Herbs and Spices- Biomarkers of Intake Based on Human Intervention Studies – A Systematic Review

Chili pepper

The chili pepper is a fruit spice derived from plants from the genus Capsicum, originated in Mexico and brought to Asia by Portuguese navigators during the sixteenth century. The five domesticated species of pepper are Capsicum annuum, C. frutescens, C. chinense, C. pubescens, and C. baccatum. Chili peppers have a taste that is pungent, hot, and somewhat sweet (depending on the variety and type). Mild or sweet peppers contain similar constituents as Capsicum but with little or no pungent components. Chili peppers are used as food colorants, flavoring agents, as predator repellants, and a source of pain relief. The compounds responsible for the “hot” flavor of chili peppers are called capsaicinoids, with capsaicin being the best known. Capsaicin occurs naturally in plants of the Solanaceae family. It is commonly used in both food and medicine, but its strong pungency limits the quantity that can be employed. Capsicum contains up to 1.5% (by weight) of pungent compounds, commonly composed of capsaicin, dihydrocapsaicin, and others. Other constituents present in chili peppers are carotenoids, vitamins A, C, and small amounts of volatile oils with more than 125 known components. Another class of capsaicin-like compounds found in chili peppers and non-pungent chili peppers are the capsinoids. Capsinoids have an estimated “hot taste threshold” that is about 1/1000 that of capsaicin making it possible to use capsinoids in food applications without the intense heat effect found in capsaicins [39]. Many positive health benefits have been ascribed to both capsaicin and capsinoids, including anticancer, anti-inflammatory, and analgesic effects [40].

We found two published studies that explored possible BFIs associated with chili pepper consumption. In a cross-over study with 12 volunteers [41], capsaicin was detected in plasma by HPLC analysis after the administration of 5 g of capsaicin derived from chili pepper. This pharmacokinetic study showed that capsaicin was rapidly absorbed (being detected at 10 min) after ingestion and also rapidly metabolized (not detected in blood after 90 min). Another study, conducted by Bernard et al. [42], analyzed the metabolites present in plasma by LC-MS/MS after the administration of a capsule of a variety of non-pungent (sweet) pepper (CH-19) extract. The compounds identified were the capsinoids capsiate, dihydrocapsiate and nordihydrocapsiate, and a capsinoid metabolite, vanillyl alcohol. However, these compounds were below the limit of quantification, so the authors could not perform proper kinetic studies.

Based on these data, capsaicin, the main compound responsible for the hot taste of chili peppers, can be considered a specific BFI for chili peppers. However, we believe more data are required and further studies should be performed to confirm the utility of capsaicin as a BFI. With regard to the non-pungent compounds of the “sweet” varieties of Capsicum, (i.e., capsinoids) additional dose-response studies are needed to consider them as plausible BFIs since the concentrations measured in the single reported study were too low to perform kinetic analyses.

Paprika

Paprika is a ground spice made from the red, air-dried fruits of the larger and sweeter varieties of the plant Capsicum annuum, which is also called bell pepper or sweet pepper. Paprika can also be modified with the addition of more pungent chili peppers and cayenne pepper. Originating in central Mexico, paprika was brought to Spain in the sixteenth century. Paprika spices can range from mild to hot, depending on the variety of the source plant. The flavor also varies from country to country—but almost all plants grown produce the sweet variety. The red, orange, or yellow color of paprika is due to its content of carotenoids. The intense color of paprika makes it an ideal and natural food colorant for many dishes.

Only one study was found that looked into the identification of biomarkers of food intake for paprika. Nishino and co-workers [42] measured paprika carotenoids in the plasma and erythrocytes of five volunteers who were supplemented with paprika for 4 weeks. The results showed that several, non-unique carotenoids such as lutein, zeaxanthin, β-cryptoxanthin (also found in vegetables such as carrots and tomatoes) could be detected in the paprika-supplemented volunteers. However, the authors also detected other carotenoids specific for paprika, such as cryptocapsin, capsanthin, capsorubin (just found in paprika and lily pollen), cucurbitaxanthin A (found just in paprika and pumpkins), and finally capsanthone (a possible oxidative product of capsanthin). Paprika carotenoids, particularly capsanthin and capsorubin, have been reported to have a strong antioxidant activity [43, 44]. Based on these results, cucurbitaxanthin A, capsanthin, capsanthone, and cryptocapsin could be potential paprika-specific carotenoid biomarkers. However, further analyses using untargeted MS-based approaches should be conducted to evaluate other possible biomarkers of paprika intake.

Cinnamon

Cinnamon is a bark spice obtained from the inner bark of several tree species from the genus Cinnamomum. Only a few Cinnamomum species are grown commercially (largely from Asia) for spice. Cinnamon is native to India, Sri Lanka, Bangladesh, and Myanmar, and it was imported to Egypt as early as 4000 years ago [45]. In addition to its common culinary use as a condiment and flavoring material, cinnamon is widely known for its anti-diabetic and glucose lowering effects [46]. The flavor of cinnamon is due to an aromatic essential oil that is largely composed of cinnamaldehyde (up to 90%); however, there are at least 80 other compounds known to be in cinnamon oil, including cinnamyl alcohol, cinnamyl acetate, eugenol, and various coumarins that contribute to its overall flavor and aroma [47].

