Curcumin (Turmeric): A Carcinogenic, Miscarriage and Cirrhosis Causing Agent

Main Article Content

Memoona Zahra
Faheem Hadi
Tahir Maqbool
Humaira Sultana
Farah Abid
Muhammad Adeel Aslam
Mukhtiar Ahmad
Shah Muhammad
Muhammad Qideer ul Hassan

Abstract

Background: Curcumin, a compound derived from the turmeric plant (Curcuma longa), has been historically used in Asian cuisine and traditional medicine. It is known for its anti-inflammatory and antioxidant properties and is believed to have therapeutic potential in various inflammatory and oxidative conditions. However, concerns have emerged regarding its safety at higher doses, particularly its potential carcinogenic, reproductive, and hepatotoxic effects.


Objective: The objective of this review was to evaluate the potential adverse effects of curcumin, focusing on its carcinogenic, reproductive, and hepatotoxic properties, as well as general side effects observed at different dosages.


Methods: A comprehensive search was conducted using electronic databases such as PubMed, Scopus, and Web of Science to identify peer-reviewed articles published up to the date of this review. The search terms included "curcumin," "turmeric," "carcinogenic," "miscarriage," "hepatotoxicity," and related keywords. Studies were included if they investigated the biological effects of curcumin in vitro, in vivo, and in clinical settings, specifically addressing its adverse effects. Data were extracted on study design, sample size, dosage, duration of curcumin administration, observed adverse effects, and conclusions. Quality assessment of the studies was performed using standardized tools appropriate for different study designs. The data were synthesized qualitatively and presented in a narrative format, with tables summarizing key characteristics and results.


Results: The review included numerous studies that reported adverse effects of curcumin at higher doses. Curcumin was found to cause DNA damage and chromosomal aberrations at doses of 10 µg/mL in vitro (1), and impaired tumor suppressor p53 function in colon cancer cells (2). Reproductive toxicity was observed with significant decreases in sperm motility, capacitation, and fertilization rates at concentrations of 5-50 µM (3). Embryo mortality in zebrafish occurred at 7.5 µM and 12.5 µM (4). Hepatotoxicity was reported in clinical cases of severe hepatitis linked to curcumin intake (7), and animal studies showed liver toxicity at dietary levels exceeding 30% turmeric (8). General side effects included gastrointestinal disturbances at doses of 900 to 3600 mg/day (9).


Conclusion: While curcumin has beneficial anti-inflammatory and antioxidant properties, its use at higher doses poses significant risks, including DNA damage, reproductive toxicity, and hepatotoxicity. These findings underscore the necessity for cautious use of curcumin, particularly in high doses and over extended periods. Future research should focus on long-term studies to establish a comprehensive benefit-risk profile for curcumin.

Article Details

How to Cite
Zahra, M., Faheem Hadi, Tahir Maqbool, Humaira Sultana, Farah Abid, Muhammad Adeel Aslam, Mukhtiar Ahmad, Shah Muhammad, & Muhammad Qideer ul Hassan. (2024). Curcumin (Turmeric): A Carcinogenic, Miscarriage and Cirrhosis Causing Agent. Journal of Health and Rehabilitation Research, 4(2), 1738–1743. https://doi.org/10.61919/jhrr.v4i2.1159
Section
Articles
Author Biographies

Memoona Zahra, Griffith University Australia.

School of Pharmacy and Medical Sciences, Griffith University, Australia.

Faheem Hadi, The Islamia University of Bahawalpur Pakistan.

Faculty of Medicine and Allied Health Sciences, The Islamia University of Bahawalpur, Pakistan.

Tahir Maqbool, The University of Lahore Pakistan.

Institute of Molecular Biology and Biotechnology, The University of Lahore, Pakistan.

Humaira Sultana, Bahawalpur College of Pharmacy Bahawalpur Pakistan.

Bahawalpur College of Pharmacy, Bahawalpur, Pakistan.

Farah Abid, University of South Asia Lahore Pakistan.

Department of Pharmacy, University of South Asia, Lahore, Pakistan.

Muhammad Adeel Aslam, The Islamia University of Bahawalpur Pakistan.

Faculty of Medicine and Allied Health Sciences, The Islamia University of Bahawalpur, Pakistan.

Mukhtiar Ahmad, The Islamia University of Bahawalpur Pakistan.

Faculty of Medicine and Allied Health Sciences, The Islamia University of Bahawalpur, Pakistan.

Shah Muhammad, The Islamia University of Bahawalpur Pakistan.

Faculty of Medicine and Allied Health Sciences, The Islamia University of Bahawalpur, Pakistan.

Muhammad Qideer ul Hassan, The Islamia University of Bahawalpur Pakistan.

