Green Tea

Green tea is particularly rich in health-promoting flavonoids (which account for 30% of the dry weight of a leaf), including catechins and their derivatives. The most abundant catechin in green tea is epigallocatechin-3-gallate (EGCG), which is thought to play a pivotal role in the green tea's anticancer and antioxidant effects. Catechins should be considered right alongside of the better-known antioxidants like vitamins E and C as potent free radical scavengers and health-supportive for this reason.  Most of the research showing the health benefits of green tea is based on the amount of green tea typically consumed in Asian countries—about 3 cups per day (which would provide 240-320 mg of polyphenols). Just one cup of green tea supplies 20-35 mg of EGCG, which has the highest antioxidant activity of all the green tea catechins. 

The health benefits of green tea have been extensively researched and, as the scientific community's awareness of its potential benefits has increased, so have the number of new studies. As of November 2004, the PubMed database contained more than 1,000 studies on green tea, with more than 400 published in 2004! Following is a brief summary of some of the high points of this most current research. Green tea drinkers appear to have lower risk for a wide range of diseases, from simple bacterial or viral infections to chronic degenerative conditions including cardiovascular disease, cancer, stroke, periodontal disease, and osteoporosis. The latest studies provide a deeper understanding of the ways in which green tea: 
In August 2006, a European study, published in the European Journal of Clinical Nutrition, found that tea is a healthier choice than almost any beverage, including pure water, because tea not only rehydrates as well as water, but provides a rich supply of polyhenols protective against heart disease.  Now, a Japanese study published in the September 2006 issue of JAMA, suggests that drinking green tea lowers risk of death due to all causes, including cardiovascular disease. 

Shinichi Kuriyama, M.D., Ph.D., of the Tohoku University School of Public Policy, Sendai, Japan, and colleagues examined the association between green tea consumption and death due to all causes, cardiovascular disease (CVD), and cancer. 

The study, which began in 1994, followed 40,530 adults, ranging in age from 40 to 79, in northeastern Japan for up to 11 years. Within this region, 80% of the population drinks green tea with more than half consuming at least 3 cups a day. As noted in the world’s healthiest foods.

Compared with participants who consumed less than 1 cup of green tea per day, those drinking 5 or more cups a day had a significantly lower risk of death from all causes and, specifically, risk of death from CVD, with women receiving even stronger protection than men: Only weak or neutral relationships were seen between black tea or oolong tea and all-cause or CVD mortality. 

While this study found no cancer-preventive benefit from drinking green tea, other large studies, including a meta-analysis of 13 studies published July 2006 in Carcinogenesis (Sun CL et al), suggest that green tea reduces risk of breast cancer. In this study, compared to women who did not drink green tea, those consuming the most green tea were 22% less likely to develop breast cancer.  Often in studies, the effects of a certain health-promoting behavior are likely to be confounded by the fact that those who try to follow a healthy lifestyle practice a variety of healthy habits. In this study, however, since green tea is the most commonly consumed beverage in Japan, it is unlikely that study participants were choosing to drink green tea primarily for their health, and thus also unlikely that the significant drop in risk of death due to all causes and CVD was due to other habits related to health consciousness. Given the significant benefit green tea can provide, even to those who are not especially health conscious, just imagine its health-protective potential as part of your healthy way of eating! 

If you simply cannot start your day without a cup of coffee, try enjoying a cup of green tea at your mid-morning break, with lunch or as an afternoon pick-me-up. You'll quickly discover green tea's irresistible combination of invigorating and calming qualities, plus its delicious flavor, make it one of your favorite healthy habits. 

