Perilla: benefits, dosage, contraindications

Mis à jour le

Perilla frutescens, commonly called perilla, is an annual plant native to East Asia, notably China, Japan and Korea. It belongs to the Lamiaceae family, like mint. Its leaves contain anthocyanins responsible for their purple or violet color, and its seeds are used for their oil rich in omega-3 fatty acids. Historically, perilla has been used in traditional Chinese medicine to treat various conditions, such as respiratory and digestive disorders. It is reputed for its antiseptic effects and is often used as a decoction to prevent food poisoning, particularly when consuming shellfish. The leaves and seeds contain major flavones such as apigenin and luteolin, as well as metabolites and other flavones like shishonin and vicenin-2. The leaves also contain phenolic compounds such as rosmarinic acid, caffeic acid and ferulic acid, as well as small amounts of triterpenes, tocopherols and phytosterols. The purple leaves of perilla are particularly rich in phenolic compounds, notably hydroxycinnamic acids. Perilla seed oil is notably rich in alpha-linolenic acid, representing up to 64% of the fatty acids, and also contains linoleic and oleic acids. The seed also includes policosanol. Among the main constituents of perilla's volatile essential oil are perillaldehyde, D-limonene, 1,4-cineole and eucalyptol, reinforcing its profile as a medicinal plant. Today, perilla is used as an antiallergic and anti-aging remedy. It is being studied notably for its anticancer potential.

Other name(s) 

Shiso

Scientific name(s)

Perilla frutescens

Family or group: 

Plants

Active ingredients:

Alpha-linolenic acid

Linoleic acid

Rosmarinic acid


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.


Asthma
✪✪✪✪✪

Daily oral intake of 10 to 20 grams of perilla seed oil for 4 weeks modestly improves asthma symptoms in adult asthmatics, according to preliminary studies.

Posologie

posologieOral: seed, leaf

posologie10 - 20 g

formulationoil, aqueous decoction


Allergies
✪✪✪✪✪

Studies on perilla in the treatment of allergies show promising results. Leaf and seed extracts are used against allergic respiratory disorders such as hay fever, asthma and sinusitis. A double-blind clinical study found that rosmarinic acid in a perilla decoction significantly reduces symptoms such as watery eyes and an itchy nose in patients with seasonal allergic rhinoconjunctivitis. Furthermore, an open-label clinical trial showed a significant improvement in nasal symptoms in 80% of subjects treated with perilla seed extract. These studies highlight perilla's anti-allergic potential, particularly through its ability to regulate arachidonic acid metabolism and suppress leukotriene production.

Posologie

posologieOrally: leaf, seed

posologie50 - 200 mg

formulationaqueous decoction


Cancer
✪✪✪✪✪

Perillyl alcohol, a component of perilla tested mainly as topical creams and via intranasal administration, has shown promising efficacy in preclinical studies but mixed results in clinical trials. In phase I trials, perillyl alcohol demonstrated a favorable toxicity profile and some chemotherapeutic activity, although the results did not permit definitive conclusions about its potential use as an anticancer treatment. In particular, a pilot study of eight patients with exocrine pancreatic adenocarcinoma treated perioperatively with 1200 mg/m² of perillyl alcohol four times a day observed a non-significant increase in survival time and increased local apoptosis. However, tumor size and CA 19.9 levels, a marker of pancreatic cancer, remained unchanged. Other phase II trials in patients with advanced ovarian carcinoma, treatment-refractory metastatic breast cancer, prostate cancer, and colorectal cancer did not prolong time to disease progression. A phase I/II trial using a perillyl alcohol nasal spray in 37 patients with recurrent malignant glioma showed antitumor activity and a reduction in peritumoral brain edema, but side effects such as nausea and fatigue affected treatment adherence. Further research is needed to more fully explore the effects of intranasally administered perillyl alcohol.

Posologie

posologieNasal, cutaneous: leaf

formulationessential oil, cream


Dermatoses
✪✪✪✪

Perilla oil, rich in omega-3 fatty acids, is used to treat various skin conditions, notably eczema. Its anti-inflammatory and moisturizing properties help soothe irritated skin, reducing redness and itching, and promote the repair of the skin barrier.