Only one study has been performed in humans to identify BFIs of cinnamon intake [48]. While cinnamaldehyde might have been expected to be a useful BFI, it is quickly metabolized to cinnamic acid [49], making it unusable as a cinnamon biomarker. On the other hand, coumarin was deemed to be a potentially useful BFI for cinnamon. Because coumarin has a very strong first-pass effect in the liver, with only a small percentage reaching systemic circulation, the authors chose its main metabolite, 7- hydroxycoumarin as a measure of relative bioavailability. In the study by Abraham et al. [40], 7-hydroxycoumarin was assessed as a biomarker of cinnamon consumption in both urine and plasma via HPLC-MS/MS analysis. The conversion of coumarin to 7-hydroxycoumarin is catalyzed by cytochrome P450 2A6 (CYP2A6) [50]. 7-hydroxycoumarin and its phase II metabolite, 7-hydroxycoumarin glucuronide, are rapidly excreted via the kidneys [51]. Therefore, the total amount of 7-hydroxycoumarin (free and bound as a glucuronide) in urine could serve as an indirect measure of the extent of cinnamon consumption.

Coumarin possesses a pleasant spicy odor of fresh hay or vanilla [48]. The occurrence of coumarin has been reported in a number of bedding plants such as Anthoxanthum odoratum (sweet vernal grass), Asperula odorata (sweet woodruff), Dipterix odorata (tonka bean), Eupatorium triplinerve (white snakeroot), Hierochloe odorata (holy grass), Melilotus coerulea (sweet trefoil), M. officinalis (common melilot), Melittis melissophyllum (bastard balm), Primula elatior (oxlip), and Trilisa odoratissima (deer tongue). However, none of these plants are usually used as edible foods; thus, the main source of coumarin in the diet is cinnamon [52]. Coumarin, which is frequently used in perfumes, is also a well-known hepatotoxin (based on animal studies). Interestingly, different species of cinnamon have different levels of coumarin. For example, C. cassia cinnamon contains up to 1% coumarin, whereas the more expensive and less frequently used true cinnamon (Cinnamomum verum) contains only trace levels (0.004%) [53, 54]. Today, many commercially available food products are spiced with the cheaper C. cassia cinnamon and consequently contain high levels of coumarin. It is notable that German Christmas cookies (which contain considerable amounts of C. cassia cinnamon) have a coumarin content that often exceeds the maximum tolerable dose intake (TDI 0.1 mg/kg body weight).

Based on the available data and based on the fact that the food matrix effect has been well tested, 7-hydroxycoumarin appears to be a plausible specific and robust biomarker of cinnamon intake. Additional cumulative/kinetic aspects of this biomarker need to be performed and most likely an inter-laboratory validation needs to be completed to fully validate this compound as a cinnamon BFI. However, the use of this metabolite as a BFI for cinnamon is confounded by the fact that it depends on the species of cinnamon being used. We believe that other cinnamon compounds (such as cinnamaldehyde and cinnamic acid or the essential oils as cinnamyl alcohol, cinnamyl acetate and eugenol)) should also be explored as potential biomarkers as, so far, the only reported cinnamon BFI study was limited to measuring coumarin and its derivatives.

Fennel, basil, and tarragon

While fennel, basil, and tarragon are very distinct herbs, coming from very different plant species, they share a number of common chemicals and consequently they tend to be grouped together in food intake studies. This is why we have chosen to group these three herbs under a single topic heading.

Fennel is a seed (and bulb) spice, as well as a leaf herb, that is derived from Foeniculum vulgare. This is a small flowering plant that was originally indigenous to the shores of the Mediterranean, but which has since become widely naturalized in many parts of the world. Fennel is a highly aromatic and flavorful herb/spice and is one of the primary ingredients of absinthe. The distinctive licorice flavor and aroma from fennel comes from anethole. Other compounds known to be in fennel include estragole, fenchone, 1,8-cineole (eucalyptol), and p-allylphenol. In addition to its use in culinary applications, fennel has long been used as a medicinal herb to treat gastrointestinal illnesses and upper respiratory tract infections as well as to increase milk production in breastfeeding mothers through the consumption of fennel tea.

Basil (Ocimum basilicum) is a culinary herb belonging to the botanical family Lamiaceae. It is a culinary herb that is prominently featured in Italian cuisine as well as many Southeast Asian cuisines. Depending on the species and cultivar, the leaves may taste somewhat like anise, with a strong, pungent, often sweet smell. Thai basil is also a condiment in the Vietnamese noodle soup. Basil has been used traditionally as a medicinal herb in the treatment of headaches, coughs, diarrhea, constipation, warts, worms, and kidney disorders [55]. It is also a source of aroma compounds and essential oils containing biologically active constituents that possess antimicrobial and antifungal properties [56, 57]. Linalool is the main constituent of the essential oil of O. basilicum (28.6–60.6%), followed by estragole, methyl cinnamate, epi-α-cadinol, α-bergamotene, γ-cadinene (3.3–5.4%), germacrene D (1.1–3.3%), and camphor (1.1–3.1%). Other compounds such as myrcene, pinene, terpineol, 1,8-cineole, eugenol, and methyleugenol have been identified in basil leaves [56, 58, 59].

