Eucommia Bark

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    Last Updated: September 28, 2022

    Eucommia ulmoides is a traditional chinese medicine of which the bark is used for medicinal purposes. Although most evidence is preliminary, it has minor antiinflammatory properties may augment steroid signalling.

    Eucommia Bark is most often used for .




    1.

    Sources and Composition

    1.1

    Sources

    More commonly referred to as the Gutta-Percha or Rubber Bark tree or the traditional chinese medicine known as Du Zhong, Eucommia ulmoides (of the Eucommiaceae family) is a medicinal plant where both the leaves and the bark have been used for the purposes of hastening relief of back pain, to increase stamina and recover from fatigue, and to make bones and muscles stronger[1] while promoting longevity and fertility.[2] When used in Kampo medicine, it goes by the name of Tochu[3] and the leaves are sometimes used to brew Tochu tea.

    This plant also has some usage as a tree that can produce rubber[4] due to the trans-polyisoprene compounds it can produce,[5][6] which is why the tree also has the common name of 'Rubber Bark Tree'.

    Eucommia ulmoides is a medicinal plant recommended to support vitality and strength, and also has commercial benefits as the tree can be used to manufacture rubber

    1.2

    Composition

    The bark (ethanolic extract unless otherwise stated) has been noted to include:

    • Geniposidic acid (0.925% of bark) and its aglycone geniposide (0.488%) and genipin (0.214%)[7]
    • Trans-polyisoprene compounds, used mostly in rubber making[6]
    • Lignans (+)-pinoresinol-4,4′-di-O-β-D-glucopyranoside (pinoresinol diglucoside[8]), (+)-pinoresinol-4-O-β-D-glucopyranosyl(1→6)-β-D-glucopyranoside, (+)-medioresinol-4,4′-di-O-β-D-glucopyranoside, (+)-syringaresinol-4,4′-di-O- β-D-glucopyranoside, (−)-olivil-4′-O-β-D-glucopyranoside, (−)-olivil-4-O-β-D- glucopyranoside, and (+)-pinoresinol-4-O-β-D-glucopyranoside[9] with both syringaresinol diglycoside (0.214%) and (+)-pinoresinol-di-β-d-glucopyranoside (0.991%) being quantified[7]
    • Licoagroside F (28.78+/-0.81μg/g)[10]
    • The flavonoids Baicalein (0.28+/-0.010μg/g), wogonin (0.20+/-0.0027μg/g), and oroxylin A (0.09+/-0.0040μg/g)[10]
    • Caprylic acid (involved in androgen signalling[1] and also found in coconut oil)
    • Triterpenoids[1]
    • Chlorogenic acid (0.302%)[7]

    Whereas the leaves of Eucommia ulmoides include:

    • The irioid glycosides Geniposidic acid (10.1-17.4mg/g),[11][12] Aucubin (6.5-19.7mg/g; geniposidic acid without the carboxylic acid group),[12][13] and Asperuloside (13.7-27.8mg/g)[14][15]
    • Quercetin (0.27-0.62mg/g) as isoquercetin, rutin (7.6-14.3mg/g), and 3-O-sambubioside[11][12] as well as 3-O-alpha-L-arabinopyranosyl-(1->2)-beta-D-glucopyranoside[16]
    • Kaempferol and astragalin (kaempferol 3-O-beta-D-glucopyranoside)[16]
    • Licoagroside F at 8.97+/-0.41μg/g[10]
    • Baicalein (0.23+/-0.002μg/g), Wogonin (0.19+/-0.0030μg/g), and Oroxylin A (0.04+/-0.0004μg/g)[10]
    • Lignans Syringaresinol di-O-Glc (275.53+/-0.99μg/g) and Pinoresinol di-O-Glc (384.15+/-19.67μg/g)[10]
    • Chlorogenic acid (26.3-46.9mg/g)[11][12][17]
    • Ferulic and caffeic acid[11]

    image

    The bark and leaves tend to possess both lignans and irioid glycosides as the active components, which are likely what set this plant out from others. The other phenolics in the plants are quite general to most plants and not in remarkable quantities in this plant

