Salvia Sage: A Review of its Potential Cognitive-Enhancing and Protective Effects PMC

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Because the drug can impair a user’s coordination and reality so much, people under the influence of salvia can be a real danger to themselves. There is a substantial risk of injury or accidental death to salvia users. Salvinorin A affects structures in the brain called opioid receptors. This makes salvia different from other hallucinogenic drugs like LSD and mushrooms, which affect the brain’s levels of a chemical called serotonin. Salvia products are often laced with concentrated extracts or other drugs (adulterants) to increase their strength. This may lead you to take an unintended higher dose, resulting in a higher risk level of serious complications.

Effects and potential mechanism of SM and its active ingredients on osteoarthritis (OA)

Firstly, the acute effect of Salvia administration was characterized via the Y-maze paradigm, then the chronic impact of Salvia supplementation was assessed in the Morris water maze and, finally, the neurobiological correlates underlying these effects were investigated. NO plays the cardioprotective role through regualting blood pressure and vascular tone, and inhibiting platelet aggregation and leukocyte adhesion as well as preventing smooth muscle cell proliferation. An impairment of NO production may result in hypertension or atherosclerosis [124]. Further, ET-1 is a vasoconstricting peptide produced primarily in the endothelium which contributes to constrict blood vessels and raise blood pressure. Activating transcription factor (ATF)-3 mediated inflammatory and apoptotic responses as well as oxidantvie stress in the endothelium [125]. NO promotes ATF-3 expression and further results in a repression of MMP-2 promoter activity [126].

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Understanding the central role of ROS signaling in SM’s therapeutic effects has important clinical implications. Miltiorrhiza such as the tanshinones and salvianolic acids have also been shown to have anti-inflammatory mechanisms by influencing cytokine production and iNOS activity. They also inhibited COX-2, hypoxia-inducible factor-1α, and nuclear factor κβ activity [64].

Salvia and its Pharmacodynamic Influences on the Brain

The herb has been officially recorded in the Chinese pharmacopoeia since 1953. Miltiorrhiza is the only official source of Salvia Radix & Rhizoma (Danshen) [3]. Miltiorrhiza contained a large number of lipophilic diterpenoids (such as various tanshinone analogues), hydrophilic phenolic compounds (such as salvianolic acids), flavonoids, and triterpenoids) [4-7].

4. Effects of Salvia miltiorrhiza on Endothelial Cells, Smooth Muscle Cells and Myocardial Cells

In vitro, animal and preliminary human studies have supported the evidence of Salvia plants to enhance cognitive skills and guard against neurodegenerative disorders. The essential oils of Salvia plants do contain varying concentrations of α and β-thujone [87]. In animal studies it has been confirmed that thujone can be neurotoxic by inhibiting the γ-aminobutyric acid A (GABAA) receptor, causing excitation watch out alcohol and anxiety and convulsions in a dose-dependent manner. Although its effect in humans is uncertain, cases of severe intoxication in humans have been reported after consumption of essential oils rich in thujone [87]. Consequently, the Committee on Herbal Medicinal Products/European Medicines Agency (HMPC/EMA) has recommended an upper daily thujone intake of 6 mg derived from products used for medicinal purposes [88].

Moreover, human studies on cognitive function have only been conducted using S. The extracts used also varied considerably as both essential oils and ethanolic extracts were examined. Verticillata [70] has been shown to produce antidepressant and anxiolytic-like effects via animal models of depression and anxiety. The same has been observed following the administration of essential oils of S. Sclarea were more pronounced than those obtained from the administration of essential oils of Anthemis nobilis (chamomile), Rosmarinus officinalis (rosemary), and Lavandula angustifolia (lavender). Sclarea was significantly blocked by pre-treatment with dopamine receptor antagonists, indicating its influences via dopaminergic activity [72].

Vascular endothelial growth factor (VEGF) regulates the endothelial hyperpermeability which resulted in inflammation and subsequent ischemic reperfusion injury or atherosclerosis. Miltiorrhiza and its active components (Danshensu and salvianolic acid B) inhibited TNF-α induced hyper-permeability by inhibiting VEGF expression [133] in HUVECs. In addition, salvianolic acid B and Danshensu (1-20 μg/ml) also protected HUVECS against hydrogen peroxide damage [65]. Cryptotanshinone how does increased alcohol tolerance affect a person also exhibits mitigating effects against oxidative stress and inflammation insults. Using HUVECs exposed to H2O2, TNF-α and oxidized LDL insults [77, 90], cryptotanshinone treatment was shown to inhibit the resultant NF-κB activity and LOX-1 expression. Further, cryptotanshinone inhibited LOX-1-mediated adhesion of THP-1 monocytes to HUVECs by reducing the expression of VCAM-1, ICAM-1 and E-selectin via inhibiting NOX4/ROS/NF-κB signaling pathway in HUVECs [90, 131].

Carnosic acid and ursolic acid are also powerful antioxidants [51, 52]. The brain imaging study at Johns Hopkins was a first step toward understanding the effects of this bizarre psychedelic. Doss says the study was hampered by several limitations, such as its small sample size and the lack of repeat trials, but it points the way to more comprehensive studies. To get a better handle on what salvia is doing in the brain, in future studies Doss would want to image the brains of individuals on salvia at multiple doses—and cross reference those patterns to the ways their brains behave on classic psychedelics.

  1. Additionally, they found that the water-soluble ingredients of SM had a multi-targeted effect on regulating bone metabolism and preventing osteoporosis, potentially through the regulation of oxidative stress (Yang et al., 2013).
  2. Among them, 6 studies explicitly addressed coronary heart disease, 8 trials studied coronary heart disease combined with angina pectoris, 3 trials observed unstable angina, and 1 trial studied stable angina pectoris.
  3. Miltiorrhiza in CVD animal disease models are summarized in Table ​22.

The molecule is produced naturally in salvia divinorum, a type of sage in the mint family. The plant is endemic to southern Mexico, where it has been ingested ritualistically by indigenous peoples for centuries. But it wasn’t introduced to researchers in the United States until 1962, when Harvard botanist Gordon Wasson described its psychoactive effects and botanical classification. It took another 20 years before scientists isolated its primary psychoactive ingredient. When your attention turns inward, the communication between the brain regions in the default mode network syncs up like musicians in an orchestra.

By targeting ROS signaling, SM may indirectly impact multiple cellular pathways, helping to mitigate the damaging effects of oxidative stress on bone cells and tissues. Inflammatory processes, often driven by ROS, are a common feature of many musculoskeletal diseases. SM’s ability to modulate inflammatory cytokines and pathways, as discussed in the text, may be linked to its impact on ROS signaling. By reducing ROS and oxidative stress, SM may simultaneously promote osteoblast function, inhibit osteoclastogenesis, and attenuate inflammatory processes.

For this reason, it is not appropriate to consider it a safe drug. There are concerns that salvia may affect a person’s your guide to cocaine withdrawal symptoms and recovery thinking, choices, and mental health. Hallucinogen abuse typically causes psychological effects lasting several hours.

We know little about the long-term health effects of salvia, including whether it can cause permanent damage. Additionally, a person who uses Salvia may experience frightening or distressing hallucinations. Consequently, a Salvia user could suffer fear, panic, or anxiety until the effects of the drug subside. While Salvia makes some users euphoric, the drug makes other users feel disoriented and exhausted. Salvia can also place a person in danger of accidentally harming themselves or others if they attempt to use tools or operate a vehicle after taking the drug. The vascular endothelium, positioned at the interface between blood and tissue, plays a pivotal role in maintaining the integrity of the vessel wall.