Tarragon (Artemisia dracunculus), also known as estragon, is a perennial herb belonging to the Asteraceae (daisy) family. It is widespread across much of Eurasia and North America, and is cultivated for culinary and medicinal purposes. Two well-described “cultivars” (Russian and French) are widely used. “Dracunculus” which in Latin meaning “little dragon” is believed to describe its coiled, serpentine root, and/or the shape of the leaves, which is reminiscent of a dragon’s tongue [60]. In vitro pharmacological studies indicate that tarragon has antibacterial, antifungal, and antiplatelet activity [61]. In vivo pharmacological studies have shown that tarragon has anti-inflammatory, hepatoprotective, antihyperglycemic, and antioxidant activity [61]. The major components of Russian tarragon are reported to be terpinen-4-ol, sabinene, and elemicin. Methyleugenol and estragole are usually present in tarragon oils at about 10 and 3%, respectively. However, estragole is one of the predominant compounds in the essential oil of French tarragon, constituting up to 82% [61]. Trans-anethole (21.1%), α-trans-ocimene (20.6%), limonene (12.4%), α-pinene (5.1%), and allo-ocimene (4.8%) are the other main components of tarragon [62].

Two studies have explored or assessed potential biomarkers of fennel (alone) or fennel, tarragon, and basil intake in humans. The first one, by Zeller et al. [63], studied the metabolism of estragole in humans consuming fennel tea. The metabolites identified in the urine of subjects were estragole, 1′-hydroxyestrogle, trans-anethole (also reported in anise [36, 37]), and p-allylphenol (also found in betel leaf oils and in oil of bay). However, the authors were unable to report concentrations for these compounds or to correlate them with fennel dosage. In terms of the specificity of these compounds, estragole, in addition to being found in fennel, is a known component of several herbs such as tarragon, basil, and anise. Estragole, which is structurally similar to safrole, is rapidly metabolized to 1′-hydroxyestragole and is quickly excreted as its glucuronic acid conjugate.

In the second study by Barfi et al. [38], the authors developed and validated a multi-step method to extract trans-anethole, estragole, and para-anisaldehyde (three major components of fennel, basil and tarragon) from biofluids and then applied this extraction technique to real human plasma and urine samples. All three compounds were found in plasma and urine after the consumption of either 15 ml of fennel extract, 15 ml of tarragon extract or 15 ml of brewed basil.

While studies of fennel, basil, and tarragon phytochemicals and essential oils have identified several potentially unique compounds for each of these herbs, the same cannot be said of the BIFs that have been, so far, identified. To date, all of the food intake compounds identified for fennel, basil, and tarragon consumption [38, 63] are not sufficiently specific to identify one from the other or any of them from other widely consumed herbs. This is because all of the reported compounds found in human biofluids, so far, are also found in other herbs and spices (such as anise). Therefore, we conclude that no specific BFI for fennel, basil, or tarragon intake has, to date, been discovered or described in the literature.

Ginger

Ginger (Zingiber officinale) is a root or rhizome-based spice derived from the ginger plant, a member of the turmeric family (both are from Zingiberaceae). Ginger is believed to have originated in India and is widely used as a culinary additive as a hot, fragrant spice as well as a popular medicine. In addition to ginger’s well-known use as a treatment for nausea, many components in ginger have been found to have anti-inflammatory, antibacterial, antipyretic, antilipidemic, antitumorigenic, and antiangiogenic effects [64–66]. Ginger’s flavor and aroma come from its volatile oils (∼1 to 3% of the weight of fresh ginger) and non-volatile pungent oleoresins. A variety of active components have been identified in the oleoresins of ginger including zingerone, gingerols (6-, 8-, and 10-gingerols), and shogaols (6-, 8-, and 10-shogaols) [67]. Gingerols (especially 6-gingerol) are the major pungent components in the fresh ginger rhizome. In dried ginger, the quantity of shogaols are significantly increased as evidenced by the reduction of the ratio of 6-gingerol to 6-shogaol from 10:1 in fresh ginger to 1:1 in dried ginger [68]. In particular, zingerone is produced from gingerols during drying, having lower pungency and a spicy-sweet aroma.

A total of three studies have been reported on potential BFIs for ginger or ginger extracts. The earliest study by Zick et al. [69] found that 6, 8-, and 10-gingerols and 6-shogaol are absorbed after oral ginger extract dosing and can be detected as glucuronide and sulfate conjugates [69]. Yu and co-workers [55] detected free 10-gingerol and 6-shogaol in the human plasma, whereas the majority of the 6-, 8-, and 10-gingerols and 6-shogaol existed as glucuronide and sulfate metabolites after oral dosing of 2 g ginger extracts [70]. No free 6-gingerol was detected in plasma despite it being the most abundant component of ginger extracts (2.64%). In comparison, although 6-shogaol makes up 2.25% and 10-gingerol only accounts for 1.22% of most ginger extracts, 6-shogaol and 10-gingerol were readily detected in human plasma. Pharmacokinetic studies showed very short half-lives for these four analytes and their metabolites (1–3 h in human plasma). Due to their short half-lives, no accumulation was observed for 6-, 8-, and 10-gingerols and 6-shogaol (and their metabolites) in either plasma or colon tissues even after multiple daily dosing. A third biomarker intake study was focused on the metabolism of shogaol [60]. The results of this study (Table 2) show that it was possible to detect all the major thiol-conjugated metabolites of shogaol in human urine using LC-MS/MS [71]. The authors suggested the mercapturic acid pathway as a major metabolic route for shogaols in humans.

Based on the available data, 6-, 8-, and 10-gingerol glucuronides and sulfates along with 6-shogaols appear to be plausible, specific, and robust biomarkers of ginger intake. More studies are needed to confirm that they are also seen with actual ginger-based food intake. Additional cumulative/kinetic aspects of these biomarkers need further evaluation and most likely an inter-laboratory validation is required to make these compounds fully validated BFIs for ginger consumption.

