The effects of Crocus sativus (saffron) and its constituents on nervous system: A review

C. Sativus L. (Saffron) and its Anticonvulsant, Anti-Alzheimer, Antidepressant, anti- schizophrenia, Anti-Parkinson, neuro-inflammation effects

Mohammad Reza Khazdair,1,2 Mohammad Hossein Boskabady,1 Mahmoud Hosseini,3,* Ramin Rezaee,4 and Aristidis M. Tsatsakis5

Abstract

Saffron or Crocus sativus L. (C. sativus) has been widely used as a medicinal plant to promote human health, especially in Asia. The main components of saffron are crocin, picrocrocin and safranal. The median lethal doses (LD50) of C. sativus are 200 mg/ml and 20.7 g/kg in vitro and in animal studies, respectively. Saffron has been suggested to be effective in the treatment of a wide range of disorders including coronary artery diseases, hypertension, stomach disorders, dysmenorrhea and learning and memory impairments. In addition, different studies have indicated that saffron has anti-inflammatory, anti-atherosclerotic, antigenotoxic and cytotoxic activities. Antitussive effects of stigmas and petals of C. sativus and its components, safranal and crocin have also been demonstrated. The anticonvulsant and anti-Alzheimer properties of saffron extract were shown in human and animal studies. The ef?cacy of C. sativus in the treatment of mild to moderate depression was also reported in clinical trial. Administration of C. sativus and its constituents increased glutamate and dopamine levels in the brain in a dose-dependent manner. It also interacts with the opioid system to reduce withdrawal syndrome. Therefore, in the present article, the effects of C. sativus and its constituents on the nervous system and the possible underlying mechanisms are reviewed. Our literature review showed that C. sativus and its components can be considered as promising agents in the treatment of nervous system disorders.

Key Words: Crocus sativus, Nervous system, Safranal, Crocin, Saffron 

Introduction

Crocus sativus L (C. sativus), commonly known as saffron, is a small perennial plant belonging to the family of Iridaceas. This plant is cultivated in many countries including Iran, Afghanistan, Turkey and Spain (Abdullaev, 1993 ?). The stigmas of C. sativus are known to contain carotenoids, a-crocetin and glycoside crocin (responsible for saffron yellow color) and picrocrocin, the aglyconesafranal (responsible for saffron aroma) (Fernández and Pandalai, 2004 ?; Champalab et al., 2011), the antioxidant carotenoids lycopene and zeaxanthin and vitamin B2(Vijaya Bhargava, 2011).

It has been shown that C. sativus stigma aqueous extract and its constituents, crocin but not safranal enhanced the sexual activity in male rats (Hosseinzadeh et al., 2008 ?). Saffron and its constituentscrocin and safranal are also shown to be potent oxygen radical scavengers (Assimopoulou et al., 2005 ?; Mashmoul et al., 2013 ?; Farahmand et al., 2013).

In traditional medicine, C. sativus has been frequently used as an herbal sedative, antispasmodic, aphrodisiac, diaphoretic, expectorant, stimulant, stomachic, anticatarrhal, eupeptic, gingival sedative and emmenagogue (Nemati et al., 2008 ?). C. sativus was experimentally shown to be effective in relieving symptoms of premenstrual syndrome (PMS). Following administration of saffron, a signi?cant effect was observed in cycles 3 and 4 in the Total Premenstrual Daily Symptoms and Hamilton Depression Rating Scale which indicates the ef?cacy of C. sativus in the treatment of PMS (Agha-Hosseini et al., 2008 ?).

Aqueous (500 mg/kg) and ethanolic extracts of C. sativus petals reduced blood pressure in a dose-dependent manner in rats (Fatehi et al., 2003 ?). Administration of the aqueous extract of saffron petals (500 mg/kg) reduced blood pressure from 133.5±3.9 to 117±2.1 mmHg in rats. This reduction was postulated to be due to the effect of the extracts on the heart itself, total peripheral resistance or both (Fatehi et al., 2003 ?). In rats isolated vas deferens, contractile responses to electrical field stimulation (EFS) were decreased by the petals extracts (Fatehi et al., 2003 ?). EFS-induced contractions of vas deferens were shown to be mediated by noradrenaline and adenosine triphosphate (ATP) released as co-transmitters from sympathetic nerves (Hoyle and Burnstock, 1991 ?). The ethanolic extract made more pronounced changes in EFS in rats isolated vas deferens whereas in guinea pig ileum, the aqueous extract of the plant was more effective (Fatehi et al., 2003 ?). Crocin analogs isolated from saffron remarkably increased the blood flow in the retina and choroid and facilitated retinal function recovery; therefore, it could be used to treat ischemic retinopathy and/or age-related macular degeneration (Xuan, 1999 ?). One study suggested that saffron exerted a signi?cant cardioprotective effect by preserving hemodynamics and left ventricular functions (Sachdeva et al., 2012 ?). Administration of C. sativus extractinpatients who had normal white blood cells (WBC) count, significantly increased WBC compared to crocin or placebo. Moreover, other hematologic factors were not changed significantly during 3 months of the study (Mousavi et al., 2015 ?).

A potent stimulatory effect of C. sativus extract and safranal on ß2-adrenoreceptors has also been reported (Nemati et al., 2008 ?; Boskabady et al., 2010 ?). In addition, blocking effect of safranal on muscarinic receptors (Boskabady et al., 2010 ?) and the inhibitory effect of C. sativus on histamine (H1) receptors was reported, which proposed a competitive antagonistic effect for C. sativus on histamine (H1) receptors (Boskabady et al., 2010 ?). 

An in vitro study showed the inhibitory activity of saffron and crocin on amyloid beta-peptide ?brillogenesis and its protective action against H2O2–induced toxicity in human neuroblastoma cells (Papandreou et al., 2006 ?, 2011). Additionally, administration of saffron (60 mg/kg body weight, i.p.) to normal and aged mice for one week, significantly improved learning and memory (Papandreou et al., 2011 ?). Also, in vitro studies have confirmed the neuroprotective effects of saffron and its constituents in amnesic and ischemic rat models (Hosseinzadeh and Sadeghnia, 2005 ?; Ochiai et al., 2007 ?).

Considering clinical and animal experimental studies, the present review explores the important effects of C. sativus and its constituents on nervous system.

C. sativus constituents

More than 150 compounds have been identified in saffron stigma including colored carotenoids (e.g. crocetin and crocins as glycosidic derivatives), colorless monoterpene aldehydes, volatile agents (e.g. safranal and picrocrocin which are the bitter components), etc. (Bathaie and Mousavi, 2010 ?). The traces of non-glycosylated carotenoids unrelated to crocetin are ß-carotene, lycopene and zea-xanthin (Ríos et al., 1996 ?). Ethanolic extract of saffron has visible absorption peaks at 427 and 452 nm. When excited at 435 nm, saffron emits at 543 nm (Horobin and Kiernan, 2002 ?).

Crocetin isolated from saffron is one of the two principal chemicals responsible for the red color of saffron (Martin et al., 2002 ?). Crocetin constitutes approximately 0.3% of the total weight of the saffron stigma (Escribano et al., 1996 ?, Dris and Jain 2004 ?). Crocetin can function as an acid (anionic) dye for biological staining because it has a carboxyl group at each end of the polyene chain which is easily dissolved in aqueous alkali solutions at pH = 9. Crocetin is mostly present as trans isomer but cis-crocetin and its glycosides are also present in saffron as minor components (Melnyk et al., 2010 ?).

