Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: Editor-in-chief: Prabhat Kumar Mandal
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Journal of Food and Nutrition Research. 2020, 8(3), 133-138
DOI: 10.12691/jfnr-8-3-3
Open AccessArticle

The Synergistic Effect of Lotus Leaf, Chinese Hawthorn, Cinnamon, Ginger, and Red Pepper on Anti-obesity

Hui-Chun Chang1, Kai-Wen Kan1, Jia-Haur Chen1, Yung-Hao Lin2, Yung-Hsiang Lin1 and Chen-Meng Kuan1,

1Research & Design Center, TCI CO., Ltd., Taipei, Taiwan

2Global Business Center, TCI CO., Ltd., Taipei, Taiwan

Pub. Date: March 25, 2020

Cite this paper:
Hui-Chun Chang, Kai-Wen Kan, Jia-Haur Chen, Yung-Hao Lin, Yung-Hsiang Lin and Chen-Meng Kuan. The Synergistic Effect of Lotus Leaf, Chinese Hawthorn, Cinnamon, Ginger, and Red Pepper on Anti-obesity. Journal of Food and Nutrition Research. 2020; 8(3):133-138. doi: 10.12691/jfnr-8-3-3


Lotus leaf, Chinese hawthorn, cinnamon, ginger, and red pepper possess noticeable anti-inflammatory, hypolipidemic, and anti-obesity effects in traditional Chinese medicine. Their availability for anti-obesity has been well investigated in the past studies, but the synergistic effect of these components on inhibition of adipogesis of adipocytes and hepatocytes and improvement in lipid metabolism are elusive. The objective of this in-vitro study is to investigate the efficacies of the combination of these ferments (called lotus leaf ferment) regarding anti-obesity and reduction of lipid accumulation in adipocytes and hepatocytes. O Red O staining assay and gene analysis were introduced into the study. In comparison with the control group, the oil content levels in OP9 cells and HepG2 cells after treatment with lotus leaf ferment solutions could be improved by 38% and 56%, respectively. Also, lotus leaf ferment could significantly down-regulate the expression of CEBPa and GLUT4 genes as well as enhance the expression of PLIN1 gene in OP9 cells; the improvement effects on CEBPa, GLUT4, PLIN1 genes were 0.46, 0.44, and 0.23 fold, respectively. On the other hand, as compared with the control group, the expression levels of SCD, PPAR-γ, and PPAR-α were able to be ameliorated by 0.33, 0.4, and 0.4 fold, respectively. In summary, the lotus leaf ferment can improve the lipid reduction and the expression of the lipolysis-, adipogenesis-related genes in adipocytes and hepatocytes. Although the results unveil the early evidences for the efficacy of the lotus leaf ferment, we believe that the combination of herbs (lotus, Chinese hawthorn, cinnamon, ginger, and red pepper ferments) has potential to improve metabolic disorders and manage weight in humans.