Nutmeg

Nutmeg is a fragrant flavoring spice coming from the seed of Myristica fragrans (belonging to the Myristicaceae family), an evergreen tree indigenous to the Banda Islands in the Moluccas (or Spice Islands) of Indonesia. Until the mid-nineteenth century, the small island group of the Banda Islands, was the only location of the production of nutmeg and mace in the world. This made nutmeg a particularly prized and costly spice in European medieval cuisine. The nutmeg essential oil is obtained by steam distillation of ground nutmeg, and it is used widely in the perfumery and pharmaceutical industries. This volatile fraction typically contains sabinene (21.38%), 4-terpineol (13.92%), and myristicin (13.57%), as well as portions of safrole, elimicin, terpineol, α-pinene d-camphene, limonene, linalool, and isoeugeunol [72]. Psychotropic effects have been described after ingestion of large doses of nutmeg, which are attributable to metabolic formation of amphetamine derivatives from the main nutmeg ingredients elemicin, myristicin, and safrole.

Only one study was found for the evaluation of nutmeg ingestion. Beyer and co-workers [73] evaluated nutmeg administration in animals and then performed an observational toxicological study to identify the metabolites in the urine of a human subject after the individual ingested the powder derived from 5 nutmeg seeds. In the human urine sample, the following metabolites were identified by GC-MS: O-demethyl elemicin, O-demethyl dihydroxy elemicin, demethylenyl myristicin, dihydroxy myristicin, and demethylenyl safrole. Neither amphetamine derivatives nor the main nutmeg ingredients could be detected in the rat urine nor in human urine samples [73].

Myristicin is a natural organic compound not only present in nutmeg oil, but also, to a lesser extent, in members of the Umbelliferae family such as carrots, parsley, celery, dill, parsnip, and black pepper [74]. The measured amount of myristicin in nutmeg and mace is very high—13,000 mg/kg (nutmeg) and 27,000 mg/kg (mace). On the other hand, it is much less in dill and parsley (1200 mg/kg and 727 mg/kg, respectively), and very low in celery (0.33 mg/kg), carrots (0.16 mg/kg), and parsnip (0.002 mg/kg) [74]. Zheng et al. [75] found that in an in vivo animal study conducted on mice, myristicin had the ability to increase the activity of the detoxifying system (potential cancer chemoprevention). This finding was replicated in another study [76]. Elemicin has been identified as an essential oil composition of carrots [77], parsley, elemi oil, banana, anise, and oregano [78]; however, the major route of elemicin intake appears to be nutmeg [79]. Lastly, safrole is a major chemical constituent (85%) of the aromatic oil of sassafras root bark (Sassaras albidum). It is also a minor component or trace constituent in mace, nutmeg, cinnamon, black pepper, cocoa, anise, and a number of other spices [80].

Because nutmeg is the primary known dietary source of these compounds [81], many of the metabolites of myristicin, elemicin, and safrole either alone or in combination (as a multi-marker panel) could be considered as good candidate BFIs of nutmeg intake. However, since the only study that exists on nutmeg intake is an observational study, additional controlled kinetic studies should be conducted, and further analytical performance validation should be done before these BFIs can be fully validated.

Oregano, marjoram, rosemary, and thyme

Oregano, marjoram, rosemary, and thyme are culinary herbs derived from members of the Lamiaceae plant family, which also includes basil, mint, sage, lavender, and others. Due to their phylogenetic proximity and the similarity of the compounds identified in studies of these herbs, we decided to present the results and discuss them together.

Oregano (Origanum vulgare) is a native herb to temperate western and southwestern Eurasia and the Mediterranean region. It has an aromatic, warm, and slightly bitter taste. Among the chemical compounds contributing to the flavor of oregano are carvacrol, thymol, limonene, pinene, ocimene, and caryophyllene [82]. Oregano also contains polyphenols, including caffeic, p-coumaric, and rosmarinic acid, which confer antioxidant activity and prevents lipid peroxidation [4]. It is widely used in Mediterranean cuisine, the Philippines, and Latin America, especially in Argentina. A related herb from Origanum oonites, which is better known as marjoram, is a plant species found in Sicily, Greece, and Turkey. Marjoram has similar flavors as oregano.

Rosemary (Rosmarinus officinalis) is native to the Mediterranean and Asia. The leaves are used as a flavoring agent in a variety of foods in traditional Mediterranean cuisine. They have a bitter, astringent taste, and a very characteristic aroma. Rosemary contains a number of phytochemicals, including rosmarinic acid, camphor, caffeic acid, ursolic acid, betulinic acid, carnosic acid, and carnosol [83]. Major essential oils present in rosemary oil are borneol (26.5%), α-terpinene (15.6%), and α-pinene (12.7%) [84].

Thyme (Thymus vulgaris) is also a member of the Lamiaceae family, and it has been used in foods mainly for flavor, aroma, and food preservation. Thyme has also been used in folk medicine since the times of the ancient Egyptians, Greeks, and Romans. The leafy parts of thyme are often added to meat, fish, and food products and also used as herbal medicinal products. The essential oils of common thyme contain 20–58% thymol and p-cymene (15–28%) as the most prevalent compounds, followed by linalool (0.7–6.5%), γ-terpinene (4–10%), carvacrol (1–4%), myrcene (1–3%), 1,8-cineole (0.8%), and borneol (0.7–1.7%) [85–87]. Thymol is the compound that provides the distinct flavor of thyme. It is also found in oregano and is used as one of many additives in cigarettes.