In Japanese studies, green tea consumption has been found to be an independent predictor for risk of coronary artery disease. In one study, those drinking 5 or more cups of green tea each day were found to be 16% less likely to suffer from coronary artery disease. The relationship was so significant researchers concluded, "The more green tea patients consume the less likely they are to have coronary artery disease." An elevation in the amount of free radicals in the arteries is a key event in many forms of cardiovascular disease. The latest research shows that green tea catechins inhibit the enzymes involved in the production of free radicals in the endothelial lining of the arteries. The arterial endothelium is a one-cell thick lining that serves as the interface between the bloodstream and the wall of the artery where plaques can form. By protecting the endothelium from free radical damage, green tea catechins help prevent the development of cardiovascular disease. 

Green tea has been shown to effectively lower risk of atherosclerosis by lowering LDL cholesterol, triglycerides, lipid peroxides (free radicals that damage LDL cholesterol and other lipids or fats) and fibrinogen (a protein in the blood involved in the formation of blood clots), while improving the ratio of LDL (bad) to HDL (good) cholesterol. 

In animal studies in which green tea was given in human equivalent doses to hamsters, atherosclerosis was inhibited 26-46% in those receiving the lower dose (equivalent in humans to 3-4 cups per day) , and 48-63% in those receiving the higher dose (10 cups a day in humans). Green tea may offer special heart-protective benefits for persons with high triglycerides, suggests a laboratory study, published in the February 2005 issue of the Journal of Nutrition.  A series of experiments revealed that the mix of catechins naturally found in green tea dose-dependently inhibit the activity of pancreatic lipase, the enzyme secreted by the pancreas that digests fat. As a result, the rate at which the body breaks down of fats into triglycerides, and the rise of triglyceride levels in the bloodstream that occurs after meals, is greatly slowed.  Since a large rise in blood levels of triglycerides after a meal is a significant risk factor for coronary heart disease, drinking a cup of two green tea along with your meals is a good idea, especially if your triglyceride levels are higher than normal. Green tea catechins help thin the blood and prevent the formation of blood clots by preventing the formation of pro-inflammatory compounds derived from omega-6 fatty acids, which are found in meats and polyunsaturated vegetable oils such as corn, safflower and soy oil. These pro-inflammatory compounds—specifically, arachidonic acid from which the inflammatory cytokines thromboxane A2 and prostaglandin D2 are derived—cause platelets to clump together. 

The primary catechin in green tea, EGCG (epigallocatechin-3-gallate) confers such powerful protection that it can help prevent the death of heart muscle cells following ischemia/reperfusion injury. Ischemia is the medical term for a restriction in blood supply and therefore in oxygen and nutrients. When circulation is restored, oxidative damage occurs, and this is referred to as reperfusion injury. EGCG prevents heart muscle damage by blocking the activation of inflammation-related compounds (including NF-kappa-B and STAT-1) that play a critical role in promoting the oxidative damage that kills heart cells in reperfusion injury. Researchers believe EGCG can be used to help minimize damage in patients with acute coronary artery disease. Research conducted over the last several years by Dr. Anastasis Stephanou and his team at the UK's Institute of Child Health and published in the FASEB Journal, the journal of the Federation of Experimental Biology and the Journal of Cellular and Molecular Medicine has focused on EGCG's ability to block the action of the protein, STAT-1. Normally activated in cells after a heart attack or stroke, STAT-1 plays a major role in inducing cell death. 

Not only does green tea minimize heart cell death after a heart attack or stroke, ECGC also appears to speed up heart cells' recovery from damage, allowing the tissues to recover more quickly and alleviating damage to organs. Dr. Stephanou, a molecular biologist, noted: "We're extremely encouraged by these findings and hope to implement them in the clinical setting to minimize cell death activation in patients with acute coronary heart disease." 

EGCG has also been shown to protect brain cells by these same mechanisms and thus may help minimize the brain damage that occurs after a stroke. In one animal study, green tea was so effective in reducing the formation of free radicals in brain tissue that the researchers concluded, "Daily intake of green tea catechins efficiently protects the brain from irreversible damage due to cerebral ischemia, and consequent neurologic deficits." A study published in the July 2004 issue of the Archives of Internal Medicine found that among persons consuming tea regularly for at least one year, the risk of developing high blood pressure was 46% lower among those who drank 1/2 cup to 2-1/2 cups per day, and 65% less among those consuming more than 2-1/2 cups per day. 

