2017 study
Kim SJ, Jin SW, Lee GH, Kim YA, Jeong HG. Evaluation of Estrogenic Activity of Extract from the Herbal Mixture Cynanchum wilfordii Hemsley: Baek-su-o, Wildford’s cynanchum; Phlomis umbrosa Turczaninow: Sok-dan, and Angelica gigas Nakai: Danggui, Korean angelica, Giant angelica. Toxicol Res. 2017; 33: 71–77.
Introduction/background
As the demand for herbal-based alternatives for hormone replacement therapy is increasing, but there is also evidence that some of these alternatives increase the risk for oestrogen-dependent malignancies, the aim of this study was to investigate the oestrogenic activity of CPAE.
Design
Hot water extracts of Cynanchum wilfordii: Baek-su-o, Wildford’s cynanchum; Phlomis umbrosa: Sok-dan and Angelica gigas (CPAE) Nakai: Danggui, Korean angelica, Giant angelica are dissolved after filtering for use in various in vitro assays to investigate activity at the human oestrogen receptor.
Results
CPAE showed no estrogenic activity in various in vitro assays (STTA assay, MCF-7 cells) and no activity at the ER receptor or at oestrogen-regulated genes (MCF-7 cells, respectively), no effect on uterine wet weight in rats in the in vivo assay.
Conclusion of the authors
Since CPAE showed no oestrogenic activity in various in vitro assays, it is a useful herbal agent for the treatment of climacteric symptoms without unwanted independent oestrogenic activity.
Evaluation/conclusion
Since CPAE or EstroG-100® has been shown in clinical studies to be effective against almost all climacteric symptoms, its effect does not appear to be mediated by the oestrogen receptor.