Oregano, rosemary, thyme, along with sage and mint are known to share several polyphenols and essential oils. Shared polyphenols include caffeic acid, chlorogenic acid, ferulic acid, p-coumaric acid, p-hydroxybenzoic acid, protocatechuic acid, and rosmarinic acid [83]. Some of the essential oils that are common to many herbs in the Laminaceae family are thymol (thyme, oregano, marjoram), carvacrol (thyme, oregano, marjoram), carnosic acid (rosemary and sage), carnosol (rosemary and sage), and rosmanol (rosemary and sage) [4].

Oregano, thyme, and rosemary are well known for their beneficial health properties. For example, carnosic acid and some of the diterpenes abundant in rosemary and sage appear to exert anti-obesity effects (including body weight and lipid-lowering effects) [88]. Likewise, thymol and carvacrol (oregano, thyme), carnosic acid, carnosol, rosmanol, (rosemary, sage), and epirosmanol (rosemary) have been shown to prevent lipid peroxidation and to have anti-inflammatory activity [4, 89–94]. Rosmarinic acid (found in oregano, sage, basil, rosemary, thyme and mint) exhibits anti-inflammatory effects while ferulic acid, caffeic acid, and p-coumaric acid inhibit LDL peroxidation [4]. Several compounds found in herbs from the Laminaceae family also exhibit antimicrobial activity, such as thymol, carvacrol, carnosol, rosmanol, and caffeic acid [7].

With regard to BFIs for these four herbs (thyme, marjoram, oregano, rosemary), a total of four studies were found that evaluated thyme intake, one study was found for marjoram intake, and one for oregano (evaluated in mice) and one for rosemary (evaluated in rats). In terms of oregano BFI intake, carvacrol, one of the principal components of oregano, was detected by LC-MS/MS in both murine plasma and brain after oregano extract administration [95]. Carvacrol was also found after ingestion of thyme, in a study that involved two different experimental models: (1) in vitro fermentation and (2) human intervention (in feces) [96]. These authors found that the in vitro fermentation showed limited degradation of thymol and carvacrol while the human intervention study, which used thyme phenol-enriched olive oil, increased the levels of phenylpropionic and hydroxyphenylpropionic acids in human feces, confirming in vivo microbial degradation of rosmarinic acid and eriodictyol. Based on these data, carvacrol can be considered a specific biomarker of thyme and oregano intake.

A human study looking at BFIs for marjoram measured urinary metabolites of 6 healthy volunteers, each of whom took a single dose of marjoram extract. In this study, the urinary metabolites identified by an HPLC-coulometric electrode array detector (CEAD) [97] were mainly polyphenol compounds such as protocatechuic acid, p-hydroxybenzoic, caffeic, ferulic, syringic, vanillic, p-coumaric, 3,4-dihydroxyphenylacetic, m-hydroxyphenylacetic acids. These polyphenols are also found in many other plant foods and beverages such as tea, wine, coffee, cereals, cocoa, and in general in vegetables and fruits (http://phenol-explorer.eu).

In the BFI evaluation studies of thyme, thymol [96, 98], and its derived metabolites (thymol sulfate, thymol glucuronide) [99], along with a number of polyphenols and polyphenolic metabolites including hydroxyphenyl propionic acid sulfate, coumaric acid sulfate, caffeic acid sulfate, ferulic acid sulfate, hydroxybenzoic acid dihydrophenylpropionic acid sulfate were identified in both rats [98] and humans [99]. Rosmarinic acid was also detected in plasma after thyme administration in a controlled randomized trial performed on Wistar rats [98]. Rosmarinic acid is found in both thyme and rosemary and can be considered as a biomarker of intake for both spices. Romo-Vaquero and collaborators [100] evaluated the gut, liver, plasma, and small intestine of 24 Zucker rats after both acute and subchronic administration of rosemary extract. Although the main bioactive compound of rosemary is carnosic acid [101], other derived metabolites (shown in Table 2) were also detected in this Zucker rat study. Because the two studies we found for rosemary and oregano administration were performed on animals, the compounds identified are simply being reported here for completeness. The data cannot be used to infer human BFIs for these two herbs. More studies in humans for rosemary and oregano are needed to better understand the metabolites and establish a set of specific BFI for humans.

Based on the data described here, we can conclude that several polyphenols and essential oils are shared between oregano, marjoram, rosemary and thyme. Most of these polyphenols are also common to other fruits and vegetables, so they cannot be considered specific biomarkers for these herbs. While rosmarinic acid is a very specific polyphenol for this family (Laminaceae), no rosamarinic acid could be detected in humans after consumption due to its rapid metabolism. With regard to essential oils, thymol and thymol sulfate in plasma and urine and thymol glucuronides in urine seem to be plausible biomarkers of thyme intake. However, these compounds are also present in oregano. Given the rather sparse number of studies done in humans for these four herbs, it is clear that additional human intervention studies are needed to evaluate if several compelling candidate biomarkers (i.e., carvacrol, carnosic acid, carnosol, rosmanol and derivatives) seen in animals can also be confirmed in human studies.

