Hops: benefits, dosage, contraindications

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Hops is a perennial climbing herbaceous plant, typically measuring three to six meters, common throughout Europe. It has hairy stems, and its light green leaves about ten cm long are toothed. Hop produces female flowers (cone-shaped spikes, covered with a yellow resinous powder called lupulin) or male flowers (in panicles: small clustered inflorescences). The dried female flowers are used in herbal medicine. They are also commonly used in beer brewing. The female hop flowers contain several flavonoids (xanthohumol, isoxanthohumol, 6-prenylnaringenin (6-PN), 8-prenylnaringenin (8-PN), quercetin, rutin, and astragalin). Prenylated derivatives of 1-acylphloroglucinol (including lupulone, humulone, isohumulones) are responsible for the bitter taste of hops. Traditionally used to relieve anxiety and sleep disorders, it also exhibits estrogenic activity.

Other name(s) 

Northern vine, wild asparagus

Scientific name(s)

Humulus lupulus

Family or group: 

Plants

Active ingredients:

8-Prenylnaringenin

Flavonoids

Quercetin

Rutin

Xanthohumol


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Menopause
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Hop contains a compound that influences estrogens, 8-prenylnaringenin. Its usefulness for the treatment of menopause was evaluated in 2 clinical trials. The results showed that a standardized hop extract equivalent to 100 to 200 µg of prenylnaringenin per day for 8 to 12 weeks of treatment slightly reduced menopausal symptoms, particularly hot flashes.

Posologie

posologieOral: cone

posologie400 - 800 mg

duration12 - weeks

populationWomen


Sleep disorders
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The EMA recognizes the use of hops to promote sleep.

Posologie

posologieOral: cone

posologie400 - 800 mg

duration2 - weeks

populationAdolescents, Adults, Seniors


Stress
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The EMA recognizes the use of hops for the relief of mild symptoms of mental stress.

Posologie

posologieOral: cone

posologie400 - 800 mg


Properties


Sedative

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The sedative activity of hop extracts has been confirmed in vivo and in humans by an open study of 225 volunteers. In mice, hop extracts showed a dose-dependent reduction in locomotor activity and an increase in the duration of sleep induced by narcotics. The sedative effect has been attributed to the bitter alpha acids and, to a lesser extent, the bitter beta acids and hop oil.

Usages associés

Sleep disorders

Estrogenic activity

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It is thought that the hop strobile flavonoids 8-PN and isoxanthohumol are responsible for the plant's estrogenic activity. The flavonoid 8-PN has the ability to bind to estrogens. Thus, it binds competitively to alpha and beta estrogen receptors, but with a greater affinity for the estrogen receptor beta. Thus, hop extract competitively inhibits the binding of estradiol to estrogen receptors and induces transcription in estrogen-sensitive cells.

Usages associés

Menopause

Anticancer

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Xanthohumol may have potential anticancer activity. Preliminary research suggests that xanthohumol inhibits the metabolic activation of food-borne carcinogens and induces phase II enzymes involved in the metabolism or detoxification of potentially harmful xenobiotics. Xanthohumol and xanthohumol D have also been identified as ligands of quinone reductase-2, which is a target for chemopreventive drugs. In addition to its chemopreventive effects, there is interest in hops and its constituent xanthohumol for prostate cancer. In vitro research suggests that xanthohumol and a derivative can induce apoptosis in benign prostatic hyperplasia and malignant prostate cancer cells. These constituents appear to activate the pro-apoptotic proteins Bax and p53. They also appear to decrease activation of NF-kappaB. Similarly, xanthohumol appears to inhibit the proliferation of liver cancer cells by inhibiting NF-kappaB activity. Some preliminary evidence suggests that hops may possess antiproliferative properties, indicating potential chemoprevention against breast cancer, ovarian cancer, and colorectal cancer. A proposed mechanism includes inhibition of P450 enzymes that activate carcinogens. Further laboratory research shows that the hops constituent 6-prenylnaringenin induces the 2-hydroxylation pathway of estrogens. This pathway has been associated with a reduced risk of breast cancer, possibly through a detoxification effect.


Anti-inflammatory

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Preliminary animal research suggests that xanthohumol in hops has anti-inflammatory activity. It appears to inhibit lipopolysaccharide (LPS)-induced production of monocyte chemoattractant protein-1 (MCP-1), TNF-alpha, and interleukin-1 (IL-1) in a human monocytic cell line and in mouse macrophages. Xanthohumol also appears to inhibit LPS-induced production of nitric oxide (NO) and the cytokines IL-1beta and tumor necrosis factor (TNF)-alpha in mouse-derived brain (microglial) cells. Humulone, another constituent of hops, has also shown anti-inflammatory activity in animal research. Humulone may inhibit ear inflammation caused by arachidonic acid in mice. The bitter acids of hops, including alpha acids, beta acids, and iso-alpha acids, have also shown anti-inflammatory activity. Other in vitro research suggests that the rho-iso-alpha acids of hops may inhibit LPS-induced nitric oxide production in macrophage cells, as well as reduce collagen-induced arthritis in an animal model. In humans, hop extract decreases the complement C3 fraction, C-reactive protein levels, and IL-6 levels.


Antioxidant

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Preliminary research suggests that xanthohumol in hops has antioxidant effects. Hop chalcones bearing an alpha,beta-unsaturated ketone function have been shown to inhibit oxidation of low-density lipoproteins (LDL). In addition, hop cone extract has been shown to reduce oxidative stress in blood platelets, similarly to resveratrol.


Antimicrobial

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Hop essential oils and hop extracts have shown antimicrobial activity against Gram-positive bacteria, Gram-negative bacteria, five strains of acne-causing bacteria, and one species of fungus in vitro. Some research attributes the antibacterial effects of hop to its weak acid derivatives, notably trans-isohumulone, humulone, colupulone, and trans-humulinic acid. Tetrahydroiso-alpha acids have also shown antibacterial effects against Gram-positive and Gram-negative bacteria in vitro. Some research has investigated the antiviral potential of xanthohumol, a component of hop. In vitro research shows that xanthohumol can enhance the antiviral effect of interferon alpha-2b against bovine viral diarrhea virus, a surrogate for hepatitis C virus, suggesting its potential benefit when used with anti-hepatitis C regimens.


Safe dosage

Adults from 12 years: 400 mg - 800 mg


Interactions

Médicaments

Sedatives: moderate interaction

Theoretically, the concomitant use of medications with sedative properties may lead to additional therapeutic and adverse effects.

Estrogens: moderate interaction

In vitro research suggests that certain constituents of hops may bind to estrogen receptors. Theoretically, concomitant use of large amounts of hops could interfere with hormone replacement therapy.

Plantes ou autres actifs

Hops: moderate interaction

Theoretically, the concomitant use of herbs with sedative properties could increase therapeutic and adverse effects. Some of these supplements include 5-HTP, calamus, California poppy, catnip, Jamaican dogwood, kava, St. John's wort, skullcap, valerian, yerba mansa, and others.


Precautions

Pregnant women: avoid

The use of hops should be avoided during pregnancy due to lack of reliable information.

Breastfeeding women: avoid

The use of hops should be avoided during breastfeeding due to lack of reliable information.

Breast cancer: avoid

Some constituents of hops have estrogenic activity. Patients with hormone-sensitive conditions should avoid hops.

Surgery: avoid

Hops has depressant effects on the central nervous system. Theoretically, it may cause additive depression when combined with anesthesia and other medications during and after surgical procedures. Please stop using hops at least 2 weeks before non-urgent surgery.