    The water extract of the leaves is a relatively potent antioxidant with an IC50 of 18.9+/-0.2μg/mL in a DPPH assay (albeit weaker than the reference drugs of vitamin c at 5.9+/-0.1μg/mL and vitamin e at 9.7+/-0.2μg/mL)[11] The unique bioactive, geniposidic acid, does not appear to have significant antioxidant properties[11] and the total flavonoid content is 9.5-21.3mg/g of the leaves.[12]

    There is a polysaccharide content of this plant (leaf or bark not specified) at around 23.6-24.1% of total weight[18] and the content of irioid glycosides appears to be less in this plant when directly compared to plantago asiatica (a plant related to psyllium).[19] While the irioid glycosides can also be found in the seeds,[20] these parts of the plant are not commonly used as supplements nor functional foods.

    2.

    Pharmacology

    2.1

    Serum and Distribution

    The irioid glycoside geniposide and its aglycone (genipin) have been detected in plasma and in organs (kidneys) following oral ingestion of the bark[7] and aucubin at 50mg/kg oral intake (rats) in isolation has been noted to peak in the blood at a Tmax of 1.08h and a Cmax of 4016+/-2394ng/mL and a fairly prolonged half-life of 7.38+/-2.9 hours.[21]

    The lignan (+)-pinoresinol-di-β-D-glucopyranoside has been noted to be absorbed in rats with a Tmax of 1.56+/-0.87 hours and a half-life of 3.66 hours, being detected at a Cmax of 18.57+/-8.09ng/mL at an oral intake of 10mg/kg.[22]

    Both the irioid glycosides as well as the lignans seem to have the potential to be absorbed, although pharmacokinetic data is somewhat limited as it is not sure what the active ingredient(s) is/are

    2.2

    Metabolism

    Both irioid glycosides of genipin (geniposide and geniposidic acid) can be hydrolyzed into free genipin in intestinal bacteria.[23]

    2.3

    Mechanisms

    Lignans in Eucommia ulmoides may have phosphodiestease (PDE) inhibiting properties, with IC50 values between 63.5-123.8µM and two (of seven tested) lignans having an IC50 greater than 200µM;[9] this has been noted previously against cAMP-related PDE enzymes[24] but an in-depth evaluation of which subsets of the PDE enzyme are inhibited and the selectivity of the lignans is not yet conducted.

    May inhibit PDE enzymes, but due to the lack of research on selectivity and moderate potency (paired with unknown amounts of lignans in the plant) it is not sure how practically relevant this information is

    The bioactive asperuloside has been found to inhibit PI3K with an IC50 of 2µM, being less potent than uttronin A (1.1µM) and hypericin (180nM)[25] while being more effective than emodin (3.3µM) and quercetin.[26]

    May inhibit PI3K

    3.

    Neurology

    3.1

    Mechanisms

    Eucommia ulmoides stem bark extract appears to have acetylcholinesterase inhibiting properties in vitro (IC50 of 172μg/mL)[27] and is able to exert neuroprotective effects against beta-amyloid proteins (as assessed by memory formation and normalizing the increase in acetylcholinesterase)[27] and hydrogen peroxide with 5-20μg/mL preventing 30-70% of cytotoxicity, with 2.5μg/mL showing some efficacy in reducing oxidative biomarkers.[2] In isolation, both chlorogenic acid and geniposidic acid show protective effects.[28]

    In rats given intracerebral injections of beta-amyloid proteins (induces Alzheimer's-like cognitive dysfunction), 5-20mg/kg of the stem bark extract noted that the higher range of intake (10-20mg/kg) protected from memory dysfunction.[27]

    Appears to have neuroprotective properties, which have at least once been confirmed to occur in a living model at fairly reasonable oral dosages

    4.