Parsley

Parsley (Petroselinum crispum) is an herb belonging to the Apiaceae family. It is native to the central Mediterranean region. Fresh parsley has a clean, green aroma with a versatile fresh taste that is slightly peppery with an aftertaste of green apple. Parsley is a source of several flavonoids, especially luteolin and apigenin [102, 103]. Apigenin is associated with anti-inflammatory activities as it appears to downregulate or inhibit cyclo-oxygenoase-2 (COX-2) [104]. Apigenin has also been identified as a potential cancer chemopreventive agent [105]. The major essential oil found in parsley leaves is 1,3,8-p-menthatriene, but other components are also present in lesser amounts including myristicin and limonene, among others [106, 107].

Two research articles were found that focused specifically on measuring BFIs of parsley [108, 109]. The first article focused on the development of a method to analyze apigenin and the apigenin metabolite acacetin (4′-methoxyapigenin) in human samples using an HPLC–UV method [108] while the second article focused on an intervention study [109] that measured these two compounds after the consumption of parsley. In this randomized crossover trial, parsley consumption together with a low flavone diet revealed a strong correlation with urinary apigenin excretion [108]. In addition to these two BFI parsley studies, several other studies have also assessed apigenin intake. One study [102], which looked at the ingestion of apigenin-rich foods like parsley, found that apigenin was elevated in urine, plasma, and red blood cells (RBCs). Although apigenin could be identified in plasma and RBCs, it was barely detectable (i.e., close to the limit of detection). On the other hand, apigenin in urine was easily identified in all individuals [102]. In another study that used a randomized crossover design for the administration of parsley, apigenin could not be detected in plasma because it was below the lower the limit of detection for the type of assay and instrument used [110].

Apigenin is a flavone not only found in parsley, but also in other vegetables from the same family (Apiacea), such as celery, and in lesser amounts in parsnip, carrots, and fennel. So while parsley certainly has a high content of apigenin, due to the poor specificity of this polyphenolic compound, we conclude that apigenin would not be a suitable BFI of parsley intake. Therefore, we conclude that there are no useful BFIs of parsley intake that have yet been discovered or reported in the literature.

Peppermint

Peppermint and spearmint are herbs that belong to the Laminacea family. Spearmint (Mentha spicata) is believed to be the oldest of the mints. It is a species of mint native to much of Europe and Asia (the Middle East, the Himalayas, China) that is now found in many parts of Northern and Western Africa, North America, and South America. On the other hand, peppermint (Mentha × piperita) is a hybrid mint herb. In particular, it is a cross between watermint and spearmint, and is indigenous to Europe and the Middle East. Both spearmint and peppermint have a fresh, minty, weedy, aroma. The taste is spicy, minty cool, sweet, and slightly pungent [111]. The active constituents of spearmint include spearmint oil, various flavonoids (diosmin, diosmetin), phenolic acids, and lignans. The most abundant compound in spearmint oil is carvone, which gives spearmint its distinctive smell. Spearmint oil also contains significant amounts of limonene, dihydrocarvone, and 1,8-cineol [112]. Unlike peppermint oil, spearmint oil contains minimal amounts of menthol and menthone. Conversely, peppermint has a high menthol content (40.7%), along with menthone (23.4%), and other essential oils such as menthyl acetate (4.2%), 1,8-cineole (5.3%), limonene (2.6%), menthofuran (3.7%), and β-caryophyllene (1.7%) [113, 114]. Peppermint leaves are often used alone or with other herbs in herbal teas (tisanes, infusions), ice cream, confectionery, chewing gum, toothpastes, and shampoos. Menthol activates cold-sensitive receptors in the skin and mucosal tissues, and is the primary source of the cooling sensation that follows the topical application of peppermint oil [115]. Peppermint also contains terpenoids and flavonoids such as eriocitrin, hesperidin, and kaempferol 7-O-rutinoside.

Interestingly, six research papers were found that studied the administration of peppermint (oil), but no studies were found that assessed spearmint administration. All six peppermint studies evaluated menthol and its glucuronide conjugate after administration of peppermint oil using a targeted approach. The main goal of these studies was to find a way to delay the absorption and increase the efficacy in treating spastic colon and irritable bowel syndrome. Menthol is fat-soluble and therefore is rapidly absorbed from the proximal small intestine when taken orally [116]. This makes it particularly useful for targeting disorders of the intestine. One of the first studies to look at peppermint oil ingestion was performed in 1984 [117] in which a comparison was done between the oral administration of gelatine capsules containing peppermint oil versus a Colpermin preparation (Tillotts Laboratories), a commercial peppermint preparation. The comparison was done in six healthy volunteers and repeated in six ileostomy subjects. The authors measured the levels of menthol in urine and found that Colpermin led to a more delayed-release of menthol compared to a gelatine capsule [117]. A second study conducted 3 years later, compared the Colpermin preparation with another new capsule administration (Mintec SK&F Ltd.). The authors affirmed that the Colpermin preparation delivered menthol more effectively to the distal small intestine and ascending colon than the Mintec formulation [116]. In 1990, Kaffenberger [118] studied the administration of 180 mg of peppermint oil in an enteric-coated capsule, identifying menthol glucuronide in urine by GC-FID [118].

In another study focusing on the kinetics of menthol metabolism [119], the authors used ¹³C glucose administered with peppermint oil to detect ¹³C-menthol glucuronide. In a later study, the same authors used deuterated water administered with peppermint to detect menthol glucuronide by ²H-NMR spectroscopy [120]. Finally, the most recent study analyzed urine and plasma by GC-MS after intragastric administration of peppermint oil [121]. Approximately, 70% of the administered menthol and its metabolites were excreted in the urine, and this amount fluctuated independent of the dose. The main metabolite identified in plasma and urine was menthol glucuronide along with lesser amounts of mono-hydroxylated menthol glucuronic acid and di-hydroxylated menthol glucuronic acid.

