Rosmarinic Acid

Rosmarinic acid is a polyphenol found in rosemary, lemon balm, and other herbs that provides powerful antioxidant and anti-inflammatory benefits while supporting brain health, liver function, and respiratory wellness through multiple mechanisms.

Alternative Names: α-O-caffeoyl-3,4-dihydroxyphenyllactic acid, RA, Rosemary acid

Categories: Polyphenol, Phenolic acid, Plant Compound

Primary Longevity Benefits


  • Antioxidant
  • Anti-inflammatory
  • Neuroprotective
  • Hepatoprotective

Secondary Benefits


  • Antimicrobial
  • Antiviral
  • Anticancer
  • Cardioprotective
  • Immunomodulatory
  • Skin health

Mechanism of Action


Rosmarinic acid (RA) exerts its diverse biological effects through multiple molecular pathways and cellular targets. As a potent antioxidant, RA functions through both direct and indirect mechanisms. Directly, it scavenges reactive oxygen species (ROS) and free radicals, including superoxide anions, hydroxyl radicals, and peroxynitrite, due to its catechol structure that allows for electron donation. Indirectly, RA activates nuclear factor erythroid 2-related factor 2 (Nrf2), a master regulator of cellular antioxidant responses.

Upon activation, Nrf2 translocates to the nucleus and binds to antioxidant response elements (AREs), promoting the expression of antioxidant enzymes such as heme oxygenase-1 (HO-1), NAD(P)H:quinone oxidoreductase 1 (NQO1), glutathione S-transferase (GST), and superoxide dismutase (SOD). This dual mechanism provides comprehensive protection against oxidative stress. The anti-inflammatory properties of RA stem from its ability to inhibit nuclear factor-kappa B (NF-κB) signaling, a master regulator of inflammation. By preventing the phosphorylation and degradation of IκB (inhibitor of κB), RA blocks the nuclear translocation of NF-κB and subsequent expression of pro-inflammatory genes.

This leads to reduced production of inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1β (IL-1β). Additionally, RA inhibits cyclooxygenase-2 (COX-2) and 5-lipoxygenase (5-LOX), enzymes responsible for the production of pro-inflammatory eicosanoids, further contributing to its anti-inflammatory effects. RA also modulates the activity of mitogen-activated protein kinases (MAPKs), including p38 MAPK, JNK, and ERK, which are involved in inflammatory signal transduction. RA’s neuroprotective effects are mediated through multiple mechanisms.

It protects neurons from oxidative damage through its antioxidant properties and reduces neuroinflammation by inhibiting microglial activation and pro-inflammatory cytokine production. RA also inhibits acetylcholinesterase (AChE), the enzyme that breaks down the neurotransmitter acetylcholine, thereby enhancing cholinergic neurotransmission, which is important for cognitive function. Furthermore, RA promotes the expression of neurotrophic factors such as brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF), supporting neuronal survival and plasticity. RA has been shown to protect against amyloid-beta (Aβ) toxicity by inhibiting Aβ aggregation and promoting its clearance, which is relevant for Alzheimer’s disease.

The hepatoprotective effects of RA involve multiple mechanisms. It protects liver cells from oxidative damage through its antioxidant properties and enhances the activity of phase II detoxification enzymes, facilitating the elimination of toxins. RA also inhibits hepatic stellate cell activation and collagen synthesis, thereby preventing liver fibrosis. Additionally, RA modulates lipid metabolism in the liver, reducing lipid accumulation and preventing non-alcoholic fatty liver disease.

RA’s antimicrobial and antiviral properties are attributed to its ability to disrupt bacterial cell membranes, inhibit bacterial enzymes, and interfere with viral entry and replication. It has been shown to inhibit HIV-1 integrase, an enzyme essential for viral DNA integration into the host genome, and to block the binding of HIV-1 to its co-receptors. RA also inhibits the replication of herpes simplex virus (HSV) and influenza virus. The anticancer properties of RA involve multiple mechanisms.

It induces apoptosis (programmed cell death) in cancer cells through both intrinsic (mitochondrial) and extrinsic (death receptor) pathways. RA inhibits cancer cell proliferation by arresting the cell cycle at various phases, particularly G1 and G2/M, through modulation of cyclins and cyclin-dependent kinases. It also suppresses angiogenesis (the formation of new blood vessels) by inhibiting vascular endothelial growth factor (VEGF) and matrix metalloproteinases (MMPs). RA inhibits cancer cell invasion and metastasis by suppressing epithelial-to-mesenchymal transition (EMT) and modulating various signaling pathways involved in cancer progression, including PI3K/Akt, MAPK/ERK, JAK/STAT, and Wnt/β-catenin pathways.

In the context of cardiovascular health, RA improves endothelial function by enhancing nitric oxide production and reducing oxidative stress in vascular tissues. It also exhibits anti-hyperlipidemic effects by regulating cholesterol metabolism genes and enhancing bile acid excretion. RA inhibits platelet aggregation and thrombus formation, thereby preventing thrombosis. Recent research has identified RA as a potential activator of longevity-related pathways, including sirtuins and FOXO transcription factors, which may contribute to its lifespan-extending effects observed in model organisms such as Caenorhabditis elegans.

RA also promotes autophagy, a cellular ‘housekeeping’ process that removes damaged proteins and organelles, which is crucial for cellular health and longevity. For skin health, RA inhibits matrix metalloproteinases (MMPs) that degrade collagen and elastin, thereby preventing skin aging. It also protects skin cells from UV-induced damage through its antioxidant properties and reduces skin inflammation, making it valuable for various dermatological conditions.

Optimal Dosage


Disclaimer: The following dosage information is for educational purposes only. Always consult with a healthcare provider before starting any supplement regimen, especially if you have pre-existing health conditions, are pregnant or nursing, or are taking medications.

Typical supplemental dosages range from 100-500 mg per day of rosmarinic acid, though clinical evidence for optimal human dosing is limited. Most studies showing benefits have been conducted in animal models with doses that would translate to this range in humans. Enhanced delivery systems (liposomal, nanoparticle) may allow for lower effective doses.