In the last ten years, green tea's cancer-preventive effects have been widely supported by epidemiological, cell culture, animal and clinical studies. For cancer prevention, the evidence is so overwhelming that the Chemoprevention Branch of the National Cancer Institute has initiated a plan for developing tea compounds as cancer-chemopreventive agents in human trials. Laboratory cell culture studies show that green tea polyphenols are powerful triggers of apoptosis (cell suicide) and cell cycle arrest in cancerous but not in normal cells. (Cell cycling is the process cells go through to divide and replicate.) 
These anticancer actions have been assumed to be due to the powerful antioxidant effects of green tea's catechins, especially epigallocatechin-3-gallate (EGCG). This is a reasonable assumption, given that a number of studies have shown that green tea possesses remarkable antioxidant properties. In one study published in the November 2004 issue of Mutation Research, EGCG's protective antioxidant effects against several carcinogens were found to be 120% stronger than those of vitamin C. But while green tea's antioxidant prowess is impressive, recent studies show it is far from the only way in which this multi-talented beverage protects us against cancer. 

One of these mechanisms is green tea's ability to inhibit angiogenesis, the development of new blood vessels. Cancer cells, which are constantly attempting to divide and spread, have an endless appetite that can only be temporarily quieted by increasing the number of blood vessels that supply them with nutrients. By inhibiting angiogenesis, green tea helps starve cancer. 

Studies also show that green tea works at the genetic level, shutting off genes in cancerous cells that are involved in cell growth, while turning on those that instruct the cancer cells to self-destruct. EGCG has even been found to work as a pro-oxidant or free radical, but just inside cancer cells, where it causes so much damage that the cancer cells' self-destruct mechanisms are triggered. 

A study of ECGC's effects on keratinocytes (the major type of epidermal or skin cell) found that this green tea compound has yet another means of correcting cancer—that of turning on the genes that direct the cancer cell to return to normal. Green tea's anticancer effects include its ability to inhibit the overproduction of the enzyme cyclooxygenase (COX)-2, a protein whose overproduction has been implicated as a factor in many diseases, including arthritis and cancer. COX-2 has an enzyme counterpart, called COX-1, which may be helpful to leave untouched when preventing overproduction of COX-2. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen (which inhibit both COX-1 as well as COX-2), and specific COX-2 inhibitors such as Vioxx and Celebrex (which inhibit only COX-2), have been considered as possible agents in the prevention of some forms of cancer, but their severe toxic side effects on normal cells limit their usefulness. In studies of prostate cancer cells, EGCG appears to block only COX-2 and to have no negative side effects. 

Phytonutrients in green tea, specifically, its catechins, increase the production and activity of detoxification enzymes in humans, and may enhance our ability to detoxify carcinogens, shows research supported by the National Cancer Institute. 42 healthy volunteers refrained from tea or tea-related products for one month, after which blood samples were taken to assess the activity and levels of their glutathione S-transferases (GST), a major group of detoxification enzymes. Volunteers then consumed green tea catechins in amounts equivalent to consuming between 8-16 cups of green tea each day. GST activity was greatly enhanced in those whose baseline GST activity was low-1/2those most susceptible to damage from carcinogens. (Chow HH, Hakim IA, et al.,Cancer Epidemiol Biomarkers Prev.) 

EGCG provides other benefits specific to prostate cancer prevention. A study published in the December 2004 issue of the International Journal of Cancer found that EGCG significantly inhibited, in a dose-dependent manner, the production of prostate-specific antigen (PSA), a marker for prostate cancer risk. Not only did EGCG lower PSA levels, but it also suppressed all the activities of PSA which were examined that promote prostate cancer. As noted in the worlds healthiest foods.