    Cardiovascular Health

    4.1

    Blood Pressure

    Mechanistically, eucommia ulmoides appears to possess beta-blocking potential as assessed by a lipolysis assay with isoproterenol.[29]

    Eucommia ulmoides bark can also cause vasorelaxation in a concentration dependent manner in a way that is fully dependent on nitric oxide[30][31] and thought to be related to potassium channels.[31]

    May have beta-blocking potential (thought to be related to the lignans) and may be vasorelaxant

    Eucommia ulmoides appears to have antihypertensive effects due to its activating effects on the parasympathetic nervous system[32] and can work in a dose-dependent manner in spontaneously hypertensive rats.[33] In fructose overfed rats that develop insulin resistance and hypertension, 500-1000mg/kg of eucommia ulmoides can reduce blood pressure in a dose dependent manner but cannot completely normalize it.[34][35][36]

    In prehypertensive humans, while supplementation of 500mg eucommia ulmoides (8% pinoresinol) daily for eight weeks only caused marginal reductions in blood pressure that faded with time a higher dose (1,000mg thrice daily) for two weeks has resulted in a reduction in both systolic and diastolic blood pressure by 7.5/3.9mmHg.[29]

    Eucommia ulmoides appears to be reliably antihypertensive in rats, and a daily dose of 3g of the leaves has been shown at least once to be effective in humans

    5.

    Interactions with Glucose Metabolism

    5.1

    Mechanisms

    Ingestion of eucommia ulmoides daily for 90 days in rats appears to reduce the expression of the GLUT4 transporter in rats given a high fat diet, yet increased expression in rats on a normal diet (not obesogenic) and increased expression in skeletal muscle.[15]

    Appears to modify GLUT4 transporters in a somewhat unreliable manner

    5.2

    Insulin Sensitivity

    In fructose drinking rats (a research model for fatty liver) given 500-1000mg/kg of eucommia ulmoides leaf extract over four weeks, the supplementation was able to fully normalize the changes in insulin and insulin sensitivity (HOMA-IR) without affecting blood glucose which was unaffected by fructose treatment initially.[34]

    In streptozotocin-induced diabetic mice given eucommia ulmoides orally for four weeks (1,400mg/kg) was able to reduce blood glucose and normalize oxidative parameters such as SOD and MDA.[37]

    6.

    Fat Mass and Obesity

    6.1

    Mechanisms

    Mechanistically, it has been noted that ingestion of Eucommia ulmoides is associated with increases in protein content of some intermediates of energy metabolism (isocitrate dehydrogenase 3, citrate synthase, pyruvate kinase, GLUT4, and H+ transporting mitochondrial F1 complex)[15] and in rat liver increases in the activity of genes involved in fat oxidation has been noted in the range of 1.21-1.88 fold (300-1,600mg/kg leaf extract intake)[38] which is thought to explain the increases in fat oxidation seen in the liver.[38][39][15] The increase was noted on the rate-limiting stages of β-oxidation (Cpt1a, Acox1, and Acadvl), α-Oxidation, and ω-oxidation (Cyp4a1).[38]

    Differential effects have been noted on UCPs, with an increase in UCP3 seen in normal rats and an increase in UCP2 seen in high fat fed rats,[15] and PPARγ mRNA has been found to be increased.[15] The aforementioned genetic changes in liver enzymes also appear to be targets of PPARα and PPARδ, suggesting they may play a role.[38]

    It is hypothesized that the above changes are due in part to geniposide and geniposidic acid as well as their aglycone (genipin) as they consist of most of the plant's phytochemicals by weight[38] and since geniposide has shown lipid reducing properties in isolation.[40]

    Eucommia ulmoides appears to modify the levels of proteins involved in energy metabolism and expenditure and in particular the uncoupling proteins (mediates heat production and 'wastes' energy), but the exact mechanism of action underlying these observations is not yet clear

    A study in anaethesized rats given an intraduodenal injection of eucommia ulmoides (1-5mg or 4-20mg/kg) noted an increase in sympathetic nerve activity in both white and brown adipose tissue, and in concious rats there was an increase in plasma fatty acids (154.5-156.6% at 1-5mg of the leaf extract) and body temperature.[41]

    An increase in heat expenditure following a single dose has been noted in rats, following fairly reasonable oral dosages as well

    At least one study, in assessing its mechanisms on blood pressure, has found beta-blocking properties in human fat cells able to reduce the effects of isoproterenol.[29] This suggests that eucommia ulmoides can suppress the effects of fat burners that signal via these receptors, namely ephedrine or synephrine.