By Condition

Condition Dosage Notes
Antioxidant support 100-300 mg daily Lower doses may be sufficient for general antioxidant support; can be divided into 2-3 doses throughout the day for better coverage due to short half-life
Anti-inflammatory support 200-500 mg daily Higher doses within this range may be more effective for significant inflammatory conditions; enhanced delivery systems recommended due to poor bioavailability
Neuroprotection/Cognitive support 200-400 mg daily Preliminary research suggests potential benefits for cognitive function and neuroprotection at these doses
Liver protection 200-400 mg daily May help support liver function and protect against toxin-induced damage as part of a comprehensive approach
Allergic conditions 200-500 mg daily Has shown benefits for allergic rhinitis and asthma in some studies; may be used seasonally or as needed
Skin health (topical applications) 0.5-2% concentration in topical formulations Used in some dermatological preparations; absorption through skin may bypass first-pass metabolism
Antimicrobial/Antiviral support 200-400 mg daily May provide supportive benefits during infections or as preventive measure

By Age Group

Age Group Dosage Notes
Adults (18-65) 100-500 mg daily based on specific health goals Start with lower doses and increase gradually if needed; enhanced delivery systems recommended
Older adults (65+) 100-300 mg daily Start with lower doses; monitor for potential drug interactions as polypharmacy is common in this age group
Children and adolescents Not recommended Insufficient safety data for these age groups; should not be used without medical supervision

Titration

Starting Dose: 100 mg daily

Adjustment Protocol: May increase by 100 mg every 1-2 weeks if needed and well-tolerated

Maximum Recommended Dose: 500 mg daily for most conditions

Cycling Recommendations

Protocol: Some practitioners recommend 8-12 weeks on, followed by 2-4 weeks off

Rationale: May help prevent tolerance development and allow assessment of effects, though clinical evidence for the necessity of cycling is limited

Special Populations

Pregnancy Lactation: Not recommended due to insufficient safety data

Liver Impairment: Use with caution and at reduced doses; monitor liver function

Kidney Impairment: Limited data; use with caution and at reduced doses

Autoimmune Conditions: Consult healthcare provider due to immunomodulatory effects

Formulation Considerations

Standard Formulations: May require higher doses due to poor bioavailability

Enhanced Delivery Systems: Liposomal, nanoparticle, or phospholipid complex formulations may allow for 30-50% lower doses

Combination Products: When combined with synergistic compounds, lower doses may be effective

Plant Extracts: When using plant extracts (rosemary, lemon balm, etc.), standardization for rosmarinic acid content is important for consistent dosing

Dosing Frequency

Recommendation: Due to short half-life (1-2 hours), dividing the daily dose into 2-3 administrations may provide better coverage

Timing: Taking with meals containing some fat may enhance absorption

Human Clinical Trials

Key Studies: A single dose of Melissa officinalis extract containing 500 mg rosmarinic acid was found to be safe and well-tolerated in healthy individuals

Limitations: Few dose-ranging studies have been conducted in humans; optimal therapeutic dosing remains to be established

Research Limitations

Most dosing recommendations are extrapolated from animal studies and limited human trials. Individual responses may vary significantly. Clinical trials with standardized preparations are needed to establish optimal therapeutic dosages for specific conditions.

Bioavailability


Absorption Rate

Low, approximately 1-7% for oral administration in humans

Factors Affecting Absorption

Poor water solubility, Limited intestinal permeability, Extensive first-pass metabolism in the liver, P-glycoprotein efflux in the intestinal epithelium, Extensive enterohepatic circulation, Degradation in the gastrointestinal tract

Enhancement Methods

Method Description Evidence Level
Liposomal formulations Encapsulation in phospholipid bilayers can increase bioavailability by up to 5-10 times compared to standard formulations Moderate – several animal studies and limited human data
Solid lipid nanoparticles Lipid-based nanocarriers that enhance solubility and intestinal permeability Moderate – demonstrated in animal studies with 3-7 fold increase in bioavailability
Nanostructured lipid carriers Second generation of lipid nanoparticles with improved drug loading capacity Moderate – primarily animal studies showing enhanced bioavailability
Self-emulsifying drug delivery systems (SEDDS) Improves solubility in gastrointestinal fluids through spontaneous emulsion formation Moderate – shown effective in preclinical studies
Spray-dried mucoadhesive microparticles Increases residence time in the gastrointestinal tract and enhances absorption Moderate – demonstrated in animal studies
Phospholipid complexes Formation of phytosomes with phospholipids improves membrane permeability and absorption Moderate – animal studies show 2-4 fold increase in bioavailability
Co-administration with piperine Piperine inhibits P-glycoprotein efflux and hepatic metabolism Limited – theoretical benefit based on studies with similar compounds
Co-administration with fatty meals Dietary fat can enhance absorption of lipophilic compounds Limited – theoretical benefit based on studies with similar compounds

Metabolism

Primary Pathways: Primarily metabolized in the liver through phase I (oxidation, hydroxylation) and phase II (glucuronidation, sulfation, methylation) reactions

Major Metabolites: Caffeic acid, ferulic acid, m-coumaric acid, and their conjugates (glucuronides and sulfates)

Half Life: Approximately 1-2 hours in humans based on pharmacokinetic studies

Distribution

Protein Binding: Moderate to high (70-90%) binding to plasma proteins, primarily albumin

Tissue Distribution: Distributed to various tissues including liver, kidney, and brain; limited blood-brain barrier penetration though some CNS effects are observed

Excretion

Primary Route: Primarily eliminated through biliary excretion and feces

Secondary Routes: Urinary excretion of metabolites, particularly glucuronide and sulfate conjugates

Timing Recommendations

Optimal Timing: Best taken with meals containing some fat to enhance absorption

Frequency: Due to short half-life, multiple daily dosing (2-3 times) may be more effective than once-daily dosing

Special Considerations: Absorption may be reduced when taken with high-fiber meals; spacing from fiber supplements is recommended

Pharmacokinetic Profile

Absorption Characteristics: Rapid but incomplete absorption from the gastrointestinal tract

Peak Plasma Concentration: Typically reached 0.5-1 hour after oral administration of standard formulations

Bioavailability Enhancement Factor: Enhanced delivery systems can improve bioavailability by 3-10 fold depending on the specific formulation

Human Studies

Key Findings: In a human pharmacokinetic study with Melissa officinalis extract containing 500 mg rosmarinic acid, peak plasma concentration was reached at 1 hour with maximum serum concentration of approximately 162 nmol/L

Food Effects: Food intake increases area under the curve and delays time to maximum serum concentration

Individual Variability: Significant inter-individual variability in absorption and metabolism has been observed

Clinical Implications

Dosing Considerations: Higher doses may be required with standard formulations to achieve therapeutic plasma levels

Formulation Selection: Enhanced delivery systems are recommended for clinical applications

Monitoring Recommendations: Plasma level monitoring is generally not necessary for supplement use but may be valuable in research settings

Safety Profile


Safety Rating i

4High Safety

Acute Toxicity

LD50: Oral LD50 in mice >2000 mg/kg body weight

Observations: Demonstrates very low acute toxicity in animal studies with a wide safety margin

Side Effects

Effect Severity Frequency Notes
Gastrointestinal discomfort Mild Uncommon May include nausea, stomach upset, or diarrhea, particularly at higher doses
Allergic reactions Mild to severe Rare As with any plant compound, allergic reactions are possible but uncommon; more likely in individuals with known allergies to plants in the Lamiaceae family (mint family)
Headache Mild Rare Reported occasionally in limited human studies
Drowsiness Mild Rare May occur due to mild sedative properties, particularly when combined with other sedative herbs or medications
Skin irritation (topical use) Mild Uncommon When applied topically, may cause mild skin irritation in sensitive individuals

