoplastic activities. ConclusionBA, whether used alone or in combination, or as a form of nanoformulation, shows significant potential for cancer prevention and treatment. Nevertheless, further detailed studies are necessary to confirm the therapeutic effectiveness of this natural compound.

A putative Na+/H+ antiporter BpSOS1 contributes to salt tolerance in birch

White birch (Betula platyphylla Suk.) is an important pioneer tree which plays a critical role in maintaining ecosystem stability and forest regeneration. The growth of birch is dramatically inhibited by salt stress, especially the root inhibition. Salt Overly Sensitive 1 (SOS1) is the only extensively characterized Na+ efflux transporter in multiple plant species. The salt-hypersensitive mutant, sos1, display significant inhibition of root growth by NaCl. However, the role of SOS1 in birch responses to salt stress remains unclear. Here, we characterized a putative Na+/H+ antiporter BpSOS1 in birch and generated the loss-of-function mutants of the birch BpSOS1 by CRISPR/Cas9 approach. The bpsos1 mutant exhibit exceptional increased salt sensitivity which links to excessive Na+ accumulation in root, stem and old leaves. We observed a dramatic reduction of K+ contents in leaves of the bpsos1 mutant plants under salt stress. Furthermore, the Na+/K+ ratio of roots and leaves is significant higher in the bpsos1 mutants than the wild-type plants under salt stress. The ability of Na+ efflux in the root meristem zone is found to be impaired which might result the imbalance of Na+ and K+ in the bpsos1 mutants. Our findings indicate that the Na+/H+ exchanger BpSOS1 plays a critical role in birch salt tolerance by maintaining Na+ homeostasis and provide evidence for molecular breeding to improve salt tolerance in birch and other trees.

Sap Flow Density of the Prevailing Tree Species in a Hemiboreal Forest under Contrasting Meteorological and Growing Conditions

This study aimed to assess the adaptive capacity of the dominant tree species in Lithuania, namely Scots pine, Norway spruce, and silver birch, to current climate conditions based on their changes in transpiration expressed through the tree sap flow intensity. The species-specific responses were investigated at two typical edaphically different forest sites with water-limited and water-saturated soils. Contrasting events like overflow in 2017 and drought in 2019 provided an opportunity to detect the adaptative capacity of the monitored tree species to these meteorological extremes. Norway spruce trees, due to having both the most intense sap flow at the beginning of the growing season and the longest period of active transpiration, demonstrated the highest annual transpiration rate, regardless of the hydrological regime of the site. Their decreased resilience to subsequent biogenic damage caused by pests due to a significant decrease in sap flow density during intense and prolonged droughts may reduce their importance in Lithuanian forestry. Silver birch trees, which demonstrated a reduction in sap flow after a drought following the untimely drop of their leaves and the end of active vegetation, even at the end of a prolonged warm period, can be seen to not have appropriate adaptations to current climate conditions. Scots pine trees are the best adapted to mitigating the recent threats of climate change.

Cattle colours with a dendrological component as an ethnolinguistic phenomenon

In Slavic languages, a large number of colour designations are derived from the names of trees; these designations are not only formed morphologically, but also in a lexico-semantic way. This mainly concerns the name of the birch tree, which is noticeable primarily in numerous Pol-ish derivatives, some of which can be built up into Proto-Slavic prototypes. However, a similar phenomenon can be observed in other languages around the world. Generally speaking, these coloratives are of both narrow linguistic (etymological) and ethnolinguistic interest. They reflect the view of the Slavic peoples on the importance of dendroflora in material and spiritual life and help shed light on the worldview of the ancient Slavs.

Accumulation ability of trace metals by silver birch leaves in areas contaminated by Zn–Pb ore processing: Effects of excessive trace metal accumulation on specialized metabolism

The study was carried out in the most industrialised region of southern Poland. Four areas were selected for the study: the vicinity of the Miasteczko Śląskie Zn–Pb-works (ZW; with three transects selected: A, B, and C), and the metalliferous waste heaps (H1, H2, H3). Samples were taken from the surface soil layer, while only mature silver birch (Betula pendula Roth) trees (3–4 m high) growing spontaneously in the study area were selected for the collection of leaves. The analysis of metals including trace metals (TMs; Ag, Ca, Cd, Cr, Cu, Fe, K, Mg, Mn, Ni, Pb, Tl, and Zn) in the soil and leaves, as well as the contents of specialized leaf compounds belonging to polyphenols were performed. In general, the B. pendula trees in transects A and B located within 500 m of the furnaces exhibited 3–9 times higher content of TMs in their leaves compared to the plants located further away from the Zn smelter. In contrast, the quantity of TM in trees from transect C was independent of distance. The accumulation of TMs in the leaves was significantly lower in the metalliferous waste heap sites compared to the ZW area. It was hypothesised that the accumulation of TMs in B. pendula leaves would depend on the location and distance from the polluting source. It was demonstrated that TMs content in soil affects the accumulation of phenolic acids and flavonoids.

Nutrient Accumulation in Silver Birch (Betula pendula Roth) Biomass in a Lignite Mining Area

The influence of lignite mining on vegetation constitutes a key issue due to the role of plants in restoring and maintaining the ecological balance of ecosystems. In this context, the identification of its impact on the functioning of silver birch (Betula pendula Roth) as a species often colonizing disturbed habitats takes on particular importance. Therefore, we aimed to determine the changes in nutrient content in silver birch overgrowing a spoil heap and in the vicinity of a fly ash settling pond and power plant. For this purpose, plant tissues (fine and coarse roots, stemwood, bark, coarse and fine branches, leaves) and soil samples (0–10, 10–20, 20–40, 20–40 cm deep) were examined. The basic soil characteristics were determined, along with the N, P, K, Ca, Mg, S, Fe, Mn, Cu, and Zn contents of the soil and plant samples. The soils varied in terms of soil pH and were poor in total organic carbon and other elements. The plant nutrient content varied strongly across the analyzed tissues, with the leaves usually containing the most and the stemwood the least nutrients. Statistical analysis indicated significant differences between the control vs spoil heap (particularly in Mn, S, and Mg) and the stand close to the settling pond (particularly in Ca, Mn, P, K, and S). We found that the chemical properties of the spoil heap and fly ash originating from the lignite mining operations are likely factors influencing nutrient accumulation in silver birch trees.

Maskwio’mi (Birch Bark Extract): A Case Study Exploring The Use Of A Traditional L’nu Medicine On Skin Conditions

According to the Canadian Dermatology Association, more than 1 in 4 Canadians live with chronic skin conditions. There are many different treatment options, including prescription medications, over-the-counter drugs, natural remedies, and herbal folk medicines. Folk medicines have a long history, and birch trees (genus betula) have shown great utility for treating skin conditions in societies of temperate and boreal climate zones and have been listed in pharmacopoeias for several centuries. Maskwio’mi (maskwi = birch, o’mi = gathering or oil) is such a traditional skin remedy from the L’nu (Mi’kmaq) people of Atlantic Canada. This case study is part of a larger study and the first to document usage of maskwio’mi for skin conditions, with a goal of future in-depth clinical studies and hopes of recognizing it as a natural health product.