Planta Med 2021; 87(04): 273-282
DOI: 10.1055/a-1301-8648
Biological and Pharmacological Activity
Reviews

Rosmarinic Acid–Human Pharmacokinetics and Health Benefits

Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
,
Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
,
Neda Gavarić
Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
,
Biljana Božin
Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
› Author Affiliations
Supported by: Ministarstvo Prosvete, Nauke i Tehnološkog Razvoja OI 172058

Abstract

Rosmarinic acid is a phenolic compound commonly found in the Lamiaceae (Labiateae) plant species. It is considered responsible for a wide spectrum of biological and pharmacological activities of plants containing this compound. The aim of the current review is to present the fate of rosmarinic acid inside the human body, explained through pharmacokinetic steps and to briefly present the health benefits of RA. Pharmacokinetics was at first studied in animal models, but several studies were conducted in humans as well. This compound can be applied topically, pulmonary, intranasally, and via intravenous infusion. However, peroral application is the main route of entry into the human body. Presumably, it is mainly metabolized by the gut microflora, providing simple, more easily absorbed phenolic units. Inside the body, the rosmarinic acid molecule undergoes structural changes, as well as conjugation reactions. Renal excretion represents the main path of elimination. Previously conducted studies reported no serious adverse effects of herbal remedies containing RA, as well as their positive effects on human health. In addition to in vitro studies, clinical investigations suggested its benefits in dermatological, allergic, and osteoarthritic disorders, as well as for improving cognitive performance and in metabolic syndrome treatment. Future studies should investigate the kinetics during long-term application in patients who would have potential benefits from RA usage. Pharmaceutical formulations designed to prevent the fast metabolism of RA and allow its penetration into other compartments of the human body are also interesting topics for future research.

Supporting Information



Publication History

Received: 10 May 2020

Accepted after revision: 30 October 2020

Article published online:
07 December 2020

© 2020. Thieme. All rights reserved.

