Naturals .vs. chemicals?

Sometimes  people have a simplistic view that natural herbs are good and chemical additives are bad. Here's a story where Mother Nature is doing us some harm. The story that appeared in the Taipei Times(and the China Post).


Study blames herb for high cancer rate


ARISTOLOCHIC ACID:About one-third of the population has ingested this ingredient in Taiwan, where urinary tract and kidney cancer rates are four times higher than in the West


AFP, Washington


A toxic ingredient in a popular herbal remedy is linked to more than half of all 
cases of urinary tract cancer in Taiwan, where use of traditional medicine is 
widespread, a US study said on Monday.


Aristolochic acid (AA) is a potent human carcinogen that is found naturally in 
Aristolochia plants, an ingredient common in botanical Asian remedies for aiding weight loss, easing joint pain and improving stomach ailments.


The ancient herb has been touted around the world for -thousands of years for 
everything from gout to childbirth, but scientists now know it carries serious 
risks of causing kidney disease and urinary cancers.


The latest research found it can interact with a person’s DNA and form unique 
biomarkers of exposure, as well as creating signals within tumor suppressing genes that indicate the carcinogen has been ingested.


In Taiwan, where previous research has shown about one-third of the population 
has taken AA in recent years, rates of urinary tract and kidney cancer are about 
four times higher than in Western countries where use is less common, the findings in the Proceedings of the National Academy of Sciences said.


“It is a rare tumor and Taiwan has the highest incidence of any country in the 
world,” said lead author Arthur Grollman of the department of pharmacological 
sciences at Stony Brook University in New York.


“The fact that Taiwan had the highest incidence both of cancer and this renal 
disease — that was our clue that something was going on there,” Grollman said.


The research was based on 151 patients with urinary tract cancer, of whom 60 
percent showed specific mutations linked to the herbal remedy.


In particular, after being ingested, the acid forms a unique kind of lesion in 
the renal cortex, and also gives rise to a particular mutational signature in 
the TP53 tumor suppressing gene, the study said.


The herb is known in Europe by the name birthwort because it was often given 
to women during childbirth. Derived from Greek, aristolochia means noble birth.




“This has been used by every culture in the world from the earliest written 
record,” Grollman said.



Signs of harm have emerged in recent decades, and the acid is blamed for causing a kidney disease called Balkan endemic nephropathy, first described in 1956, that afflicted rural farmers in Bosnia and Herzegovina, Bulgaria, Croatia, 
Romania and Serbia.


The villagers were found to be baking seeds from a weed called Aristolochia 
clematitis in their bread.


In the 1990s, a group of Belgian women reported sudden late stage kidney failure after taking a weight loss drug that contained AA.


Even though many countries have taken steps to warn of the risks, the ingredient 
is difficult to control and still finds its way into products via the Internet, 
Grollman said, adding that most of the AA products currently being used in Taiwan are made in China.


“Many countries ban it, but it is always available on the Internet. And in fact 
you can’t ban it in the United States. You can only ban its importation,” Grollman said.


The US Food and Drug Administration warned of the risks of aristolochic acid 
in 2001, after two patients developed serious kidney disease after using botanical products containing it.


“Natural is not necessarily safe, nor is long-term usage,” Grollman said.