Crocin belongs to a group of natural carotenoid commercially obtained from the dried stigma of C. sativus. It has a deep red color, forms crystals with a melting point of 186 oC and is easily soluble in water. Crocin is responsible for the color of saffron. Structure of crocin was elucidated by Karreeet al (1935) ?. It is the main pigment of saffron (approx. 80% of pigment content). Pure crocin can be isolated from saffron extract and is directly crystallized (Karrer et al., 1932 ?). Crocin is not orally absorbed. Crocins are hydrolyzed to crocetin before or during intestinal absorption, and the absorbed crocetin is partly metabolized to mono and diglucuronide conjugates (Asai et al., 2005 ?).

Crocins, accounting for almost 6–16% of saffron dry weight (Gregory et al., 2005 ?), are hydrophilic chemicals. a –crocin (crocin 1) is a carotenoid which comprises the majority of crocins found in saffron. It could be so easily dissolved in water that is used as color additive (Melnyk et al., 2010 ?). The other color compounds of saffron are carotenoids and glycosidic, alpha-carotene, beta-carotene, lycopene, Zeaxanthingentiobioside, glycoside, gentio-glycoside, beta-crocetin di-glycoside and gama-crocetin.

Safranal (which is fat soluble) and pigments of the crocetin carotenoid are bitter, but the most important cause of saffron bitterness is picrocrocin (Abdullaev, 1993 ?). Saffron lipophilic carotenoids are lycopene, alpha- and beta-carotene and zeaxanthin(Winterhalter and Straubinger, 2000 ?; Tarantilis and Polissiou, 1997 ?). Kaempferol has also been found in alcoholic extract of saffron petals (Gregory et al.,2005 ?). Flavonoids especially lycopene, amino acids, proteins, starch, resins and other compounds have also been shown to be present in saffron (Assimopoulou et al.,2005 ?). Saffron also has trace amounts of thiamine and riboflavin (Alonso et al.,2001 ?).

 Anticonvulsant effects

In Iranian folk medicine, C. sativus had been used as an anticonvulsant herb (Khosravan, 2002 ?). Experimental studies also confirmed saffron anticonvulsant effects in rats and mice (Sunanda et al., 2014 ?; Khosravan, 2002 ?). Saffron at the doses of 400 and 800 mg/kg showed a significant antiepileptic activity in pentylenetetrazole (PTZ)-induced seizure model in a dose-dependent manner. However, saffron at the dose of 200 mg/kg did not significantly suppress PTZ- induced seizures (Sunanda et al., 2014 ?). The anticonvulsant activities of aqueous and ethanolic extracts of saffron have been demonstrated in mice using maximal electroshock seizure (MES) and PTZ models (Khosravan, 2002 ?). 

Safranal (0.15 and 0.35 ml/kg, i.p.), reduced PTZ-induced seizure duration, delayed the onset of tonic convulsions and protected mice from death but crocin (200 mg/kg, i.p.) did not show anticonvulsant activity (Hosseinzadeh and Talebzadeh, 2005 ?). Intraperitoneal administration of safranal (72.75, 145.5 and 291 mg/kg) decreased the frequency of minimal clonic seizures (MCS) and generalized tonic clonic seizures (GTCS) (Hosseinzadeh and Sadeghnia, 2007 ?). Safranal also attenuated the acute experimental absence seizures which was attributed to modifications of benzodiazepine binding sites of GABAA receptor complex (Sadeghnia et al., 2008 ?).

Anti-Alzheimer effects

Basic studies

Alzheimer's disease (AD) is described pathologically as deposition of amyloid ß-peptide (Aß) fibrils. The aqueous-ethanolic (50:50, v/v) extract of C. sativus stigmas has good antioxidant properties -higher than those of carrot and tomato- in a concentration and time-dependent manner which was accompanied by inhibition of Aß fibrillogenesis. The trans-crocin-4, the digentibiosyl ester of crocetin was the main carotenoid constituent which inhibited Aß fibrillogenesis (Papandreou et al., 2006 ?). Intracerebroventricular (ICV) injection of streptozotocin (STZ) to rodents has been frequently used as an animal model for sporadic AD (Lannert and Hoyer, 1998 ?; Labak et al., 2010 ?; Veerendra Kumar and Gupta, 2003 ?). It has been previously revealed that treatment by C. sativusextract (30 mg/kg) for 3 weeks could significantly improve cognition deficits induced by ICV injection of STZ in rats (Khalili et al., 2010 ?).Crocin (30 mg/kg) has also been shown to have an antagonizing effect on the STZ-induced cognitive de?cits in rats (Khalili and Hamzeh, 2010 ?).

Geromichaloset al. (2012) ? showed that the saffron extract had a moderate (up to 30 %) inhibitory activity on acetyl-cholinesterase (AChE) and inhibited acetylcholine breakdown which is the main therapeutic approach for AD (Geromichalos et al., 2012 ?).

Clinical studies

Administration of saffron 30 mg/day (15 mg twice daily) was found to be as effective as donepezil for treatment of mild-to-moderate AD in the subjects of 55 years and older (Akhondzadeh et al., 2010a ? ). In addition, the frequency of saffron extract side effects was similar to those of donepezil except for vomiting, which occurred more frequently in the donepezil group (Akhondzadeh et al., 2010a ?). In another study, 46 patients with mild-to-moderate AD were treated by saffron for 16 weeks. The results showed that the cognitive functions in saffron-treated group were signi?cantly better than placebo (Akhondzadeh et al. 2010b ?).

Antidepressant and anti-schizophrenia effect

Basic studies

Crocin and ethanolic extracts of saffron are known to have antidepressant effect in rodents. Using forced swimming test, it was shown that crocin (50–600 mg/kg) reduced immobility time while increased climbing time (Hosseinzadeh et al., 2003). In other studies,effectiveness of antidepressant activity of C. sativus extract was described (Karimi et al., 2001 ?; Yang Wang et al., 2010). The petroleum ether and dichloromethane fractions were suggested to be the active parts of corms of C. sativus. The petroleum ether fraction of the extract of C. sativus L. corms mainly contained n-tridecane, n-tetradecane, n-pentadecane, diethyltoluamide, n-catane and n-heptadecane, etc. (Yang Wang et al., 2010).

Kaempferol, a C. sativus petal constituent also reduced immobility behaviors in mice (100 and 200 mg/kg) and rats (50 mg/kg) (Hosseinzadeh et al., 2007 ?). A decreased time of immobility in rodents caused by selective serotonin re-uptake inhibitors such as fluoxetine may explain the antidepressant effects of the plant (Cryan and Lucki, 2000 ?; Lucki, 1997 ?). The antidepressant effect of aqueous and ethanolic extracts of C. sativus petal and stigma has been shown in mice (Karimi et al., 2001 ?). Major constituents of saffron, safranal and crocin, also had antidepressant activity in mice (Hosseinzadeh et al., 2004 ?).

