| What is Garlic? | | | | patients with mild hypertension (Silagy & Neil, |
| Garlic is a member of the onion (Allium) family, and is | | | | 1994). The effectiveness of garlic in reducing blood |
| used in fresh or dries form as a source of | | | | cholesterol and triglyceride levels has been the |
| characteristic sulphur containing substances (e.g.allicin, | | | | subject of debate; however the balance of evidence |
| which is responsible for the odour of garlic) that have | | | | from randomized clinical trials suggests that garlic |
| potentially beneficial effects within the body. Some of | | | | supplementation is capable of moderate reductions in |
| these compounds are present in garlic in a latent | | | | blood cholesterol and/or triglyceride levels ( Silagy |
| form, which are activated when garlic cloves are | | | | & Neil, 1994; Stevinson et al, 2001; Alder et al, |
| crushed or digested. | | | | 2003; Warshafsky et al, 1993). |
| What does Garlic do? | | | | (ii) Cancer: The reputation of garlic as an effective |
| When garlic is crushed, or digested within the | | | | treatment for malignant tumours extends back to |
| intestinal tract, the sulphur containing amino acid | | | | the time of the ancient Egyptian civilization, but |
| derivative alliin is converted by the enzyme allinase | | | | scientific support for its therapeutic potential has |
| (also present in garlic) into allicin, which is the most | | | | been obtained only recently. Cell culture, animal model |
| important of the active substances present in garlic. | | | | and epidemiological studies have shown evidence for |
| The activity of the enzyme allinase is reduced by | | | | anticancer activity of garlic extracts or specific |
| heat, so the potential benefits of garlic are reduced | | | | chemical compounds derived from garlic. These |
| by cooking. The active compounds ingarlic reduce the | | | | effects include the regulation of cell cycle |
| adhesiveness of blood platelets and have ant | | | | progression, the modification of signal transduction |
| i-thrombotic action, thereby reducing the tendency of | | | | pathways, the stimulation of immune function, and |
| blood to clot. These active compounds dilate blood | | | | the regulation of nuclear factors involved in |
| vessels, thereby reducing blood pressure; they also | | | | inflammation. |
| have immune system enhancing effects, as well as | | | | A number of case control studies have been |
| having anti-microbial action against certain types of | | | | reported which demonstrate a protective effect of |
| pathogenic bacteria. Clinical studies have shown | | | | garlic consumption against human cancers; examples |
| supplementation with garlic to have the following | | | | include prostate cancer (Key et al, 1997), breast |
| benefits:o Garlic inhibits the development of | | | | cancer (Challier et al 1998) and gastric cancer (Kim et |
| atherosclerosiso Garlic reduces blood cholesterol | | | | al, 2002). A meta-analysis of the epidemiological |
| levelso Garlic reduces high blood pressureo Garlic | | | | literature by Fleischauer et al (2000) demonstrated a |
| inhibits the development of certain types of cancers | | | | protective effect of garlic against stomach and |
| What evidence is there for the efficacy of Garlic? | | | | colorectal cancers. |
| (i) Cardiovascular disease: Randomised controlled | | | | Are there adverse effects from taking Garlic? |
| clinical trials have shown supplementation with garlic | | | | Garlic is generally well tolerated, with mild |
| reduced arterial plaque formation inpatients with | | | | gastrointestinal disturbance or skin rash being |
| atherosclerosis (Koscielny et al, 1999), and reduces | | | | occasionally reported. Clinical and animal studies have |
| the risk of death from heart disease by inhibiting | | | | shown the toxicity of garlic to be very low. Garlic |
| atherosclerosis (Sobenin et al, 2005). A meta-analysis | | | | may interfere with the action of anti-coagulant and |
| of the effect of garlic on blood pressure indicated | | | | anti-hypertensive drugs. |
| that garlic may be useful in reducing blood pressure in | | | | |