Contraindications

Condition Rationale
Pregnancy and lactation Insufficient safety data; potential hormonal effects
Scheduled surgery Discontinue 2 weeks before surgery due to potential anticoagulant effects
Known hypersensitivity Avoid if allergic to rosmarinic acid or plants containing high amounts (rosemary, lemon balm, etc.)
Hormone-sensitive conditions Limited data on hormonal effects; use with caution in hormone-sensitive conditions

Drug Interactions

Drug Class Interaction Type Severity Mechanism Management
Anticoagulants/Antiplatelets Potentiation Moderate May enhance anticoagulant effects Monitor for increased bleeding risk; consider dose adjustments
Sedatives/CNS depressants Potentiation Moderate May enhance sedative effects Monitor for increased sedation; consider dose adjustments
Cytochrome P450 substrates Inhibition Moderate May inhibit CYP1A2, CYP2C9, and CYP3A4 enzymes Monitor for increased effects of drugs metabolized by these pathways
P-glycoprotein substrates Inhibition Moderate May inhibit P-gp efflux transporter Monitor for increased drug levels of P-gp substrates
Iron supplements Reduced absorption Mild May form complexes with iron, reducing absorption Separate administration by at least 2 hours
Lithium Potentiation Moderate Theoretical risk of increased lithium levels due to diuretic effects Monitor lithium levels; use with caution

Upper Limit

Established UL: No officially established upper limit

Research Observations: Doses up to 500 mg daily appear well-tolerated in limited human studies

Safety Concerns: Doses above 500 mg daily have not been well-studied in humans and should be approached with caution

Long Term Safety

Chronic Toxicity Data: Limited long-term human data; animal studies suggest good tolerability with chronic administration

Bioaccumulation: No evidence of significant bioaccumulation in tissues

Adaptation Effects: No significant tolerance or adaptation effects reported

Special Populations

Pediatric: Not recommended due to insufficient safety data

Geriatric: Start with lower doses; monitor for drug interactions

Hepatic Impairment: Generally considered safe for liver health; may have hepatoprotective effects

Renal Impairment: Limited data; use with caution at reduced doses

Monitoring Recommendations

Suggested Tests: No specific monitoring required for most individuals; consider monitoring relevant parameters based on specific health conditions

Frequency: Before beginning supplementation and periodically during long-term use if relevant

Warning Signs: Persistent gastrointestinal distress, signs of allergic reaction, unusual fatigue, or increased bleeding tendency

Human Safety Data

Clinical Trials: A single dose of Melissa officinalis extract containing 500 mg rosmarinic acid was found to be safe and well-tolerated in healthy individuals

Adverse Events: Few adverse events reported in clinical trials; mostly mild and transient

Post-marketing Surveillance: Limited formal post-marketing surveillance; generally good safety profile based on traditional use

Genotoxicity Carcinogenicity

Genotoxicity: No evidence of genotoxicity in available studies

Carcinogenicity: No evidence of carcinogenic potential; may have anti-cancer properties

Reproductive Developmental Toxicity

Fertility: Limited data; no significant adverse effects on fertility reported in animal studies

Pregnancy: Insufficient data for use during pregnancy; avoid as a precautionary measure

Lactation: Insufficient data for use during lactation; avoid as a precautionary measure

Regulatory Status


Fda Status

Classification: Generally recognized as a dietary ingredient in the United States when present in traditional food sources

Approved Claims: No FDA-approved health claims

Structure Function Claims: Limited to general statements about supporting antioxidant activity, healthy inflammatory response, and cognitive function

Regulatory History: Has not been the subject of significant FDA regulatory actions

New Dietary Ingredient Status: Not formally submitted as a New Dietary Ingredient (NDI) notification for standalone use, though present in many traditional foods and herbs

International Status

Eu

  • Not approved as a Novel Food ingredient in isolated form
  • Present in traditional foods and botanicals with a history of use
  • No approved health claims under European Food Safety Authority (EFSA) regulations
  • May be used in food supplements when derived from traditional food sources with a history of use

Canada

  • Natural Health Product (NHP) ingredient
  • Ingredient in licensed Natural Health Products
  • Limited to traditional claims for general health
  • Must comply with Natural Health Products Regulations

Australia

  • Complementary medicine ingredient
  • Ingredient in listed complementary medicines
  • Limited to general health maintenance claims
  • Regulated by the Therapeutic Goods Administration (TGA)

Japan

  • Existing food ingredient
  • Present in traditional foods and Kampo medicines
  • No specific approved health claims
  • Not specifically regulated as a functional food ingredient

China

  • Traditional medicine ingredient
  • Ingredient in traditional Chinese medicines
  • Traditional uses recognized in TCM context
  • Regulated under traditional medicine framework

Pharmaceutical Status

Approved Drugs: No approved pharmaceutical products containing rosmarinic acid as the active ingredient

Clinical Trials: Limited clinical trials for specific conditions; primarily investigated as a component of plant extracts

Orphan Drug Status: No orphan drug designations

Investigational Status: Under investigation for multiple conditions but not designated as an Investigational New Drug (IND) in the US

Quality Standards

Pharmacopeial Monographs: No official monograph specifically for rosmarinic acid, though present in monographs for certain plants, No official United States Pharmacopeia monograph, No official European Pharmacopoeia monograph

Industry Standards: Various industry specifications exist for commercial products, typically requiring 95-98% purity for isolated compound and standardized content for extracts

Labeling Requirements

Us: Must be listed as an ingredient; no specific warnings required

Eu: Must be listed as an ingredient; no specific warnings required

Other Regions: Variable requirements; may need traditional use statements in some jurisdictions

Import Export Regulations

Restrictions: No specific restrictions on import/export in most countries

Documentation: Standard documentation for botanical ingredients typically required

Tariff Classifications: Typically classified under botanical extracts or natural products

Regulatory Trends

Increasing Scrutiny: Growing interest from regulatory bodies as research expands, particularly for neurological and inflammatory applications

Harmonization Efforts: No specific international harmonization efforts for rosmarinic acid

Future Outlook: Likely to remain available as a dietary ingredient while pharmaceutical applications continue to be explored

Cosmetic Regulations

Us: Permitted in cosmetic products; must be listed in ingredients

Eu: Permitted in cosmetic products; must be listed in INCI name

Claims Limitations: Anti-aging and skin health claims must be substantiated and not cross into drug claim territory

Patent Status

Compound Patents: The natural compound itself is not patentable, but various formulations and applications have been patented

Formulation Patents: Multiple patents exist for enhanced delivery systems and specific formulations

Application Patents: Patents exist for specific therapeutic applications

Food Additive Status

Us: Not specifically approved as a food additive, though present in many GRAS (Generally Recognized as Safe) herbs and spices

Eu: Not specifically approved as a food additive, though present in many approved herbs and spices

Codex Alimentarius: Not listed specifically in the Codex Alimentarius

Regulatory Challenges

Standardization: Variability in content of plant sources creates challenges for consistent regulation