Clinical studies

In a randomized and double-blind clinical trial study, saffron supplementation statistically improved the mood of subjects compared to the placebo group. For six weeks, 30 mg/day of saffron was given and subjects were evaluated based on the Hamilton Depression Rating Scale (HAM-D) (Akhondzadeh et al., 2005 ?). Another similar study by Noorbala et al. (2005) ? revealed that six-week administration of saffron extract (30 mg/day) was effective in the treatment of mild to moderate depression. These effects were similar to the effects of ?uoxetine (Noorbala et al., 2005 ?) and imipramine 100 mg/day (Akhondzadeh et al., 2004 ?). Therapeutic benefits of petals of C. sativus in the treatment of mild to moderate depression have also been suggested (AkhondzadehBasti et al., 2007 ?). The efficacy of co-administration of hydro-alcoholic extract of C. sativus (40 or 80 mg) and fluoxetine (30 mg/ day) was also investigated in a double- blind randomized clinical trial for six weeks. The results revealed that a dose of C. sativus 80 mg plus fluoxetine was more effective than that of C. sativus 40 mg and fluoxetine to treat mild to moderate depressive disorders (Moosavi et al., 2014 ?).
Short-term administration of saffron (30 mg/day) capsules for six weeks was also shown to be as effective as ?uoxetine (40 mg/day) in improving depression symptoms in patients who were suffering from major depressive disorder (MDD) after undergoing a percutaneous coronary intervention (Shahmansouri et al., 2014 ?).
Another clinical study demonstrated that saffron aqueous extract (15 mg twice daily) andcrocin (15 mg twice daily) were well tolerated by patients with schizophrenia during the study and no serious side effects were observed (Mousavi et al., 2015 ?).

The effectiveness of C. sativus as a treatment for depression in human studies was summarized in 

Table2

The effectiveness of C. sativus as a treatment for depression in human studies.

Number of patientsTreatmentsTime ofTreatment (weeks)ResultsReferences
30Stigma of C. sativus30 mg/dayThe effect of stigma of C. sativussimilar to imipramine in the treatment of mild to moderate depressionAkhondzadeh et al.,2004
40Stigma of C. sativus30 mg/day6The outcome on the Hamilton depression rating scale Stigma of C. sativuscould produce a significantly better than the placeboAkhondzadeh et al.,2005
40Stigma of C. sativus30 mg/day6The effect of stigma of C. sativussimilar to fluoxetine in the treatment of mild to moderate depressionNoorbala et al.,2005
40Petal of C. sativus30 mg/day6The outcome on the Hamilton depression rating scale Petal of C. sativuscould produce a significantly better than the placebo Moshiri et al.,2006
40Petal of C. sativus15 mg bid (morning and evening)8Petal of C. sativuswas found to be effective similar to fluoxetine in
The treatment of mild to moderate depression
AkhondzadehBasti et al., 2007
60C. sativus40 and 80 mg/day+ fluoxetine (30 mg)6Was effective to treatment of mild to moderate depressive disordersMoosavi et al., 2014
40Saffron(30 mg/day6Was effective as ?uoxetine (40 mg/day) in improving depressive symptoms of patients who are suffering from major depressive disorder (MDD)Shahmansouri et al., 2014
Anti-Parkinson effects

Saffron and its components (mainly crocin, crocetin, and safranal) have been used in animal models with neurodegenerative diseases (Ochiai et al., 2007 ?; Purushothuman et al., 2013 ?). Crocin and safranal have inhibitory effect on ?brillation of apo alpha-lactalbumin (a-alpha-LA), under amyloidogenic conditions which crocin was found to be more effective than safranal. Formation of toxic amyloid structures is related with various neurodegenerative diseases such as Alzheimer’s and Parkinson’s diseases (Ebrahim-Habibi et al. 2010 ?). 

Neuroprotective effects of seven-day administration of crocetin (25, 50 and 75µg/kg body weight, i.p.) against 6-hydroxydopamine (6-OHDA, 10 µgintrastriatal)-induced Parkinson's disease in rats have been reported. Reduction in dopamine utilization by tissues was suggested as a possible mechanism (Ahmad et al., 2005 ?). In another study, the protective effect of saffron pre-treatment on dopaminergic cells in the substantia nigra pars compacta (SNc) and retina in a mouse model of acute MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine)-induced Parkinson's disease was examined. BALB/c mice received MPTP or saline over a 30-hour period. Animals in the saffron-treated group received Saffron (0.01% w/v) dissolved in the drinking water for five days and control groups received normal tap water. After the six days, the brains were processed for tyrosine hydroxylase (TH) immunochemistry and TH+ cells count was reported using the optical fractionator method. In both the SNc and retina, the MPTP-injected mice had a reduced number of TH+ cells (30-35%) compared to saline-injected controls. Pre- treatment of MPTP-injected mice by saffron increased both SNc and retinal TH+ cell counts (25-35%) and closed them to the control levels. It was concluded that saffron pre-treatment saved many dopaminergic cells in the SNc and retina from Parkinsonian (MPTP) insult in mice (Purushothuman et al., 2013 ?

Effect of C. Sativus on oxidative damages and neurotoxicity

It has been reported that crocin 10 µM inhibited the formation of peroxidized lipids in cultured PC12 cells, moderately restored superoxide dismutase (SOD) activity and maintained neurons morphology. While the antioxidant effect of crocin was comparable to that of a –tocopherol, it was even more pronounced at some concentrations.

Administration of C. sativus stigma extract (100 mg/kg, p.o.) for 7 days before induction of cerebral ischemia by middle cerebral artery occlusion (MCAO) remarkably reduced SOD, catalase and Na, K-ATPase activities and glutamate and aspartate concentrations induced by ischemia in rats (Saleem et al. 2006 ?). Treatment with saffron extract (5 and 25 mg/ml) and crocin (10 and 50 µM) could decrease the neurotoxic effect of glucose in PC12 cells. The results showed that glucose (13.5 and 27 mg/ml) reduced PC12 cells viability while cell death was reduced by saffron and crocin pretreatment (Mousavi et al., 2010 ?). Another study showed that administration of saffron extract (200 mg/kg) and honey syrup (500 mg/kg) for 45 days reduced the aluminium chloride-induced neurotoxicity in mice (Shati et al. 2011 ?). Other studies showed that safranal has some protective effects on different markers of oxidative damage in hippocampal tissue from ischemic rats (Hosseinzadeh and Sadeghnia, 2005 ?) and in hippocampal tissue following quinolinic acid (QA) administration (Sadeghnia et al., 2013 ?). Safranal also reduced extracellular concentrations of glutamate and aspartate (excitatory amino acids) in the hippocampus of anaesthetized rats following kainic acid administration (Hosseinzadeh et al. 2008b ?). 

In addition, crocin increased the activity of SOD and glutathione peroxidase (GPx) and remarkably reduced malondialdehyde (MDA) content in the ischemic cortex in rat model of ischemic stroke (Vakili et al., 2013 ?). Co-administration of saffron extract with aluminium reversed aluminium-induced changes in monoamine oxidase (MAO-A, MAO-B) activity and the levels of lipid peroxidation in whole brain and cerebellum (Linardaki et al., 2013 ?). 

It has been suggested that exposure to high levels of glucocorticoids or chronic stress may lead to oxidative injury in the hippocampus, which may impair learning and memory functions (Behl et al., 1997 ?; McIntosh et al., 1998a). Saffron extract and crocin can improve learning and memory (Abe and Saito, 2000 ?, Pitsikas et al., 2007 ?). It was demonstrated that saffron and crocin can prevent oxidative stress in the hippocampus and avoid deficits in spatial learning and memory (Ghadrdoost et al., 2011 ?). It has been reported that crocetin increases the antioxidant potential in brain and helps to fight against 6-OHDA-induced neurotoxicity (Ahmad et al., 2005 ?).