Posologie

posologieOral: seed

formulationoil


Wrinkles
✪✪✪✪

Topical use of perilla oil may help improve skin elasticity and hydration, key elements in combating skin aging. Its fatty acids nourish the skin, while its antioxidant properties help protect against external aggressors.

Posologie

posologieOral: seed

formulationoil


Properties


Antiallergic

full-leaffull-leaffull-leafempty-leaf

Perilla seed extracts contain flavonoids such as luteolin, which have been shown to inhibit histamine release from mast cells in a dose-dependent manner. This mechanism is crucial because it can help reduce immediate allergic reactions. Furthermore, perilla leaf extracts act by modulating cytokine production, thereby balancing the immune response between Th1 and Th2 types, which is essential in the management of allergies. Studies show that the leaf extract can suppress IgE and IgG antibodies, as well as interleukins IL-4, IL-5, and IL-10, thus reducing inflammation and allergic symptoms. Research has also identified rosmarinic acid as one of the main active constituents, noting its effects in reducing the inflammatory response and increasing the removal of superoxide radicals, underlining its potential in anti-allergic treatments.

Usages associés

Asthma, Allergies

Neurological

full-leaffull-leaffull-leafempty-leaf

Perilla shows notable potential for treating neurological disorders through several distinct mechanisms of action. Its antidepressant effects have been demonstrated in animal models, partly due to the fatty acid composition of its seed oil, which includes essential fatty acids such as alpha-linolenic acid. These fatty acids play a role in modulating neural receptors and neurotransmitter production. Perilla essential oil, when inhaled, increases expression of GABA (gamma-aminobutyric acid) receptors and levels of GABA as well as serotonin in the brain, which could help treat insomnia. Research shows that inhalation of this essential oil improves sleep latency and total sleep duration in animal models of insomnia. Moreover, perilla seed oil plays a neuroprotective role by reducing the sensitivity of brain cells to reactive oxygen and nitrogen species, while improving the brain's fatty acid profile. This includes increased synthesis of fatty acids such as arachidonic acid and DHA, which are essential for neuronal health. These actions suggest that perilla could play a beneficial role in brain protection and function.


Anti-inflammatory

full-leaffull-leafempty-leafempty-leaf

Animal and laboratory studies have shown that perilla leaf extract inhibits the production of inflammatory cytokines and the activity of cells such as macrophages and neutrophils. Rosmarinic acid may play a role in modulating neutrophils and eosinophils. Perilla oil also has anti-inflammatory properties due to its fatty acids, which reduce inflammatory cytokines and eicosanoids. Moreover, a major component of the leaf essential oil, the monoterpene perillaldehyde, has shown anti-inflammatory effects in models of gastrointestinal inflammation.

Usages associés

Healthy aging, dermatoses

Anticancer

full-leaffull-leafempty-leafempty-leaf

Perilla has demonstrated promising anticancer properties, partly due to its active components such as perilla oil, luteolin, rosmarinic acid and perillyl alcohol (found in the essential oil). In vitro and animal studies have shown that these compounds can reduce cancer cell proliferation and induce apoptosis, that is, programmed cell death. Perillyl alcohol, in particular, has been tested in phase I and II clinical trials for its potential to inhibit tumorigenesis. The mechanism of action includes inhibition of cell signaling that controls cell proliferation. Perillyl alcohol also interferes with the release of vascular endothelial growth factor (VEGF) by cancer cells, which can decrease tumor vascularization and promote tumor regression. In addition, this substance is being studied for its potential to increase the sensitivity of cancer cells to radiotherapy treatments.

Usages associés

Cancer


Safe dosage

Adult:

- Perilla leaf: extract equivalent to 4-9 g/day - Perilla oil: 1 g capsules to be taken three times a day. - Perilla seed extract (containing a minimum of 3.0% polyphenols): 100-150 mg/day.