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  • References

  • 1 Petersen M, Abdullah Y, Benner J, Eberle D, Gehlen K, Hucherig S, Janiak V, Kim KH, Sander M, Weitzel C, Wolters S. Evolution of rosmarinic acid biosynthesis. Phytochemistry 2009; 70: 1663-1679
  • 2 Petersen M, Simmonds MS. Rosmarinic acid. Phytochemistry 2003; 62: 121-125
  • 3 Božin B, Gavrilović M, Kladar N, Rat M, Anačkov G, Gavarić N. Highly invasive alien plant Reynoutria japonica Houtt. represents a novel source for pharmaceutical industry–evidence from phenolic profile and biological activity. J Serb Chem Soc 2017; 82: 803-813
  • 4 Dewick P. Medicinal natural Products: A biosynthetic Approach. New York: Wiley; 2009
  • 5 Amoah SK, Sandjo LP, Kratz JM, Biavatti MW. Rosmarinic acid–pharmaceutical and clinical aspects. Planta Med 2016; 82: 388-406
  • 6 Sik B, Kapcsándi V, Székelyhidi R, Hanczné E, Ajtony Z. Recent advances in the analysis of rosmarinic acid from herbs in the Lamiaceae family. Nat Prod Commun 2019; 14: 1-10
  • 7 World Health Organization (WHO). WHO Monographs on selected medicinal Plants, Vol. 4. Geneva: World Health Organization; 2009
  • 8 World Health Organization (WHO). WHO Monographs on selected medicinal Plants, Vol. 2. Geneva: World Health Organization; 2004
  • 9 Kokkini S, Karousou R, Hanlidou E. Herbs of the Labiatae. In: Cabarello B, Trugo L, Finglas P. eds. Encyclopedia of Food Sciences and Nutrition. London: Elsevier; 2003: 3082-3090
  • 10 Carović-Stanko K, Petek M, Grdiša M, Pintar J, Bedeković D, Herak Ćustić M, Satović Z. Medicinal plants of the family Lamiaceae as functional foods–a review. Czech J Food Sci 2016; 34: 377-390
  • 11 Wolbling RH, Leonhardt K. Local therapy of herpes simplex with dried extract from Melissa officinalis . Phytomedicine 1994; 1: 25-31
  • 12 Koytchev R, Alken RG, Dundarov S. Balm mint extract (Lo-701) for topical treatment of recurring herpes labialis. Phytomedicine 1999; 6: 225-230
  • 13 Budhiraja A, Dhingra G. Development and characterization of a novel antiacne niosomal gel of rosmarinic acid. Drug Deliv 2015; 22: 723-730
  • 14 Tundis R, Loizzo MR, Bonesi M, Menichini F. Potential role of natural compounds against skin aging. Curr Med Chem 2015; 22: 1515-1538
  • 15 Yucel C, Seker Karatoprak G, Degim IT. Anti-aging formulation of rosmarinic acid-loaded ethosomes and liposomes. J Microencapsul 2019; 36: 180-191
  • 16 Bhatt R, Singh D, Prakash A, Mishra N. Development, characterization and nasal delivery of rosmarinic acid-loaded solid lipid nanoparticles for the effective management of Huntingtonʼs disease. Drug Deliv 2015; 22: 931-939
  • 17 Lu P, Xing Y, Xue Z, Ma Z, Zhang B, Peng H, Zhou QT, Liu H, Liu Z, Li J. Pharmacokinetics of salvianolic acid B, rosmarinic acid and Danshensu in rat after pulmonary administration of Salvia miltiorrhiza polyphenolic acid solution. Biomed Chromatogr 2019; 33: e4561
  • 18 da Silva SB, Ferreira D, Pintado M, Sarmento B. Chitosan-based nanoparticles for rosmarinic acid ocular delivery–in vitro tests. Int J Biol Macromol 2016; 84: 112-120
  • 19 Jia JY, Lu YL, Li XC, Liu GY, Li SJ, Liu Y, Liu YM, Yu C, Wang YP. Pharmacokinetics of depside salts from Salvia miltiorrhiza in healthy Chinese volunteers: a randomized, open-label, single-dose study. Curr Ther Res Clin Exp 2010; 71: 260-271
  • 20 Nunes S, Madureira AR, Campos D, Sarmento B, Gomes AM, Pintado M, Reis F. Therapeutic and nutraceutical potential of rosmarinic acid-cytoprotective properties and pharmacokinetic profile. Crit Rev Food Sci Nutr 2017; 57: 1799-1806
  • 21 Lipinski CA, Lombardo F, Dominy BW, Feeney PJ. Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settings. Adv Drug Deliv Rev 2001; 46: 3-26
  • 22 Nath LS, Khan SA, Ahmad A. Computer aided screening of natural products in search of lead molecules for design and development of potent anti-inflammatory agents. Sch Acad J Pharm 2014; 3: 496-503
