Pokeroot's therapeutic uses

DEFINITION: Natural plant product used to treat specific health conditions.

PRINCIPAL PROPOSED USES: None recommended due to toxicity

Overview

The herb pokeroot grows wild in many parts of North America. The name comes from an Indigenous American word, pocan, a term that indicates any plant used to provide a red-colored dye. Pokeroot is a source of a blood-red pigment. Medicinally, it was used as an “alterative,” supposedly removing toxins from the body and restoring overall health. Like other alteratives, pokeroot was used for the treatment of cancer, skin conditions, and many other diseases attributed to toxins. Pokeroot causes vomiting and diarrhea, and these effects were also traditionally considered salutary. However, in modern times, it has become clear that pokeroot causes vomiting and diarrhea because it is toxic; it should not be used.

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Therapeutic Dosages

The use of pokeroot in any dosage is not recommended.

Therapeutic Uses

Pokeroot itself is not sold in the United States. However, substances found in pokeroot have shown promise for drug development. One of these, pokeroot antiviral protein, has shown potential as a treatment for human immunodeficiency virus (HIV) infection and other viral infections. Note, however, that these findings on one ingredient of pokeroot do not indicate that the whole herb is useful for HIV infection.

Another substance in pokeroot, pokeweed mitogen, forces cells to divide, a property that has led to a great deal of scientific investigation. These mitogenic effects are potentially quite dangerous and are more an argument against the use of pokeroot than for it. Other pokeroot constituents have shown potential anti-inflammatory, diuretic, and blood-pressure-lowering effects.

Safety Issues

Pokeroot is a toxic herb. Ingestion can lead to symptoms such as nausea, vomiting (sometimes with blood), diarrhea, rapid heart rate, a dangerous fall in blood pressure, difficulty breathing, confusion, and death. Symptoms may develop with one-time use or insidiously over time. Fresh root is more toxic than dried root. The juice of pokeweed berries is even more toxic and can cause severe damage to blood cells, even when applied only to the skin. Pokeroot should not be used by pregnant or nursing women or young children. Although once a traditional remedy for myriad health conditions, the toxicity of pokeroot cannot be overlooked in modern medicine.

Bibliography

D’Cruz, O. J., et al. "Mucosal Toxicity Studies of a Gel Formulation of Native Pokeweed Antiviral Protein." Toxicologic Pathology, vol. 32, 2004, pp. 212-221.

Hudak, K. A., et al. "Pokeweed Antiviral Protein Binds to the Cap Structure of Eukaryotic mRNA and Depurinates the mRNA Downstream of the Cap." RNA, vol. 8, 2002, pp. 1148-1159.

Nunez, Kirsten. "The Potential Benefits and Side Effects of Poke Root." HealthLine, 27 Oct. 2020, www.healthline.com/health/poke-root. Accessed 11 Sept. 2024.

Parikh, B. A., et al. "Evidence for Retro-translocation of Pokeweed Antiviral Protein from Endoplasmic Reticulum into Cytosol and Separation of Its Activity on Ribosomes from Its Activity on Capped RNA." Biochemistry, vol. 44, 2005, pp. 2478-2490.

Picard, D., et al. "Pokeweed Antiviral Protein Inhibits Brome Mosaic Virus Replication in Plant Cells." Journal of Biological Chemistry, vol. 280, 200, pp. 20069-20075.

"Pokeweed." Memorial Sloan Kettering Cancer Center, 19 Feb. 2021, www.mskcc.org/cancer-care/integrative-medicine/herbs/pokeweed. Accessed 11 Sept. 2024.

"Pokeweed Poisoning Information." Mount Sinai, www.mountsinai.org/health-library/poison/pokeweed-poisoning. Accessed 11 Sept. 2024.

Turpin, J. A. "Considerations and Development of Topical Microbicides to Inhibit the Sexual Transmission of HIV." Expert Opinion on Investigational Drugs, vol. 11, 2002, pp. 1077-1097.

Yamaguchi, K., et al. "Mitogenic Properties of Pokeweed Lectin-D Isoforms on Human Peripheral Blood Lymphocytes: Non-mitogen PL-D1 and Mitogen PL-D2." Bioscience, Biotechnology, and Biochemistry, vol. 68, 2004, pp. 1591-1593.

Wang, S., et al. "The Effects of Pokeweed Mitogen (PWM) and Phytohemagglutinin (PHA) on Bovine Oocyte Maturation and Embryo Development In Vitro." Animal Reproductive Science, vol. 67, 2001, pp. 215-220.