    It's beta-blocking potential, while beneficial to blood pressure, may antagonize the effects of other fat burner

    6.2

    Interventions

    In mice given a high fat diet with 3% or 9% of either the leaf powder or water extract of eucommia ulmoides (corresponds to human doses of 0.99g and 2.35g respectively), the weight gain observed is abolished over 90 days of ingestion.[15] In normal mice on a normal diet, the addition of 9% eucommia ulmoides is associated with a nonsignificant trend to lose body weight (12%) and a significant reduction in triglycerides and NEFA with an increase in adiponectin,[15] and the high fat and normal diet groups given 9% were similar weights at the end of the trial.[15] The leaf powder and the water extract from the leaves are comparable in potency[15][42] and other studies tested have noted a failure for high doses (3-6g/kg) to affect body mass over 35 days in rats (despite a reduction in white adipose tissue mass)[43] and a failure for low doses (15.5mg daily) to reduce body mass in hamsters.[39] One study comparing 3% leaf extract against 10% found only the latter effective at reducing body weight,[41] although the degree of fat loss was less drastic and partially confounded with a reduction in food intake.[41]

    In osteoporotic mice, 5% of the diet as the water extract of eucomia ulmoides leaves is able to attenuate the rate of fat gain.[44]

    For rat studies that measure weight as a secondary data point, 500-1000mg/kg of the leaf extract over 4 weeks has failed to cause a significant fat reducing effect in fructose-overfed rats.[34]

    Longterm ingestion of eucommia ulmoides in rats appears to cause minor fat loss and is more potently an anti-obese agent, there are a lack of human studies on this herb at this point in time

    7.

    Skeleton and Bone Mass

    7.1

    Mechanisms

    It is possible that the antioxidant properties of Eucommia ulmoides leaf extract can preserve bone cell integrity in periods of oxidative stress, and is active in a concentration dependent manner as low as 6.25µg/mL (EC50 being around 25µg/mL).[45] There has also been a noted inhibitory effect on osteoclastic formation attributed to the irioid glycosides.[46]

    The enhancement of signalling via the estrogen receptor alpha[1] may also contribute to enhanced bone growth properties, but is unlikely to be the only mechanism at play (as there is still protection for bone in instances of estrogen deficiency such as rat ovarectomy[44][47]).

    7.2

    Osteoporosis

    In ovarectomized rats, 5% of the diet as eucommia ulmoides appears to reduce the rate of bone loss in this menopausal research model[44] and the cortex in doses of 300-500mg/kg (but not 100mg/kg) appears to reduce the loss in bone mass over 16 weeks with a potency not significantly different than the reference drug estradiol.[47]

    8.

    Inflammation and Immunology

    8.1

    Mechanisms

    Both genipin and geniposide have been noted to inhibit nitric oxide release from LPS-stimulated macrophages at a concentration of 12.5μM (7-10%), with genipin increasing in potency with near absolute suppression at 100μM[7] and both the cortex itself has shown similar properties (antiinflammatory properties against LPS-stimulated macrophages) between 0.05-0.5mg/mL to near half of control[48] and the bark has reported an IC50 against COX2 induction of 9.92μg/mL (meloxicam as reference drug was more potent at 0.18μM).[19]

    9.