Safety Assessment: Limited comprehensive safety data for isolated compound at high doses

Claim Substantiation: Difficulty in substantiating specific health claims due to limited large-scale clinical trials

Synergistic Compounds


Compound Synergy Mechanism Evidence Rating Research Notes
Carnosic Acid Naturally co-occurs with rosmarinic acid in rosemary and sage. Both compounds have complementary antioxidant mechanisms, with carnosic acid being more lipophilic and rosmarinic acid more hydrophilic, providing comprehensive protection against oxidative stress in different cellular compartments. 3 Multiple studies have shown enhanced antioxidant and anti-inflammatory effects when these compounds are combined, particularly in neurological and hepatic protection.
Luteolin Complementary anti-inflammatory effects through different molecular pathways. Luteolin enhances the inhibition of pro-inflammatory cytokines and provides additional antioxidant protection. 2 In vitro and limited animal studies demonstrate enhanced anti-inflammatory effects when combined.
Quercetin Quercetin enhances the bioavailability of rosmarinic acid by inhibiting P-glycoprotein efflux and may provide complementary antioxidant effects through different mechanisms. 2 In vitro studies show enhanced cellular uptake and efficacy when combined.
Curcumin Complementary anti-inflammatory and antioxidant effects through different molecular pathways. Curcumin primarily works through NF-κB inhibition and Nrf2 activation, while rosmarinic acid has additional mechanisms. 2 Preclinical studies suggest enhanced anti-inflammatory and neuroprotective effects when combined.
Piperine Enhances bioavailability of rosmarinic acid by inhibiting P-glycoprotein efflux and first-pass metabolism in the liver. 2 Demonstrated to enhance bioavailability of many compounds with similar absorption limitations; specific studies with rosmarinic acid are limited but promising.
Vitamin E Complementary antioxidant effects through different mechanisms. Vitamin E primarily protects cell membranes from lipid peroxidation, while rosmarinic acid has broader antioxidant activities. 2 In vitro and animal studies show enhanced antioxidant protection when combined.
Omega-3 Fatty Acids Complementary anti-inflammatory effects through different pathways. Omega-3s primarily affect eicosanoid production, while rosmarinic acid inhibits NF-κB signaling. 1 Theoretical synergy based on complementary mechanisms; limited direct studies on the combination.
N-Acetyl Cysteine (NAC) NAC serves as a precursor to glutathione, enhancing cellular antioxidant capacity through a different mechanism than rosmarinic acid. Together they provide more comprehensive antioxidant protection. 1 Theoretical synergy based on complementary antioxidant mechanisms; limited direct studies on the combination.
Phosphatidylcholine Forms complexes with rosmarinic acid that enhance membrane permeability and absorption. Also provides complementary benefits for liver health. 2 Phytosome formulations of rosmarinic acid with phosphatidylcholine show significantly enhanced bioavailability.
Zinc Zinc has complementary antioxidant and immune-modulating properties. May enhance the anti-inflammatory effects of rosmarinic acid. 1 Theoretical synergy based on complementary mechanisms; limited direct studies on the combination.
Caffeic Acid Structurally related to rosmarinic acid (rosmarinic acid is an ester of caffeic acid and 3,4-dihydroxyphenyllactic acid). Both compounds share similar antioxidant mechanisms but may have complementary effects on different cellular targets. 2 In vitro studies show enhanced antioxidant effects when combined.
Apigenin Complementary anti-inflammatory and neuroprotective effects through different molecular pathways. Apigenin has additional effects on GABA receptors that may enhance the anxiolytic properties of preparations containing rosmarinic acid. 2 Naturally co-occurs in many plants with rosmarinic acid; in vitro studies suggest synergistic effects.

Antagonistic Compounds


Compound: Iron Supplements
Interaction Type: Reduced absorption of both compounds
Evidence Rating: 2
Mechanism: Rosmarinic acid may form complexes with iron in the gastrointestinal tract, reducing absorption of both compounds. Additionally, iron can promote oxidative stress, potentially counteracting some of rosmarinic acid’s antioxidant benefits.
Management: Separate administration by at least 2 hours.

Compound: Calcium Supplements
Interaction Type: Reduced absorption
Evidence Rating: 1
Mechanism: Calcium may bind to rosmarinic acid in the gastrointestinal tract, forming insoluble complexes that reduce absorption.
Management: Separate administration by at least 2 hours if high-dose calcium supplements are used.

Compound: High-dose Zinc
Interaction Type: Reduced absorption
Evidence Rating: 1
Mechanism: Theoretical interaction based on zinc’s ability to form complexes with phenolic compounds.
Management: Separate administration by at least 2 hours if high-dose zinc is used.

Compound: Activated Charcoal
Interaction Type: Reduced absorption
Evidence Rating: 3
Mechanism: Activated charcoal adsorbs rosmarinic acid in the gastrointestinal tract, preventing absorption.
Management: Do not use concurrently; separate by at least 4 hours.

Compound: Cholestyramine and Bile Acid Sequestrants
Interaction Type: Reduced absorption
Evidence Rating: 2
Mechanism: These compounds bind bile acids, which are necessary for rosmarinic acid absorption.
Management: Separate administration by at least 4 hours.

Compound: High-fiber Supplements
Interaction Type: Reduced absorption
Evidence Rating: 1
Mechanism: Dietary fiber may bind to rosmarinic acid and reduce its absorption.
Management: Separate administration by at least 2 hours.

Compound: Proton Pump Inhibitors
Interaction Type: Reduced efficacy
Evidence Rating: 1
Mechanism: Reduced stomach acid may impair dissolution and absorption of rosmarinic acid.
Management: Consider alternative formulations with enhanced solubility if concurrent use is necessary.

Compound: Pro-oxidant Compounds
Interaction Type: Reduced efficacy
Evidence Rating: 2
Mechanism: Compounds that generate reactive oxygen species may counteract the antioxidant effects of rosmarinic acid.
Management: Avoid concurrent use of pro-oxidant compounds when using rosmarinic acid for its antioxidant benefits.

Compound: CYP1A2 Inducers (e.g., smoking, certain medications)
Interaction Type: Reduced efficacy of rosmarinic acid
Evidence Rating: 1
Mechanism: May increase metabolism of rosmarinic acid, reducing its bioavailability and efficacy.
Management: Monitor for reduced efficacy; dose adjustments may be necessary.

Compound: Drugs with Narrow Therapeutic Index
Interaction Type: Variable/Unpredictable
Evidence Rating: 1
Mechanism: Rosmarinic acid may inhibit certain CYP enzymes, potentially affecting the metabolism of drugs with narrow therapeutic index.
Management: Use with caution; monitor drug levels if appropriate.

Compound: Immunosuppressive Drugs
Interaction Type: Potential antagonism
Evidence Rating: 1
Mechanism: Rosmarinic acid has immunomodulatory effects that may theoretically interfere with immunosuppressive medications.
Management: Use with caution in transplant recipients or those on immunosuppressive therapy.