The aqueous extract of saffron (50, 100 and 200 mg/kg) prevented diazinon (20 mg/kg)-induced increase of inflammation, oxidative stress and neuronal damage biomarkers (Moallem et al., 2014 ?). 

Effect of Sativus L. on neuronal injury and apoptosis

Crocin (30, 60 and 120 mg/kg) showed protective effect against ischemia/reperfusion injury and cerebral edema in a rat model of stroke and decreased infarct volume. Administration of crocin (60 mg/kg), one hour before, or one hour after the induction of ischemia, reduced brain edema (Vakili et al., 2013 ?). 

The neuroprotective effects of crocetin in the brain injury in animal studies have been suggested to be related to its ability to inhibit apoptosis at early stages of the injury and its ability to promote angiogenesis at the subacute stage as directed by higher expression levels of vascular endothelial growth factor receptor-2 (VEGFR-2) and serum response factor (SRF) (Bie et al., 2011 ?). 

A recent study showed that crocin (50 mg/kg) prevented retinalganglion cells (RGCs) apoptosis after retinal ischemia/reperfusion injury via phosphatidylinositol 3-kinase/AKT (PI3K/AKT) signaling pathway. In addition, crocin increased Bcl-2/BAX ratio (Qi et al., 2013 ?). Crocin (10 µM)could suppress tumor necrosis factor alpha (TNF-a)-induced expression of proapoptotic mRNA which releases cytochrome c from mitochondria and it was suggested that crocin inhibits neuronal cell death induced by both internal and external apoptotic stimuli (Soeda et al., 2001 ?). Moreover, crocetin can inhibit H2O2-induced RGC-5 cell death and inhibit caspase-3 and caspase-9 activity (Yamauchi et al., 2011 ?).

In serum/glucose-deprived cells, lipid peroxidation may increase which can be inhibited by crocin. Crocin can suppress the activation of caspase-8 was and its antioxidant properties are more prounounced than a-tocopherol at the same concentration (Ochiai et al., 2004 ?). In addition, crocin suppressed the activation of caspase-8 caused by serum/glucose deprivation (Ochiai et al., 2004a ?). 

Crocin and tricrocin remarkably suppressed membrane lipid peroxidation, caspase-3 activation and cell death in serum-deprived and hypoxic PC12 cells which were more marked than those of tricrocin. Crocetin has been suggested to have some linked glucose esters (Ochiai et al., 2007 ?). The results of this study suggested that dicrocin and picrocrocin had no effect on cell survival (Ochiai et al., 2007 ?). 

Effects of C. sativus on neuroinflammation

Crocin inhibited syncytin-1 and nitric oxide (NO)-induced astrocyte and oligodendrocyte cytotoxicity (Christensen, 2005 ?) and reduced neuropathology in experimental autoimmune encephalomyelitis (EAE) with signi?cantly less neurological impairments. Syncytin-1 has been contributed to oligodendrocyte death and neuroin?ammation (Christensen, 2005 ?; Antony et al., 2004 ?). Syncytin-1 is highly expressed in astrocytes, microglia and in the glial cells of multiple sclerosis lesions (Barnett and Prineas, 2004 ?).

Endoplasmic reticulum (ER) stress has been shown to be closely related to inflammatory pathways (Mori, 2009). It was shown that EAE increases the transcript levels of the ER stress genes XBP-1/s (Marciniak et al., 2004 ?). Administration of crocin on day 7 post-EAE induction, suppressed ER stress and inflammatory gene expression in the spinal cord and also reduced the expression of ER stress genes XBP-1/s (Deslauriers et al., 2011 ?).

C. sativus and the brain neurotransmitters

Ettehadi et al. (2013) ? showed that the aqueous extract of saffron (50, 100, 150 and 250 mg/kg, i.p.) increased brain dopamine concentration in a dose-dependent manner. Moreover, the extract had no effect on brain serotonin or norepinephrine concentration. In addition, the results showed that the aqueous extract of saffron especially at the dose of 250 mg/kg triggered and increased the production of important neurotransmitters including dopamine and glutamate in rat brain (Ettehadi et al., 2013 ?).

The effects of saffron on conditioning place preference (CPP) induced by morphine has been reported to be similar to the effect of N-methyl-D-aspartate (NMDA) receptor antagonists (Hosseinzadeh et al., 2012 Lechtenberg et al., 2008 ?). Furthermore, the analgesic e?ect of sa?ron can be reduced by NMDA receptor antagonists (Nasri et al., 2011 ?). Therefore an interaction with glutamatergic system for saffron of its components might be postulated.

The NMDA receptors have also been well known to be involved in post-training memory processing by the amygdala and hippocampus (Izquierdo et al., 1992 ?). The role of these receptors in morphine state-dependent learning has also been suggested (Zarrindast et al., 2006 ?; Cestari and Castellano, 1997 ?). Involvement of NMDA receptors in the e?ects of C. sativus or its constituents on memory has been shown (Lechtenberg et al., 2008 ?; Abe et al., 1999 ?). The bene?cial e?ects of sa?ron on memory have also been suggested to be mediated by the cholinergic system (Pitsikas and Sakellaridis, 2006 ?; Ghadami and Pourmotabbed, 2009 ?).

C. sativus and opioids sytem

Sa?ron aqueous (80–320 mg/kg) and ethanolic (400–800 mg/kg) extracts reduced morphine withdrawal signs induced by naloxone in mice (Hosseinzadeh and Jahanian, 2010 ?). Also, crocin (200 and 600 mg/Kg) could reduce withdrawal sign without reducing locomotor activities (Amin and Hosseinzadeh, 2012 ?; Hosseinzadeh and Jahanian, 2010 ?).

Intraperitoneal administration of ethanolic extract of saffron (10, 50 and 100 mg/Kg) and safranal (1, 5 and 10 mg/Kg) reduced theacquisition and expression of morphine CPP (Ghoshooniet al., 2011 ?). Administration of crocin (400 and 600 mg/kg,i.p.) 30 min before morphine administration decreased the acquisition and reinstatement of morphine-induced CPP in mice (Imenshahidi et al., 2011 ?). It has also been reported that 5 min after morphine (10 mg/kg) administration, injection of ethanolic extract of C. sativus stigma (5 and 10 µg/rat) into the nucleus accumbens shell part of rats, led to decrease in the time spent in drug paired side. In addition, injection of extract to the animals that received morphine (10 mg/kg), decreased the expression of morphine (CPP) (Mojabi et al., 2008). Injection of aqueous extract of saffron stigma (50, 100, 150 and 250mg/Kg,i.p.) showed an increased release of dopamine in rat brains. Also, this extract (only at 250 mg/Kg) significantly increased the release of glutamate (Ettehadi et al., 2013 ?).

Administration of sa?ron extract (150 and 450 mg/kg) before retention trials also increased the time latency. So, saffron extract reduced morphine-induced memory impairment (Naghibi et al., 2012 ?). Protective e?ect of sa?ron extract against morphine-induced inhibition of spatial learning and memory in rat has also been suggested (Haghighizad et al., 2008 ?).