    Interactions with Hormones

    9.1

    Testosterone

    The androgen receptor is the receptor by which androgens (testosterone and DHT mostly, to a lesser degree DHEA) exert most of their biological effects.[49] Binding of a ligand (be it a hormone or plant) to the receptors is enough to induce effects,[50] and it appears that Eucommia ulmoides possesses phytoandrogens capable of this.[1]

    In mammalian COS-7 cells, an ethanolic extract of the bark from Eucommia ulmoides is able to bind to and weakly activate the androgen receptor with enough affinity to displace testosterone with efficacy at a 5-25ng/mL range.[1] The addition of the extract to a medium containing DHT noted that even at saturating levels of DHT, Eucommia ulmoides augmented signalling in the range of 112-204% of baseline.[1] While this was found with the fractions containing triterpenoids, the caprylic acid content of Eucommia ulmoides and caprylic acid isolated from coconut oil both mimicked this augmentation.[1]

    While oral intake of 1-50mg of the ethanolic extract in rats has failed to modify prostatic weights (suggesting weak androgenicity), it was able to increase the testosterone (5000mcg injection) induced prostatic growth by approximately 20%.[1]

    Eucommia ulmoides appears to be androgenic, although weakly on its own. This plant appears to augment signalling of other androgens through the androgen receptor (thus increasing their efficacy) which is currently thought to be due to the caprylic acid content

    9.2

    Estrogen

    Similar to the effects on the androgen receptor, Eucommia ulmoides (50ng/mL) strongly binds to and weakly activates the estrogen receptor (ERα) while augmenting the signalling of estradiol.[1]

    Similar to its effects on the androgen receptor, this herb appears to augment signalling through the estrogen receptor (alpha confirmed, beta isoform not tested)

    9.3

    Cortisol

    The augmenting effects of Eucommia ulmoides on the androgen and estrogen receptor do not appear to extend to the cortisol receptor nor the progesterone receptor.[1]

    Does not appear to significantly modify signalling through the cortisol receptor

    9.4

    Growth Hormone

    In isolated rat pituitary cells incubated with 20µg/mL of the n-hexane, chloroform, or ethyl acetate fractions, there appears to be a stimulation of growth hormone release.[46]

    May stimulate growth hormone release, requires studies in living models to assess whether this is relevant or not

    10.

    Interactions with Organ Systems

    10.1

    Kidneys

    The polysaccharides from this plant, at 300-600mg/kg for 15 days, appear to have protective effects in the kidneys as assessed by MDA and glutathione concentrations after renal ischemia reperfusion; this was attributed to antioxidant properties (Protective effects were confirmed by histological examination, and although 600mg/kg was close to normalization it was not fully protective)[18] and the overall bark extract (70% ethanolic) itself also has protective effects against cadmium at 125-500mg/kg.[7]

    A mixture of panax pseuodoginseng and eucommia uloides (50% and 25% of weight respectively) at 10mg daily (35.7-41.6mg/kg) for six weeks after nephrectomy noted a mild protective effect on glomerular filtration rate and histological examination.[51]