  • 23 Hase T, Shishido S, Yamamoto S, Yamashita R, Nukima H, Taira S, Toyoda T, Abe K, Hamaguchi T, Ono K, Noguchi-Shinohara M, Yamada M, Kobayashi S. Rosmarinic acid suppresses Alzheimerʼs disease development by reducing amyloid beta aggregation by increasing monoamine secretion. Sci Rep 2019; 9: 8711
  • 24 Konishi Y, Hitomi Y, Yoshida M, Yoshioka E. Pharmacokinetic study of caffeic and rosmarinic acids in rats after oral administration. J Agric Food Chem 2005; 53: 4740-4746
  • 25 Dominguez-Avila JA, Wall-Medrano A, Velderrain-Rodriguez GR, Chen CO, Salazar-Lopez NJ, Robles-Sanchez M, Gonzalez-Aguilar GA. Gastrointestinal interactions, absorption, splanchnic metabolism and pharmacokinetics of orally ingested phenolic compounds. Food Funct 2017; 8: 15-38
  • 26 Stelmakiene A, Ramanauskiene K, Briedis V. Release of rosmarinic acid from semisolid formulations and its penetration through human skin ex vivo . Acta Pharm 2015; 65: 199-205
  • 27 Wüst Zibetti A, Aydi A, Claumann CA, Eladeb A, Adberraba M. Correlation of solubility and prediction of the mixing properties of rosmarinic acid in different pure solvents and in binary solvent mixtures of ethanol + water and methanol + water from (293.2 to 318.2) K. J Mol Liq 2016; 216: 370-376
  • 28 Peng X, Wang X, Qi W, Su R, He Z. Affinity of rosmarinic acid to human serum albumin and its effect on protein conformation stability. Food Chem 2016; 192: 178-187
  • 29 Shamsi A, Ahmed A, Khan MS, Al Shahwan M, Husain FM, Bano B. Understanding the binding between rosmarinic acid and serum albumin: in vitro and in silico insight. J Mol Liq 2020; 311: 113348
  • 30 Chen JF, Bao X, Lin C, Zhou G. Pharmacokinetics of rosmarinic acid in rats and tissue distribution in mice. Lat Am J Pharm 2019; 38: 985-990
  • 31 Zoric Z, Markic J, Pedisic S, Bucevic-Popovic V, Generalic-Mekinic I, Grebenar K, Kulisic-Bilusic T. Stability of rosmarinic acid in aqueous extracts from different Lamiaceae species after in vitro digestion with human gastrointestinal enzymes. Food Technol Biotechnol 2016; 54: 97-102
  • 32 Goncalves GA, Correa RCG, Barros L, Dias MI, Calhelha RC, Correa VG, Bracht A, Peralta RM, Ferreira I. Effects of in vitro gastrointestinal digestion and colonic fermentation on a rosemary (Rosmarinus officinalis L) extract rich in rosmarinic acid. Food Chem 2019; 271: 393-400
  • 33 de Torre MP, Vizmanos JL, Cavero RY, Calvo MI. Improvement of antioxidant activity of oregano (Origanum vulgare L.) with an oral pharmaceutical form. Biomed Pharmacother 2020; 129: 110424
  • 34 Jandhyala SM, Talukdar R, Subramanyam C, Vuyyuru H, Sasikala M, Nageshwar Reddy D. Role of the normal gut microbiota. World J Gastroenterol 2015; 21: 8787-8803
  • 35 Velderrain-Rodriguez GR, Palafox-Carlos H, Wall-Medrano A, Ayala-Zavala JF, Chen CY, Robles-Sanchez M, Astiazaran-Garcia H, Alvarez-Parrilla E, Gonzalez-Aguilar GA. Phenolic compounds: their journey after intake. Food Funct 2014; 5: 189-197
  • 36 Konishi Y, Kobayashi S. Transepithelial transport of rosmarinic acid in intestinal Caco-2 cell monolayers. Biosci Biotechnol Biochem 2005; 69: 583-591
  • 37 Bel-Rhlid R, Crespy V, Page-Zoerkler N, Nagy K, Raab T, Hansen CE. Hydrolysis of rosmarinic acid from rosemary extract with esterases and Lactobacillus johnsonii in vitro and in a gastrointestinal model. J Agric Food Chem 2009; 57: 7700-7705
  • 38 Mosele JI, Martin-Pelaez S, Macia A, Farras M, Valls RM, Catalan U, Motilva MJ. Study of the catabolism of thyme phenols combining in vitro fermentation and human intervention. J Agric Food Chem 2014; 62: 10954-10961
  • 39 Nakazawa T, Ohsawa K. Metabolism of rosmarinic acid in rats. J Nat Prod 1998; 61: 993-996
  • 40 Nakazawa T, Ohsawa K. Metabolites of orally administered Perilla frutescens extract in rats and humans. Biol Pharm Bull 2000; 23: 122-127