Compound: Certain Chemotherapy Agents
Interaction Type: Variable/Unpredictable
Evidence Rating: 1
Mechanism: While rosmarinic acid may enhance the effects of some chemotherapy agents, it may theoretically interfere with others, particularly those that rely on oxidative stress for their mechanism of action.
Management: Consult with oncologist before concurrent use with chemotherapy.

Cost Efficiency


Relative Cost

Low to medium

Cost Factors

Factor Impact Description
Source material availability Low impact on cost Widely available from multiple plant sources that are easily cultivated
Extraction complexity Moderate impact on cost Standard extraction methods are relatively straightforward, but purification to high levels requires additional processing
Purification requirements High impact on cost for high-purity isolates Achieving pharmaceutical-grade purity (>95%) requires sophisticated purification techniques
Formulation complexity High impact on cost for enhanced formulations Bioavailability-enhanced formulations (liposomes, nanoparticles) add significant cost
Scale of production Moderate impact on cost Produced at moderate scale; economies of scale are achievable

Cost Per Effective Dose

Plant Extracts: $0.20-$1.00 per day for standardized plant extracts (100-300 mg rosmarinic acid)

Isolated Compound: $1.00-$3.00 per day for isolated rosmarinic acid (100-300 mg)

Enhanced Formulations: $3.00-$8.00 per day for bioavailability-enhanced formulations

Price Trends

Historical Trend: Gradually decreasing over the past decade as extraction and purification methods improve

Future Projections: Likely to continue moderate decrease as production scales increase and more efficient extraction methods are developed

Market Factors: Growing demand for natural antioxidants and anti-inflammatory compounds may offset some price decreases

Cost Comparison

Comparable Compound Relative Cost Efficacy Comparison
Curcumin Similar for standard extracts; lower than enhanced curcumin formulations Similar anti-inflammatory effects through different mechanisms; better water solubility than curcumin but still has bioavailability challenges
Quercetin Similar Similar antioxidant effects; different spectrum of benefits
Resveratrol Lower than resveratrol Some overlapping benefits; different primary mechanisms
Green tea extract (EGCG) Similar Similar antioxidant effects; different spectrum of benefits
Prescription anti-inflammatory drugs Much lower than prescription medications Generally milder effects but fewer side effects; not a replacement for prescription drugs in serious conditions

Value Analysis

Cost Benefit Assessment: High value for general health support; moderate value for specific applications

Factors Affecting Value: Poor bioavailability of standard formulations reduces cost-effectiveness, Enhanced formulations offer better value despite higher cost due to improved absorption, Value increases for individuals with specific health concerns addressed by rosmarinic acid’s mechanisms, Using whole herb preparations may provide better overall value due to synergistic effects with other compounds

Optimal Value Approaches: Using standardized plant extracts (rosemary, lemon balm, etc.) may provide better value than isolated compound, Combination products leveraging synergistic compounds may offer better overall value, Enhanced delivery systems significantly improve value despite higher cost

Economic Accessibility

Affordability Assessment: Highly accessible for regular use in standard forms; enhanced formulations may be cost-prohibitive for some

Insurance Coverage: Generally not covered by health insurance

Cost Reduction Strategies: Using standardized plant extracts rather than isolated compound, Bulk purchasing can reduce per-dose cost, Growing source plants at home for culinary and tea use provides low-cost access to moderate amounts

Sustainability Economics

Environmental Cost Factors: Low to moderate environmental footprint; most source plants are easily cultivated

Sustainable Sourcing Impact: Organic cultivation can improve environmental sustainability with minimal cost impact

Long Term Economic Outlook: Likely to remain economically viable and potentially improve as production methods advance

Target Demographic Value

Elderly Individuals: High value for cognitive support and anti-inflammatory benefits

Individuals With Inflammatory Conditions: Moderate to high value as a complementary approach

General Wellness: Good value as part of a comprehensive supplement regimen

Skin Health: Good value for topical applications

Research Investment Efficiency

Cost Per Publication: Relatively high research output relative to investment

Translation To Clinical Applications: Moderate success in translating research findings to clinical applications

Future Research Priorities: Enhanced delivery systems and specific clinical applications offer the best return on research investment

Home Cultivation Economics

Feasibility: High – many source plants are easy to grow in home gardens or containers

Yield Estimates: A small rosemary or lemon balm plant can provide regular tea or culinary use

Cost Savings: Significant savings for regular users who incorporate fresh or dried herbs into their diet

Stability Information


Shelf Life

Pure Compound: 2-3 years when stored properly

Standardized Extracts: 1-2 years when stored properly

Formulated Products: 1-2 years depending on formulation and packaging

Storage Recommendations

Temperature: Store at room temperature (15-25°C); avoid exposure to high temperatures

Light: Protect from direct light; amber or opaque containers recommended

Humidity: Store in a dry place; avoid exposure to high humidity

Packaging: Airtight containers preferred; nitrogen-flushed packaging may extend shelf life

Degradation Factors

Factor Impact Prevention
Oxidation High susceptibility; rosmarinic acid is easily oxidized due to its catechol structure Use of antioxidants (e.g., vitamin E, ascorbic acid) in formulations; oxygen-barrier packaging
Heat Moderate thermal stability at normal temperatures; significant degradation occurs above 60-70°C Avoid exposure to high temperatures during processing and storage
Light High photosensitivity; exposure to UV light causes rapid degradation Opaque or amber containers; storage away from direct light
pH extremes Most stable at slightly acidic to neutral pH (5-7); degradation accelerates in strongly acidic or alkaline environments Buffer formulations to maintain optimal pH range
Microbial contamination Susceptible to microbial degradation in liquid formulations or high-humidity conditions Appropriate preservatives in liquid formulations; proper drying and storage of plant materials
Enzymatic degradation Plant enzymes (polyphenol oxidases) can degrade rosmarinic acid in crude extracts Heat inactivation of enzymes during extraction; proper drying of plant materials
Metal ions Transition metal ions (especially iron and copper) catalyze oxidation Use of chelating agents (e.g., EDTA) in formulations; avoid metal containers

Compatibility With Delivery Systems

Capsules: High compatibility with vegetable or gelatin capsules

Tablets: Moderate compatibility; may require appropriate excipients for proper disintegration

Liquid Formulations: Moderate solubility in aqueous systems; stability concerns in liquid form

Liposomes: Good compatibility; enhances stability and bioavailability

Nanoparticles: Good compatibility with various nanoparticle systems; may enhance stability

Topical Formulations: Excellent compatibility with various dermatological bases; good stability in properly formulated products