    References

    1. ^Ong VY, Tan BKNovel phytoandrogens and lipidic augmenters from Eucommia ulmoidesBMC Complement Altern Med.(2007 Jan 29)
    2. ^Kwon SH, Kim MJ, Ma SX, You IJ, Hwang JY, Oh JH, Kim SY, Kim HC, Lee SY, Jang CGEucommia ulmoides Oliv. Bark. protects against hydrogen peroxide-induced neuronal cell death in SH-SY5Y cellsJ Ethnopharmacol.(2012 Jul 13)
    3. ^Yang J, Kato K, Noguchi K, Dairaku N, Koike T, Iijima K, Imatani A, Sekine H, Ohara S, Sasano H, Shimosegawa TTochu (Eucommia ulmoides) leaf extract prevents ammonia and vitamin C deficiency induced gastric mucosal injuryLife Sci.(2003 Nov 7)
    4. ^Nakazawa Y, Takeda T, Suzuki N, Hayashi T, Harada Y, Bamba T, Kobayashi AHistochemical study of trans-polyisoprene accumulation by spectral confocal laser scanning microscopy and a specific dye showing fluorescence solvatochromism in the rubber-producing plant, Eucommia ulmoides OliverPlanta.(2013 Jun 18)
    5. ^Bamba T, Murayoshi M, Gyoksen K, Nakazawa Y, Okumoto H, Katto H, Fukusaki E, Kobayashi AContribution of mevalonate and methylerythritol phosphate pathways to polyisoprenoid biosynthesis in the rubber-producing plant Eucommia ulmoides oliverZ Naturforsch C.(2010 May-Jun)
    6. ^Chen R, Harada Y, Bamba T, Nakazawa Y, Gyokusen KOverexpression of an isopentenyl diphosphate isomerase gene to enhance trans-polyisoprene production in Eucommia ulmoides OliverBMC Biotechnol.(2012 Oct 30)
    7. ^Liu E, Han L, Wang J, He W, Shang H, Gao X, Wang TEucommia ulmoides bark protects against renal injury in cadmium-challenged ratsJ Med Food.(2012 Mar)
    8. ^Shi J, Liu C, Liu L, Yang B, Zhang YStructure identification and fermentation characteristics of pinoresinol diglucoside produced by Phomopsis sp. isolated from Eucommia ulmoides OlivAppl Microbiol Biotechnol.(2012 Feb)
    9. ^Shi SY, Peng MJ, Zhang YP, Peng SCombination of preparative HPLC and HSCCC methods to separate phosphodiesterase inhibitors from Eucommia ulmoides bark guided by ultrafiltration-based ligand screeningAnal Bioanal Chem.(2013 May)
    10. ^Chai X, Wang Y, Su Y, Bah AJ, Hu L, Gao Y, Gao XA rapid ultra performance liquid chromatography-tandem mass spectrometric method for the qualitative and quantitative analysis of ten compounds in Eucommia ulmodies OlivJ Pharm Biomed Anal.(2012 Jan 5)
    11. ^Dai X, Huang Q, Zhou B, Gong Z, Liu Z, Shi SPreparative isolation and purification of seven main antioxidants from Eucommia ulmoides Oliv. (Du-zhong) leaves using HSCCC guided by DPPH-HPLC experimentFood Chem.(2013 Aug 15)
    12. ^Zhang Q, Su Y, Zhang JSeasonal difference in antioxidant capacity and active compounds contents of Eucommia ulmoides oliver leafMolecules.(2013 Feb 1)
    13. ^Zheng J, Liu D, Zhao SQ, Su J, Yan QP, Chen L, Xiao Y, Zhang CMEnzymatic extraction and antibacterial activity of aucubin from Eucommia ulmoides leavesZhong Yao Cai.(2012 Feb)
    14. ^Studies on the chemical constituents of green leaves of Eucommia ulmoides Oliv
    15. ^Fujikawa T, Hirata T, Wada A, Kawamura N, Yamaguchi Y, Fujimura K, Ueda T, Yurugi Y, Soya H, Nishibe SChronic administration of Eucommia leaf stimulates metabolic function of rats across several organsBr J Nutr.(2010 Dec)
    16. ^Kim HY, Moon BH, Lee HJ, Choi DHFlavonol glycosides from the leaves of Eucommia ulmoides O. with glycation inhibitory activityJ Ethnopharmacol.(2004 Aug)