While menthol is highly abundant in peppermint (40%), it can also be found in sunflower petals (essential oils), tarragon (0.1%) [122], basil, and thyme (traces). However, due to the high menthol content in peppermint compared to the other two herbs and given that sunflower petals are not an edible food, menthol can be considered a specific marker of peppermint. Given that menthol glucuronide is also detectable in urine, this compound could also be a suitable biomarker of peppermint intake, particularly after capsular oral administration. However, further analysis in peppermint administration is needed for a suitable evaluation of menthol as potential food intake biomarker. In the case of spearmint, because no studies have yet been performed for spearmint BFIs, it is clear that spearmint interventions studies need to be undertaken.

Saffron

Saffron is among the world’s most costly spices. It comes from the dried flower stigma of Crocus sativus. This is a flower that is native to Southwest Asia but which is now cultivated in Greece, India, Iran, Morocco, and Spain. Saffron is mainly used as a seasoning and coloring agent in food, particularly in Persian, Indian, European, and Arab cuisines. Saffron contains more than 150 volatile and aroma-yielding compounds. Safranal (2,6,6-trimethyl-1,3-cyclohexadiene-1-carboxaldehyde) is the major compound (70%) in the volatile fraction of saffron [123, 124]. Saffron also has a number of non-volatile active components many of which are carotenoids, including zeaxanthin, lycopene, and various α- and β-carotenes. However, the golden yellow-orange color of saffron is primarily the result of the carotenoid α-crocin, a glycosyl ester of crocetin. Picrocrocin (4-(β-d-glucopyranosyloxy)-2,6,6-trimethyl-1-cyclohexene-1-carboxaldehyde) has also been found in saffron spice from 0.8 to 26.6% on a dry basis. This compound is responsible for saffron’s bitter taste [124]. In addition, saffron contains two important vitamins: riboflavin and thiamine. Riboflavin values range from 56 to 138 μg/g, and are the highest reported for any food. Thiamine values range from 0.7 to 4 μ g/g, which are well within the range of values reported in many vegetables [125]. Saffron extracts and tinctures have been used as antispasmodic agents, gingival sedatives, nerve sedatives, expectorants, stimulants, and aphrodisiacs.

Only one study has explored BFIs for saffron [126]. This was a single dose study that looked at saffron products in the plasma of four healthy volunteers using solid phase extraction—high-performance liquid chromatography (SPE-HPLC). Saffron was administered in the form of saffron tea [126]. Crocetin was tracked from the plasma of subjects and was found to be rapidly absorbed, being detected in systemic circulation after 2 h of administration, with the compound still being present for up to 24 h. A separate pharmacokinetic study that used purified crocetin extracted from Gardenia jasminoides fruit showed a strong dose-dependent absorption profile into the bloodstream of 10 healthy adult subjects [127].

While crocetin is also present in Gardenia jasminoides, this particular flower is not considered a common edible food so, in this regard, crocetin could be considered a specific BFI of saffron in plasma. The analytical performance of this biomarker has been well documented. However, additional studies are needed with regard to cumulative aspects (robustness in complex meals). Likewise, a comparison with other markers for the same food could certainly help with validating this BFI.

Sage

Sage or Salvia officinalis is a medicinal plant belonging to the Lamiaceae family. It is an aromatic herb native to the Mediterranean region but now widely distributed throughout the world. Sage has been used in traditional medicine for the treatment of seizures, ulcers, gout, rheumatism, inflammation, dizziness, tremors, paralysis, diarrhea, and hyperglycemia [128]. Sage has a savory, slightly peppery flavor. It is strongly aromatic, and is characterized by a medicinal, lemony, or bitter taste. It is used for seasoning and flavoring in many different foods including sausages and stuffing. The major components present in sage are α-thujone (11.55–19.23%), viridiflorol (9.94–19.46%), 1,8-cineole (8.85–15.60%), camphor (5.08–15.06%), manool (5.52–13.06%), β-caryophyllene (2.63–9.24%), α-humulene (1.93–8.94%), and β-thujone (5.45–6.17%) [129]. Some of the major phenolic compounds found in sage are rosmarinic acid, caffeic acid, carnosol, and carnosic acid. All of these polyphenols are also present in rosemary, thyme, or oregano as previously discussed.

Only one BFI study has been performed on sage in humans [130]. In this acute study, a single female volunteer was involved in a pharmacokinetic evaluation of 1,8-cineole after ingestion of sage tea [130]. The compounds identified in plasma and urine by GC-MS and LC-MS were 1,8-cineole and a number of its derivatives (2-hydroxy-1,8-cineole, 3-hydroxy-1,8-cineole, 7-hydroxy-1,8-cineole, 9-hydroxy-1,8-cineole). 1,8-cineole is also known as eucalyptol, and is a major component of essential oils from Eucalyptus polybractea. This monoterpene is present in numerous spices, such as rosemary, sage, basil, and laurel. It is also used in pharmaceutical preparations to treat coughs, muscular pain, neurosis, rheumatism, asthma, and urinary stones [131].

As mentioned earlier, other compounds present in rosemary and thyme are also present in sage. Interestingly, there are no intervention studies reporting any of these compounds after sage intake. While 1,8-cineole is detectable in urine after sage intake, it is important to note that 1,8-cineole is found in several other herbs belonging to the Laminacea family. Therefore, 1,8-cineole and its derivates cannot be considered to be specific for sage intake. Furthermore, its rapid metabolism makes it a poor BFI for most members of the Laminacea family. We conclude that there are no useful BFIs for sage intake that have yet been discovered or reported in the literature.