Stability Enhancing Additives

Additive Mechanism Typical Concentration
Vitamin E (mixed tocopherols) Antioxidant protection 0.1-0.5%
Ascorbic acid Antioxidant protection; reduces oxidized rosmarinic acid 0.1-0.5%
Citric acid pH adjustment; metal chelation 0.1-0.3%
EDTA Metal chelation to prevent catalytic oxidation 0.05-0.1%
Phospholipids Formation of protective complexes 10-30% relative to rosmarinic acid
Cyclodextrins Formation of inclusion complexes that protect from degradation 5-15% relative to rosmarinic acid

Stability Testing Methods

Accelerated stability testing (elevated temperature and humidity), Real-time stability testing under recommended storage conditions, Photostability testing according to ICH guidelines, HPLC analysis for quantification and detection of degradation products, Antioxidant activity assays to monitor functional stability

Special Handling Considerations

Manufacturing: Minimize exposure to light, heat, and oxygen during processing; consider inert gas protection for sensitive operations

Transportation: Maintain temperature control; avoid extreme conditions

Reconstitution: For powdered formulations, reconstitute immediately before use in appropriate vehicles

Formulation Stability Considerations

PH Stability Range: Most stable at pH 5-7; avoid strongly acidic or alkaline formulations

Excipient Compatibility: Compatible with most common pharmaceutical excipients; avoid oxidizing agents and high concentrations of transition metal ions

Solvent Compatibility: Soluble in ethanol, methanol, and other polar organic solvents; moderately soluble in water; practically insoluble in non-polar solvents

Stability In Different Matrices

Dried Herbs: Relatively stable in properly dried and stored plant material

Teas Infusions: Moderate stability in freshly prepared infusions; degradation occurs over time

Tinctures: Good stability in alcohol-based tinctures; better than aqueous preparations

Solid Dosage Forms: Good stability in properly formulated capsules and tablets

Thermal Processing Effects

Cooking: Significant losses (30-80%) during cooking processes, especially with high heat and long duration

Drying: Moderate losses (10-30%) during drying, depending on temperature and method

Sterilization: High losses (50-90%) during heat sterilization processes

Sourcing


Synthesis Methods

Method Description Efficiency Commercial Viability
Chemical synthesis Total chemical synthesis from caffeic acid and 3,4-dihydroxyphenyllactic acid Low to moderate; multi-step process Limited commercial viability due to complexity and cost compared to natural extraction
Enzymatic synthesis Enzymatic esterification of caffeic acid and 3,4-dihydroxyphenyllactic acid Moderate; more selective than chemical synthesis Emerging technology with potential for future commercial application
Biotechnological production Production using plant cell cultures or engineered microorganisms Variable depending on specific process Promising for future commercial applications; active area of research

Natural Sources

Source Scientific Name Concentration Notes
Rosemary Rosmarinus officinalis 1-3% in dried leaves One of the richest and most commercially significant sources; widely cultivated globally
Lemon balm Melissa officinalis 1-6% in dried leaves High concentration; commonly used in commercial extracts
Sage Salvia officinalis 1-3% in dried leaves Significant commercial source; widely cultivated
Perilla Perilla frutescens 1-2% in dried leaves Important source in Asian traditional medicine
Holy basil (Tulsi) Ocimum sanctum 0.5-2% in dried leaves Sacred plant in Ayurvedic medicine; growing commercial importance
Oregano Origanum vulgare 0.5-1.5% in dried leaves Culinary and medicinal herb with moderate rosmarinic acid content
Thyme Thymus vulgaris 0.5-1.5% in dried leaves Culinary and medicinal herb with moderate rosmarinic acid content
Mint Mentha species 0.5-1% in dried leaves Various mint species contain moderate amounts
Lavender Lavandula angustifolia 0.3-0.8% in dried flowers Aromatic and medicinal plant with moderate rosmarinic acid content
Marjoram Origanum majorana 0.3-0.8% in dried leaves Culinary herb with moderate rosmarinic acid content
Basil Ocimum basilicum 0.2-0.8% in dried leaves Common culinary herb with moderate rosmarinic acid content
Lemon thyme Thymus citriodorus 0.3-0.7% in dried leaves Aromatic herb with moderate rosmarinic acid content

Extraction Methods

Solvent extraction
Description: Extraction using organic solvents such as ethanol, methanol, or ethyl acetate
Efficiency: High efficiency but may co-extract other compounds
Purity: Moderate; requires further purification
Environmental Impact: Moderate to high depending on solvent choice and recovery methods
Supercritical CO2 extraction
Description: Extraction using supercritical carbon dioxide, sometimes with co-solvents
Efficiency: Moderate for rosmarinic acid; better for less polar compounds
Purity: High; selective extraction with minimal co-extractives
Environmental Impact: Low; CO2 is recyclable and non-toxic
Hot water extraction
Description: Extraction using hot water, similar to traditional tea preparation
Efficiency: Moderate; rosmarinic acid is somewhat water-soluble
Purity: Low; co-extracts many other water-soluble compounds
Environmental Impact: Very low; minimal environmental concerns
Ultrasound-assisted extraction
Description: Use of ultrasonic waves to enhance extraction efficiency
Efficiency: Improved efficiency compared to conventional solvent extraction
Purity: Similar to conventional solvent extraction
Environmental Impact: Depends on solvent choice; generally reduced solvent usage
Microwave-assisted extraction
Description: Use of microwave energy to enhance extraction efficiency
Efficiency: High efficiency with reduced extraction time
Purity: Similar to conventional solvent extraction
Environmental Impact: Reduced solvent usage and energy consumption
Enzyme-assisted extraction
Description: Use of enzymes to break down cell walls and enhance extraction
Efficiency: Moderate to high depending on enzyme selection
Purity: Moderate; may release additional compounds
Environmental Impact: Low; environmentally friendly approach

Quality Considerations

  • Commercial supplements typically standardized to 5-20% rosmarinic acid content for extracts; isolated rosmarinic acid products typically 95-98% purity
  • Similar phenolic compounds; synthetic analogues; non-standardized extracts with variable content
  • HPLC, LC-MS, and NMR are standard methods for identity and purity confirmation
  • Generally sustainable as most source plants are cultivated rather than wild-harvested; organic cultivation preferred to avoid pesticide residues

Commercial Forms

Form Purity Applications
Crude plant extracts 5-20% rosmarinic acid Dietary supplements, traditional medicine, starting material for further purification
Standardized extracts 20-60% rosmarinic acid Dietary supplements, research applications
High-purity isolate 95-98% rosmarinic acid Pharmaceutical research, high-quality supplements
Enhanced delivery formulations Variable, typically using standardized extract Bioavailability-enhanced supplements (liposomes, phytosomes, nanoparticles)
Topical formulations 0.5-2% rosmarinic acid in dermatological bases Skin care products, dermatological preparations

Industry Trends

  • Increasing interest in neuroprotective, anti-inflammatory, and skin health applications
  • Development of high-yielding cultivars and biotechnological production methods
  • Growing demand driving increased production and research into enhanced delivery systems