Faculty of Medicine and Allied Health Sciences, The Islamia University of Bahawalpur, Pakistan.

References

Goodpasture CE, Arrighi FE. Effects of food seasonings on the cell cycle and chromosome morphology of mammalian cells in vitro with special reference to turmeric. Food Cosmet Toxicol. 1976;14(1):9-14.

Moos PJ, Edes K, Mullally JE, Fitzpatrick FA. Curcumin impairs tumor suppressor p53 function in colon cancer cells. Carcinogenesis. 2004;25(9):1611-7.

Naz RK. Can curcumin provide an ideal contraceptive? Mol Reprod Dev. 2011;78(2):116-23.

Shiau RJ, Shih PC, Wen YD. Effect of silymarin on curcumin-induced mortality in zebrafish (Danio rerio) embryos and larvae. Indian J Exp Biol. 2011;49(6):491-7.

Chen CC, Chan WH. Injurious effects of curcumin on maturation of mouse oocytes, fertilization and fetal development via apoptosis. Int J Mol Sci. 2012;13(4):4655-72.

Lopez-Lazaro M, Willmore E, Jobson A, Gilroy KL, Curtis H, Padge K, Austin CA. Curcumin induces high levels of topoisomerase I- and II-DNA complexes in K562 leukemia cells. J Nat Prod. 2007;70(11):1884-8.

Luber RP, Rentsch C, Lontos S, Pope JD, Aung AK, Schneider HG, Kemp W, Roberts SK, Majeed A. Turmeric induced liver injury: A report of two cases. Case Rep Hepatol. 2019;2019:6741213.

Chainani-Wu N. Safety and anti-inflammatory activity of curcumin: A component of turmeric (Curcuma longa). J Altern Complement Med. 2003;9(1):161-8.

Sharma RA, Euden SA, Platton SL, Cooke DN, Shafayat A, Hewitt HR, Marczylo TH, Morgan B, Hemingway D, Plummer SM, Pirmohamed M, Gescher AJ, Steward WP. Phase I clinical trial of oral curcumin: Biomarkers of systemic activity and compliance. Clin Cancer Res. 2004;10(20):6847-54.

Lopez-Lazaro M. Anticancer and carcinogenic properties of curcumin: Considerations for its clinical development as a cancer chemopreventive and chemotherapeutic agent. Mol Nutr Food Res. 2008;52(1):103-27.

Mancuso C, Barone E. Curcumin in clinical practice: Myth or reality? Trends Pharmacol Sci. 2009;30(7):333-4.

Anand P, Sundaram C, Jhurani S, Kunnumakkara AB, Aggarwal BB. Curcumin and cancer: An ‘‘old-age’’ disease with an ‘‘age-old’’ solution. Cancer Lett. 2008;267(1):133-64.

Goel A, Kunnumakkara AB, Aggarwal BB. Curcumin as ‘‘Curecumin’’: From kitchen to clinic. Biochem Pharmacol. 2008;75(4):787-809.

Ravindran J, Prasad S, Aggarwal BB. Curcumin and cancer cells: How many ways can curry kill tumor cells selectively? AAPS J. 2009;11(3):495-510.

Ahsan H, Hadi SM. Strand scission in DNA induced by curcumin in the presence of Cu(II). Cancer Lett. 1998;124(1):23-30.

Appiah-Opong R, Commandeur JN, van Vugt-Lussenburg B, Vermeulen NP. Inhibition of human recombinant cytochrome P450s by curcumin and curcumin decomposition products. Toxicology. 2007;235(1-2):83-91.

Atal CK, Dubey RK, Singh J. Biochemical basis of enhanced drug bioavailability by piperine: Evidence that piperine is a potent inhibitor of drug metabolism. J Pharmacol Exp Ther. 1985;232(1):258-62.

Aykin-Burns N, Ahmad IM, Zhu Y, Oberley LW, Spitz DR. Increased levels of superoxide and H2O2 mediate the differential susceptibility of cancer cells versus normal cells to glucose deprivation. Biochem J. 2009;418(1):29-37.

Bhardwaj RK, Glaeser H, Becquemont L, Klotz U, Gupta SK, Fromm MF. Piperine, a major constituent of black pepper, inhibits human P-glycoprotein and CYP3A4. J Pharmacol Exp Ther. 2002;302(2):645-50.

Blasiak J, Trzeciak A, Kowalik J. Curcumin damages DNA in human gastric mucosa cells and lymphocytes. J Environ Pathol Toxicol Oncol. 1999;18(4):271-6.

Burdon RH. Superoxide and hydrogen peroxide in relation to mammalian cell proliferation. Free Radic Biol Med. 1995;18(4):775-94.