Conclusion

Anti-oxidant and anti-inflammatory effects of the extracts of C. sativus and its constituents (crocetin, crocins, safranal) implies saffron therapeutic potential for various nervous system disorders. Based on the literature, beneficial effects of the plant and its components on neurodegenerative disorders such as Alzheimer and Parkinson's disease are mainly due to their interactions with cholinergic, dopaminergic and glutamatergic systems. It is assumed that saffron anticonvulsant and analgesic properties and its effects on morphine withdrawal and rewarding properties of morphine might be due to an interaction between saffron, GABA and opioid system. 

According to human and animal studies, saffron and its constituents have been shown to be effective in the treatment of mild to moderate depression which may be because of an interaction with the serotonin and noradrenaline system. However, to have a detailed perspective of saffron effects on nervous system, more mechanistic investigations are highly advised.

 

References

1   Abdullaev F. Biological effects of saffron. BioFactors (Oxford England) 1993;4:83–86. [PubMed]

2   Abe K, Saito H. Effects of saffron extract and its constituent crocin on learning behaviour and long-term potentiation. Phytother Res. 2000;14:149–152. [PubMed]

3   Abe K, Sugiura M, Yamaguchi S, Shoyama Y, Saito H. Sa?ron extract prevents acetaldehyde-induced inhibition of long-term potentiation in the rat dentate gyrus in vivo. Brain Res. 1999;851:287–289. [PubMed]

4   Agha-Hosseini M, Kashani L, Aleyaseen A, Ghoreishi A, Rahmanpour H, Zarrinara A, Akhondzadeh S. Crocus sativus L(saffron) in the treatment of premenstrual syndrome: a double-blind randomised and placebo-controlled trial. BJOG Int J Gynaecol Obstet. 2008;115:515–519. [PubMed]

5   Ahmad AS, Ansari MA, Ahmad M, Saleem S, Yousuf S, Hoda MN, Islam F. Neuroprotection by crocetin in a hemi-parkinsonian rat model. Pharmacol Biochem Behav. 2005;81:805–813. [PubMed]

6   Akhondzadeh Basti A, Moshiri E, Noorbala AA, Jamshidi AH, Abbasi SH, Akhondzadeh S. Comparison of petal of Crocus sativus L and fluoxetine in the treatment of depressed outpatients: A pilot double-blind randomized trial. Prog Neuropsychopharmacol Biol Psychiatry. 2007;31:439–442. [PubMed]

7   Akhondzadeh S, Fallah-Pour H, Afkham K, Jamshidi A-H, Khalighi-Cigaroudi F. Comparison of Crocus sativus L and imipramine in the treatment of mild to moderate depression: a pilot double-blind randomized trial. BMC Complement Altern Med. 2004;4:12. [PMC free article] [PubMed]

8   Akhondzadeh S, Sabet MS, Harirchian M, Togha M, Cheraghmakani H, Razeghi S, Hejazi SS, Yousefi M, Alimardani R, Jamshidi A. Saffron in the treatment of patients with mild to moderate Alzheimer’s disease: a 16-week, randomized and placebo-controlled trial. J Clin Pharm Therapeut. 2010a;35:581–588. [PubMed]

9   Akhondzadeh S, Sabet MS, Harirchian MH, Togha M, Cheraghmakani H, Razeghi S, Hejazi SS, Yousefi MH, Alimardani R, Jamshidi A. A 22-week, multicenter, randomized, double-blind controlled trial of Crocus sativus in the treatment of mild-to-moderate Alzheimer’s disease. Psychopharmacology. 2010b;207:637–643. [PubMed]

10            Akhondzadeh S, Tahmacebi-Pour N, Noorbala AA, Amini H, Fallah-Pour H, Jamshidi AH, Khani M. Crocus sativus L in the treatment of mild to moderate depression: a double-blind randomized and placebo-controlled trial. Phytother Res. 2005;19:148–151. [PubMed]

11            Alonso Gl, Salinas MR, Garijo J, Sánchez-Fernández MA. Composition of crocins and picrocrocin from Spanish saffron (Crocus sativus L) JFood Quality. 2001;24:219–233.

12            Amin B, Hosseinzadeh H. Evaluation of aqueous and ethanolic extracts of saffron, Crocus sativus L and its constituents, safranal and crocin in allodynia and hyperalgesia induced by chronic constriction injury model of neuropathic pain in rats. Fitoterapia. 2012;83:888–895. [PubMed]

13            Antony JM, van Marle G, Opii W, Butterfield DA, Mallet F, Yong VW, Wallace JL, Deacon RM, Warren K, Power C. Human endogenous retrovirus glycoprotein-mediated induction of redox reactants causes oligodendrocyte death and demyelination. Nat Neurosci. 2004;7:1088–1095–1095. [PubMed]

14            Asai A, Nakano T, Takahashi M, Nagao A. Orally administered crocetin and crocins are absorbed into blood plasma as crocetin and its glucuronide conjugates in mice. J Agric Food Chem. 2005;53:7302–7306. [PubMed]

15            Assimopoulou A, Sinakos Z, Papageorgiou V. Radical scavenging activity of Crocus sativus L extract and its bioactive constituents. Phytother Res. 2005;19:997–1000. [PubMed]

16            Bathaie SZ, Mousavi SZ. New applications and mechanisms of action of saffron and its important ingredients. Crit Rev Food Sci Nutr. 2010;50:761–786. [PubMed]

17            Barnett MH, Prineas JW. Relapsing and remitting multiple sclerosis: pathology of the newly forming lesion. Ann Neurol. 2004;55:458–468. [PubMed]

18            Behl C, Lezoualc'h F, Trapp T, Widmann M, Skutella T, Holsboer F. Glucocorticoids enhance oxidative stress-induced cell death in hippocampal neurons in vitro. Endocrinology. 1997;138:101–106. [PubMed]

19            Bhargava V. Medicinal uses and pharmacological properties of Crocus sativus Linn (Saffron) Int J Pharmacy Pharmaceutical Science. 2011;3:22–26.

20            Bie XD, Chen YQ, Zheng XS, Dai HB. The role of crocetin in protection following cerebral contusion and in the enhancement of angiogenesis in rats. Fitoterapia. 2011;82:997–1002. [PubMed]

21            Bieschke J, Zhang Q, Powers ET, Lerner RA, Kelly JW. Oxidative metabolites accelerate Alzheimer's amyloidogenesis by a two-step mechanism, eliminating the requirement for nucleation. Biochemistry. 2005;44:4977–4983. [PubMed]

22            Boskabady MH, Rahbardar MG, Nemati H, Esmaeilzadeh M. Inhibitory effect of Crocus sativus (saffron) on histamine (H1) receptors of guinea pig tracheal chains. Die Pharmazie Int J Pharm Sci. 2010;65:300–305. [PubMed]

23            Cestari V, Castellano C. “MK-801 potentiates morphine-induced impairment of memory consolidation in mice:involvement of dopaminergic mechanisms,” Psychopharma-cology. 1997;133:1–6. [PubMed]

24            Christensen T. Association of human endogenous retroviruses with multiple sclerosis and possible interactions with herpes viruses. Rev Med Virol. 2005;15:179–211. [PubMed]

25            Cryan JF, Lucki I. Antidepressant-like behavioral effects mediated by 5-hydroxytryptamine2C receptors. J Pharmacol Exp Therapeut. 2000;295:1120–1126. [PubMed]

26            Deslauriers AM, Afkhami-Goli A, Paul AM, Bhat RK, Acharjee S, Ellestad KK, Noorbakhsh F, Michalak M, Power C. Neuroinflammation and endoplasmic reticulum stress are coregulated by crocin to prevent demyelination and neurodegeneration. J Immunol. 2011;87:4788–99. [PubMed]

27            Dris R, Jain SM. Production practices and quality assessment of food crops. In: Jain, S. Mohan., editor. Preharvest Practice. Volume 1. Springer; 2004.