Cultivation Considerations

  • Most source plants prefer well-drained soil, moderate water, and full to partial sun
  • Rosmarinic acid content is typically highest just before or during flowering
  • Rapid drying at moderate temperatures (30-40°C) helps preserve rosmarinic acid content
  • Organic cultivation preferred; some studies suggest higher rosmarinic acid content in plants grown under organic conditions

Historical Usage


Traditional Medicine Systems

System Applications Historical Preparations Historical Period
European Folk Medicine Treatment of respiratory conditions, Digestive disorders, Wound healing, Anti-inflammatory applications, Memory enhancement Rosemary and sage infusions and decoctions, Lemon balm teas and extracts, Herbal compresses for wounds, Aromatic oils and tinctures Dating back to ancient Greece and Rome; extensively documented in medieval European herbals
Traditional Chinese Medicine (TCM) Treatment of respiratory disorders, Liver and gallbladder support, Mental clarity and cognitive function, Antimicrobial applications Perilla leaf decoctions, Combinations with other herbs in traditional formulas, Topical applications for skin conditions Ancient usage, though not specifically identified as rosmarinic acid
Ayurvedic Medicine Treatment of respiratory conditions, Digestive support, Mental clarity and stress reduction, Immune system enhancement Holy basil (Tulsi) teas and infusions, Medicated oils containing tulsi and other herbs, Combination formulas with complementary herbs Ancient usage in Indian subcontinent, particularly with holy basil (Tulsi)
Middle Eastern Traditional Medicine Digestive disorders, Respiratory conditions, Memory enhancement, Headache relief Sage and rosemary infusions, Herbal mixtures with honey, Aromatic preparations Dating back several centuries in Persian and Arabic medical texts

Modern Discovery

Isolation: First isolated from rosemary (Rosmarinus officinalis) in 1958 by Italian scientists M.L. Scarpati and G. Oriente

Identification In Traditional Remedies: Recognized as an active component in many traditional medicinal plants in the mid-20th century

Pharmacological Characterization: Systematic investigation of biological activities began in the 1970s-1980s

Key Researchers: Scarpati M.L. and Oriente G. – First isolation and characterization, Petersen M. and Simmonds M.S.J. – Extensive work on biosynthesis and distribution in plants, Takeda H. and Aburada M. – Early work on pharmacological properties

Evolution Of Usage

Pre 1950: Used primarily in traditional medicine without knowledge of active compounds

1950s 1970s: Identification and isolation; early pharmacological studies

1980s 1990s: Discovery of antioxidant and anti-inflammatory properties; increased research interest

1990s 2000s: Elucidation of mechanisms of action; expanded research into various therapeutic applications

2000s Present: Development of enhanced formulations to overcome bioavailability limitations; expanded research into neuroprotective, hepatoprotective, and anticancer properties

Cultural Significance

Culture Significance
Mediterranean Rosemary and sage, rich in rosmarinic acid, have been central to culinary and medicinal traditions
British/European Lemon balm (Melissa officinalis) has been used for centuries for its calming and cognitive-enhancing properties
Indian Holy basil (Tulsi) is considered sacred and has been used medicinally for thousands of years
East Asian Perilla has been used in traditional Chinese, Korean, and Japanese medicine and cuisine

Historical Safety Record

Traditional Use Safety: Generally considered safe based on centuries of traditional use

Documented Adverse Effects: Few historical reports of adverse effects when used in traditional preparations

Historical Contraindications: Limited documentation of specific contraindications in traditional texts

Key Historical Texts

Text Relevance
De Materia Medica by Dioscorides (1st century CE) Early documentation of medicinal uses of rosemary and sage
Canon of Medicine by Avicenna (11th century) Detailed descriptions of medicinal uses of rosemary, sage, and related plants
The English Physician by Nicholas Culpeper (17th century) Descriptions of medicinal uses of lemon balm, rosemary, and sage in European tradition
Charaka Samhita (ancient Ayurvedic text) References to medicinal uses of holy basil (Tulsi)

Transition To Modern Use

Scientific Validation: Modern research has validated many traditional uses, particularly for antioxidant, anti-inflammatory, and neuroprotective effects

Pharmaceutical Development: Development of standardized extracts and enhanced delivery systems for improved bioavailability

Supplement Market Emergence: Increasingly available as a dietary supplement, often as part of plant extracts standardized for rosmarinic acid content

Historical Preparation Methods

Infusions: Steeping plant materials in hot water to extract water-soluble components

Decoctions: Boiling plant materials in water for longer periods to extract less soluble components

Tinctures: Extraction in alcohol, which more effectively extracts rosmarinic acid

Infused Oils: Extraction into oils for topical applications

Poultices: Direct application of crushed or macerated plant materials to affected areas

Rediscovery In Modern Times

Neuroscience Research: Identification of neuroprotective and cognitive-enhancing properties has sparked renewed interest

Anti-inflammatory Research: Discovery of specific anti-inflammatory mechanisms has led to investigation for various inflammatory conditions

Ethnopharmacological Studies: Scientific investigation of traditional remedies led to identification of rosmarinic acid as an active component

Scientific Evidence


Evidence Rating i

3Evidence Rating: Moderate Evidence – Multiple studies with generally consistent results

Rating Rationale: Moderate evidence from numerous preclinical studies and limited human trials. Strong mechanistic understanding but lacks large-scale clinical trials for most applications.

Key Studies

Study Title: Pharmacokinetics, Safety and Tolerability of Melissa officinalis Extract which Contained Rosmarinic Acid in Healthy Individuals: A Randomized Controlled Trial
Authors: Noguchi-Shinohara M, Ono K, Hamaguchi T, Iwasa K, Sakai S, Kobayashi S, Nakamura H, Yamada M
Publication: PLOS ONE
Year: 2015
Doi: 10.1371/journal.pone.0126422
Url: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0126422
Study Type: Randomized Controlled Trial
Population: Healthy human volunteers
Findings: Single dose of Melissa officinalis extract containing 500 mg rosmarinic acid was found to be safe and well-tolerated. The serum concentration of total rosmarinic acid peaked at 1 hour after administration with a maximum serum concentration of 162.20 nmol/L. Food intake increased area under the curve and delayed time at which the maximum serum concentration was reached.
Limitations: Single-dose study; small sample size; focused on pharmacokinetics rather than therapeutic effects

Study Title: Safety profile of solid lipid nanoparticles loaded with rosmarinic acid for oral use: in vitro and animal approaches
Authors: Madureira AR, Nunes S, Campos DA, Fernandes JC, Marques C, Zuzarte M, Gullón B, Rodríguez-Alcalá LM, Calhau C, Sarmento B, Gomes AM, Pintado MM
Publication: International Journal of Nanomedicine
Year: 2016
Doi: 10.2147/IJN.S104623
Url: https://pubmed.ncbi.nlm.nih.gov/27536103/
Study Type: Preclinical (in vitro and animal model)
Population: Cell cultures and Wistar rats
Findings: Solid lipid nanoparticles loaded with rosmarinic acid showed good safety profile and improved bioavailability. No significant toxicity was observed in vitro or in vivo. The formulation protected rosmarinic acid from gastrointestinal degradation and enhanced its absorption.
Limitations: Animal model study; findings may not directly translate to humans