lotus leaf Chinese hawthorn cinnamon ginger red pepper anti-obesity

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[1]  Bhupathiraju, S.N., Hu, F.B., Epidemiology of obesity and diabetes and their cardiovascular complications. Circulation Research, 2016. 118: p. 1723-1735.
[2]  World Health Organization, Obesity and overweight. Available: [Accessed Dec. 20, 2019].
[3]  Public Health England, Adult obesity and type 2 diabetes. 2014. Available: [Accessed Dec. 20, 2019].
[4]  Leitner, D.R., et al., Obesity and type 2 diabetes: two diseases with a need for combined treatment strategies – EASO can lead the way. Obesity Facts, 2017. 10: p. 483-492.
[5]  Kakkar, A.K., Dahiya, N., Drug treatment of obesity: current status and future prospects. European Journal of Internal Medicine, 2015. 26: p. 89-94.
[6]  Karri, S., Sharma, S., Hatware, K., Patil, K., Natural anti-obesity agents and their therapeutic role in management of obesity: a future trend perspective. Biomedicine & Pharmacotherapy, 2019. 110: p. 224-238.
[7]  Poddar, K., Kolge, S., Bezman, L., Mullin, G.E., Cheskin, L.J., Nutraceutical supplements for weight loss: a systematic review. Nutrition in Clinical Practice, 2011. 26: p. 539-552.
[8]  You, J.S., Lee, Y.J., Kim, K.S., Kim, S.H., Chang, K.J. Antiobesity and hypolipidemic effects of Nelumbo nucifera seed ethanol extract in human preadipocytes and rats fed a high-fat diet. Journal of the Science of Food and Agriculture, 2014. 94: 568-575.
[9]  Ono, Y., Hattori, E., Fukaya, Y., Imai, S., Ohizumi, Y. Anti-obesity effect of Nelumbo nucifera leaves extract in mice and rats. Journal of Ethnopharmacology, 2006. 106: p. 238-244.
[10]  Liu, S.H., et al., Lotus leaf (Nelumbo nucifera) and its active constituents prevent inflammatory responses in macrophages via JNK/NF-κB signaling pathway. The American Journal of Chinese Medicine, 2014. 42: p. 869-889.
[11]  Du, H., You, J.S., Zhao, X., Park, J.Y., Kim, S.-H., Chang, K.J. Antiobesity and hypolipidemic effects of lotus leaf hot water extract with taurine supplementation in rats fed a high fat diet. l. Journal of Biomedical Science, 2010. 17: p. S42.
[12]  Kim, B.-M., Cho, B.O., Jang S.I. Anti-obesity effects of Diospyros lotus leaf extract in mice with high-fat diet-induced obesity. International Journal of Molecular Medicine, 2018. 43: p. 603-613.
[13]  Chen, J., et al., The effects of an instant haw beverage on lipid levels, antioxidant enzyme and immune function in hyperlipidemia patients. Zhonghua Yu Fang Yi Xue Za Zhi, 2002. 36: p. 172-175.
[14]  Dehghani, S., Mehri, S., Hosseinzadeh, H., The effects of Crataegus pinnatifida (Chinese hawthorn) on metabolic syndrome: a review. Iranian Journal of Basic Medical Sciences, 2019. 22: p. 460-468.
[15]  Kwan, H.Y., et al., Cinnamon induces browning in subcutaneous adipocytes. Scientific Reports, 2017. 7: p. 2447.
[16]  Zheng, J., Zheng, S., Feng, Q., Zhang, Q., Xiao, X., Dietary capsaicin and its anti-obesity potency: from mechanism to clinical implications. Bioscience Reports, 2017. 37: p. BSR20170286.
[17]  Mansour, M.S., Ni, Y.M., Roberts, A.L., Kelleman, M., Roychoudhury, A., St-Onge, M.P., Ginger consumption enhances the thermic effect of food and promotes feelings of satiety without affecting metabolic and hormonal parameters in overweight men: a pilot study. Metabolism, 2012. 61: p. 1347-1352.
[18]  Ebrahimzadeh Attari, V., Malek Mahdavi, A., Javadivala, Z., Mahluji, S., Zununi Vahed, S., Ostadrahimi, A., A systematic review of the anti‐obesity and weight lowering effect of ginger (Zingiber officinale Roscoe) and its mechanisms of action. Phytotherapy Research, 2018. 32: p. 577-585.
[19]  Lane, J.M., Doyle, J.R., Fortin, J.-P., Kopin, A.S., Ordovás, J.M., Development of an OP9 derived cell line as a robust model to rapidly study adipocyte differentiation. PLoS One, 2014. 9: e112123.
[20]  Lane, M.D., Lin, F.T., MacDougald, O.A., Vasseur-Cognet, M., Control of adipocyte differentiation by CCAAT/enhancer binding protein alpha (C/EBP alpha). International Journal of Obesity and Related Metabolic Disorders, 1996. 20: 91-96.
[21]  Camp, H.S., Ren, D., Leff, T., Adipogenesis and fat-cell function in obesity and diabetes. Trends in Molecular Medicine, 2002. 8: p. 442-447.
[22]  Hansen, J.S., de Maré, S., Jones, H.A., Göransson, O., Lindkvist-Petersson, K. Visualization of lipid directed dynamics of perilipin 1 in human primary adipocytes. Scientific Report, 2017. 7: P. 15011.
[23]  Ruiz-Ojeda, F.J., Rupérez, A.I., Gomez-Llorente, C., Gil ,A., Aguilera, C.M., Cell models and their application for studying adipogenic differentiation in relation to obesity: a review. International Journal of Molecular Sciences, 2016. 17: 1040.
[24]  Younossi, Z.M., Marchesini, G., Pinto-Cortez, H., Petta, S., Epidemiology of nonalcoholic fatty liver disease and nonalcoholic steatohepatitis: implications for liver transplantation. Transplantation, 2019. 103: p. 22-27.
[25]  Liu, X., et al., Loss of stearoyl-CoA desaturase-1 attenuates adipocyte inflammation: effects of adipocyte-derived oleate. Arteriosclerosis, Thrombosis, and Vascular Biology, 2010. 30: 31-38.
[26]  Lodhi, I.J., Semenkovich, C.F., Peroxisomes: a nexus for lipid metabolism and cellular signaling. Cell Metabolism, 2014. 19: p. 380-392.
[27]  Mottillo, E.P., Bloch A.E., Leff, T., Granneman, J.G., Lipolytic products activate peroxisome proliferator-activated receptor (PPAR) alpha and delta in brown adipocytes to match fatty acid oxidation with supply. Journal of Biological Chemistry, 2012. 287: 25038-25048.