  • 41 Baba S, Osakabe N, Natsume M, Terao J. Orally administered rosmarinic acid is present as the conjugated and/or methylated forms in plasma, and is degraded and metabolized to conjugated forms of caffeic acid, ferulic acid and m-coumaric acid. Life Sci 2004; 75: 165-178
  • 42 Achour M, Saguem S, Sarria B, Bravo L, Mateos R. Bioavailability and metabolism of rosemary infusion polyphenols using Caco-2 and HepG2 cell model systems. J Sci Food Agric 2018; 98: 3741-3751
  • 43 Su J, Jia F, Lu J, Chen W, Sun H, Liu T, Wu X. Characterization of the metabolites of rosmarinic acid in human liver microsomes using liquid chromatography combined with electrospray ionization tandem mass spectrometry. Biomed Chromatogr 2020; 34: e4806
  • 44 Baba S, Osakabe N, Natsume M, Yasuda A, Muto Y, Hiyoshi K, Takano H, Yoshikawa T, Terao J. Absorption, metabolism, degradation and urinary excretion of rosmarinic acid after intake of Perilla frutescens extract in humans. Eur J Nutr 2005; 44: 1-9
  • 45 Noguchi-Shinohara M, Ono K, Hamaguchi T, Iwasa K, Nagai T, Kobayashi S, Nakamura H, Yamada M. Pharmacokinetics, safety and tolerability of Melissa officinalis extract which contained rosmarinic acid in healthy individuals: a randomized controlled trial. PLoS One 2015; 10: e0126422
  • 46 Nieman KM, Sanoshy KD, Bresciani L, Schild AL, Kelley K, Lawless A, Ceddia MA, Maki KC, Del Rio D, Herrlinger KA. Tolerance, bioavailability, and potential cognitive health implications of a distinct aqueous spearmint extract. Funct Food Health Dis 2015; 5: 165-187
  • 47 Nurmi A, Nurmi T, Mursu J, Hiltunen R, Voutilainen S. Ingestion of oregano extract increases excretion of urinary phenolic metabolites in humans. J Agric Food Chem 2006; 54: 6916-6923
  • 48 Zhang J, Wen Q, Qian K, Feng Y, Luo Y, Tan T. Metabolic profile of rosmarinic acid from Java tea (Orthosiphon stamineus) by ultra-high-performance liquid chromatography coupled to quadrupole-time-of-flight tandem mass spectrometry with a three-step data mining strategy. Biomed Chromatogr 2019; 33: e4599
  • 49 Nadeem M, Imran M, Gondal TA, Imran A, Shahbaz M, Amir RM, Sajid MW, Qaisrani TB, Atif M, Hussain G, Salehi B, Ostrander EA, Martorell M, Sharifi-Rad J, Cho WC, Martins N. Therapeutic potential of rosmarinic acid: a comprehensive review. Appl Sci 2019; 9: 3139
  • 50 Elufioye TO, Habtemariam S. Hepatoprotective effects of rosmarinic acid: Insight into its mechanisms of action. Biomed Pharmacother 2019; 112: 108600
  • 51 Alagawany M, Abd El-Hack ME, Farag MR, Gopi M, Karthik K, Malik YS, Dhama K. Rosmarinic acid: modes of action, medicinal values and health benefits. Anim Health Res Rev 2017; 18: 167-176
  • 52 Bekut M, Brkic S, Kladar N, Dragovic G, Gavaric N, Bozin B. Potential of selected Lamiaceae plants in anti(retro)viral therapy. Pharmacol Res 2018; 133: 301-314
  • 53 Connelly AE, Tucker AJ, Tulk H, Catapang M, Chapman L, Sheikh N, Yurchenko S, Fletcher R, Kott LS, Duncan AM, Wright AJ. High-rosmarinic acid spearmint tea in the management of knee osteoarthritis symptoms. J Med Food 2014; 17: 1361-1367
  • 54 Falcone PH, Tribby AC, Vogel RM, Joy JM, Moon JR, Slayton CA, Henigman MM, Lasrado JA, Lewis BJ, Fonseca BA, Nieman KM, Herrlinger KA. Efficacy of a nootropic spearmint extract on reactive agility: a randomized, double-blind, placebo-controlled, parallel trial. J Int Soc Sports Nutr 2018; 15: 58
  • 55 Herrlinger KA, Nieman KM, Sanoshy KD, Fonseca BA, Lasrado JA, Schild AL, Maki KC, Wesnes KA, Ceddia MA. Spearmint Extract improves working memory in men and women with age-associated memory impairment. J Altern Complement Med 2018; 24: 37-47
  • 56 Scholey A, Gibbs A, Neale C, Perry N, Ossoukhova A, Bilog V, Kras M, Scholz C, Sass M, Buchwald-Werner S. Anti-stress effects of lemon balm-containing foods. Nutrients 2014; 6: 4805-4821