Study Title: Rosmarinic acid extends lifespan of Caenorhabditis elegans through insulin/IGF-1 signaling pathway
Authors: Hua Z, Wu D, Xu Y, Sun Y, Zhang W, Xu Y, Qi Y, Zhao Y
Publication: European Journal of Pharmacology
Year: 2020
Doi: 10.1016/j.ejphar.2020.173293
Url: https://pubmed.ncbi.nlm.nih.gov/32473107/
Study Type: Preclinical (animal model)
Population: Caenorhabditis elegans (nematode worms)
Findings: Rosmarinic acid significantly extended the lifespan of C. elegans by approximately 20%. The mechanism involved activation of DAF-16 (FOXO homolog) through the insulin/IGF-1 signaling pathway, leading to increased expression of antioxidant enzymes and stress resistance genes.
Limitations: Invertebrate model; findings may not directly translate to humans

Study Title: Rosmarinic acid ameliorates acute liver damage by inhibiting oxidative stress and inflammation in carbon tetrachloride-induced liver injury in rats
Authors: Domitrović R, Skoda M, Vasiljev Marchesi V, Cvijanović O, Pernjak Pugel E, Stefan MB
Publication: Food and Chemical Toxicology
Year: 2013
Doi: 10.1016/j.fct.2012.10.021
Url: https://pubmed.ncbi.nlm.nih.gov/23103651/
Study Type: Preclinical (animal model)
Population: Wistar rats
Findings: Rosmarinic acid significantly reduced liver damage induced by carbon tetrachloride. It decreased oxidative stress markers, inhibited inflammatory cytokine production, and prevented hepatocyte apoptosis. Histopathological analysis confirmed the hepatoprotective effect.
Limitations: Animal model study; acute rather than chronic model; findings may not directly translate to humans

Study Title: Rosmarinic acid suppresses Alzheimer’s disease development by reducing amyloid β aggregation by increasing monoamine secretion
Authors: Hamaguchi T, Ono K, Murase A, Yamada M
Publication: Scientific Reports
Year: 2017
Doi: 10.1038/s41598-017-08070-2
Url: https://pubmed.ncbi.nlm.nih.gov/28811580/
Study Type: Preclinical (in vitro and animal model)
Population: Cell cultures and transgenic mice
Findings: Rosmarinic acid inhibited amyloid β aggregation in vitro and reduced amyloid β deposition in the brain of transgenic mice. It also increased monoamine secretion, which may contribute to its cognitive-enhancing effects.
Limitations: Primarily preclinical; limited translation to human Alzheimer’s disease

Meta Analyses

Title: Therapeutic Potential of Rosmarinic Acid: A Comprehensive Review
Authors: Alagawany M, Abd El-Hack ME, Farag MR, Gopi M, Karthik K, Malik YS, Dhama K
Publication: Applied Sciences
Year: 2019
Doi: 10.3390/app9153139
Url: https://www.mdpi.com/2076-3417/9/15/3139
Key Findings: Comprehensive review of rosmarinic acid’s therapeutic potential across multiple health conditions. Strong evidence for antioxidant, anti-inflammatory, and neuroprotective effects. Moderate evidence for anticancer, antimicrobial, and hepatoprotective effects.
Limitations: Not a formal meta-analysis; heterogeneity in study designs and outcomes

Title: Rosmarinic acid: modes of action, medicinal values and health benefits
Authors: Alagawany M, Abd El-Hack ME, Farag MR, Tiwari R, Sachan S, Karthik K, Dhama K
Publication: Animal Health Research Reviews
Year: 2017
Doi: 10.1017/S1466252317000081
Url: https://pubmed.ncbi.nlm.nih.gov/29110744/
Key Findings: Systematic review of rosmarinic acid’s mechanisms of action and health benefits. Strong evidence for antioxidant and anti-inflammatory effects. Promising applications in various health conditions.
Limitations: Limited human clinical trial data; focus on preclinical evidence

Ongoing Trials

Investigation of rosmarinic acid for cognitive enhancement in mild cognitive impairment, Evaluation of rosmarinic acid-enriched extracts for allergic rhinitis, Studies on enhanced delivery systems for rosmarinic acid in inflammatory conditions, Topical applications of rosmarinic acid for dermatological conditions

Research Gaps

Clinical Validation: Large-scale, well-designed clinical trials are needed to validate preclinical findings

Bioavailability: Further research on enhancing bioavailability in humans is critical

Long Term Effects: Studies on long-term safety and efficacy are lacking

Dosing Optimization: Optimal dosing regimens for specific conditions need to be established

Drug Interactions: More comprehensive evaluation of potential drug interactions is needed

Comparative Effectiveness: Studies comparing rosmarinic acid to established treatments for various conditions

Contradictory Findings

Anticancer Effects: While most studies show anticancer effects, some cancer cell types appear resistant to rosmarinic acid-induced apoptosis

Bioavailability Impact: Disagreement on the clinical relevance of poor bioavailability, with some researchers suggesting local gastrointestinal effects may be beneficial regardless of systemic absorption

Cognitive Effects: Mixed results in studies examining cognitive enhancement, possibly due to differences in dosing, formulation, and study populations

Expert Opinions

Consensus View: Generally recognized as a promising natural compound with multiple health benefits, particularly for antioxidant, anti-inflammatory, and neuroprotective applications

Areas Of Disagreement: Optimal formulations, dosing, and specific clinical applications remain subjects of debate

Future Directions: Focus on enhanced delivery systems and targeted clinical trials is recommended by most experts

Population Specific Evidence

Neurodegenerative Conditions: Strongest evidence for potential benefits in Alzheimer’s disease and other neurodegenerative conditions

Inflammatory Conditions: Moderate evidence for benefits in various inflammatory disorders

Liver Conditions: Moderate evidence for hepatoprotective effects in liver injury models

Allergic Conditions: Promising evidence for benefits in allergic rhinitis and asthma

Preclinical To Clinical Translation

Success Rate: Limited translation of promising preclinical findings to clinical applications thus far

Barriers: Poor bioavailability, limited funding for natural product research, and regulatory challenges

Promising Areas: Enhanced delivery systems and specific applications in neurological and inflammatory conditions show the most potential for successful clinical translation

Longevity Research

Model Organisms: Demonstrated lifespan extension in C. elegans through activation of DAF-16/FOXO and insulin/IGF-1 signaling pathway

Mechanisms: Activation of stress resistance pathways, enhanced antioxidant defense, and modulation of autophagy

Human Relevance: Uncertain whether lifespan-extending effects in simple organisms will translate to humans; more research needed

Disclaimer: The information provided is for educational purposes only and is not intended as medical advice. Always consult with a healthcare professional before starting any supplement regimen, especially if you have pre-existing health conditions or are taking medications.

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