28            Ebrahim-Habibi MB, Amininasab M, Ebrahim-Habibi A, Sabbaghian M, Nemat-Gorgani M. Fibrillation of alpha-lactalbumin: effect of crocin and safranal, two natural small molecules from Crocus sativus. Biopolymers. 2010;93:854–865. [PubMed]

29            Ettehadi Hosseinali, Seyedeh Nargesolsadat Mojabi, Mina Ranjbaran, Jamal Shams, Hedayat Sahraei, Mahdi Hedayati, Farzad A. Aqueous Extract of Saffron (Crocus sativus) Increases Brain Dopamine and Glutamate Concentrations in Rats. J Behav Brain Sci. 2013;3:315–319.

30            Escribano J, Alonso G-L, Coca-Prados M, Fernández J-A. Crocin, safranal and picrocrocin from saffron (Crocus sativus L) inhibit the growth of human cancer cells in vitro. Cancer letters. 1996;100:23–30. [PubMed]

31            Farahmand SK, Samini F, Samini M, Samarghandian S. Safranal ameliorates antioxidant enzymes and suppresses lipid peroxidation and nitric oxide formation in aged male rat liver. Biogerontology. 2013;14:63–71. [PubMed]

32            Fatehi M, Rashidabady T, Fatehi-Hassanabad Z. Effects of Crocus sativus petals’ extract on rat blood pressure and on responses induced by electrical field stimulation in the rat isolated vas deferens and guinea-pig ileum. J ethnopharmacology. 2003;84:199–203. [PubMed]

33            Fernández J-A, Pandalai S. Biology, biotechnology and biomedicine of saffron. Recent Res Devel Plant Sci. 2004;2:127–159.

34            Geromichalos GD, Lamari FN, Papandreou MA, Trafalis DT, Margarity M, Papageorgiou A, Sinakos Z. Saffron as a source of novel acetylcholinesterase inhibitors: molecular docking and in vitro enzymatic studies. J Agric Food Chem. 2012;60:6131–6138. [PubMed]

35            Ghadami MR, Pourmotabbed A. The effect of crocin on scopolamine induced spatial learning and memory de?cits in rats. Physiol Pharmacol. 2009;12:287–295.

36            Ghadrdoost B, Vafaei AA, Rashidy-Pour A, Hajisoltani R, Bandegi AR, Motamedi F, Haghighi S, Sameni HR, Pahlvan S. Protective effects of saffron extract and its active constituent crocin against oxidative stress and spatial learning and memory deficits induced by chronic stress in rats. Eur J Pharmacol. 2011;667:222–229. [PubMed]

37            Ghoshooni H, Daryaafzoon M, Sadeghi-Gharjehdagi S, Zardooz H, Sahraei H, Tehrani SP, et al. Saffron (Crocus sativus) ethanolic extract and its constituent, safranal, inhibits morphine-induced place preference in mice. Pak J Biol Sci. 2011;14:939–944. [PubMed]

38            Gregory MJ, Menary RC, Davies NW. Effect of drying temperature and air flow on the production and retention of secondary metabolites in saffron. JAgric Food Chem. 2005;53:5969–5975. [PubMed]

39            Haghighizad H, Pourmotabbed A, Sahraei H. Protective e?ect of Sa?ron extract on morphine-induced inhibition of spatial learning and memory in rat. Physiol Pharmacol. 2008;12:170–179.

40            Horobin RW, Kiernan JA, Commission BS. Conn's biological stains: a handbook of dyes, stains and fluorochromes for use in biology and medicine. Biological Stain Commission. 2002

41            Hosseinzadeh H, Jahanian Z. Effect of Crocus sativus L (saffron) Stigma and its Constituents, Crocin and Safranal, on Morphine Withdrawal Syndrome in Mice. Phytother Res. 2010;24:726–730. [PubMed]

42            Hosseinzadeh H, Karimi G, Niapoor M. Antidepressant effect of Crocus sativus L stigma extracts and their constituents, crocin and safranal, in mice. Acta Hort. 2004;650:435–45.

43            Hosseinzadeh H, Motamedshariaty V, Hadizadeh F. Antidepressant effect of kaempferol, a constituent of saffron (Crocus sativus) petal, in mice and rats. Pharmacologyonline. 2007;2:367–370.

44            Hosseinzadeh H, Sadeghnia , HR Safranal, a constituent of Crocus sativus (saffron), attenuated cerebral ischemia induced oxidative damage in rat hippocampus. J PharmPharm Sci. 2005:394–399. [PubMed]

45            Hosseinzadeh H, Sadeghnia HR, Rahimi A. Effect of safranal on extracellular hippocampal levels of glutamate and aspartate during kainic acid treatment in anesthetized rats. Planta Med. 2008b;74:1441–1445. [PubMed]

46            Hosseinzadeh H, Talebzadeh F. Anticonvulsant evaluation of safranal and crocin from Crocus sativus in mice. Fitoterapia. 2005;76:722–724. [PubMed]

47            Hosseinzadeh H, ziaee T, sadeghi A. The effect of saffron, crocus sativus stigma, extract and its constituents, safranal and crocin on sexual behaviors in normal male rats. Phytomedicine. 2008;15:491–495. [PubMed]

48            Hosseinzadeh H, Sadeghnia HR. Protective effect of safranal on pentylenetetrazol-induced seizures in the rat: involvement of GABAergic and opioids systems. Phytomedicine. 2007;14:256–62. [PubMed]

49            Hoyle CH, Burnstock G. ATP receptors and their physiological roles. Adenosine in the Nervous System. 1991:43–76.

50            Imenshahidi M, Zafari H, Hosseinzadeh H. Effects of crocin on the acquisition and reinstatement of morphine-induced conditioned place preference in mice. Pharmacologyonline. 2011;1:1007–1013.

51            Izquierdo C, Da Cunha, Rosat R, Jerusalinsky D, Ferreira MBC, Medina JH. Neurotransmitter receptors involved in post-training memory processing by the amygdala, medial septum, and hippocampus of the rat. Behav Neur Biol. 1992;58:16–26. [PubMed]

52            Karimi GR, Hosseinzadeh H, KHALEGH PP. Study of antidepressant effect of aqueous and ethanolic extract of Crocus sativus in mice. Iran J Basic Med Sci. 2001;4:11–15.

53            Karrer P, Benz F, Morf R, Raudnitz H, Stoll M, Takahashi T. Pflanzenfarbstoffe XLVI Konstitution des Crocetins und Bixins Synthese des Perhydro-norbixins. Helvetica Chimica Acta. 1932;15:1399–1419.