    17. ^Li H, Chen B, Yao SApplication of ultrasonic technique for extracting chlorogenic acid from Eucommia ulmodies Oliv. (E. ulmodies)Ultrason Sonochem.(2005 Mar)
    18. ^Hong YK, Liu WJ, Li T, She SYOptimization of extraction of Eucommia ulmoides polysaccharides by response surface methodologyCarbohydr Polym.(2013 Feb 15)
    19. ^Kim BH, Park KS, Chang IMElucidation of anti-inflammatory potencies of Eucommia ulmoides bark and Plantago asiatica seedsJ Med Food.(2009 Aug)
    20. ^Li H, Hu J, Ouyang H, Li Y, Shi H, Ma C, Zhang YExtraction of aucubin from seeds of Eucommia ulmoides Oliv. using supercritical carbon dioxideJ AOAC Int.(2009 Jan-Feb)
    21. ^Xu W, Deng Z, Guo H, Ling PA rapid and sensitive determination of aucubin in rat plasma by liquid chromatography-tandem mass spectrometry and its pharmacokinetic applicationBiomed Chromatogr.(2012 Sep)
    22. ^Wang JL, Liu EW, Zhang Y, Wang T, Han LF, Gao XMValidation of a HPLC-tandem MS/MS method for pharmacokinetics study of (+)-pinoresinol-di-β-D-glucopyranoside from Eucommia ulmoides Oliv extract in rats' plasmaJ Ethnopharmacol.(2012 Jan 31)
    23. ^Akao T, Kobashi K, Aburada MEnzymic studies on the animal and intestinal bacterial metabolism of geniposideBiol Pharm Bull.(1994 Dec)
    24. ^Inhibition of Adenosine 3', 5'-Cyclic Monophosphate Phosphodiesterase by Lignan Glucosides of Eucommia Bark
    25. ^Frew T, Powis G, Berggren M, Abraham RT, Ashendel CL, Zalkow LH, Hudson C, Qazia S, Gruszecka-Kowalik E, Merriman R, et alA multiwell assay for inhibitors of phosphatidylinositol-3-kinase and the identification of natural product inhibitorsAnticancer Res.(1994 Nov-Dec)
    26. ^Matter WF, Brown RF, Vlahos CJThe inhibition of phosphatidylinositol 3-kinase by quercetin and analogsBiochem Biophys Res Commun.(1992 Jul 31)
    27. ^Kwon SH, Lee HK, Kim JA, Hong SI, Kim SY, Jo TH, Park YI, Lee CK, Kim YB, Lee SY, Jang CGNeuroprotective effects of Eucommia ulmoides Oliv. Bark on amyloid beta(25-35)-induced learning and memory impairments in miceNeurosci Lett.(2011 Jan 3)
    28. ^Zhou Y, Liang M, Li W, Li K, Li P, Hu Y, Yang ZProtective effects of Eucommia ulmoides Oliv. bark and leaf on amyloid β-induced cytotoxicityEnviron Toxicol Pharmacol.(2009 Nov)
    29. ^Greenway F, Liu Z, Yu Y, Gupta AA clinical trial testing the safety and efficacy of a standardized Eucommia ulmoides Oliver bark extract to treat hypertensionAltern Med Rev.(2011 Dec)
    30. ^Kwan CY, Zhang WB, Deyama T, Nishibe SEndothelium-dependent vascular relaxation induced by Eucommia ulmoides Oliv. bark extract is mediated by NO and EDHF in small vesselsNaunyn Schmiedebergs Arch Pharmacol.(2004 Feb)
    31. ^Kwan CY, Chen CX, Deyama T, Nishibe SEndothelium-dependent vasorelaxant effects of the aqueous extracts of the Eucommia ulmoides Oliv. leaf and bark: implications on their antihypertensive actionVascul Pharmacol.(2003 Dec)
    32. ^Constituents and pharmacological effects of Eucommia and Siberian Ginseng
    33. ^Effect of Eucommia Leaf (Eucommia ulmoides Oliver; Du-Zhong yge) Extract on Blood Pressure
    34. ^Jin X, Amitani K, Zamami Y, Takatori S, Hobara N, Kawamura N, Hirata T, Wada A, Kitamura Y, Kawasaki HAmeliorative effect of Eucommia ulmoides Oliv. leaves extract (ELE) on insulin resistance and abnormal perivascular innervation in fructose-drinking ratsJ Ethnopharmacol.(2010 Apr 21)