  • 57 Lee J, Jung E, Koh J, Kim YS, Park D. Effect of rosmarinic acid on atopic dermatitis. J Dermatol 2008; 35: 768-771
  • 58 Osakabe N, Takano H, Sanbongi C, Yasuda A, Yanagisawa R, Inoue K, Yoshikawa T. Anti-inflammatory and anti-allergic effect of rosmarinic acid (RA); inhibition of seasonal allergic rhinoconjunctivitis (SAR) and its mechanism. Biofactors 2004; 21: 127-131
  • 59 Takano H, Osakabe N, Sanbongi C, Yanagisawa R, Inoue K, Yasuda A, Natsume M, Baba S, Ichiishi E, Yoshikawa T. Extract of Perilla frutescens enriched for rosmarinic acid, a polyphenolic phytochemical, inhibits seasonal allergic rhinoconjunctivitis in humans. Exp Biol Med (Maywood) 2004; 229: 247-254
  • 60 Alam MA, Subhan N, Hossain H, Hossain M, Reza HM, Rahman MM, Ullah MO. Hydroxycinnamic acid derivatives: a potential class of natural compounds for the management of lipid metabolism and obesity. Nutr Metab (Lond) 2016; 13: 27
  • 61 Fazli D, Malekirad AA, Pilevarian AA, Salehi H, Zeraatpishe A, Rahzani K, Abdollahi M. Effects of Melissa officinalis L. on oxidative status and biochemical parameters in occupationally exposed workers to aluminum: a before after Clinical Trial. Int J Pharmacol 2012; 8: 455-458
  • 62 Nayebi N, Esteghamati A, Meysamie A, Khalili N, Kamalinejad M, Emtiazy M, Hashempur MH. The effects of a Melissa officinalis L. based product on metabolic parameters in patients with type 2 diabetes mellitus: a randomized double-blinded controlled clinical trial. J Complement Integr Med 2019; DOI: 10.1515/jcim-2018-0088.
  • 63 Javid AZ, Haybar H, Dehghan P, Haghighizadeh MH, Mohaghegh SM, Ravanbakhsh M, Mohammadzadeh A. The effects of Melissa officinalis (lemon balm) in chronic stable angina on serum biomarkers of oxidative stress, inflammation and lipid profile. Asia Pac J Clin Nutr 2018; 27: 785-791
  • 64 Asadi A, Shidfar F, Safari M, Malek M, Hosseini AF, Rezazadeh S, Rajab A, Shidfar S, Hosseini S. Safety and efficacy of Melissa officinalis (lemon balm) on ApoA–I, Apo B, lipid ratio and ICAM-1 in type 2 diabetes patients: a randomized, double-blinded clinical trial. Complement Ther Med 2018; 40: 83-88
  • 65 Jun HJ, Lee JH, Jia Y, Hoang MH, Byun H, Kim KH, Lee SJ. Melissa officinalis essential oil reduces plasma triglycerides in human apolipoprotein E2 transgenic mice by inhibiting sterol regulatory element-binding protein-1c-dependent fatty acid synthesis. J Nutr 2012; 142: 432-440
  • 66 Madureira AR, Campos D, Gullon B, Marques C, Rodriguez-Alcala LM, Calhau C, Alonso JL, Sarmento B, Gomes AM, Pintado M. Fermentation of bioactive solid lipid nanoparticles by human gut microflora. Food Funct 2016; 7: 516-529
  • 67 Madureira AR, Campos DA, Oliveira A, Sarmento B, Pintado MM, Gomes AM. Insights into the protective role of solid lipid nanoparticles on rosmarinic acid bioactivity during exposure to simulated gastrointestinal conditions. Colloids Surf B Biointerfaces 2016; 139: 277-284
  • 68 Baranauskaite J, Duman G, Corapcioglu G, Baranauskas A, Taralp A, Ivanauskas L, Bernatoniene J. Liposomal incorporation to improve dissolution and stability of rosmarinic acid and carvacrol extracted from oregano (O. onites L.). Biomed Res Int 2018; 2018: 6147315
  • 69 Shakeri A, Sahebkar A, Javadi B. Melissa officinalis L.–a review of its traditional uses, phytochemistry and pharmacology. J Ethnopharmacol 2016; 188: 204-228
  • 70 Li S, Xie X, Li D, Yu Z, Tong L, Zhao Y. Simultaneous determination and tissue distribution studies of four phenolic acids in rat tissue by UFLC-MS/MS after intravenous administration of salvianolic acid for injection. Biomed Chromatogr 2018; 32: e4128
  • 71 Li X, Yu C, Lu Y, Gu Y, Lu J, Xu W, Xuan L, Wang Y. Pharmacokinetics, tissue distribution, metabolism, and excretion of depside salts from Salvia miltiorrhiza in rats. Drug Metab Dispos 2007; 35: 234-239