54            Khalili M, Hamzeh F. Effects of active constituents of Crocus sativus L crocin on streptozocin-induced model of sporadic Alzheimer's disease in male rats. Iran Biomed J. 2010;14:59. [PMC free article] [PubMed]

55            Khalili M, Kiasalari Z, Rahmati B, Narenjkar J. Behavioral and Histological Analysis of Crocus Sativus Effect in Intracerebroventricular Streptozotocin Model of Alzheimer Disease in Rats. Iran J Pathol. 2010;5:27–33.

56            Khavandgar S, Homayoun H, Zarrindast MR. The e?ect of L-NAME and L-arginine on impairment of memory formation and state-dependent learning induced by morphine in mice. Psychopharmacology. 2003;167:291–296. [PubMed]

57            Khosravan V. Anticonvulsant effects of aqueous and ethanolic extracts of Crocus sativus L stigmas in mice. Arc Iran Medi. 2002;5:44.

58            Labak M, Foniok T, Kirk D, Rushforth D, Tomanek B, Jasinski A, Grieb P. Metabolic changes in rat brain following intracerebroventricular injections of streptozotocin: a model of sporadic Alzheimer’s disease. Brain Edema XIV. Springer; 2010. [PubMed]

59            Lannert H, Hoyer S. Intracerebroventricular administration of streptozotocin causes long-term diminutions in learning and memory abilities and in cerebral energy metabolism in adult rats. Behav Neurosci. 1998;112:1199. [PubMed]

60            Lechtenberg MD, Schepmann M, Niehues N, Hellenbrand B, ¨unsch W, Hensel A. Quality and functionality of sa?ron: quality control, species assortment and a?nity of extract and isolated sa ? ron compounds to NMDA and s 1(Sigma-1) receptors. Planta Medica. 2008; 74:764–772. [PubMed]

61            Lechtenberg M, Schepmann D, Niehues M, Hellenbrand N, unsch WB, Hensel A. Quality and functionality of sa?ron: quality control, species assortment and a?nity of extract and isolated sa?ron compounds to NMDA and s 1(Sigma-1) receptors. Plant Med. 2008;74:764–772. [PubMed]

62            Linardaki ZI, Orkoula MG, Kokkosis AG, Lamari FN, Margarity M. Investigation of the neuroprotective action of saffron (Crocus sativus L) in aluminumexposed adult mice through behavioral and neurobiochemical assessment. Food Chem Toxicol. 2013;52:163–170. [PubMed]

63            Lucki I. The forced swimming test as a model for core and component behavioral effects of antidepressant drugs. Behav pharmacol. 1997;8:523–532. [PubMed]

64            Marciniak SJ, Yun CY, Oyadomari S, Novoa I, Zhang Y, Jungreis R, Nagata K, Harding HP, Ron D. CHOP induces death by promoting protein synthesis and oxidation in the stressed endoplasmic reticulum. Genes Dev. 2004;18:3066. [PMC free article] [PubMed]

65            Mashmoul M, Azlan A, Khaza'ai H, Yusof Bnm, Noor Sm. Saffron: A natural potent antioxidant as a promising anti-obesity drug. Antioxidants. 2013;2:293–308.

66            Martin G, Goh E, Neff A. Evaluation of the developmental toxicity of crocetin on Xenopus. Food chem toxicol. 2002;40:959–964. [PubMed]

67            Melnyk JP, Wang S, Marcone MF. Chemical and biological properties of the world's most expensive spice: Saffron. Food Res Int. 2010;43:1981–1989.

68            Moallem SA, Hariri AT, Mahmoudi M, Hosseinzadeh H. Effect of aqueous extract of Crocus sativus L (saffron) stigma against subacute effect of diazinon on specific biomarkers in rats. Toxicol Ind Health. 2014;30:141–6. [PubMed]

69            Moshiri E, Akhondzadeh BastiA, Noorbala AA, Jamshidi AH, Abbasi SH, Akhondzadeh S. Crocus sativus L(petal) in the treatment of mild-to-moderate depression: A double-blind, randomized and placebo-controlled trial. Phytomedicine. 2006;13:607–611. [PubMed]

70            Moosavi SM, Ahmadi M, Amini M, Vazirzadeh B, Sari I. The Effects of 40 and 80 mg Hydro-alcoholic Extract of Crocus Sativus in the Treatment of Mild to Moderate Depression. J Mazandaran Univ Med Sci (JMUMS) 2014:24.

71            Mousavi B BS, Fadai F, Ashtari Z, Ali beige N, Farhang S, Hashempour S, Shahhamzei N, Heidarzadeh H. Safety evaluation of saffron stigma (Crocus sativus L) aqueous extract and crocin in patients with schizophrenia. Avicenna J Phytomed. 2015 Epub. [PMC free article] [PubMed]

72            Mousavi SH, Tayarani NZ, Parsaee H. Protective effect of saffron extract and crocin on reactive oxygen species-mediated high glucose-induced toxicity in PC12 cells. Cell Mol Neurobiol. 2010;30:185–191. [PubMed]

73            Naghibi SM, Mahmoud Hosseini, Fatemeh Khani, Motahare Rahimi, Farzaneh Vafaee, Hassan Rakhshandeh, Azita Aghaie. Effect of Aqueous Extract ofCrocus sativus L on Morphine-Induced Memory Impairment. Adv Pharmacol Sci. 2012 Article ID 494367, 7 pages. [PMC free article] [PubMed]

74            Nasri S, Sahraei H, Zardooz H. Inhibition of pain and in?amation induced by formalin in male mice by ethanolicextract of sa ? ron (Crocus sativus) and its constituents crocin and safranal. Kowsar Med J. 2011;15:189–195.

75            Nemati H BM, Ahmadzadef Vostakolaei H. Stimulatory effect of crocus sativus (saffron) on beta2-adrenoceptors of guinea pig tracheal chains. Phytomedicine. 2008;15:1038–1045. [PubMed]

76            Nilakshi N, Gadiya RV, Abhyankar M, Champalal KD. Detailed profile of Crocus sativus. Int J Pharma Bio Sciences. 2011;2:530–540.

77            Noorbala A, Akhondzadeh S, Tahmacebi-Pour N, Jamshidi A. Hydro-alcoholic extract of Crocus sativus L versus fluoxetine in the treatment of mild to moderate depression: a double-blind, randomized pilot trial. J Ethnopharmacol. 2005;97:281–284. [PubMed]

78            Ochiai T, Ohno S, Soeda S, Tanaka H, Shoyama Y, Shimeno H. Crocin prevents the death of rat pheochromyctoma (PC-12) cells by its antioxidant effects stronger than those of a -tocopherol. Neurosci Lett. 2004a;362:61–64. [PubMed]

79            Ochiai T, Shimeno H, Mishima K, Iwasaki K, Fujiwara M, Tanaka H, Shoyama Y, Toda A, Eyanagi R, Soeda S. Protective effects of carotenoids from saffron on neuronal injury in vitro and in vivo. Biochim Biophys Acta. 2007;1770:578–584. [PubMed]

80            Ochiai T, Soeda S, Ohno S, Tanaka H, Shoyama Y, Shimeno H. Crocin prevents the death of PC-12 cells through sphingomyelinase-ceramide signaling by increasing glutathione synthesis. Neurochem Int. 2004;44:321–330. [PubMed]

81            Papandreou MA, Polissiou MG, Efthimiopoulos S, Cordopatis P, Margarity M, Lamari FN. Inhibitory activity on amyloid-beta aggregation and antioxidant properties of Crocus sativus stigmas extract and its crocin constituents. J Agric Food Chem. 2006;54:8762–8768. [PubMed]