    35. ^Luo LF, Wu WH, Zhou YJ, Yan J, Yang GP, Ouyang DSAntihypertensive effect of Eucommia ulmoides Oliv. extracts in spontaneously hypertensive ratsJ Ethnopharmacol.(2010 May 27)
    36. ^Lang C, Liu Z, Taylor HW, Baker DGEffect of Eucommia ulmoides on systolic blood pressure in the spontaneous hypertensive ratAm J Chin Med.(2005)
    37. ^He K, Li X, Chen X, Ye X, Huang J, Jin Y, Li P, Deng Y, Jin Q, Shi Q, Shu HEvaluation of antidiabetic potential of selected traditional Chinese medicines in STZ-induced diabetic miceJ Ethnopharmacol.(2011 Oct 11)
    38. ^Kobayashi Y, Hiroi T, Araki M, Hirokawa T, Miyazawa M, Aoki N, Kojima T, Ohsawa TFacilitative effects of Eucommia ulmoides on fatty acid oxidation in hypertriglyceridaemic ratsJ Sci Food Agric.(2012 Jan 30)
    39. ^Choi MS, Jung UJ, Kim HJ, Do GM, Jeon SM, Kim MJ, Lee MKDu-zhong (Eucommia ulmoides Oliver) leaf extract mediates hypolipidemic action in hamsters fed a high-fat dietAm J Chin Med.(2008)
    40. ^Wu SY, Wang GF, Liu ZQ, Rao JJ, Lü L, Xu W, Wu SG, Zhang JJEffect of geniposide, a hypoglycemic glucoside, on hepatic regulating enzymes in diabetic mice induced by a high-fat diet and streptozotocinActa Pharmacol Sin.(2009 Feb)
    41. ^Horii Y, Tanida M, Shen J, Hirata T, Kawamura N, Wada A, Nagai KEffects of Eucommia leaf extracts on autonomic nerves, body temperature, lipolysis, food intake, and body weightNeurosci Lett.(2010 Aug 2)
    42. ^Hirata T, Kobayashi T, Wada A, Ueda T, Fujikawa T, Miyashita H, Ikeda T, Tsukamoto S, Nohara TAnti-obesity compounds in green leaves of Eucommia ulmoidesBioorg Med Chem Lett.(2011 Mar 15)
    43. ^Metori K, Ohashi S, Takahashi S, Tamura TEffects of du-zhong leaf extract on serum and hepatic lipids in rats fed a high-fat dietBiol Pharm Bull.(1994 Jul)
    44. ^Zhang W, Fujikawa T, Mizuno K, Ishida T, Ooi K, Hirata T, Wada AEucommia leaf extract (ELE) prevents OVX-induced osteoporosis and obesity in ratsAm J Chin Med.(2012)
    45. ^Lin J, Fan YJ, Mehl C, Zhu JJ, Chen H, Jin LY, Xu JH, Wang HMEucommia ulmoides Oliv. antagonizes H2O2-induced rat osteoblastic MC3T3-E1 apoptosis by inhibiting expressions of caspases 3, 6, 7, and 9J Zhejiang Univ Sci B.(2011 Jan)
    46. ^Ha H, Ho J, Shin S, Kim H, Koo S, Kim IH, Kim CEffects of Eucommiae Cortex on osteoblast-like cell proliferation and osteoclast inhibitionArch Pharm Res.(2003 Nov)
    47. ^Zhang R, Liu ZG, Li C, Hu SJ, Liu L, Wang JP, Mei QBDu-Zhong (Eucommia ulmoides Oliv.) cortex extract prevent OVX-induced osteoporosis in ratsBone.(2009 Sep)
    48. ^Kim MC, Kim DS, Kim SJ, Park J, Kim HL, Kim SY, Ahn KS, Jang HJ, Lee SG, Lee KM, Hong SH, Um JYEucommiae cortex inhibits TNF-α and IL-6 through the suppression of caspase-1 in lipopolysaccharide-stimulated mouse peritoneal macrophagesAm J Chin Med.(2012)
    49. ^Davison SL, Bell RAndrogen physiologySemin Reprod Med.(2006 Apr)
    50. ^Schaufele F, Carbonell X, Guerbadot M, Borngraeber S, Chapman MS, Ma AA, Miner JN, Diamond MIThe structural basis of androgen receptor activation: intramolecular and intermolecular amino-carboxy interactionsProc Natl Acad Sci U S A.(2005 Jul 12)
    51. ^Harada M, Sweed H, Catanzaro R, Kumari A, Bomba A, Minelli E, Polimeni A, Solimene U, Marotta FBeneficial modification of functional renal parameters in 5/6 nephrectomized rats by nutraceutical. In view of a kidney-protective interventionActa Biomed.(2011 Dec)