Turmeric (curcumin)

Turmeric is a rhizomatous herbaceous perennial plant (Curcuma longa) belonging to the ginger family, Zingiberaceae. It is native to Southeast Asia. Turmeric is a key ingredient in many Asian dishes and is used mainly as a coloring agent. The most notable phytochemical components of turmeric root include compounds called curcuminoids, such as curcumin (diferuloylmethane), demethoxycurcumin (DMC), and bisdemethoxycurcumin (BDMC). Curcumin is a polyphenolic molecule that constitutes 3.14% (on average) of powdered turmeric Curcumin is what gives the spice its yellow color [132]. The rhizome oils of turmeric contain more than 40 identifiable compounds, with the major constituents being α-turmerone (30–32%), aromatic-turmerone (17–26%), and β-turmerone (15–18%) [133].

Curcumin is a particularly well-studied spice. A total of 18 research papers were found for this review just for curcumin. This interest is likely due to the multiple biological or health activities attributed to it, including antioxidant, anti-inflammatory, and anti-tumor activities [134]. Recent clinical studies with curcumin have demonstrated additional health benefits relating to treating immune deficiencies, improving cardiovascular health, treating depression [135], combating Alzheimer’s disease, treating diabetes [136], arthritis, and inflammatory bowel disease [137, 138]. Curcumin has very low oral bioavailability, which is primarily due to its poor solubility, low absorption, rapid metabolism, and systemic elimination. As a result, most ingested curcumin is excreted through the feces unmetabolized. The small portion that is absorbed is extensively converted to its water-soluble metabolites, glucuronides, and sulfates. These metabolites include curcumin-O-glucuronide (COG), curcumin-O-sulfate (COS) [25, 138], [139], [6, 140, 141], and tetrahydrocurcumin (THC) [138, 142, 143]. Apart from glucuronidation and sulfation, other biotransformations could occur, which yield other unspecific metabolites such as ferulic acid and vanillic acid [132]. COG, the major curcumin metabolite, is relatively hydrophilic compared to curcumin due to its conjugation to glucuronic acid [141].

Several pharmacokinetic studies with healthy volunteers [139, 144, 145] and colorectal cancer patients [6] revealed that curcumin has a plasma T_max between 1 and 4 h, with conjugates persisting for up to 36 h after 10 g of curcumin intake [139]. Sharma et al. [145] determined that there was no detectable curcumin or any of its metabolites in the blood or urine of patients after the administration of 440—2200 mg of “curcuma” extract per day (containing 36–180 mg of curcumin) in advanced colorectal cancer patients. Another study performed by Cheng et al. [144] demonstrated that the peak concentrations of curcumin in serum after administration of 4, 6, and 8 g of curcumin (given in the form of tablets) were 0.51, 0.64, and 1.77 μM, respectively. However, doses below 4 g were barely detectable. Lao et al. [146] could not detect curcumin in the serum of volunteers with doses ranging from 0.5 to 8.0 g of curcumin.

Due to curcumin’s poor absorption, poor bioavailability, and fast excretion, several studies have explored different vehicles for curcumin administration to increase its bioavailability. Oral administration of curcumin in “C3 complex,” which consists of 450 mg of curcumin, 30 mg of demethoxycurcumin (DMC), and 20 mg of bisdemethoxycurcumin (BDMC) [6] was extensively tested by several research groups [6, 139, 141, 143, 145–147]. Nearly all groups were able to detect COG up to 24 h after oral administration of 4 g of curcumin. However, no curcumin could be detected for the same subjects after the same time period [141]. This suggests that curcumin-O-glucuronide (COG) has a much higher half-life and is more suitable as a curcumin/turmeric BFI.

Another interesting study of curcumin bioavailability has been conducted by Jager et al. [138]. These researchers studied the absorption of formulated curcumin versus unformulated curcumin. Their formulated curcumin used a combination of a hydrophilic carrier, cellulosic derivatives, and natural antioxidants. This formulation was found to significantly increase curcuminoid levels in the blood in comparison to the unformulated product [138]. Theracurmin, a colloidal nanoparticle dispersion of curcumin, is reported to have a much higher bioavailability (27-fold higher) than any other available preparations [148]. A recent pharmacokinetic study conducted in both mice and humans [149], looked at fresh turmeric-derived curcuminoids versus dry turmeric-derived curcuminoids. These researchers showed that fresh curcuminoids permitted better plasma delivery and better absorption. Baum and co-workers suggested that curcumin consumed with food appears to accelerate its absorption [132].

Almost all of turmeric/curcumin intake studies that we found were performed in blood (plasma or serum). A smaller number of studies looked at other biofluids or excreta such as urine and feces. In almost all cases, curcumin was barely detected. Moderately suitable biomarkers of curcumin consumption were reported in plasma after the intake of formulated curcumin, such as BDMC, DMC, THC, COG, and COS, as opposed to unformulated administration. However, in feces and colon tissue, only curcumin itself could be detected. In conclusion, formulated curcumin, curcumin biotransformation products, and curcuminoids can be detected in plasma and in feces, but due to the fact that curcumin was administered in a formulated preparation, these biomarkers cannot be considered robust BFIs of turmeric/curcumin consumption.