82            Papandreou MA, Tsachaki M, Efthimiopoulos S, Cordopatis P, Lamari FN, Margarity M. Memory enhancing effects of saffron in aged mice are correlated with antioxidant protection. Behav Brain Res. 2011;219:197–204. [PubMed]

83            Pitsikas N, Zisopoulou S, Tarantilis PA, Kanakis CD, Polissiou MG, Sakellaridis N. Sakellaridis. Effects of the active constituents of Crocus sativusL crocins on recognition and spatial rats' memory. Behav Brain Res. 2007;83:141–146. [PubMed]

84            Pitsikas N, Sakellaridis N. Crocus sativus L. extracts antagonize memory impairments in di ? erent behavioural tasks in the rat. Behav Brain Res. 2006;173:112–115. [PubMed]

85            Purushothuman S, Nandasena C, Peoples CL, El Massri N, Johnstone DM, Mitrofanis J, Stone J. Saffron pre-treatment offers neuroprotection to Nigral and retinal dopaminergic cells of MPTP-Treated mice. J Parkinsons Dis. 2013;3:77–83. [PubMed]

86            Rios J, Recio M, Giner R, Manez S. An update review of saffron and its active constituents. Phytother Res. 1996;10:189–193.

87            Qi Y, Chen L, Zhang L, Liu WB, Chen XY, Yang XG. Crocin prevents retinal ischaemia/reperfusion injury-induced apoptosis in retinal ganglion cells through the PI3K/AKT signalling pathway. Exp Eye Res. 2013;107:44–51. [PubMed]

88            Sachdeva J, Tanwar V, Golechha M, Siddiqui KM, Nag TC, Ray R, Kumari S, Arya DS. Crocus sativus L(saffron) attenuates isoproterenol-induced myocardial injury via preserving cardiac functions and strengthening antioxidant defense system. Exper Toxicol Pathol. 2012;64:557–564. [PubMed]

89            Sadeghnia HR, Kamkar M, Assadpour E, Boroushaki MT, Ghorbani A. Protective effect of safranal, a constituent of Crocus sativus , on quinolinic acid-induced oxidative damage in rat hippocampus. Iran J Basic Med Sci. 2013;16:73–82. [PMC free article] [PubMed]

90            Sadeghnia H, Cortez M, Liu D, Hosseinzadeh H, Snead 3rd OC. Antiabsence effects of safranal in acute experimental seizure models: EEG and autoradiography. J Pharm Pharm Sci. 2008;11:1–14. [PubMed]

91            Saleem S, Ahmad M, Ahmad AS, Yousuf S, Ansari MA, Khan MB, Ishrat T, Islam F. Effect of Saffron ( Crocus sativus ) on neurobehavioral and neurochemical changes in cerebral ischemia in rats. J Med Food. 2006;9:246–253. [PubMed]

92            Shahmansouri N, Farokhnia M, Abbasi S-H, Kassaian SE, Noorbala Tafti A-A, Gougol A, Yekehtaz H, Forghani S, Mahmoodian M, Saroukhani S. A randomized, double-blind clinical trial comparing the efficacy and safety of Crocus sativus L with fluoxetine for improving mild to moderate depression in post percutaneous coronary intervention patients. J Affect Disord. 2014;155:216–222. [PubMed]

93            Shati AA, Elsaid FG, Hafez EE. Biochemical and molecular aspects of aluminium chloride-induced neurotoxicity in mice and the protective role of Crocus sativus L extraction and honey syrup. Neuroscience. 2011;175:66–74. [PubMed]

94            Soeda S, Ochiai T, Paopong L, Tanaka H, Shoyama Y, Shimeno H. Crocin suppresses tumor necrosis factor-alpha-induced cell death of neuronally differentiated PC-12 cells. Life Sci. 2001;69:2887–2898. [PubMed]

95            Sugiura M, Shoyama Y, Saito H, Abe K. Crocin (crocetin di-gentiobiose ester) prevents the inhibitory e?ect of ethanol on long-term potentiation in the dentate gyrus in vivo. J Pharmacol Exper Therap. 1994;271:703–707. [PubMed]

96            Sunanda BPV, RammohanB , Amitabh kumar, Kudagi BL. The effective study of aqueous extract of crocus sativus linn In chemical induced convulsants in rats. World J Pharm Pharm Sci. 2014;3:1175–1182.

97            Srivastava R, Ahmed H, Dixit R. Crocus sativus L a comprehensive review. Pharmacogn Rev. 2010;4:200. [PMC free article] [PubMed]

98            Tarantilis PA, Polissiou MG. Isolation and identification of the aroma components from saffron (Crocus sativus) J Agricul Food Chem. 1997;45:459–462.

99            Vakili A, Einali MR, Bandegi AR. Protective Effect of crocin against cerebral ischemia in a dose- dependent manner in a rat model of ischemic stroke. J Stroke Cerebrovasc Dis. 2013 S1052–3057(12)00345-X (in press) [PubMed]

100         Veerendra Kumar M, Gupta Y. Effect of Centella asiatica on cognition and oxidative stress in an intracerebroventricular streptozotocin model of Alzheimer's disease in rats. Clin Experiment Pharmacol Physiol. 2003;30:336–342. [PubMed]

101         Wang Y, Han T, Zhu Y, Zheng C-J, Ming Q-L, Rahman K, Qin L-P. Antidepressant properties of bioactive fractions from the extract of Crocus sativus L. J Nat Med. 2010;64:24–30. [PubMed]

102         Winterhalter P, Straubinger M. Saffron—renewed interest in an ancient spice. Food Rev Int. 2000;16:39–59.

103         Xuan B, Zhou Y-H, Li N, Min Z-D, Chiou GC. Effects of crocin analogs on ocular blood flow and retinal function. J Ocular Pharmacol Therap. 1999;15:143–152. [PubMed]

104         Yamauchi M, Tsuruma K, Imai S, Nakanishi T, Umigai N, Shimazawa M, Hara H. Crocetin prevents retinal degeneration induced by oxidative and endoplasmic reticulum stresses via inhibition of caspase activity. Eur J Pharmacol. 2011;650:110–119. [PubMed]

105         Zarrindast MR, Jafari-Sabet M, Rezayat M, Djahanguiri B, Rezayof A. Involvement of NMDA receptors in morphine state-dependent learning in mice. Int J Neurosci. 2006;116:731–743. [PubMed]

106         Ziaee Toktam, Bibi Marjan Razavi, Hossein Hosseinzadeh. Saffron Reduced Toxic Effects of its Constituent, Safranal, in Acute and Subacute Toxicities in Rats. Jundishapur J Nat Pharm Prod. 2014;9:3–8. [PMC free article] [PubMed]

107         Zhang YY, Shoyama M, Sugiura Saito H. Eects of Crocus sativus L on the ethanol-induced impairment of passive avoidance performances in mice. Biol Pharm Bulletin. 1994;17:217–221. [PubMed]

Zhang Q, Powers Et, Nieva J, Huff Me, Dendle Ma, Bieschke J, Glabe CG, Eschenmoser A, Wentworth P, Lerner Ra. Metabolite-initiated protein misfolding may trigger Alzheimer's disease. Proc Natl Acad Sci U S A. 2004;101:4752–4757.


Mailing List

TOP